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Journal of Radiography & Radiation Sciences

2011;  (v 25): 1-7

 

A Survey of positioning and immobilization techniques adopted in Paediatric Chest Radiography in Nigeria

DU Eduwem, SO Paulinus, Erim Akwa.

Copyright © 2017 The Association Of Radiographers Of Nigeria. All Rights Reserved.

This work is licensed under the Creative Commons Attribution International License (CC BY).
http://creativecommons.org/licenses/by/4.0/

Background: Children of 0 – 3 years are generally unable to stay still for the duration of radiography examinations and therefore require immobilization. There have been cases of repeated examinations as a result of poor positioning, with the attendant increase in radiation dose to the patients.


Purpose: To ascertain the paediatric chest radiography positioning and immobilization methods towards optimizing paediatric radiography practice in Nigeria.


Materials & Methods: The survey was conducted with tested self-study questionnaires administered to the respondents to field answers on positioning techniques adopted for children aged 0 – 3 years. Techniques outlined in the questionnaires were the table top technique (requiring the child being seated on
the table top with the parent in front of or beside), the Pigg-o-stat method (utilization of an immobilization device to hold the child), the use of supine method (with care-giver holding the child to provide immobilization) and the Pediaposer method (a sort of high chair for the child to sit in). Respondents were
experienced radiographers (n = 64), with average years of work experience of 13 ±1.8 years) across the country. Each radiographer represented a particular diagnostic centre. Included in the study were 36 Federal Government owned hospitals, 15 state owned and 13 privately owned centres. Responses were
collated and reported in simple percentages of the studied population


Results: From a total of 55 or about 86% of the questionnaires returned, there were indications that of the four positioning modes under study, none of the respondents reported the utility of any of Table top, Pigg-o-statt and Pediaposer methods in their respective centres. However, the supine method, which involved the parent or care giver holding down the child, recorded 100% utility among the respondents. Reasons given by the respondents for the received results were unavailability of the equipments for the respective positioning modes and/or lack of familiarity.


Conclusion: This study reveals that positioning and immobilization of paediatric patients of 0-5 years is limited by unavailability of, and insufficient familiarity with existing positioning equipment and methods. It will be useful for good practice for these accessories to be included in equipment purchase orders.

Keywords:Paediatric, positioning, immobilization, technique, patient cooperation


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