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2009 Nov 5 – Lancet Comment: Routine daily vs on-demand chest radiographs in intensive care

Mark D Siegel a, Ami N Rubinowitz b. The Lancet, Early Online Publication, 5 November 2009
Routine daily chest radiography is common in intubated and mechanically ventilated patients, in accord with professional society recommendations. 1 A key justification is the belief that routine chest radiographs allow prompt detection of problems that could be missed by clinical evaluation (eg, early pneumothoraces or malpositioned endotracheal tubes). 2


The value of routine chest radiography has been questioned for many years. 3—5 In one study, only 5·8% of routine chest radiographs revealed unexpec …

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