title: The efficacy of X-rays after chest tube removal.
abstract: BACKGROUND
  The insertion and subsequent removal of chest tubes are frequently performed procedures. We hypothesize that routine chest radiographs obtained after chest tube removal to confirm the absence of any post-procedure complications have little impact on clinical management.
  
  
  METHODS
  A 5-year retrospective study of 73 patients with tube thoracotomies was performed in a level II trauma center's intensive care unit. Patients were identified from billing records for chest tube placement. Medical records and official chest x-ray film reports, both before and after removal, were reviewed, and demographic data were collected.
  
  
  RESULTS
  Of the 73 patients examined, only 8 had postprocedure reports that differed from the preprocedure reports. Two of these 8 patients required reinsertion of a chest tube to treat the recurrence of a significant pneumothorax. However, the decision to reinsert the chest tube was based on the patient's clinical appearance rather than on the x-ray findings.
  
  
  CONCLUSIONS
  Chest radiography following the removal of chest tubes should not be a routinely performed procedure, but should preferably be based on the good clinical judgement and discrimination of the surgeon.
authors.affiliation: Department of Surgery, St. Mary's Hospital, Waterbury, Connecticut 06706, USA.
authors.forename: J A
authors.initials: JA
authors.lastname: Palesty
authors.forename: A A
authors.initials: AA
authors.lastname: McKelvey
authors.forename: S J
authors.initials: SJ
authors.lastname: Dudrick
mesh_terms: D015505:Chest Tubes; D003363:Cost Control; D003365:Costs and Cost Analysis; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013902:Radiography, Thoracic / Q000191:economics / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D013907:Thoracostomy; D014193:Trauma Centers