Manipulation Under Anaesthetic of Children's Fractures: Use of the Image Intensifier Reduces Radiation Exposure to Patients and Theatre Personnel

Keenan, W. N. W.; Woodward, A. F.; Price, David C.; Eckloff, Karen Jane; Richards, James; Powell, James; Shanahan, S.

doi:10.1097/01241398-199603000-00009

Cited by 11 publications

(3 citation statements)

References 14 publications

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“…Immediate viewing at various angles allows the operator to perform stereotaxic navigation, reducing the operation time. The images are very valuable, but the relatively low-level radiation exposure (less than 0.96 μSv/min to the surgeon) caused by the use of an image intensifier is undesirable 13) from the viewpoints of both the patient and the operating room staff.…”

Section: Discussionmentioning

confidence: 99%

Retrieval of Metallic Foreign Bodies from the Upper Airway Using Intraoperative C-Arm Fluoroscopy: Case Report and Literature Review

Suh¹,

Kim²,

Kim³

et al. 2022

Korean J Otorhinolaryngol-Head Neck Surg

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Foreign body ingestion is commonly encountered by otolaryngologists. Most foreign bodies in the upper airway can be easily removed via direct endoscopy; however, if they penetrate the soft tissue deeply, both localization and retrieval may be challenging. Here, we report on the successful removal of multiple sewing needles from the throat using intraoperative, real-time C-arm fluoroscopy to guide endoscopic extraction. The use of intraoperative, real time C-arm fluoroscopy to guide endoscopic extraction allowed quick, safe treatment and avoided any development of complications in our patient.

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Section: Discussionmentioning

confidence: 99%

Retrieval of Metallic Foreign Bodies from the Upper Airway Using Intraoperative C-Arm Fluoroscopy: Case Report and Literature Review

Suh¹,

Kim²,

Kim³

et al. 2022

Korean J Otorhinolaryngol-Head Neck Surg

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“…They found the exposure greater than the recommended limits especially in the area of the thyroid but not for the lens. In another study [18] the exposure of anaesthetists during percutaneous nephrolithotomy and calculi extraction was comparable to that of the radiologist and greater than that of the urologist, whereas Keenan [19] found the exposure to be safe in surgeons, anaesthetists, radiologists and patients.…”

Section: Discussionmentioning

confidence: 99%

Radiation exposure of trainee anaesthetists

et al. 2005

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SummaryThis prospective study was conducted to determine the level of radiation exposure of trainee anaesthetists working in urology, orthopaedics and radiology environments. Anaesthetists wore lithium fluoride thermoluminescent dosimeter (TLD) badges over a 6-month period. The position of badges was standardised at the collar site (TLD1) and at waist level (TLD2). Area specific dosimeters were used and exchanged between anaesthetists. Of a total of 723 procedures, anaesthetists were exposed to radiation in 33% of procedures in orthopaedics, 30% in urology and 39% in radiology. The mean (SD) exposure time to radiation per case was significantly greater in orthopaedics than in urology (9.2 (4) min vs. 4.2 (2) min). The radiation exposure per case was highest in radiology (19.2 (22) min). The net combined exposure over a 6-month period was 0.2177 mSv in urology, 0.4265 mSv in orthopaedics and 3.8457 mSv in radiology. The combined exposure was less than the 20 mSv recommended as the maximum exposure per year. Our data does not support the need for routine dosimetric monitoring of anaesthetists working in the above settings.

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“…Occupational exposure to radiation is a potential hazard to medical practitioners. Although previous studies have indicated that anaesthetists are not exposed to hazardous levels of ionizing radiation (IR) 1,2 , changes in anaesthetic practice have seen more procedures being performed outside the operating theatre environment. Many of these are in radiology suites, potentially increasing the occupational risk of IR exposure to anaesthetists.…”

mentioning

confidence: 99%

Radiation Exposure during Anaesthetic Practice

Durack

Gardner

Trang

2006

Anaesth Intensive Care

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With anaesthesia being administered more often outside of theatre in areas such as radiology suites, the occupational risk to anaesthetists from ionizing radiation may have increased. To determine radiation exposure from X-ray sources during normal anaesthetic practice, passive personal radiation monitoring devices were used to record the occupational exposure to radiation of 29 anaesthetists over a one calendar month period. Occupational whole body effective dose was calculated and extrapolated to give an estimated annual radiation exposure. Seven of the 29 anaesthetists recorded a dose that was higher than the minimum detectable limit. Extrapolating to estimate yearly doses, no anaesthetist would have approached the annual occupational dose limits for ionizing radiation. The maximum extrapolated annual whole body effective dose was 2.14 mSv, the Australian Recommendation and National Standard for occupational exposure being less than 20 mSv per year. The anaesthetist with the highest exposure would have exceeded the yearly recommended exposure limit for pregnant women (1 mSv). Even if they had worked all sessions in a radiation exposed environment, this person would not have exceeded the yearly annual occupational dose limits for ionizing radiation for non-pregnant staff, provided they had worn a standard protective lead gown. The collar dose for this person was 7.08 mSv which may represent a significant risk to the thyroid if a protective lead collar was not worn. Although anaesthetists' radiation exposure is within acceptable limits, caution should be taken in rostering pregnant staff to anaesthetize where radiation exposure occurs, and all anaesthetists should routinely wear thyroid collars in such areas.

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Manipulation Under Anaesthetic of Children's Fractures: Use of the Image Intensifier Reduces Radiation Exposure to Patients and Theatre Personnel

Cited by 11 publications

References 14 publications

Retrieval of Metallic Foreign Bodies from the Upper Airway Using Intraoperative C-Arm Fluoroscopy: Case Report and Literature Review

Retrieval of Metallic Foreign Bodies from the Upper Airway Using Intraoperative C-Arm Fluoroscopy: Case Report and Literature Review

Radiation exposure of trainee anaesthetists

Radiation Exposure during Anaesthetic Practice

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