The knowledge, awareness and practices of radiation safety amongst orthopaedic surgeons

Papendorp, Louis W.A. van; Suleman, Farhana Ebrahim; Hanekom, Heleen

doi:10.4102/sajr.v24i1.1806

Cited by 15 publications

(29 citation statements)

References 10 publications

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“…Other similar studies regarding radiation safety measures among the staff using fluoroscopic imaging methods have arrived at similar conclusions. Van Papendorp et al conducted a survey amongst orthopaedic surgeons and concluded that the majority of respondents use insufficient radiation protection measures (personal dosimeters, basic protection devices) and show insufficient knowledge of radiation safety [32]. Respondents cited unavailability as a main reason for the insufficient use of protective measures.…”

Section: Compliance With Radiation Protection Measuresmentioning

confidence: 99%

Use of Biological Dosimetry for Monitoring Medical Workers Occupationally Exposed to Ionizing Radiation

Piotrowski

Dawid²,

Kulcenty

et al. 2021

Radiation

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Medical workers are the largest group exposed to man-made sources of ionizing radiation. The annual doses received by medical workers have decreased over the last several decades, however for some applications, like fluoroscopically guided procedures, the occupational doses still remain relatively high. Studies show that for some procedures the operator and staff still use insufficient protective and dosimetric equipment, which might cause an underestimation of medical exposures. Physical dosimetry methods are a staple for estimating occupational exposures, although due to the inconsistent use of protection measures, an alternative method such as biological dosimetry might complement the physical methods to achieve a more complete picture. Such methods were used to detect exposures to doses as low as 0.1 mSv/year, and could be useful for a more accurate assessment of genotoxic effects of ionizing radiation in medical workers. Biological dosimetry is usually based on the measurement of the effects present in peripheral blood lymphocytes. Although some methods, such as chromosome aberration scoring or micronucleus assay, show promising results, currently there is no one method recognized as most suitable for dosimetric application in the case of chronic, low-dose exposures. In this review we decided to evaluate different methods used for biological dosimetry in assessment of occupational exposures of medical workers.

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Section: Compliance With Radiation Protection Measuresmentioning

confidence: 99%

Use of Biological Dosimetry for Monitoring Medical Workers Occupationally Exposed to Ionizing Radiation

Piotrowski

Dawid²,

Kulcenty

et al. 2021

Radiation

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show abstract

“…A few study on awareness and practices of occupational exposure were found internationally but none in India. [4][5][6] Only study was found, which was conducted in India by Mahajan et al but its objective to analyse the amount of radiation received by orthopaedic surgeons in India using standard precautionary measures and also to bring awareness about the use of image intensifier safety in everyday practice. 1 Therefore, our study, though conducted among 150 orthopaedic surgeons, through an online survey was the only one of its kind.…”

Section: Discussionmentioning

confidence: 99%

“…Questions on awareness and practices of occupational radiation exposure, years of experience and exposure and its risks were framed after literature search and then asked in the form. 1,[4][5][6] Sixteen questions on awareness and ten questions on practices of occupational radiation exposure were framed. If there were more than 50% correct responses (i.e.…”

Section: Study Toolmentioning

confidence: 99%

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Occupational radiation exposure among orthopaedic and a need for heath promotional approach

Roy¹,

Mitra²,

Roy³

2021

Int J Community Med Public Health

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Background: In medicine, radio-diagnosis and imaging is one of the vital tools used for the diagnostic purposes. In orthopaedic surgeries the use of intraoperative fluroscopy with C-arm is no doubt a beneficial technology but it comes with the occupational hazard of radiation exposure. This study therefore evaluates the awareness and practices of orthopaedic surgeons regarding occupational radiation exposure and its risks and the association of level of awareness and practices with various factors.Methods: A cross sectional study was conducted among orthopaedic surgeons using a pre-designed, pretested, semi-structured, self-administered questionnaire, disseminated online. Questions on awareness and practices of occupational radiation exposure and its risks were asked after obtaining consent. Data was analyzed using software statistical package for social sciences (SPSS) version 20 and a p value of <0.05 was considered to be statistically significant.Results: 150 completed forms showed that though majority (63%) of the study participants had adequate knowledge about occupational radiation exposure, the level of practices was only 12%. A statistically significant association (p<0.001) was found between years of experience and adequacy of knowledge and practices, regarding radiation exposure. Majority (91%) believed, adequate training and a health promotional approach could be beneficial.Conclusions: This study highlights the fact that occupational radiation exposure is an issue to be dealt with importance and thus the awareness and practices also needs to improve A health promotional approach with stringent rules needs to be taken to ensure adequate awareness and adequate practice among the orthopaedic surgeons.

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“…Besides, the number of medical specialists in other areas of medicine using fluoroscopy is immerging. However, studies indicate poor knowledge about exposure to radiation, its detrimental effect, and associated long-term risk, using C-arm fluoroscopy [6][7][8].…”

Section: Introductionmentioning

confidence: 99%

A Simulation Study With Electronic Dosimeter to Estimate Patient and Personnel Dose in Orthopedic Surgery

Omojola

Akpochafor

Adeneye

2020

J. Res. Orthop. Sci.

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Background: The use of mini C-arm is required in many orthopedic surgeries as an image-guided tool. Studies have shown an unnecessarily high dose to patients if exposures are not properly optimized. Also, scatter radiation to personnel may increase the risk of cancer if an appropriate protective device is not used. Objectives: This study aims to determine the patient’s dose and scatter radiation to the surgeon, anesthetist, and scrub nurse. Also, a comparison will be made with other studies on this topic. Methods: A phantom was designed to simulate a patient on the operating table to produce scatter radiation. In the same vein, a mobile mini C-arm unit was positioned with the x-ray tube beneath the head and the image receptor above the operating table. Measurements were made with a measuring tape from the central axis to the position of the surgeon, anesthetist, and scrub nurse. The Entrance Surface Dose (ESD) was determined by placing the electronic dosimeter at the surface of the phantom to estimate the patient dose. Similarly, each personnel dose/dose rate from the central axis was determined using a similar detector. Results: The total average time for most orthopedic surgeries in the studied facility was 3.3 minutes. The estimated ESD to the patient was 25.03 µSv and the scatter radiation per patient reaching the simulated anesthetist, scrub nurse, and surgeon was, 3.75, 3.59, and 7.72 µSv, respectively. The estimated dose values per year to anesthetist, scrub nurse, and surgeon were 390, 373.36, and 802 µSv, respectively. Conclusion: The personnel recommended limit dose rate was <20000 µSv/y. The technical factor used and total exposure time from this study could have affected the radiation dose. This study showed that personnel was safe even without the use of lead apron. Nevertheless, the use of an appropriate protective device should be encouraged to ensure safety.

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The knowledge, awareness and practices of radiation safety amongst orthopaedic surgeons

Cited by 15 publications

References 10 publications

Use of Biological Dosimetry for Monitoring Medical Workers Occupationally Exposed to Ionizing Radiation

Use of Biological Dosimetry for Monitoring Medical Workers Occupationally Exposed to Ionizing Radiation

Occupational radiation exposure among orthopaedic and a need for heath promotional approach

A Simulation Study With Electronic Dosimeter to Estimate Patient and Personnel Dose in Orthopedic Surgery

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