Contemporary postoperative imaging practices among pediatric surgeons for image-guided central venous line placement: A survey of the American Pediatric Surgical Association
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In brief
In brief
Survey of 518 APSA members reveals that 52% routinely obtain chest radiographs after image-guided central venous line placement in children, despite evidence questioning this practice's utility. The discordance between evidence and practice appears driven by medicolegal concerns and institutional standards rather than clinical factors, with practice patterns showing no correlation to surgeon experience or volume.
Written by the GCMD Library team from the article.
Background/Purpose
Rare life-threatening complications after central venous line (CVL) placement in children may encourage the routine use of postoperative imaging, despite multiple studies demonstrating the limited utility of this practice. The aim of this study was to investigate the nature of this discordance.
Methods
A 10-question survey was sent to 1,239 members of the American Pediatric Surgical Association (APSA) addressing contemporary practices regarding CVL placement and postoperative imaging.
Results
Five hundred eighteen (42%) surveys were completed. The majority of respondents routinely obtain a chest radiograph (CXR) after image-guided CVL placement (52%). Years in practice, operative volume, and practice type were not statistically associated with postoperative CXR usage (all p > 0.05). ‘Routine' users were more likely to cite "standard of care" (p