Anestezistler İçin Radyasyon Güvenliği
Yıl 2023,
, 1 - 5, 01.03.2023
Ayla Esin
,
Yasemin Özşahin
,
Kerem Erkalp
,
Ziya Salihoğlu
Öz
Yirminci yüzyıl başından beri sağlık alanında kullanılmakta olan radyasyonun, ameliyathane içinde ve dışında kullanım yaygınlığının giderek artması, anestezistlerin radyasyon maruziyetinin artmasına yol açmaktadır. Bu yüzden hem çalışanların güvenliğini hem de hasta güvenliğini sağlamak ve radyasyona maruz kalmanın potansiyel zararlı etkilerini en aza indirmek için, radyasyonun temel kavramları, radyasyon fiziği, radyasyon güvenliği konuları hakkında bilgi sahibi olmak çok önemlidir.
Bu yazının amacı anestezistleri bilgilendirme, mesleki radyasyon maruziyetlerini minimumda tutmalarına yardımcı olmaktır.
Kaynakça
- Berrington A, Darby SC, Weiss HA, Doll R. 100 years of observation on British radiologists: mortality from cancer and other causes 1897–1997. Br J Radiol. 2001;74(882):507–519.
- Cancer risk from professional exposure in staff working in cardiac catheterization laboratory: insights from the National Research Council’s Biological Effects of Ionizing Radiation VII Report. Am Heart J. 2009;157(1):118–124.
- Domienik J, Brodecki M, Carinou E, Donadille L, Jankowski J, Koukorava C, et al. Extremity and eye lens doses in interventional radiology and cardiology procedures: first results of the ORAMED project. Radiat Prot Dosimetry. 2011;144:442–447.
- T.Pırnar, O.Dicle. Radiation Oncology A.Century of Progress and Achievement, published by ESTRO, 1995
- Jansen A. Radiation dose and risk, Radiation Protection 136; European guidelines on radiation protection in dental radiology. The safe use of radiographs in dental practice Luxembourg: Office for Official Publications of the European Communities. 2004. pp 11-17.
- Wrixon AD. New ICRP recommendations. J Radiol Prot. 2008;28:161–168.
- ICRP. The 2007 recommendations of the International Commission on Radiological Protection. Ann ICRP. 2007;103:1–332.
- Pierce DA, Shimizu Y, Preston DL, Vaeth M, Mabuchi K. Studies of the mortality of atomic bomb survivors. Report 12, Part I. Cancer: 1950–1990. Radiat Res. 1996;146(1):1–27.
- Cardis E, Vrijheid M, Blettner M, Gilbert E, Hakama M, Hill C, et al. The 15-Country Collaborative Study of Cancer Risk among Radiation Workers in the Nuclear Industry: estimates of radiation- related cancer risks. Radiat Res. 2007;167(4):396–416.
- Bashore TM, Bates ER, Berger PB, Clark DA, Cusma JT, Dehmer GJ, et al. American College of Cardiology/ Society for Cardiac Angiography and Interventions Clinical Expert Consensus Document on cardiac catheterization laboratory standards. A report of the American College of Cardiology Task Force on Clinical Expert Consensus Documents. J Am Coll Cardiol. 2001;37(8):2170–2214.
- Semelka RC, Armao DM, Elias J Jr, Huda W. Imaging strategies to reduce the risk of radiation in CT studies, including selective substitution with MRI. J Magn Reson Imaging. 2007;25(5):900–909.
- Steven B, Elwin R, Tilson Ed. Practical Radiation Protection and Applied Radiobiology, 2e 2nd Edition. Saunders, 1999.
- Mitelman F, Johansson B, Mertens F. Mitelman database of chromosome aberrations and gene fusions in cancer. 2010 [updated 2010; cited 07 February 2011].
- National Academy of Sciences/National Research Council (NAS/NRC), Health Risks from Exposure to Low Levels of Ionizing Radiation:BEIR VII Phase 2, Washington, DC2006.
- Anastasian ZH, Strozyk D, Meyers PM, Wang S, Berman MF. Radiation exposure of the anesthesiologist in the neurointerventional suite. Anesthesiology. 2011;114(3):512-20.
- Williams PM, Fletcher S. Health effects of prenatal radiation exposure. Am Fam Physician. 2010;82(5):488–493.
- Wakeford R, Little MP. Risk coefficients for childhood cancer after intrauterine irradiation: a review. Int J Radiat Biol. 2003;79(5):293–309.
- Vano E, Gonzalez L, Fernandez JM, Haskal ZJ. Eye lens exposure to radiation in interventional suites: caution is warranted. Radiology. 2008;248(3):945–953.
- Klein LW, Miller DL, Balter S, Laskey W, Haines D, Norbash A, et al. Occupational health hazards in the interventional laboratory: time for a safer environment. J Vasc Interv Radiol. 2009;20(2):147–152.
- Cousin AJ, Lawdahl RB, Chakraborty DP, Koehler RE. The case for radioprotective eyewear/facewear. Practical implications and suggestions. Invest Radiol. 1987;22(8):688–692.
- ICRP. Radiologial protection education and training for healthcare staff and students. 2010 [cited 19 February 2011]. http://www.icrp.org/docs/ICRP_ Report- RP_Education_and_Training_for_Healthcare_Staff_and_Students (for_Consultation).pdf.
Radiation Safety for Anesthesiologists
Yıl 2023,
, 1 - 5, 01.03.2023
Ayla Esin
,
Yasemin Özşahin
,
Kerem Erkalp
,
Ziya Salihoğlu
Öz
The increasing prevalence of radiation, which has been used in the health field since the beginning of the twentieth century, inside and outside the operating room, leads to an increase in the radiation exposure of anesthesiologists. Therefore, it is very important to have knowledge about the basic concepts of radiation, radiation physics, and radiation safety in order to ensure both the safety of employees and patients, and to minimize the potential harmful effects of radiation exposure.
Our purpose is to inform anesthesiologists and help them to keep their occupational radiation exposure to a minimum.
Kaynakça
- Berrington A, Darby SC, Weiss HA, Doll R. 100 years of observation on British radiologists: mortality from cancer and other causes 1897–1997. Br J Radiol. 2001;74(882):507–519.
- Cancer risk from professional exposure in staff working in cardiac catheterization laboratory: insights from the National Research Council’s Biological Effects of Ionizing Radiation VII Report. Am Heart J. 2009;157(1):118–124.
- Domienik J, Brodecki M, Carinou E, Donadille L, Jankowski J, Koukorava C, et al. Extremity and eye lens doses in interventional radiology and cardiology procedures: first results of the ORAMED project. Radiat Prot Dosimetry. 2011;144:442–447.
- T.Pırnar, O.Dicle. Radiation Oncology A.Century of Progress and Achievement, published by ESTRO, 1995
- Jansen A. Radiation dose and risk, Radiation Protection 136; European guidelines on radiation protection in dental radiology. The safe use of radiographs in dental practice Luxembourg: Office for Official Publications of the European Communities. 2004. pp 11-17.
- Wrixon AD. New ICRP recommendations. J Radiol Prot. 2008;28:161–168.
- ICRP. The 2007 recommendations of the International Commission on Radiological Protection. Ann ICRP. 2007;103:1–332.
- Pierce DA, Shimizu Y, Preston DL, Vaeth M, Mabuchi K. Studies of the mortality of atomic bomb survivors. Report 12, Part I. Cancer: 1950–1990. Radiat Res. 1996;146(1):1–27.
- Cardis E, Vrijheid M, Blettner M, Gilbert E, Hakama M, Hill C, et al. The 15-Country Collaborative Study of Cancer Risk among Radiation Workers in the Nuclear Industry: estimates of radiation- related cancer risks. Radiat Res. 2007;167(4):396–416.
- Bashore TM, Bates ER, Berger PB, Clark DA, Cusma JT, Dehmer GJ, et al. American College of Cardiology/ Society for Cardiac Angiography and Interventions Clinical Expert Consensus Document on cardiac catheterization laboratory standards. A report of the American College of Cardiology Task Force on Clinical Expert Consensus Documents. J Am Coll Cardiol. 2001;37(8):2170–2214.
- Semelka RC, Armao DM, Elias J Jr, Huda W. Imaging strategies to reduce the risk of radiation in CT studies, including selective substitution with MRI. J Magn Reson Imaging. 2007;25(5):900–909.
- Steven B, Elwin R, Tilson Ed. Practical Radiation Protection and Applied Radiobiology, 2e 2nd Edition. Saunders, 1999.
- Mitelman F, Johansson B, Mertens F. Mitelman database of chromosome aberrations and gene fusions in cancer. 2010 [updated 2010; cited 07 February 2011].
- National Academy of Sciences/National Research Council (NAS/NRC), Health Risks from Exposure to Low Levels of Ionizing Radiation:BEIR VII Phase 2, Washington, DC2006.
- Anastasian ZH, Strozyk D, Meyers PM, Wang S, Berman MF. Radiation exposure of the anesthesiologist in the neurointerventional suite. Anesthesiology. 2011;114(3):512-20.
- Williams PM, Fletcher S. Health effects of prenatal radiation exposure. Am Fam Physician. 2010;82(5):488–493.
- Wakeford R, Little MP. Risk coefficients for childhood cancer after intrauterine irradiation: a review. Int J Radiat Biol. 2003;79(5):293–309.
- Vano E, Gonzalez L, Fernandez JM, Haskal ZJ. Eye lens exposure to radiation in interventional suites: caution is warranted. Radiology. 2008;248(3):945–953.
- Klein LW, Miller DL, Balter S, Laskey W, Haines D, Norbash A, et al. Occupational health hazards in the interventional laboratory: time for a safer environment. J Vasc Interv Radiol. 2009;20(2):147–152.
- Cousin AJ, Lawdahl RB, Chakraborty DP, Koehler RE. The case for radioprotective eyewear/facewear. Practical implications and suggestions. Invest Radiol. 1987;22(8):688–692.
- ICRP. Radiologial protection education and training for healthcare staff and students. 2010 [cited 19 February 2011]. http://www.icrp.org/docs/ICRP_ Report- RP_Education_and_Training_for_Healthcare_Staff_and_Students (for_Consultation).pdf.