评估基本辐射安全措施对阴道实验室专业医护人员的累积影响

Sajeesh S Nair, Saral Kumar Gupta, N. S. Shine, K. T. Thomas, P. R. Bijumon, Stanly George, Sarath S Nair, Anu K George
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引用次数: 0

摘要

目的:现代心导管室的大幅增加导致心导管室手术的相应增加,随之而来的辐射环境可能会增加工作人员的职业辐射暴露。本研究旨在评估阴道实验室基本辐射安全装置对减少工作人员职业辐射暴露的集体影响。方法:这项研究是在我们配备了西门子 Artis 阴极实验室设备的阴道实验室室内进行的。使用 RaySafe X2 探测器和热释光剂量计(TLD)进行测量。剂量评估是在没有安全措施的情况下进行的,然后发现通过增加基本的辐射安全措施,剂量大大降低。研究结果:使用铅围裙使辐射剂量大幅降低(92%)。绘制了时间和距离对剂量的影响图。铅挡板的影响和天花板悬挂防护罩的使用量化了散射剂量的减少。计算了每种安全措施的累积影响,结果显示剂量降低了 99%。在辐射环境中工作时,利用所有可用的防护措施的重要性怎么强调都不为过。这对于最大限度地提高安全性、最大限度地降低风险以及在心电图室等辐射环境中培养安全文化至关重要。新颖性:这是在阴式实验室的特定环境中对不同辐射防护策略的全面评估。它不仅评估了单项措施,还考虑了这些措施的综合影响以及基于患者出口剂量的计算。关键词心脏病医生 辐射剂量 介入放射学 辐射防护 心导管室
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Evaluating the Cumulative Effects of Fundamental Radiation Safety Measures on Health Professionals in Cath Lab
Objectives: The significant rise in modern cath lab units has led to a proportionate increase in cath lab procedures and subsequent radiation environment may elevate the occupational radiation exposure to staff. This study aimed to assess the collective impact of fundamental radiation safety devices in the cath lab on decreasing occupational radiation exposure to staff. Methods: This study was conducted in our cath lab room, equipped with a Siemens Artis cath lab unit. Measurements were performed using RaySafe X2 detectors and Thermo Luminescent Dosimeters (TLDs). Dose assessments were conducted without safety measures and then found a considerable reduction of dose by adding basic radiation safety measures. Findings: The use of lead aprons resulted in a substantial reduction( 92%) in radiation dose. The effect of time and distance versus dose was plotted. The impact of lead flaps and the use of a ceiling suspension shield quantify reductions in scattered doses. The cumulative impact of each safety measure was calculated, and the outcome indicates a 99% reduction in dose. The importance of utilizing all available protective measures when working with radiation cannot be overstated. It is essential for maximizing safety, minimizing risks, and fostering a culture of safety within radiation environments like cath labs. Novelty: This is a thorough assessment of different radiation protection strategies in the specific setting of a Cath lab. It not only evaluates individual measures but also considers their combined impact and the calculation based on the exit dose from the patient. Keywords: Cardiologist, Radiation Dose, Interventional Radiology, Radiation protection, Cath lab
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