Henderson K H, Lu J K, Strauss K J, Treves S T, Rockoff M A
Department of Anesthesia, Children's Hospital Medical Center, Boston, MA 02115.
J Clin Anesth. 1994 Jan-Feb;6(1):37-41. doi: 10.1016/0952-8180(94)90116-3.
To determine the level of radiation exposure of anesthesiologists in the operating rooms and cardiac catheterization laboratory.
Prospective study of all anesthesia fellows.
Operating rooms (ORs) and radiology department of a tertiary care pediatric hospital.
Anesthesiologists caring for patients in a pediatric hospital requiring anesthesia or monitored anesthesia care. (Patients were not directly studied.)
Anesthesiologists wore standard radiation safety film badges, which were sensitive to cumulative doses of radiation greater than 10 mrem. In the ORs, anesthesiologists were exposed to less than 10 mrem/mon. In the cardiac catheterization laboratory, they had dosimetric readings that ranged from 20 to 180 mrem/mon and frequently exceeded the guidelines for nonradiation workers.
There is no need for routine dosimetric monitoring of anesthesiologists working in the OR setting, since this is associated with negligible radiation exposure. Monitoring of radiation film badges should be considered for anesthesiologists who frequently work in fluoroscopy areas, such as the cardiac catheterization laboratory. All personnel working near radiation sources should wear appropriate shielding and, whenever patient safety permits, distance themselves as far as possible from the source of radiation.
确定手术室和心导管实验室中麻醉医生的辐射暴露水平。
对所有麻醉住院医师进行前瞻性研究。
一家三级护理儿科医院的手术室（ORs）和放射科。
在儿科医院照顾需要麻醉或监护麻醉护理患者的麻醉医生。（未直接对患者进行研究。）
麻醉医生佩戴标准辐射安全胶片徽章，该徽章对大于10毫雷姆的累积辐射剂量敏感。在手术室中，麻醉医生每月的辐射暴露量低于10毫雷姆。在心导管实验室，他们的剂量测定读数范围为每月20至180毫雷姆，且经常超过非辐射工作人员的指导标准。
在手术室工作的麻醉医生无需进行常规剂量监测，因为其辐射暴露可忽略不计。对于经常在心导管实验室等荧光检查区域工作的麻醉医生，应考虑监测辐射胶片徽章。所有在辐射源附近工作的人员都应佩戴适当的防护设备，并在患者安全允许的情况下，尽可能远离辐射源。
