Lakhwani O P, Dalal Vipin, Jindal Mohit, Nagala Ashok
Professor, and Head of Department Orthopedics, ESI Postgraduate Institute and Medical Sciences, New Delhi, India.
Senior resident, Orthopedics, ESI Postgraduate Institute and Medical Sciences, New Delhi, India.
J Clin Orthop Trauma. 2019 Jul-Aug;10(4):738-743. doi: 10.1016/j.jcot.2018.08.010. Epub 2018 Aug 7.
X - Rays has become integral and indispensable part of health care diagnosis and intervention. Intervention procedures in Orthopedics surgery now mostly performed under image intensifiers (C-Arm) which involve the risks of occupational overexposure of radiation to the patients and health care personnel. The principles of radiation protection are helpful in keeping radiation exposure just adequate for diagnostic and intervention procedures. Regular surveillance of protective apparel is necessary for longevity of safety. It is responsibility of all OT personnel to know and implement radiation safety. Each situation involving X-ray radiation should include justification of the procedure, minimum radiation exposure just adequate for diagnostic and interventional procedures.
X射线已成为医疗保健诊断和干预不可或缺的一部分。现在,骨科手术中的干预程序大多在影像增强器(C型臂)下进行,这涉及患者和医护人员职业性辐射过度暴露的风险。辐射防护原则有助于使辐射暴露量刚好足以满足诊断和干预程序的需求。定期对防护用具进行监测对于确保其长期安全性很有必要。所有手术室工作人员都有责任了解并实施辐射安全措施。每一个涉及X射线辐射的情况都应包括对该程序的合理性论证,以及刚好足以满足诊断和介入程序的最低辐射暴露量。