Radiation Exposure to Physicians During Interventional Pain Procedures
1
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Background:Fluoroscopy has been an integral part of modern interventional pain management. Yet fluoroscopy can be associated with risks for the patients and clinicians unless it is managed with appropriate understanding, skill and vigilance. Therefore, this study was designed to determine the amount of radiation received by a primary operator and an assistant during interventional pain procedures that involve the use of fluoroscopy. Methods:In order to examine the amount of radiation, the physicians were monitored by having them wear three thermoluminescent badges during each single procedure, with one under a lead apron, one under the apron collar and one on the leg during each single procedure. The data obtained from each thermoluminescent badge was reviewed from September 2008 to November 2008 and the annual radiation exposure was subsequently calculated. Results:A total of 505 interventional procedures were performed with C-arm fluoroscopy during three months. The results of this study revealed that the annual radiation exposure was relatively low for both the operator and assistant. Conclusions:With proper precautions, the use of fluoroscopy during interventional pain procedures is a safe practice. (Korean J Pain 2010; 23: 24-27)
Abstract
Background:Fluoroscopy has been an integral part of modern interventional pain management. Yet fluoroscopy can be associated with risks for the patients and clinicians unless it is managed with appropriate understanding, skill and vigilance. Therefore, this study was designed to determine the amount of radiation received by a primary operator and an assistant during interventional pain procedures that involve the use of fluoroscopy. Methods:In order to examine the amount of radiation, the physicians were monitored by having them wear three thermoluminescent badges during each single procedure, with one under a lead apron, one under the apron collar and one on the leg during each single procedure. The data obtained from each thermoluminescent badge was reviewed from September 2008 to November 2008 and the annual radiation exposure was subsequently calculated. Results:A total of 505 interventional procedures were performed with C-arm fluoroscopy during three months. The results of this study revealed that the annual radiation exposure was relatively low for both the operator and assistant. Conclusions:With proper precautions, the use of fluoroscopy during interventional pain procedures is a safe practice. (Korean J Pain 2010; 23: 24-27)
참고문헌 (10)
- Shope TB, "Radiation-induced skin injuries from fluoroscopy", Radiographics, 16, pp.1195~1199 (1996)
- Valentin J, "Avoidance of radiation injuries from medical interventional procedures", Ann ICRP, 30, pp.7~67 (2000)
- Fishman SM, "Radiation safety in pain medicine", Reg Anesth Pain Med, 27, pp.296~305 (2002)
- Manchikanti L, "Radiation exposure to the physician in interventional pain management", Pain Physician, 5, pp.385~393 (2002)
- Botwin KP, "Radiation exposure of the spinal interventionalist performing fluoroscopically guided lumbar transforaminal epidural steroid injections", Arch Phys Med Rehabil, 83, pp.697~701 (2002)
- Zhou Y, "Fluoroscopy radiation safety for spine interventional pain procedures in university teaching hospitals", Pain Physician, 8, pp.49~53 (2005)
- Mahesh M, "Fluoroscopy: patient radiation exposure issues", Radiographics, 21, pp.1033~1045 (2001)
- Hororio TB, "Fluoroscopy and radiation safety. In: Essentials of pain medicine and regional anesthesia. 2nd ed", pp.516~524 (2005), Churchill Livingstone Publishers
- Botwin KP, "Radiation exposure to the physician performing fluoroscopically guided caudal epidural steroid injections", Pain Physician, 4, pp.343~348 (2001)
- Botwin KP, "Radiation exposure to the spinal interventionalist performing lumbar discography", Pain Physician, 6, pp.295~300 (2003)