 |
|
Pediatric Radiology Protocols
| # | NAME | INDICATION | DESCRIPTION |
| P1 | Trauma Abd/Pelvis CT | Trauma |
< 5 yrs: Hand bolus contrast. Spiral
abdomen in 5’s. Wait 2 minutes to fill bladder. Spiral pelvis in 5’s. Pitch
1-1.25. Bone windows if blunt trauma. Kidney windows if needed. > 5 yrs: Hand bolus contrast. Spiral abdomen in 8’s. Wait 2 minutes to fill bladder. Spiral pelvis in 8’s. Pitch 1-1.25. Bone windows if blunt trauma. Kidney windows if needed. |
| P14 | Non-Contrast Chest CT | R/O Mets | Spiral chest 5 mm collimation / 5 mm reconstruction interval (all ages) with pitch = 1. Go thru renal hila. Oral on table. |
| Pediatric Sedation | CT/MRI | neonate: 50 mg / kg chloral hydrate to start > 6-9 mo: 75 mg / kg chloral hydrate to start maximum: 100 mg / kg or 2 g chloral hydrate * needs RN monitoring until pt arousable |
|
| Pediatric IV Contrast | CT | 1.5 cc Omnipaque / kg (usually hand-injected) | |
| Pediatric PO Contrast | CT | 6 cc Omnipaque / 6 oz fluid, as much as tolerated by patient | |
| Pediatric PR contrast | CT | no rectal contrast unless strongly indicated extended oral contrast can be administed to opacify colon |
|
| Air enema | Intussusception Reduction | Call in attending pediatric radiologist (in the following order): #1: Susan L. Williamson, M.D. #2: Madelyn M. Stazzone, M.D. #3: Thomas P. Martin, M.D. #4: On-Call General Attending |