Chaganti S, Kumar D, Patil S, Alderman P
Department of Trauma and Orthopaedics, Royal Gwent Hospital, Cardiff Road, Newport NP20 2UB, UK.
Ann R Coll Surg Engl. 2009 Sep;91(6):509-12. doi: 10.1308/003588409X432185. Epub 2009 Jun 25.
The advent of the image intensifier has revolutionised trauma surgery since its development in 1955. The manufacturers have given names to various movements of the machine in the operating manual but it has not been popular among orthopaedic surgeons or radiographers. Lack of knowledge of names of various movements and ambiguity in command often leads to confusion between the surgeon and the radiographer regarding which way to move the image intensifier. A questionnaire-based study was conducted to assess the efficacy of communication between orthopaedic surgeons and radiographers while using the image intensifier intra-operatively.
Diagrams depicting the movements of the image intensifier were used in the questionnaire. Fifty questionnaires were given to orthopaedic surgeons and 50 to radiographers to name the various movements.
Ninety questionnaires were returned, 45 from surgeons and 45 from radiographers. Five questionnaires from surgeons and five from radiographers were returned blank. Of those responding, 97% could name the vertical movement, 68% the horizontal movement, 12% the swivel and 29% the angulation movement. None could name the orbital movement.
Even though orthopaedic surgeons do not operate the image intensifier themselves, knowledge of the movements of the image intensifier and their names can improve the efficacy of communication between surgeons and radiographers. A common language and precision in command can avoid confusion and has the potential to improve theatre time utilisation. The nomenclature of various movements of the image intensifier has been described and possible precise commands for various movements have been postulated.
自1955年影像增强器问世以来，它给创伤外科带来了变革。制造商在操作手册中为该机器的各种移动方式赋予了名称，但这些名称在骨科医生和放射技师中并不流行。由于对各种移动方式的名称缺乏了解以及指令的模糊性，外科医生和放射技师在影像增强器移动方向上常常产生混淆。我们开展了一项基于问卷调查的研究，以评估骨科医生和放射技师在术中使用影像增强器时沟通的有效性。
问卷中使用了描绘影像增强器移动方式的图表。向50名骨科医生和50名放射技师发放问卷，让他们说出各种移动方式的名称。
共收回90份问卷，其中45份来自外科医生，45份来自放射技师。有5份外科医生的问卷和5份放射技师的问卷空白未填。在回复的问卷中，97%的人能说出垂直移动，68%的人能说出水平移动，12%的人能说出旋转，29%的人能说出成角移动。没有人能说出轨道移动。
尽管骨科医生自己不操作影像增强器，但了解影像增强器的移动方式及其名称可以提高外科医生和放射技师之间沟通的有效性。通用的语言和精确的指令可以避免混淆，并有可能提高手术室时间的利用率。本文描述了影像增强器各种移动方式的命名法，并推测了各种移动方式可能的精确指令。
