Occupational radiation exposure to anesthetists from fluoroscopic projections during orthopedic operative procedures

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Purpose: The role of anesthetists during orthopedic fluoroscopic procedures exposes them to radiation. We conducted a prospective, descriptive study to estimate the radiation exposure to anesthetists during procedures over a six-month period in the orthopedic trauma operating theatres which had the most fluoroscopic usage. Materials and Methods: Thermoluminescent dosimeter (TLD) chips were placed two metres away from the radiation source, in three positions to simulate the anesthetist's position in the operating theatre during the fluoroscopic procedures as well as their radiation safety practices. The three positions were above the lead gown, behind the lead gown and behind the protective lead screen. The fourth TLD chip was assigned as a control measure to account for background radiation. The radiation exposure was measured at every end of each month during the period of six consecutive months. The TLD chips were sent to the Malaysian Institute for Nuclear Technology (MINT) for the analysis. Results: From the study, the annual exposure without a protective shield at a 2 metre distance from the projection source was estimated to be 0.70 milliSievert (mSv)/year. With the use of lead gowns and protective lead screens, the annual exposure was estimated to be 0.08 mSv / year. All the radiation levels measured were within the maximum permissible dose of 50 mSv / year. Conclusion: During fluoroscopic assisted orthopedic procedures, the anesthetists in UKMMC are exposed to a small amount of radiation which is well below the annual maximum permissible limit as determined by local and international regulatory bodies.

Original languageEnglish
JournalClinica Terapeutica
Volume165
Issue number4
DOIs
Publication statusPublished - 2014

Fingerprint

Orthopedic Procedures
Operative Surgical Procedures
Occupational Exposure
Radiation
Background Radiation
Orthopedics
Lead
Anesthetists
Radiation Exposure
Prospective Studies
Technology
Safety
Wounds and Injuries
Radiation Dosimeters

Keywords

  • Anesthetists
  • Fluoroscopy
  • Orthopedic procedures
  • Radiation

ASJC Scopus subject areas

  • Medicine(all)

Cite this

@article{1cc2be7dd9d74f57805658c2131ad2d8,
title = "Occupational radiation exposure to anesthetists from fluoroscopic projections during orthopedic operative procedures",
abstract = "Purpose: The role of anesthetists during orthopedic fluoroscopic procedures exposes them to radiation. We conducted a prospective, descriptive study to estimate the radiation exposure to anesthetists during procedures over a six-month period in the orthopedic trauma operating theatres which had the most fluoroscopic usage. Materials and Methods: Thermoluminescent dosimeter (TLD) chips were placed two metres away from the radiation source, in three positions to simulate the anesthetist's position in the operating theatre during the fluoroscopic procedures as well as their radiation safety practices. The three positions were above the lead gown, behind the lead gown and behind the protective lead screen. The fourth TLD chip was assigned as a control measure to account for background radiation. The radiation exposure was measured at every end of each month during the period of six consecutive months. The TLD chips were sent to the Malaysian Institute for Nuclear Technology (MINT) for the analysis. Results: From the study, the annual exposure without a protective shield at a 2 metre distance from the projection source was estimated to be 0.70 milliSievert (mSv)/year. With the use of lead gowns and protective lead screens, the annual exposure was estimated to be 0.08 mSv / year. All the radiation levels measured were within the maximum permissible dose of 50 mSv / year. Conclusion: During fluoroscopic assisted orthopedic procedures, the anesthetists in UKMMC are exposed to a small amount of radiation which is well below the annual maximum permissible limit as determined by local and international regulatory bodies.",
keywords = "Anesthetists, Fluoroscopy, Orthopedic procedures, Radiation",
author = "Abas, {A. A.} and {Abdul Rahman}, Raha and Nurlia Yahya and Esa Kamaruzaman and Khairulamir Zainuddin and {Abdul Manap}, Norsidah",
year = "2014",
doi = "10.7417/CT.2014.1739",
language = "English",
volume = "165",
journal = "Clinica Terapeutica",
issn = "0009-9074",
publisher = "Societa Editrice Universo",
number = "4",

}

TY - JOUR

T1 - Occupational radiation exposure to anesthetists from fluoroscopic projections during orthopedic operative procedures

AU - Abas, A. A.

AU - Abdul Rahman, Raha

AU - Yahya, Nurlia

AU - Kamaruzaman, Esa

AU - Zainuddin, Khairulamir

AU - Abdul Manap, Norsidah

PY - 2014

Y1 - 2014

N2 - Purpose: The role of anesthetists during orthopedic fluoroscopic procedures exposes them to radiation. We conducted a prospective, descriptive study to estimate the radiation exposure to anesthetists during procedures over a six-month period in the orthopedic trauma operating theatres which had the most fluoroscopic usage. Materials and Methods: Thermoluminescent dosimeter (TLD) chips were placed two metres away from the radiation source, in three positions to simulate the anesthetist's position in the operating theatre during the fluoroscopic procedures as well as their radiation safety practices. The three positions were above the lead gown, behind the lead gown and behind the protective lead screen. The fourth TLD chip was assigned as a control measure to account for background radiation. The radiation exposure was measured at every end of each month during the period of six consecutive months. The TLD chips were sent to the Malaysian Institute for Nuclear Technology (MINT) for the analysis. Results: From the study, the annual exposure without a protective shield at a 2 metre distance from the projection source was estimated to be 0.70 milliSievert (mSv)/year. With the use of lead gowns and protective lead screens, the annual exposure was estimated to be 0.08 mSv / year. All the radiation levels measured were within the maximum permissible dose of 50 mSv / year. Conclusion: During fluoroscopic assisted orthopedic procedures, the anesthetists in UKMMC are exposed to a small amount of radiation which is well below the annual maximum permissible limit as determined by local and international regulatory bodies.

AB - Purpose: The role of anesthetists during orthopedic fluoroscopic procedures exposes them to radiation. We conducted a prospective, descriptive study to estimate the radiation exposure to anesthetists during procedures over a six-month period in the orthopedic trauma operating theatres which had the most fluoroscopic usage. Materials and Methods: Thermoluminescent dosimeter (TLD) chips were placed two metres away from the radiation source, in three positions to simulate the anesthetist's position in the operating theatre during the fluoroscopic procedures as well as their radiation safety practices. The three positions were above the lead gown, behind the lead gown and behind the protective lead screen. The fourth TLD chip was assigned as a control measure to account for background radiation. The radiation exposure was measured at every end of each month during the period of six consecutive months. The TLD chips were sent to the Malaysian Institute for Nuclear Technology (MINT) for the analysis. Results: From the study, the annual exposure without a protective shield at a 2 metre distance from the projection source was estimated to be 0.70 milliSievert (mSv)/year. With the use of lead gowns and protective lead screens, the annual exposure was estimated to be 0.08 mSv / year. All the radiation levels measured were within the maximum permissible dose of 50 mSv / year. Conclusion: During fluoroscopic assisted orthopedic procedures, the anesthetists in UKMMC are exposed to a small amount of radiation which is well below the annual maximum permissible limit as determined by local and international regulatory bodies.

KW - Anesthetists

KW - Fluoroscopy

KW - Orthopedic procedures

KW - Radiation

UR - http://www.scopus.com/inward/record.url?scp=84909986292&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84909986292&partnerID=8YFLogxK

U2 - 10.7417/CT.2014.1739

DO - 10.7417/CT.2014.1739

M3 - Article

C2 - 25203339

AN - SCOPUS:84909986292

VL - 165

JO - Clinica Terapeutica

JF - Clinica Terapeutica

SN - 0009-9074

IS - 4

ER -