April Cottage, Leys Road, Tostock, Suffolk, UK.
Injury. 2009 Aug;40(8):840-3. doi: 10.1016/j.injury.2008.10.011. Epub 2009 Feb 12.
Good communication between an operating clinician and the attending radiographer when using C-arm fluoroscopy is vital. Efficient and safe use of ionising radiation protects all theatre staff. The object of this study was to design and test a single communication language for use in all fluoroscopy-assisted procedures.
A clinician guiding a radiographer performed a control 'no-rules' experiment of 56 targeting manoeuvres with a fluoroscopic C-arm on a scientific model. A single beam laser replaced the usual ionising radiation beam. The time taken for each targeting along with the laser exposure required was recorded. Following a period of instruction, the experiment was repeated using only our pre-defined communication strategy. The data was collected for statistical analysis.
A statistically significant reduction was seen in the time taken for each targeting manoeuvre and the laser exposure required when using our strategy.
This study shows that using our pre-prepared communication strategy could significantly improve efficiency and safety of fluoroscopic C-arm use.
在使用 C 臂透视时，手术临床医生与主治放射技师之间的良好沟通至关重要。有效且安全地使用电离辐射可以保护所有手术室工作人员的安全。本研究的目的是设计并测试一种用于所有透视辅助手术的单一沟通语言。
一名指导技师的临床医生在科学模型上使用透视 C 臂进行了 56 次靶向操作的对照“无规则”实验。一个单束激光取代了通常的电离辐射束。记录了每次靶向操作所需的时间以及激光照射所需的时间。经过一段时间的指导后，仅使用我们预先定义的沟通策略重复了该实验。收集数据进行统计分析。
使用我们的策略时，每次靶向操作所需的时间和激光照射所需的时间均有统计学意义的减少。
本研究表明，使用我们预先准备的沟通策略可以显著提高透视 C 臂的使用效率和安全性。
