E2125. Variation in Immobilization Device Utilization During Infant Fluoroscopy
  1. Sammar Ghannam; University of Texas Health Science Center at San Antonio
  2. Jade Greer; Phoenix Childrens
  3. Ami Gokli; Staten Island University Hospital
  4. Angel Gómez-Cintrón; University of Texas Health Science Center at San Antonio
  5. Cory Pfeifer; Phoenix Childrens
Immobilization devices are variably used in pediatric fluoroscopy. When used properly, these devices are a safe means to ensure that the patient is still during the examination, while also providing a means to rotate the patient for capture of precise projections quickly which may result in decreased radiation to the patient. Conversely, seeing the child restrained may be a source of discomfort for parents, and a restrained child may exhibit distress and thus mobilize contrast through the duodenum more slowly, which can extend the time of the examination. This study looks at differential practices in use of restraints throughout the United States.

Materials and Methods:
A representative from each of 20 major children's hospitals was surveyed regarding routine institutional use of immobilization devices for infant fluoroscopy. Survey respondents were also asked if their policy was influenced by parental concerns and/or radiation dose considerations.

The response rate was 90%. Of those surveyed, 44% responded that they use immobilization devices routinely. A single respondent stated that use of immobilization was at the discretion of the radiologist. Reasons for using restraints were cited as improved positioning of the patient and image quality. Respondents who do not use immobilization devices stated that use of child life services, technologist involvement, and practice were crucial in alleviating the need to restrain the child.

Close to half of major childrens' hospitals use immobilization devices routinely with infant fluoroscopy, reflecting a close to even split across the country, with respect to this practice. This practice is largely institutional as opposed to single radiologist-driven.