Contemporary postoperative imaging practices among pediatric surgeons for image-guided central venous line placement: A survey of the American Pediatric Surgical Association

Space: StayCurrentMD Author: Aaron J. Cunningham, Sanjay Krishnaswami, Stephanie Radu, Nicholas A. Hamilton Published:

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Aaron J. Cunningham, Sanjay Krishnaswami, Stephanie Radu, Nicholas A. Hamilton

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Abstract

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 

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