Yenidoğan Yoğun Bakım Ünitelerinde Radyografi Çekimi: Ne kadar doğru uygulanıyor?

Öz

Amaç: Yenidoğan Yoğun Bakım Ünitelerinde (YDYBU) radyasyon güvenliği hem hastalar hem de personel için önemli bir sorundur. Bu çalışmada üçüncü basamak bir çocuk hastanesinin YDYBU’nda gerçekleştirilen portable grafiler kalite yönünden değerlendirilecek, aynı zamanda personelin radyasyon maruziyeti hakkında da bilgi edinilecektir. Bu çalışma ile YDYBU’larda radyasyon güvenliği konusunda farkındalık oluşturmak da hedeflenmektedir. Yöntem: 2017-2019 yılları arasında TDYBU’da gerçekleştirilen portable grafiler retrospektif olarak incelenecektir. Grafiler uygun hasta pozisyonu, uygun kolimasyon (yalnızca istenilen bölgenin görüntülenmesi, kafa ve gonad korunması), ve genel değerlendirilebilirlik kalitesi yönünden ele alınacaktır. Ayrıca grafilerdeki yetişkin parmakları kullanılarak personel maruziyeti hakkında bilgi edinilecektir. Bulgular: 1438 yenidoğana ait 7333 grafi değerlendirilmiştir. Bir yenidoğana gerçekleştirilen ortalama grafi sayısı 5.1’dir. Grafilerin %83,8’I uygun kolime edilmiştir. Uygun kolimasyon oranı yıllar içerisinde artmıştır. Grafilerin %26,7’si değerlendirme için kötü kalitededir. Grafi kalitesi yıllar içerisinde artmıştır. Tüm grafilerin %87.8’inde erişkin parmağı görülmemiştir. Sonuç: Radyasyonun efektif kullanılması YDYBU’larda önemli bir meseledir. Yıllar içerisinde grafi kalitesi yükselmiştir, özellikle uygun kolimasyon oranı giderek artmıştır. Personelin radyasyon maruziyeti ise azalmaya başlamıştır.

Anahtar Kelimeler

• radyasyon
• maruziyet
• güvenlik
• yenidoğan

X-Ray in Neonatal Intensive Care Units: Does it Go to the right Direction?

Öz

Introduction: Radiation safety is a current and important problem for both patients and staff in Neonatal Intensive Care Units (NICUs). In this study we mainly intend to evaluate the quality of radiographic examinations performed in a NICU of a children’s hospital, as well as define the amount of staff exposure. By performing this study, we also want to create awareness about the importance of an adequate radiographic examination of a preterm infant and radiation safety in NICUs. Methods: Direct portable radiographs performed in NICUs between January 2017-January 2020 were retrospectively evaluated. The researchers have evaluated the quality of the radiographs by proper positioning, proper collimation (excluding head and gonadal areas, including only the demanded area), overall quality of the radiograph for adequate interpretation (good, acceptable, bad), evidence of staff exposure (adult fingers in the radiograph). Results: 7333 radiographs of 1438 newborns were evaluated. Mean number of performed direct radiographs for a newborn was 5.1 times. 83.8% of the radiographs were properly collimated. Amount of properly collimated radiographs increased over the years. 26.7% of the all radiographs were classified as bad for interpretation. Overall quality of the radiographs was also increased over the years. 87.8% of the radiographs did not contain any adult fingers in 2019. Conclusion: Effective use of ionizing radiation is an important matter for NICUs. The overall quality of the radiographs has become better by time, especially number of properly collimated radiographs was increased. Exposure of the staff to ionizing radiation has begun to decrease.

Anahtar Kelimeler

• radiation
• exposure
• safety
• newborn

Kaynakça

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