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Radiation exposure to anaesthetists during endovascular procedures

Title: Radiation exposure to anaesthetists during endovascular procedures
Authors: Arii, T.; Uchino, S.; Kubo, Y.; Kiyama, S.; Uezono, S.
Source: Anaesthesia ; volume 70, issue 1, page 47-50 ; ISSN 0003-2409 1365-2044
Publisher Information: Wiley
Publication Year: 2014
Collection: Wiley Online Library (Open Access Articles via Crossref)
Description: Summary Medical radiation exposure increases the likelihood of cataract formation. A personal dosimeter was attached to the left temple of 77 anaesthetists during 45 endovascular aortic aneurysm repairs and 32 interventional neuroradiology procedures. Compared with interventional neuroradiology, the median (IQR [range]) total radiation dose emitted by fluoroscopic equipment was significantly lower during endovascular aortic aneurysm repair (4175 (3127–5091 [644–9761]) mGy than interventional neuroradiology (1420 (613–2424 [165–10 840]) mGy, p < 0.001). However, radiation exposure to the anaesthetist's temple was significantly greater during endovascular aortic aneurysm repair (15 (6–41 [1–109]) μSv) than interventional neuroradiology (4 (2–8 [0–67]) μSv, p < 0.001). These data suggest that anaesthetists at our institution would have to deliver anaesthesia for ~1300 endovascular aortic aneurysm repairs and ~5000 interventional neuroradiology cases annually to exceed the general occupational limits, and ~10 000 endovascular aortic aneurysm repairs and ~37 500 interventional neuroradiology cases to exceed the ocular exposure limits recommended by the International Commission on Radiological Protection. Nevertheless, anaesthetists should be aware of the risk of ocular radiation exposure, and reduce this by limiting the time of exposure, increasing the distance from the source of radiation, and shielding.
Document Type: article in journal/newspaper
Language: English
DOI: 10.1111/anae.12841
DOI: 10.1111/anae.12841/fullpdf
Availability: https://doi.org/10.1111/anae.12841; https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fanae.12841; http://onlinelibrary.wiley.com/wol1/doi/10.1111/anae.12841/fullpdf
Rights: http://onlinelibrary.wiley.com/termsAndConditions#vor
Accession Number: edsbas.2CB6412C
Database: BASE