Radiographic control of medical devices in neonatology: a narrative review

• Autor(a) principal: Reis, Raquel
• Data de Publicação: 2022
• Outros Autores: Rebelo, Sofia, Pereira, José Manuel
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://doi.org/10.46885/roentgen.v3i1.70
• topic: Newborn; neonatology x-ray; radiographic quality; intravascular catheters; endotracheal tube; nasogastric tube; Recém-nascidos; radiografia em neonatologia; qualidade radiográfica; cateteres intravasculares; tubo endotraqueal; sonda nasogástrica

Introduction: During the stay of a newborn in the intensive unit, the clinical care management can involve the placement of invasive medical devices that need to be controlled by x-ray. The main goal of this work is to make a narrative review about the quality of imaging acquisition for radiographic confirmation of invasive medical devices in the neonatal intensive care units, according to the literature and the author’s experience. Material and Methods: We carried out a narrative review of the literature. We search the documents in the scientific data bases: PubMed; Science Direct; Google Scholar and Portal RCAAP. Books from the authors' private collections were also consulted. Results: We included 39 scientific documents: 26 articles; four guidelines/recommendations/consensus and nine books/book’s chapters. Discussion: Interventional procedures such as the placement of intravascular catheters, nasogastric or endotracheal tubes are a regular practice in the Neonatal Intensive Care Unit. The accurate placement of these devices is essential and the role of the chest and abdominal radiographs it’s very important in the control of these devices. The technical challenges associated to the realization of the x-ray images require more attention to the position and level of exposure than on the adult population. Exposure parameters, imaging post-processing must be optimized, to be possible to evaluate the tip positioning and trajectory of medical devices. At the same time, the image must have good anatomical quality so that any lesion on the underlying organs can be identified. Conclusion: The fast radiographic recognition of incorrect placing of medical devices and their complications its essential for a quick intervention so that the care of newborn can be maintained.