Medical Devices of the Chest

Hunter, Tim B.; Taljanovic, Mihra S.; Tsau, Pei H.; Berger, William; Standen, James R.

doi:10.1148/rg.246045031

Cited by 52 publications

(29 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…We conducted a literature search for criteria used to evaluate the correct positioning of medical devices on thoracic radiograms, the results of which are summarized in table 1 (4-11) and were used for the analysis of the positioning of the devices identified in our study. This study was approved by the Ethics Committee of the Centro Hospitalar do Algarve (CHA), under nº 2264/2015, and there was no need for consent signature.…”

Section: Methodsmentioning

confidence: 99%

“…(2,3) Possible adverse events related to the incorrect placement of medical devices may be diagnosed on thoracic radiograms and can include pneumothorax or hemothorax caused by central venous catheters (CVC), (4,5) more commonly by subclavian catheters, (2) cardiac arrhythmias or myocardial rupture that could be caused by low placement of CVC with the tip in the right atrium, (4,5) lung or lobar atelectasis caused by a low placement of an endotracheal tube with bronchial intubation, and an increased risk of extubation when the endotracheal tube tip is placed too high. (4,6) …”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Evaluation of medical devices in thoracic radiograms in intensive care unit - time to pay attention!

Moreira¹,

Afonso²,

Dinis³

et al. 2016

Revista Brasileira De Terapia Intensiva

View full text Add to dashboard Cite

ObjectiveTo identify and evaluate the correct positioning of the most commonly used medical devices as visualized in thoracic radiograms of patients in the intensive care unit of our center.MethodsA literature search was conducted for the criteria used to evaluate the correct positioning of medical devices on thoracic radiograms. All the thoracic radiograms performed in the intensive care unit of our center over an 18-month period were analyzed. All admissions in which at least one thoracic radiogram was performed in the intensive care unit and in which at least one medical device was identifiable in the thoracic radiogram were included. One radiogram per admission was selected for analysis. The radiograms were evaluated by an independent observer.ResultsOut of the 2,312 thoracic radiograms analyzed, 568 were included in this study. Several medical devices were identified, including monitoring leads, endotracheal and tracheostomy tubes, central venous catheters, pacemakers and prosthetic cardiac valves. Of the central venous catheters that were identified, 33.6% of the subclavian and 23.8% of the jugular were malpositioned. Of the endotracheal tubes, 19.9% were malpositioned, while all the tracheostomy tubes were correctly positioned.ConclusionMalpositioning of central venous catheters and endotracheal tubes is frequently identified in radiograms of patients in an intensive care unit. This is relevant because malpositioned devices may be related to adverse events. In future studies, an association between malpositioning and adverse events should be investigated.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Evaluation of medical devices in thoracic radiograms in intensive care unit - time to pay attention!

Moreira¹,

Afonso²,

Dinis³

et al. 2016

Revista Brasileira De Terapia Intensiva

View full text Add to dashboard Cite

show abstract

“…86 The first cardiac occlusion device was the Rashkind "double umbrella" device used for closure of a patent ductus arteriosus, but today atrial septal defects, patent foramina ovale, ventricular septal defects and other abnormal communications are also routinely closed with a variety of closure devices (Figures 16 and 17). 87 Most feature a filter, basket or umbrella that is situated within the defect with the goal of occluding it. Complications associated with the placement of closure devices include vascular trauma, cardiac perforation, device malposition, thrombus formation with resultant distal embolization, residual shunts, arrhythmias and infective endocarditis.…”

Section: Cardiac Occlusion Devicesmentioning

confidence: 99%

Radiology of cardiac devices and their complications

DiPoce

Bernheim²,

Spindola‐Franco³

2015

BJR

View full text Add to dashboard Cite

This article familiarizes the reader with several different cardiac devices including pacemakers and implantable cardioverter defibrillators, intra-aortic balloon pumps, ventricular assist devices, valve replacements and repairs, shuntoccluding devices and passive constraint devices. Many cardiac devices are routinely encountered in clinical practice. Other devices are in the early stages of development, but circumstances suggest that they too will become commonly found. The radiologist must be familiar with these devices and their complications.

show abstract

“…12). [31][32][33] Malpositioning, especially in the soft tissue of the chest wall, occurs more frequently in obese patients. A malposition should be sus- pected when the drainage function is inadequate or the pneumothorax or pleural effusion persists.…”

Section: Chest Tubesmentioning

confidence: 99%