The radiation environment of anaesthesiologists in the endoscopic retrograde cholangiopancreatography room

Lee, Bora; Kim, M. S.; Eum, Darhae; Min, Kyungha

doi:10.1038/s41598-019-45610-4

Cited by 5 publications

(4 citation statements)

References 21 publications

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“…Many reports have shown that occupational dose to the lens of the eye is significant among physicians involved in clinical radiation care over many hours, such as interventional radiology (IR) of the neurovascular system [6,7,8,9], cardiovascular system [8,10] or tumor [8,9,11], and endoscopic retrograde cholangiopancreatography (ERCP) [8,12,13,14]. The risk of radiation-induced cataracts is widely recognized.…”

Section: Introductionmentioning

confidence: 99%

Occupational radiation dose to the lens of the eye of medical staff who assist in diagnostic CT scans

Nagamoto

Moritake

Nakagami

et al. 2021

Heliyon

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We investigated occupational dose to the lens of the eye for CT-assisting personnel for diagnostic purposes using a radio-photoluminescent glass dosimeter (RPLD) and evaluate compliance with the new equivalent dose limit for the lens of the eye (20 mSv/year). Further, we proposed the implementation of "multiple protective measures" and estimated its effect. Method: An eye lens dosimeter clip was developed specifically to attach RPLDs inside radiation safety glasses in an L-shape. Using a total of six RPLDs attached to the radiation safety glasses, the 3-mm dose-equivalent (H p (3)) to the lens of the eye for medical staff (n ¼ 11; 6 intensive care physicians, 2 pediatricians, 3 radiological technologists) who assisted patients during CT scan for "diagnostic" purpose (n ¼ 91) was measured. We evaluated the dose reduction efficiencies with radiation safety glasses and bag-valve-mask extension tube. We also estimated the protection efficiency with radiation protection curtain introduced in front of the staff's face via the phantom experiment. Results: Without wearing radiation safety glasses, H p (3) to the lens of the eye was greatest for intensive care physicians (0.49 mSv/procedure; allowing 40 procedures to be performed annually), followed by pediatricians (0.30 mSv/procedure; 66 procedures annually) and radiological technologists (0.28 mSv/procedure; 71 procedures annually). Use of each type of protective tools: radiation safety glasses (0.07-mm-Pb), bag-valve-mask extension tube (20 cm) and radiation protective curtain (0.25-mm-Pb), reduced H p (3) to the lens of the eye by 51%, 31% and 61%, respectively. Conclusion: Intensive care physicians perform most assisted ventilations with the bag-valve-mask during "diagnostic" CT scans, and may exceed the equivalent dose limit for the lens of the eye if radiation safety glasses are not worn. If "multiple protective measures" are implemented, compliance with the equivalent dose limit for the lens of the eye should be achievable without placing significant burdens on physicians or medical institutions.

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Section: Introductionmentioning

confidence: 99%

Occupational radiation dose to the lens of the eye of medical staff who assist in diagnostic CT scans

Nagamoto

Moritake

Nakagami

et al. 2021

Heliyon

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“…Physicians performing ERCP must be educated to reduce radiation exposure in children. Moreover, medical staff, including endoscopists, assistants, and anesthesiologists, must be protected from radiation exposure during ERCP procedures 43–46 …”

Section: Awareness Of Radiation Exposure In Childrenmentioning

confidence: 99%

“…Moreover, medical staff, including endoscopists, assistants, and anesthesiologists, must be protected from radiation exposure during ERCP procedures. [43][44][45][46]…”

Section: Awareness Of Radiation Exposure In Childrenmentioning

confidence: 99%

Endoscopic retrograde cholangiopancreatography and endoscopic ultrasound in children

Tagawa

Morita

Imagawa

et al. 2021

Digestive Endoscopy

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Gastrointestinal endoscopy is fundamental to diagnostic and therapeutic procedures in pediatric gastroenterology. In the decades since endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS) for hepatobiliary and pancreatic disease were introduced into clinical practice, there has been increasing interest in these procedures, and practice guidelines and position papers that clearly define the role of ERCP and EUS in children have been published. Based on the distinction of endoscopy between children and adults, this review focuses on the current state of ERCP and EUS procedures in children, including the types of endoscopes used in children, general anesthesia and radiation exposure, biliary and pancreatic indications, considerations of education and training for ERCP and EUS procedures in children, and expectations for development of endoscopes for children.

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“…Fluoroscopic imaging is commonly used either with a `C-arm´or in designated satellite suites or hybrid theatres with embedded fluoroscopy imaging machines [1,2]. Fluoroscopy is a convenient tool for capturing images when other means, such as X-ray radiography and computed tomography are not readily accessible.…”

Section: Introductionmentioning

confidence: 99%

Interpretation of chest fluoroscopy: the risk of misdiagnosing atelectasis as pneumothorax due to greyscale inversion

Lin,

Cavanaugh,

Subramani

et al. 2024

Anaesthesia Reports

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SummaryAnaesthetists may be required to work in hybrid theatres for procedures using fluoroscopic imaging. Adequate knowledge of fluoroscopic images allows prompt and effective emergency management of complications which arise during procedures. Here, we present a case of severe hypotension and hypoxia occurring shortly after induction of anaesthesia. Atelectasis was mistaken for a pneumothorax due to misinterpretation of fluoroscopic imaging, which demonstrated a dark pleural cavity peripheral to a partially collapsed left lung, leading to an incorrect diagnosis. This case highlights the importance of understanding greyscale inversion in fluoroscopy.

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The radiation environment of anaesthesiologists in the endoscopic retrograde cholangiopancreatography room

Cited by 5 publications

References 21 publications

Occupational radiation dose to the lens of the eye of medical staff who assist in diagnostic CT scans

Occupational radiation dose to the lens of the eye of medical staff who assist in diagnostic CT scans

Endoscopic retrograde cholangiopancreatography and endoscopic ultrasound in children

Interpretation of chest fluoroscopy: the risk of misdiagnosing atelectasis as pneumothorax due to greyscale inversion

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