Imaging neonates within an incubator – A survey to determine existing working practice

Tugwell-Allsup, J and England, A ORCID: https://orcid.org/0000-0001-6333-7776 2020, 'Imaging neonates within an incubator – A survey to determine existing working practice' , Radiography, 26 (1) , e18-e23.

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Abstract

Introduction There is limited and confusing evidence within the literature regarding the optimal techniques when imaging neonates within incubators; in particular, whether to place the image receptor directly behind the neonate or in the incubator tray. For this reason, radiology departments across Wales and North West England were surveyed to explore existing working practice with regards to incubator imaging.
Method A self-designed survey was developed using a systematic approach. The survey was sent to 31 radiology departments across Wales and North West England whom had a neonatal unit in order to assess existing techniques used when imaging neonates within the incubator. The survey was split into three main domains: 1) general/demographics, 2) exposure factors and technique, and 3) incubator design.
Results Nineteen departments responded (64%) demonstrating a wide variation in practice for incubator imaging. The minimum and maximum exposure factors used for neonatal chest x-ray imaging varied from 55 kV to 65 kV and 0.5 mAs–2 mAs. Fifty-eight percent of departments used the incubator tray as standard practice with the remaining forty two percent not using the tray for various reasons including, image quality, artefacts and misalignment. Sixty-three percent of departments use the maximum achievable SID for incubator imaging which demonstrates wide variability as the SID would be dependent upon: incubator design, portable machine and radiographer height.
Conclusion The survey demonstrates a wide variation in existing practice for neonatal incubator imaging.
Implications for practice This study supports the need for standardisation and further optimisation work to ensure best practice for this vulnerable patient group.

Item Type: Article
Additional Information: ** Article version: AM ** Embargo end date: 31-12-9999 ** From Elsevier via Jisc Publications Router ** Licence for AM version of this article: This article is under embargo with an end date yet to be finalised. **Journal IDs: issn 10788174 **History: issue date 05-08-2019; accepted 21-07-2019
Schools: Schools > School of Health and Society
Journal or Publication Title: Radiography
Publisher: Elsevier
ISSN: 1078-8174
Related URLs:
SWORD Depositor: Publications Router
Depositing User: Publications Router
Date Deposited: 07 Nov 2019 12:13
Last Modified: 13 Mar 2020 14:39
URI: http://usir.salford.ac.uk/id/eprint/51973

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