Chest X-ray after tracheostomy is not necessary unless clinically indicated.

Published

Journal Article

BACKGROUND: Chest radiography is routinely used post-tracheostomy to evaluate for complications. Often, the chest X-ray findings do not change clinical management. The present study was conducted to evaluate the utility of post-tracheostomy X-rays. METHOD: This retrospective review of 255 patients was performed at a single-center, university, level I trauma center. All patients underwent tracheostomy and were evaluated for postprocedure complications. RESULTS: Of the 255 patients, 95.7% had no change in postprocedure chest X-ray findings. New significant chest X-ray findings were found in 4.3% of patients, including subcutaneous emphysema, pneumothorax, and new significant consolidation. Only three of these patients required change in clinical management, and all changes were based on clinical presentation alone. CONCLUSIONS: Routine chest X-ray following tracheostomy fails to provide additional information beyond clinical examination. Therefore radiographic examination should be performed only after technically difficult procedures or if the patient experiences clinical deterioration. Significant cost savings and minimization of radiation exposure can be achieved when chest radiography after tracheostomy is performed exclusively for clinical indications.

Full Text

Duke Authors

Cited Authors

  • Tobler, WD; Mella, JR; Ng, J; Selvam, A; Burke, PA; Agarwal, S

Published Date

  • February 2012

Published In

Volume / Issue

  • 36 / 2

Start / End Page

  • 266 - 269

PubMed ID

  • 22167261

Pubmed Central ID

  • 22167261

Electronic International Standard Serial Number (EISSN)

  • 1432-2323

Digital Object Identifier (DOI)

  • 10.1007/s00268-011-1380-4

Language

  • eng

Conference Location

  • United States