Department of Anesthesiology and Pain Medicine, Harborview Medical Center, University of Washington, Seattle, Washington 98104-2499, USA.
Curr Opin Anaesthesiol. 2011 Aug;24(4):445-50. doi: 10.1097/ACO.0b013e328347f984.
To review the recent literature on the implications of occupational radiation exposure in anesthesia practice.
Wide variation and lack of reduction in operator doses of medical radiation strongly suggests that more attention must be paid to the factors influencing radiation dose exposure. The eye is likely the most sensitive organ for radiation injury. Radiation-related cataract formation might be a stochastic effect. Operators are strongly advised to use eye protection at all times. Safe medical radiation ophthalmic dose limits are currently under review and are likely to be lowered. Current data do not suggest a significant risk to the fetus for pregnant women working in the interventional radiology suite as long as proper monitoring and radiation safety measures are implemented.
Radiation is increasingly utilized in medicine for diagnostic and therapeutic procedures. Anesthesia providers may become exposed to unsafe doses while providing high-quality patient care. Understanding of the physical principles, the sources of radiation exposure, the potential risks, and safe practices helps to minimize the exposure risk and its potential deleterious effects to the anesthesia team.
回顾麻醉实践中职业辐射暴露相关影响的最新文献。
操作人员的医疗辐射剂量存在较大差异且并未减少，这强烈表明必须更加关注影响辐射剂量暴露的因素。眼睛可能是对辐射损伤最敏感的器官。辐射相关白内障的形成可能是一种随机效应。操作人员应强烈建议始终使用眼部保护装置。安全的医疗辐射眼部剂量限制正在审查中，可能会降低。只要实施了适当的监测和辐射安全措施，目前的数据并不表明在介入放射学套房工作的孕妇对胎儿有重大风险。
辐射越来越多地用于医学诊断和治疗程序。在提供高质量的患者护理时，麻醉提供者可能会接触到不安全的剂量。了解物理原理、辐射源、潜在风险和安全实践有助于将暴露风险及其对麻醉团队的潜在有害影响降到最低。
