Radiation Exposure During Fluoroscopy: Should We Be Protecting Our Thyroids?

Tse, V.; Lising, J.; Khadra, Mohamed; Chiam, Quee Li; Nugent, Robert A.; Yeaman, Leslie D.; Mulcahy, Mary F.

doi:10.1046/j.1440-1622.1999.01715.x

Cited by 32 publications

(20 citation statements)

References 7 publications

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“…The three different measurements of the dosimeters were all within the permissible range. Other studies have shown the radiation measurements for fluoroscopy-guided intervention pain procedures to be within the permissible range [6][7][8][9][10][11][12], but the natural radiation exposure dose in daily life is 2.4 mSv.…”

Section: Resultsmentioning

confidence: 99%

“…The surgical procedure in the operating room, according to shortness or length taken radiation doses, is different. Injuries to skin, muscle, and eye lens * corresponding author; e-mail: umitkara@sdu.edu.tr due to the radiation from fluoroscopic procedures have been widely documented [8][9][10]. In this study, we measured fluoroscopy unit in our university department of anaesthesia clinics to evaluate the mean fluoroscopy time and total radiation exposure for various treatment management procedures.…”

Section: Introductionmentioning

confidence: 99%

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A Study on Radiation in Operating Room in Suleyman Demirel University

Kara

Akkurt

2016

Acta Phys. Pol. A

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Despite the use of ionizing radiation and most of the harmful effects commonly known but not shown, insufficient attention has been observed for radiation protection. Radiation-exposed patients, physicians, health care team and staff should receive training in this field. The aim of this study is the doses of radiation in the operating room to identify and inform health personnel in radiation protection. Radiation exposure to operating room staff (doctor, nurse, medical staff, X-ray technician, anaesthesia technician, etc.) has been recognized as a necessary hazard in operating room. The purpose of our work is to determine operating room staff radiation doses for operating room to identify procedures associated with higher radiation doses, and to determine the effects of various parameters on staff doses. This study was performed at Suleyman Demirel University Medical Faculty Hospital. The procedure of study was performed in department of anaesthesia. We recorded that radiation doses data include all related imaging performed as part of department procedure. The distances were 100, 150, 250 cm from X-ray tube. It is important to understand that radiation affects medical staff in operating procedures. Use of low doses of ionizing radiation does not have knowledge of the long-term results but we need to be careful to conclude that use of radiological protection. During radiation protection, the maximum dose, even under the thick, the minimum degree of exposure to radiation is an important factor for our health. In addition, in the study, Philips BV-25 Gold is used as a brand fluoroscopic device. Device, 1.2-2 kV, 60-100 mA/s of doses between the values.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Study on Radiation in Operating Room in Suleyman Demirel University

Kara

Akkurt

2016

Acta Phys. Pol. A

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“…İyonize radyasyonun, tıpta kullanımı 1898'de Roentgen tarafından başlatılmıştır. X ışınları özellikle hekimler, hemşireler ve röntgen teknisyenleri için önemlidir 10 . Doğal radyoaktif maddeler olan radyum, uranyum ve toryum'un ve suni radyoaktif maddeler yani radyoaktif izotopların tıpta kullanımı sağlık çalışanları için risk oluşturmaktadır.…”

Section: Materyal Ve Metodunclassified

“…Avustralyalı ortopedistlerde tiroid kanserlerindeki artışı gösteren çalışmalar, ameliyathanelerde radyasyon güvenliğinin ne denli önemli olduğunu vurgulamıştır. Alınan doz düşük olsa bile süreklilik söz konusu olduğunda, vücutta birikim nedeni ile zararlı etkisini göstermekte özellikle gebelik döneminde olanlar için daha büyük tehlike oluşturmaktadır 10 International Comission on Radiological Protection (ICRP) tarafından bildirilen tüm vücut için kabul edilebilir maksimum doz yıllık 5000 mrem 'dir. Türkiye Atom Enerjisi Kurumu Nükleer Araştırma Merkezi de ''Radyasyon Güvenliği'' bildirisinde yıllık dozun 5000 mrem, ardışık beş yılın ortalamasının ise 2000 mrem olması gerektiğini belirtmiştir.…”

Section: Materyal Ve Metodunclassified

Radiation safety in operating units; knowledge, attitude and behaviors of operating room staffs

Vural¹,

Fil²,

Ciftci³

et al. 2012

BSBD

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bsbd@balikesir.edu.tr www.bau-sbdergisi.com ÖZET AMAÇ: Ameliyathaneler çalışma ortamı açısından birçok sağlık ve güvenlik tehlikeleri taşımaktadırlar. Ortopedi cerrahilerinde floroskopinin yaygın kullanımı, cerrahları ve ameliyathane personelini bazı ortopedik işlemlerde radyasyon zararları ile karşı karşıya bırakmaktadır Radyasyonun yan etkileri çoğunlukla bilinmekle birlikte, düşük doz radyasyonun kümülatif etkileri bilinmemektedir. Bu çalışmanın amacı, ameliyathanelerdeki personelin radyasyon güvenliği konusundaki bilgi, tutum ve davranışlarını değerlendirmektir. YÖNTEMLER: Gölcük Devlet Hastanesi ameliyathanesinde çalışan 50 kişiye anket uygulanmıştır BULGULAR: Gün içerisinde birden çok kez radyasyona maruz kalmaları bakımından ameliyathane hemşireleri ve anestezi teknisyenleri diğer çalışanlara göre daha riskli grupta bulunmuştur (p<0,05). Tüm personel radyasyonun sağlık üzerindeki yan etkilerinden haberdardı ve kurşun gömlek giyilmesi gerektiğini biliyordu. Fakat birçok cerrahın tiroid koruyucu kullanmadığı, bazı personelin tiroid koruyucu varlığından haberdar olmadığı saptandı. Ameliyathane hemşirelerinin ise hepsi tiroid koruyucu varlığından haberdardı (p<0,001). Erkek çalışanlar kadın çalışanlarla kıyaslanınca radyasyon güvenlik işaretlerinden haberdar değillerdi (p<0,05). Ameliyathanede radyasyon zararları hakkında bilgi düzeyi çok iyiyken, personelin koruyucu önlemler alınması konusundaki davranışları yetersizdi, operasyon sırasında alınan dozlar göz ardı edilmekteydi. SONUÇ: Ameliyathanede radyasyon güvenliği koruyucu tedbirleri göz ardı edilmektedir. Ameliyathanelerde temel radyasyondan korunma prensiplerinin yerleştirilip, uygulanması çalışan ve hasta güvenliği açısından oldukça önemlidir. Bu sebeple personelin hizmet içi eğitimleri, uygulamaların denetlenmesi ve skopi kullanan personelin bilinçli ve sertifikalı olması önem arz etmektedir.Anahtar Kelimeler: Ameliyathane, Floroskopi, Radyasyon güvenliği, Güvenli cerrahi SUMMARY OBJECTIVE: Work environments of operating units have various health and security dangers. Because of the increased use of fluoroscopic guidance techniques in certain orthopedic surgical procedures, surgeons and other operating-room personnel who are involved in these procedures are voicing growing concern over possible associated radiation health hazards Although most of the side effects of radiation, are well known; cumulative effects of low dose radiation is not known. The aim of this study was to evaluate the staff of operating unit's knowledge, attitudes and behaviors about radiation safety of operating units. METHODS:The Fifty employees of operating unit were applied questionnaire during face to face interview in Gölcük Public Hospital. RESULTS: This study indicated that nurses and anesthesiology technicians were under greatest risk of radiation exposure due to repeated doses taken in a day (p<0.05). Male employees were less aware of radiation signals than females. (p<0,05). All staff knew side effects of radiation and importance of use of radiation shielding gowns. Most...

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“…When distance from the source of radiation is doubled, the exposure to the practitioner is decreased by one-fourth. Shielding/protection of tissue include the use of lead aprons, thyroid shields [26,27], thick lead-lined gloves, leaded glasses, and lead shields. Use of dosimetry devices worn at the collar and finger are available and recommended to monitor exposure.…”

mentioning

confidence: 99%

Radiation Safety for the Speech-Language Pathologist

et al. 2009

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It is the responsibility of the medical SpeechLanguage Pathologist (SLP) who performs video-assisted fluoroscopy of swallowing (VFSS) to be aware of guidelines, recommendations, and preventive measures to reduce radiation to oneself and the patient. Established parameters to reduce radiation during videofluoroscopy include keeping the exposure time brief, using lead aprons and other shielding, and maximizing the distance from the source of radiation. The purpose of this study was to measure radiation exposure to SLPs in the clinical setting and to provide practical recommendations to keep radiation exposure as low as reasonably achievable. Our study measured radiation exposure to six SLPs practicing in an acute-care university hospital. We monitored the radiation received during 130 examinations, 102 of which were of the pharynx only and the other 28 included pharynx and intrathoracic viscera. Individual times were documented, and average doses per exam were calculated from dosimetry badges worn on the lead apron of the SLP doing inpatient exams. Average fluoroscopy time per procedure was 165 s. Average radiation to the dosimeter worn on the front of the lead apron at chest level was 0.15 mR (0.0015 mGy) per procedure. SLPs stood behind the lead shield during fluoroscopy when feasible. Our measurements document the practical importance of reducing radiation exposure to health-care personnel by increasing the distance from the source of radiation and by shielding. While recommendations are not new, details of the findings may help guide and reinforce good radiation safety practice.

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Radiation Exposure During Fluoroscopy: Should We Be Protecting Our Thyroids?

Cited by 32 publications

References 7 publications

A Study on Radiation in Operating Room in Suleyman Demirel University

A Study on Radiation in Operating Room in Suleyman Demirel University

Radiation safety in operating units; knowledge, attitude and behaviors of operating room staffs

Radiation Safety for the Speech-Language Pathologist

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