Impact of Operators’ Height on Individual Radiation Exposure Measurements During Catheter‐Based Cardiovascular Interventions

Rigatelli, E.B.I.R. Gianluca; Panin, R T Stefano; Fiorrevanti, R T Rossella; Oliva, Rosemary; Dario, Rita; Tiberio, R T Lorella; Bedendo, R T Emiliano; Pertoldi, R T Donatella; M.D., F.S.Ca.I. Charles Chambers

doi:10.1111/joic.12263

Cited by 14 publications

(10 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This study did not find a significant correlation between the heights of nursing staff and head dose which reflects the findings by Antic et al, (2013), but contradicts clinical and phantom studies which found that dosimeters worn at chest level detected higher levels of radiation in short staff members than in their taller colleagues (Omar, Marteinsdottir, Kadesjo, & Fransson, 2015;Rigatelli et al, 2016).…”

Section: Discussioncontrasting

confidence: 84%

“…It has been reported that staff height may also influence occupational dose as the taller the staff member is, the further away their head is from the source of scattered radiation (Principi et al, ). This study did not find a significant correlation between the heights of nursing staff and head dose which reflects the findings by Antic et al, (), but contradicts clinical and phantom studies which found that dosimeters worn at chest level detected higher levels of radiation in short staff members than in their taller colleagues (Omar, Marteinsdottir, Kadesjo, & Fransson, ; Rigatelli et al, ).…”

Section: Discussionsupporting

confidence: 60%

See 1 more Smart Citation

Occupational radiation exposure to the head is higher for scrub nurses than cardiologists during cardiac angiography

Wilson‐Stewart

Härtel

Fontanarosa

2019

Journal of Advanced Nursing

View full text Add to dashboard Cite

Aims This study aimed to compare the head dose of a cardiologist to scrub and scout nurses during cardiac angiography. Design A correlational longitudinal quantitative design was used to examine the relationship between the variable of occupational dose to the medical operator when compared with the dose to the scrub and scout nurses. Methods A quantitative analysis was performed on data collected during coronary angiograms (N = 612) for one cardiologist and 22 nurses performing either the scrub or scout role between May 2015 and February 2017. Analysis was based on log‐transformed dose levels and reported as geometric means and associated 95% confidence intervals. Results It was found that scrub nurses received on average 41% more head dose than the cardiologist during diagnostic procedures and 52% higher doses during interventional cases. Conclusion Nurses working in fluoroscopic cardiovascular procedures should be provided with appropriate training and protective equipment, notably lead skull caps, to minimize their occupational radiation exposure. Impact There is a notable lack of research evaluating the occupational head and eye exposure to nurses involved in fluoroscopic procedures. This study found that during diagnostic coronary angiograms, the scrub nurses received 41% more occupational head dose than the cardiologist and 52% higher head doses during interventional cases. Radial access resulted in higher doses to scrub nurses than femoral artery access. It is advisable that staff wear protective lead glasses and skull caps and use appropriately positioned ceiling mounted lead shields to minimize the risk of adverse effects of occupational exposure to ionizing radiation.

show abstract

Section: Discussioncontrasting

confidence: 84%

Section: Discussionsupporting

confidence: 60%

Occupational radiation exposure to the head is higher for scrub nurses than cardiologists during cardiac angiography

Wilson‐Stewart

Härtel

Fontanarosa

2019

Journal of Advanced Nursing

View full text Add to dashboard Cite

show abstract

“…Some authors investigated dose in relation to proximity to the x‐ray tube . Explanatory diagrammatic representation of the position of staff was provided in several articles which allows comparison by dosimetric location rather than assigned role. Specific articulation of staff distances from the x‐ray tube or table was constructive when comparing occupational doses.…”

Section: Methodsmentioning

confidence: 99%

Occupational radiation exposure to nursing staff during cardiovascular fluoroscopic procedures: A review of the literature

Wilson‐Stewart

Shanahan

Fontanarosa

et al. 2018

J Applied Clin Med Phys

View full text Add to dashboard Cite

Fluoroscopy is a method used to provide real time x‐ray imaging of the body during medical procedures to assist with medical diagnosis and treatment. Recent technological advances have seen an increase in the number of fluoroscopic examinations being performed. Nurses are an integral part of the team conducting fluoroscopic investigations and are often located close to the patient resulting in an occupational exposure to radiation. The purpose of this review was to examine recent literature which investigates occupational exposure received by nursing staff during cardiovascular fluoroscopic procedures. Articles published between 2011 and 2017 have been searched and comprehensively reviewed on the referenced medical search engines. Twenty‐four relevant studies were identified among which seventeen investigated nursing dose comparative to operator dose. Seven researched the effectiveness of interventions in reducing occupational exposure to nursing staff. While doctors remain at the highest risk of exposure during procedures, evidence suggests that nursing staff may be at risk of exceeding recommended dose limits in some circumstances. There is also evidence of inconsistent use of personal protection such as lead glasses and skull caps by nursing staff to minimize radiation exposure. Conclusions: The review has highlighted a lack of published literature focussing on dose to nurses. There is a need for future research in this area to inform nursing staff of factors which may contribute to high occupational doses and of methods for minimizing the risk of exposure, particularly regarding the importance of utilizing radiation protective equipment.

show abstract

“…This can be explained by the distribution of scatter radiation. Therefore, it is important for dosimeters to always be worn in the same representative position, e. g. on the breast pocket [60]. As shown in ▶ Table 1, there are different dose limits for different organs and body regions.…”

Section: Dosimeter Positionmentioning

confidence: 99%

Personal Radiation Protection and Corresponding Dosimetry in Interventional Radiology: An Overview and Future Developments

König

Etzel

Thomas

et al. 2019

Fortschr Röntgenstr

View full text Add to dashboard Cite

Background The increasing number of minimally invasive fluoroscopy-guided interventions is likely to result in higher radiation exposure for interventional radiologists and medical staff. Not only the number of procedures but also the complexity of these procedures and therefore the exposure time as well are growing. There are various radiation protection means for protecting medical staff against scatter radiation. This article will provide an overview of the different protection devices, their efficacy in terms of radiation protection and the corresponding dosimetry. Method The following key words were used to search the literature: radiation protection, eye lens dose, radiation exposure in interventional radiology, cataract, cancer risk, dosimetry in interventional radiology, radiation dosimetry. Results and Conclusion Optimal radiation protection always requires a combination of different radiation protection devices. Radiation protection and monitoring of the head and neck, especially of the eye lenses, is not yet sufficiently accepted and further development is needed in this field. To reduce the risk of cataract, new protection glasses with an integrated dosimeter are to be introduced in clinical routine practice. Key Points: Citation Format

show abstract

Impact of Operators’ Height on Individual Radiation Exposure Measurements During Catheter‐Based Cardiovascular Interventions

Abstract: This study suggests that the height from radiation source does impact the measured dose from an operator worn personal TLD. This was operator specific, consistent thought-out multiple procedures, and confined with phantom measurements.

Cited by 14 publications

References 9 publications

Occupational radiation exposure to the head is higher for scrub nurses than cardiologists during cardiac angiography

Occupational radiation exposure to the head is higher for scrub nurses than cardiologists during cardiac angiography

Occupational radiation exposure to nursing staff during cardiovascular fluoroscopic procedures: A review of the literature

Personal Radiation Protection and Corresponding Dosimetry in Interventional Radiology: An Overview and Future Developments

Contact Info

Product

Resources

About