Maximizing the efficacy of chest radiography in the ICU.

In a prospective survey, we found that chest radiographs taken at the bedside in the intensive care unit had an appreciable impact on patient management, demonstrating new findings or changes 65% of the time. Monitoring devices can best be checked radiographically, and changes in cardiopulmonary status may be difficult to assess or confirm by other means. Consistent radiographic technique, availability of films to referring clinicians, and rapid reporting by radiologists serve to maximize the efficacy of bedside radiography.