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[Do thoracic surgery patients always need a postoperative chest X-ray?].

Authors
  • Leschber, G
  • May, C J
  • Simbrey-Chryselius, N
Type
Published Article
Journal
Zentralblatt für Chirurgie
Publication Date
Sep 01, 2014
Volume
139 Suppl 1
Identifiers
DOI: 10.1055/s-0034-1383034
PMID: 25264723
Source
Medline
License
Unknown

Abstract

There are only sparse data concerning postoperative chest X-rays in thoracic surgery patients. In a study on children and young adults undergoing a Nuss procedure routine radiological examination was substituted by clinical indication resulting in a lower rate of thoracic drain placement. A chest X-ray to document the location of the metal bar prior to discharge was felt to be sufficient. In patients undergoing cardiac procedures daily routine chest X-rays on the intensive care ward were replaced by on-demand X-ray in a study without any change in length of stay, readmission or mortality. The same was found for chest X-rays following drain removal in cardiac patients: routine radiological examination seems not to be indicated. As a consequence of our own observational study on mediastinoscopy we have discontinued postoperative X-ray as the patients are examined clinically. All other patients undergoing thoracic surgery procedures who are observed in the intensive care unit receive the first chest X-ray in the morning following surgery. Only if complete expansion of the lung is warranted (pleurodesis, pneumothorax) an X-ray is performed on the day of surgery.

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