Radioinduced crystalline lens opacity in an interventional radiologist

Εμφάνιση καθορισμένων (? !) αποτελεσμάτων Radio-induced crystalline lens opacity in an interventional radiologist submitted to high levels of radiation using an X-ray tube above the table. 1, indicates posterior subcapsular opacity; Region 2, perinuclear punctate opacities Ιnterventional cardiologists with pronounced typical hair loss. Chronic occupational dermatitis initially causes the skin to become dry, shiny and hairless, with atrophy of the epidermis. Vano et al. Radiation-associated lens opacities in catheterization personnel: results of a survey and direct assessments. J Vasc Interv Radiol. 2013 Feb; 24(2): 197 -204. Plauca et al. Benefit of glyceryl trinitrate on arterial stiffness is directly due to effects on peripheral arteries. Heart 2005; 91: 1428– 1432

Dose to patient (Gy*cm 2) Υπάρχει ισχυρή συσχέτιση μεταξύ της δόσης ακτινοβολίας ασθενούς και προσωπικού! Dose to operator (μSv) Heilmaier et al. 2016. Combined Use of a Patient Dose Monitoring System and a Real-Time Occupational Dose Monitoring System for Fluoroscopically Guided Interventions

Δόσεις ακτινοβολίας προσωπικού στην Επεμβατική Ακτινολογία/Καρδιολογία Kim et al. Occupational radiation doses to operators performing cardiac catheterization procedures. Health Phys 2008 Mar; 94(3): 211 -2. Kim et al. Occupational radiation doses to operators performing fluoroscopically-guided procedures Health Phys 2012 Jul; 103(1): 80 -99

2 Κρατήστε τη λυχνία ακτίνων-χ κάτω από το τραπέζι http: //www. slideshare. net/agungno/dosis-personal-pada-pemeriksaan-radiologi-intervensional

3 Τοποθετήστε τον ενισχυτή εικόνας κοντά στον ασθενή Brilakis ES. Manual of coronary chronic total occlusion interventions: a step-by-step approach. Massachusetts: Elsevier; 2013

4 Τοποθετήστε τον εαυτό σας στη σωστή θέση! ✗Λάθος θέση Anastasian et al. Radiation Exposure of the Anesthesiologist in the Neurointerventional Suite. Anesthiology 2011; 114: 512 -20.

4 Τοποθετήστε τον εαυτό σας στη σωστή θέση! http: //rpop. iaea. org/RPOP/RPo. P/Content/Documents/ Whitepapers/poster-patient-radiation-protection-gr. pdf

5 Κρατήστε τα χέρια σας μακριά πό την πρωτογενή δέσμη Front view Lateral view Zanzonico et al 2016_Make Radiation Protection a Habit

Μεγέθυνση EE=38 cm EE=25 cm http: //www. upstate. edu/radiology/education/rsna/fluoro/iisize. php EE=15 cm

Κατευθυντήρας http: //slideplayer. com/slide/3019279/ Kaplan et al. Intraoperative radiation safety in orthopaedics: a review of the ALARA (As low as reasonably achievable) principle. Patient Safety in Surgery 2016, 10: 27

Fluoro vs Cine

7 Χρήση του ακτινοπροστατευτικού εξοπλισμού Thyroid protection collar Outside personal dosimeter (in the pocket) Protective eyeglasses Radiation panoramic full face mask for face shielding Protective one-piece apron Additional protection for the gonads Caluk et al. Radiation Principles and Safety. cdn. intechopen. com

Magdy El-Masry. Radiation Safety in the Cath Lab

7 Χρήση του ακτινοπροστατευτικού εξοπλισμού πέτασμα κρεβατιού Mac. Caffrey et al. Radiation shielding materials and radiation scatter effects for interventional radiology (IR) physicians. Med Phys. 2012 Jul; 39(7): 4537 -46

8 Χρήση του ατομικού σας δοσιμέτρου και γνώση της δόσης σας! Leyton et al. Radiation Risks and the Importance of Radiological Protection in Interventional Cardiology: A Systematic Review. Rev Bras Cardiol Invasiva. 2014; 22(1): 87 -98