Identification of malpositioned tubes and lines in ICU patients: An automated solution utilizing the electronic medical record

摘要

Portable intensive care unit (ICU) chest radiography is the mainstay in confirming proper placement and evaluating continued position and function of support catheters, lines, and tubes [1]. However, portable radiographs are often suboptimal because of patient positioning, severe cardiopulmonary disease, or body habitus. Additionally, multiple devices, overlying leads and wires, and dressings or bed sheets can further obscure imaging findings. Direct communication in the PACS era between clinicians and reading radiologists is often very limited, and this lack of communication can lead to serious consequences.