Radiology of surgical conditions in the newborn

Abstract

When imaging the newborn baby, concerns of particular importance include temperature regulation, appropriate monitoring, minimising the radiation dose and careful use of contrast agents. Radiography and ultrasound examinations can be performed with portable equipment on the neonatal unit or intensive care unit, but more complex imaging usually requires transfer to the radiology department. It is essential that when newborn babies are transported to the Radiology Department, they are accompanied by suitably qualified personnel, capable of monitoring and managing the sick neonate. Temperature, pulse and oxygen saturation should be monitored. This involves a collaborative model of care, with close liaison between radiologist, neonatal unit and transfer team. Staff should be prepared to interrupt or abandon the procedure immediately if the baby becomes unstable. The utmost care must be taken when handling to ensure that vital lines and tubes are not disturbed or displaced.