Radiography Chest Portable Unexpected findings on chest radiographs were noted in <6% of the 2,457 daily routine radiographs that were ordered in 754 consecutive ICU patients in a mixed medical-surgical ICU [13]. In a cross-sectional study of ICUs in hospitals in Saudi Arabia, the daily routine chest radiograph was performed in almost 96.8% of ICU patients. However, a majority of the clinical staff members (73%) thought that this current daily routine chest radiographs protocol in the ICUs should be replaced with the on-demand chest radiographs policy. They observed that intensivists support the change of the current practice of daily chest radiographs and recommend an on-demand chest radiographs policy likely to be followed in intensive care management [14]. In a survey of Dutch intensivists on the current practice of chest radiography in their departments, only 7% of responding ICUs to the survey were currently performing daily routine chest radiographs for all patients, and 61% of the responding ICUs reported never performing chest radiographs on a routine basis. A daily meeting with a radiologist is an established practice in 72% of the responding ICUs and is judged to be important or even essential by those ICUs. The therapeutic efficacy of routine chest radiographs was assumed by intensivists to be between 10% and 20% compared with 10% and 60% for on-demand chest radiographs. Therapeutic efficacy was defined as the percentage of chest radiograph findings that resulted in a subsequent change in patient management. There was a consensus between intensivists to perform a routine chest radiograph after endotracheal intubation, chest tube placement, or central venous catheterization, and for diagnostic workups for pneumonia, acute respiratory distress
Intensive Care Unit Patients. Radiography Chest Portable Unexpected findings on chest radiographs were noted in <6% of the 2,457 daily routine radiographs that were ordered in 754 consecutive ICU patients in a mixed medical-surgical ICU [13]. In a cross-sectional study of ICUs in hospitals in Saudi Arabia, the daily routine chest radiograph was performed in almost 96.8% of ICU patients. However, a majority of the clinical staff members (73%) thought that this current daily routine chest radiographs protocol in the ICUs should be replaced with the on-demand chest radiographs policy. They observed that intensivists support the change of the current practice of daily chest radiographs and recommend an on-demand chest radiographs policy likely to be followed in intensive care management [14]. In a survey of Dutch intensivists on the current practice of chest radiography in their departments, only 7% of responding ICUs to the survey were currently performing daily routine chest radiographs for all patients, and 61% of the responding ICUs reported never performing chest radiographs on a routine basis. A daily meeting with a radiologist is an established practice in 72% of the responding ICUs and is judged to be important or even essential by those ICUs. The therapeutic efficacy of routine chest radiographs was assumed by intensivists to be between 10% and 20% compared with 10% and 60% for on-demand chest radiographs. Therapeutic efficacy was defined as the percentage of chest radiograph findings that resulted in a subsequent change in patient management. There was a consensus between intensivists to perform a routine chest radiograph after endotracheal intubation, chest tube placement, or central venous catheterization, and for diagnostic workups for pneumonia, acute respiratory distress