Document Detail


Use of a sterile, disposable, radiation-absorbing shield reduces occupational exposure to scatter radiation during pectoral device implantation.
MedLine Citation:
PMID:  15189526     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of this study was to demonstrate the effectiveness of a radiation-absorbing shield in reducing physicians' occupational radiation exposure during pectoral device implantation. A sterile, disposable, lead-free radiation-absorbing surgical drape containing x-ray attenuation material was evaluated. Twenty procedures used the radiation absorbing drape, and 20 were performed without the shielding. Radiation exposure was measured using thermoluminescent dosimetry collar badges. Use of the protective shield was associated with a time adjusted 80% reduction in radiation dose (0.009 mrem/s with shielding vs 0.047 mrem/s without shielding, P < 0.05) to the physician performing the procedures. The radiation-absorbing surgical drape did not interfere with technical performance nor add procedural time, and all procedures were successfully completed. This study demonstrates that a sterile, disposable, radiation-absorbing drape provides a convenient means of augmenting conventional radiation shielding. Use of this protective shielding greatly reduces operators' occupational exposure to scatter radiation during pectoral device implantation without compromising sterility or procedural technique.
Authors:
Grant R Simons; William W Orrison
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  27     ISSN:  0147-8389     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  2004 Jun 
Date Detail:
Created Date:  2004-06-10     Completed Date:  2004-09-28     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  726-9     Citation Subset:  IM    
Affiliation:
Englewood Hospital and Medical Center, Englewood, New Jersey 07631, USA. Grant.Simons@ehmc.com
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MeSH Terms
Descriptor/Qualifier:
Bismuth*
Defibrillators, Implantable*
Disposable Equipment*
Electrodes, Implanted
Equipment Design
Fluoroscopy / adverse effects*
Humans
Occupational Exposure / prevention & control*
Pacemaker, Artificial*
Radiation Injuries / prevention & control*
Radiation Protection / instrumentation*
Scattering, Radiation*
Sterilization*
Thermoluminescent Dosimetry
Chemical
Reg. No./Substance:
7440-69-9/Bismuth

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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