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Critical Care: Imaging in Critical Illness |

Pragmatic Single Intervention for a Sustained Reduction in Portable Chest Radiography (pCXR) in Cardiovascular and Surgical/Trauma ICU and Associated Outcomes

Joseph Tonna, MD; Kensaku Kawamoto, MD; Angela Presson, PhD; Chong Zhang, MS; Mary Mone, BS; Robert Glasgow, MD; Richard Barton, MD; John Hoidal, MD; Yoshimi Anzai, MD
Author and Funding Information

University of Utah; Department of Surgery, Salt Lake City, UT


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):298A. doi:10.1016/j.chest.2016.08.311
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SESSION TITLE: Imaging in Critical Illness

SESSION TYPE: Original Investigation Slide

PRESENTED ON: Tuesday, October 25, 2016 at 11:00 AM - 12:15 PM

PURPOSE: Portable chest radiography (pCXR) is used frequently in intensive care units (ICUs), especially for post-operative cardiothoracic surgery and trauma patients. Studies have suggested that “on-demand” radiography testing is equivalent to daily routine testing with regard to adverse events while reducing cost and radiation exposure. Prior to our intervention, routine daily pCXR order placement was standard culture in the cardiothoracic (CVICU) and surgical/trauma (SICU) ICUs at our institution. We evaluated the impact of a pragmatic single time point intervention requesting on-demand testing in our CVICU and SICU.

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