The Survey about the Degree of Damage of Radiation-Protective Shields in Operation Room

Ryu, Jae Sung; Baek, Seung Wook; Jung, Cheol Hee; Cho, Suk Ju; Jung, Eu Gene; Kim, Hae Kyoung; Kim, Jae‐Hun

doi:10.3344/kjp.2013.26.2.142

Cited by 12 publications

(23 citation statements)

References 18 publications

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“…Visual and tactile tests can be performed; in case of doubt, a fluoroscopic image can be taken to find uniformity or holes [ 34 ]. A survey on the degree of damage of lead aprons used during pain management in a general hospital operating room showed that the most common site of damage was the waist of the apron (51%), followed by the lower part of the apron (33%) [ 44 ]. An apron should always be handled carefully and kept hanging when not in use.…”

Section: Main Bodymentioning

confidence: 99%

Radiation safety: a focus on lead aprons and thyroid shields in interventional pain management

Cheon

Kim

et al. 2018

Korean J Pain

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C-arm fluoroscopy is useful equipment in interventional pain management because it helps to guide correct needle targeting for the accurate injection and drug delivery. However, due to increased use of C-arm fluoroscopy in various pain procedures, the risk of radiation exposure is a significant concern for pain physicians. The harmful biological effects of ionizing radiation on the human body are well known. It is therefore necessary to strive to reduce radiation exposure. Lead aprons with thyroid shields are the most fundamental radiation protective devices for interventional procedures, and are very effective. However, the operator's radiation safety cannot be guaranteed because pain physicians seem to lack sufficient interest, knowledge, and awareness about radiation safety. Also, inappropriate care and use of radiation protective devices may result in a higher risk of radiation exposure. The purpose of this article was to review the literature on radiation safety with a focus on lead aprons and thyroid shields and present recommendations related to those devices during C-arm fluoroscopic-guided interventions by pain physicians.

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Section: Main Bodymentioning

confidence: 99%

Radiation safety: a focus on lead aprons and thyroid shields in interventional pain management

Cheon

Kim

et al. 2018

Korean J Pain

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“…Many surveys have shown a wide distribution of doses for patients' requiring the same type of radiographic examination (Kim et al, 2012). Skin diseases, thyroid cancer, brain tumors, and cataracts are several examples of the adverse effects of ionizing radiation on the human body (Ryu et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

X-ray Attenuation and Reduction of Backscattered Radiation

Naji¹,

Jaafar²,

Ali³

et al. 2016

APR

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This paper reports the comparative study of X-ray attenuation using different materials which can be utilized to design anti-backscattered grids and radiation protection shields. The characteristics of X-ray attenuation in several materials, namely, lead, copper, iron steel, and aluminum, are investigated under diverse exposure parameters to measure their ability to attenuate incident X-ray and their capability to reduce backscattered X-ray. Lead and iron steel shields exhibit the best abilities in attenuating X-ray, whereas aluminum shield shows the least attenuation ability. This study proposes a design of a unique method for assessing the backscatter X-ray dose. The iron steel grid based on iron steel plate provides the best value in reducing backscattered radiation (up to 34.78%) compared with other conventional plate materials.

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“…Radiation protective garments could crack or tear over time, and the ability to shield radiation could be reduced. Therefore, all garments should be checked regularly using fluoroscopy [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…Many ways to reduce the radiation exposure have been used [ 5 6 7 8 9 ]. And it implemented an education related to radiation safety.…”

Section: Introductionmentioning

confidence: 99%

The radiation safety education and the pain physicians' efforts to reduce radiation exposure

et al. 2017

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BackgroundC-arm fluoroscopy equipment is important for interventional pain management and can cause radiation injury to physicians and patients. We compared radiation safety education and efforts to reduce the radiation exposure of pain specialists.MethodsA survey of 49 pain specialists was conducted anonymously in 2016. The questionnaire had 16 questions. That questionnaire was about radiation safety knowledge and efforts to reduce exposure. We investigated the correlation between radiation safety education and efforts of radiation protection. We compared the results from 2016 and a published survey from 2011.ResultsAccording to the 2016 survey, all respondents used C-arm fluoroscopy in pain interventions. Nineteen respondents (39%) had received radiation safety education. Physicians had insufficient knowledge about radiation safety. When the radiation safety education group and the non-education group are compared, there was no significant difference in efforts to reduce radiation exposure and radiation safety knowledge. When the 2011 and 2016 surveys were compared, the use of low dose mode (P = 0.000) and pulsed mode had increased significantly (P = 0.001). The number checking for damage to radiation protective garments (P = 0.000) and use of the dosimeter had also increased significantly (P = 0.009). But there was no significant difference in other efforts to reduce radiation exposure.ConclusionsPain physicians seem to lack knowledge of radiation safety and the number of physicians receiving radiation safety education is low. According to this study, education does not lead to practice. Therefore, pain physicians should receive regular radiation safety education and the education should be mandatory.

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The Survey about the Degree of Damage of Radiation-Protective Shields in Operation Room

Cited by 12 publications

References 18 publications

Radiation safety: a focus on lead aprons and thyroid shields in interventional pain management

Radiation safety: a focus on lead aprons and thyroid shields in interventional pain management

X-ray Attenuation and Reduction of Backscattered Radiation

The radiation safety education and the pain physicians' efforts to reduce radiation exposure

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