Don’t perform routine chest X-ray in patients entering rehabilitation programme after cardiac surgery

Type of practice

Imaging

Topic Area

Cardiology

Patients always receive chest X-Ray before discharge from cardiac surgery. Further X-ray should be warranted only on clinical basis. Pleuric effusion monitoring should be performed by mean of thoracic echography

Sources

1. Linee guida di riferimento per la diagnostica mediante immagini. Protezione dalle radiazioni 118. Lussemburgo. Ufficio delle pubblicazioni ufficiali delle Comunità Europee. 2002 – ISBN 92-828-9456-8.
2. La diagnostica per immagini. Linee guida nazionali di riferimento. Società Italiana di Radiologia Medica (SIRM)- 2004.
3. Is thoracic ultrasound a viable alternative to conventional imaging in the critical care setting? D.T. Ashton-Cleary. British Journal of Anaesthesia 2013; 12: 1-9.
4. Bedside Ultrasonography in the ICU. Chest 2005; 128: 1766-1781.
5. Clinical review: Bedside lung ultrasound in critical care practice. B. Bouhemad at coll. Critical Care 2007; 11: 205.
6. The Use of Point-of-Care Bedside Lung Ultrasound Significantly Reduces the Number of Radiographs and Coumputed Tomography Scans in Critically III Patients. Persi A. at coll. Anesth Analg 2010; 111: 687-92.

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Attention. Please note that these items are provided only for information and are not intended as a substitute for consultation with a clinician. Patients with any specific questions about the items on this list or their individual situation should consult their clinician.