Utility of the Routine Chest Radiograph Following Removal of a Chest Tube in Pediatric Postoperative Cardiac Patients
Author: Betsy T. Gerrein
Publisher: ProQuest
Published: 2007
Total Pages: 33
ISBN-13: 9780549272540
DOWNLOAD EBOOKHeart defects are the most common congenital abnormalities. Many children who undergo corrective surgical procedures will receive one or more chest tubes. This study examined the utility of routine chest radiographs (CXR) in the evaluation of the presence of a pneumothorax (PTX) following the removal of the chest tube in the pediatric postoperative cardiac patient. A retrospective chart review was conducted for patients from newborn to 18 years old who underwent open heart cardiopulmonary surgery between January 1, 2006 and June 30, 2007 and also had at least one chest tube placed. Data were analyzed using logistic regression to determine which variables are related to the likelihood of PTX. Age was significantly related to incidence of PTX, showing that older children were more likely to develop a PTX. This study determined that clinical presentation was not adequate to accurately predict the presence of PTX and therefore the CXR was necessary.