2007
Comparison of Routine Chest Radiograph Versus Clinician Judgment to Determine Adequate Central Line Placement in Critically Ill Patients
Abood GJ, Davis KA, Esposito TJ, Luchette FA, Gamelli RL. Comparison of Routine Chest Radiograph Versus Clinician Judgment to Determine Adequate Central Line Placement in Critically Ill Patients. Journal Of Trauma And Acute Care Surgery 2007, 63: 50-56. PMID: 17622868, DOI: 10.1097/ta.0b013e31806bf1a3.Peer-Reviewed Original ResearchConceptsCentral venous catheterizationCentral line placementLine placementClinical judgmentCVC placementIll patientsClinician judgmentPredictive valuePostprocedural chest radiographGeneral surgery patientsIncidence of complicationsProcedure-related complicationsProspective observational studyIntensive care unitStandard of careChest X-rayNegative predictive valuePositive predictive valueSubclavian positionPostprocedural complicationsSurgery patientsCare unitVenous catheterizationClinical impressionChest radiographs
2005
Old Fashion Clinical Judgment in the Era of Protocols: Is Mandatory Chest X-Ray Necessary in Injured Patients?
Sears BW, Luchette FA, Esposito TJ, Dickson EL, Grant M, Santaniello JM, Jodlowski CR, Davis KA, Poulakidas SJ, Gamelli RL. Old Fashion Clinical Judgment in the Era of Protocols: Is Mandatory Chest X-Ray Necessary in Injured Patients? Journal Of Trauma And Acute Care Surgery 2005, 59: 324-332. PMID: 16294071, DOI: 10.1097/01.ta.0000179450.01434.90.Peer-Reviewed Original ResearchMeSH KeywordsAccidental FallsAdolescentAdultAgedAged, 80 and overChild, PreschoolClinical CompetenceClinical ProtocolsDecision MakingFemaleHumansInfantJudgmentMaleMediastinumMiddle AgedProspective StudiesRadiography, ThoracicRib FracturesSensitivity and SpecificityThoracic InjuriesWounds and InjuriesConceptsChest X-rayClinical indicatorsTrauma surgeonsTwelve-month study periodNegative predictive valueSelective policyAbnormal findingsCXR abnormalitiesCXR resultsTrauma patientsThoracic injuriesHistory suggestiveClinical indicationsLevel IPatientsClinician judgmentPredictive valueClinical judgmentBlunt forceSurgical judgmentStudy periodATLS coursePotential injuryConfidence intervalsInjury