{"id":4006,"date":"2022-01-27T17:33:57","date_gmt":"2022-01-27T09:33:57","guid":{"rendered":"https:\/\/www.cosmomed.com.tw\/?p=4006"},"modified":"2022-02-07T15:16:46","modified_gmt":"2022-02-07T07:16:46","slug":"11_principles_for_radiation_protection_in_cath_room","status":"publish","type":"post","link":"https:\/\/www.cosmomed.com.tw\/en\/11_principles_for_radiation_protection_in_cath_room\/","title":{"rendered":"11 Steps to Keep Your Team Safe From Radiation"},"content":{"rendered":"
\"\"<\/figure>\n\n\n\n

\u8f3b\u5c04\u5291\u91cf\u65e5\u76ca\u6f38\u589e\uff0c\u4ecb\u5165\u6027\u6cbb\u7642\u5718\u968a\u8a72\u600e\u9ebc\u63d0\u9ad8\u9632\u8b77\u529b\uff1f<\/strong>
TAVR\u3001CTO\u3001\u591a\u8840\u7ba1\u3001\u5468\u908a\u8840\u7ba1\u7b49\u8f03\u8907\u96dc\u3001\u8017\u6642\u9577\u7684\u8840\u7ba1\u5167\u624b\u8853\u91cf\u65e5\u76ca\u6f38\u589e\uff0c\u4f7f\u5f97\u91ab\u7642\u5718\u968a\u9762\u81e8\u66f4\u9ad8\u7684\u8f3b\u5c04\u66b4\u9732\uff0c\u5f71\u97ff\u9577\u671f\u5065\u5eb7\u98a8\u96aa\u30022021\u5e74\u7f8e\u570b\u5fc3\u8840\u7ba1\u651d\u5f71\u8207\u4ecb\u5165\u6cbb\u7642\u5b78\u6703SCAI(The Society for Cardiovascular Angiography and Interventions)\u5c0d\u6b64\u63d0\u4f9b11\u9805\u6700\u4f73\u64cd\u4f5c\u6307\u5f15<\/strong>\u8981\u5354\u52a9\u4ecb\u5165\u6cbb\u7642\u5718\u968a\u4eba\u54e1\u964d\u4f4e\u8f3b\u5c04\u66b4\u9732\uff1a<\/p>\n\n\n\n

1.\u9078\u64c7\u4f4e\u5291\u91cf\u7684\u87a2\u5149\u900f\u8996\u8a2d\u5b9a\uff0c\u4f8b\u5982\u8f03\u4f4e\u7684\u6bcf\u5e40\u5291\u91cf\u3001\u8f03\u4f4e\u7684\u6bcf\u79d2\u5e40\u6578<\/strong>
Select low dose settings on \ufb02uoroscope, such as lower dose per frame, lower frame rate (4-7.5 fps for \ufb02uoroscopy, 7.5-15 fps for cine).<\/p>\n\n\n\n

2.\u76e1\u53ef\u80fd\u4f7f\u7528”Fluoro Save”\u64f7\u53d6\u756b\u9762\u53d6\u4ee3”Cine Mode”<\/strong>
Use \u201cFluoro Save\u201d instead of cine when possible.<\/p>\n\n\n\n

3.\u4f7f\u7528Collimation (\u6e96\u76f4\u529f\u80fd)\u6e1b\u4f4e\u6563\u5c04\u5230\u75c5\u4eba\u548c\u5de5\u4f5c\u4eba\u54e1\u7684\u8f3b\u5c04\u5291\u91cf<\/strong>
Use collimation to lower radiation dose and scatter to patient and staff.<\/p>\n\n\n\n

4.\u907f\u514d\u4f7f\u7528\u592a\u50be\u659c\u7684\u7167\u5c04\u89d2\u5ea6\u4e26\u61c9\u6642\u5e38\u6539\u8b8a\u7167\u5c04\u89d2\u5ea6\u4ee5\u5206\u6563\u8f3b\u5c04\u5291\u91cf\u5206\u4f48<\/strong>
Avoid working in steep angles and change working angles to \u201cspread the dose.\u201d<\/p>\n\n\n\n

5.\u63d0\u9ad8\u624b\u8853\u53f0\u9ad8\u5ea6\u3001\u6e1b\u5c11\u75c5\u4eba\u8207X\u5149\u63a5\u6536\u5668\u7684\u8ddd\u96e2\u4ee5\u964d\u4f4e\u75c5\u4eba\u8207\u5de5\u4f5c\u4eba\u54e1\u7684\u8f3b\u5c04\u5291\u91cf<\/strong>
Raise table height to decrease patient dose, and minimize distance between patient and detector to decrease patient dose and scatter to operator.<\/p>\n\n\n\n

6.\u4f7f\u7528\u4f4e\u653e\u5927\u500d\u7387(Magnification)<\/strong>
Use lower magni\ufb01cation (example 22 cm FOV instead of 19 cm).<\/p>\n\n\n\n

7.\u75c5\u4eba\u56db\u80a2\u9060\u96e2X\u5149\u7167\u5c04\u8def\u5f91\u8207X\u5149\u7ba1<\/strong>
Keep patient\u2019s extremities out of the beam path and away from the x-ray tube.<\/p>\n\n\n\n

8.\u201c\u9078\u64c7\u9577\u5ea6\u9577\u7684\u5c0e\u7ba1\u201d\u4e26\u4e14\u201d\u96e2X\u5149\u7ba1\u5f8c\u9000\u4e00\u6b65\u201c\u4fdd\u6301\u8207X\u5149\u7ba1\u4e4b\u9593\u7684\u8ddd\u96e2\uff0c\u7279\u5225\u662f\u7d93\u7531\u6a48\u52d5\u8108\u9032\u5165\u7684\u75c5\u4f8b\u3002\u78ba\u8a8d\u6b63\u78ba\u5b89\u88dd\u79fb\u52d5\u5f0f\u925b\u8b77\u5177\u8207\u925b\u684c\u570d<\/strong>
Maintain furthest possible distance from x-ray tube by using long tubing, especially for radial cases, and \u201ctaking a step back\u201d. Ensure proper use of moveable lead shields and under-table drapes.<\/p>\n\n\n\n

9.\u4f7f\u7528\u79fb\u52d5\u5f0f\u925b\u5c4f\u4fdd\u8b77\u5de5\u4f5c\u4eba\u54e1<\/strong>
Consider moveable lead screens to protect CCL staff.<\/p>\n\n\n\n

10.\u4f7f\u7528\u5373\u6642\u8f3b\u5c04\u5291\u91cf\u76e3\u63a7\u88dd\u7f6e\u3001\u8f3b\u5c04\u9632\u8b77\u84cb\u5dfe\u4ee5\u53ca\u6a5f\u68b0\u624b\u81c2\u6e1b\u5c11\u8f3b\u5c04\u66dd\u9732<\/strong>
Consider use of real-time radiation monitoring, radiation protection drapes and robotic PCI to lower operator radiation exposure.<\/p>\n\n\n\n

11.\u5b9a\u671f\u8a55\u4f30\u8207\u5347\u7d1a\u8a2d\u5099(\u786c\u9ad4\u8207\u8edf\u9ad4)\u4ee5\u6e1b\u5c11\u8f3b\u5c04\u5291\u91cf<\/strong>
Regular assessment and upgrading of equipment (hardware and\/or software) to minimize radiation dose.<\/p>\n\n\n\n

\u9664\u6b64\u4e4b\u5916\uff0c\u4ea6\u53ef\u4ee5\u5728\u60a8\u7684\u5de5\u4f5c\u74b0\u5883\u4e2d\u6574\u5408\u4f7f\u7528EggNest\u2122<\/a>\u8f3b\u5c04\u9632\u8b77\u7cfb\u7d71\uff0c\u6e1b\u5c1190%\u7684\u5ba4\u5167\u6563\u5c04\u8f3b\u5c04\u3001\u4fdd\u8b77\u6240\u6709\u5de5\u4f5c\u4eba\u54e1\uff0c\u70ba\u5718\u968a\u6253\u9020\u6700\u53cb\u5584\u7684\u5de5\u4f5c\u74b0\u5883\u3002<\/strong><\/p>\n\n\n\n

\"\"
The EggNest\u2122 \u8f3b\u5c04\u9632\u8b77\u7cfb\u7d71<\/strong>
\u6e1b\u5c1190%\u6574\u9ad4\u6563\u5c04\u8f3b\u5c04\uff0c\u4fdd\u8b77\u6574\u500b\u5718\u968a<\/figcaption><\/figure><\/div>\n\n\n\n

#\u8b93X\u5149\u6aa2\u6e2c\u53f0\u4e5f\u7a7f\u4e0a\u925b\u8863
#\u63d0\u5347\u5718\u968a\u9632\u8b77\u529b
#\u4fdd\u8b77\u81ea\u5df1\u3001\u4fdd\u8b77\u4ed6\u4eba<\/p>\n\n\n\n

References<\/strong>
1. 11 steps every Cath Lab can take to reduce scatter radiation exposure to physicians and staff – EGG Medical<\/a>
<\/p>","protected":false},"excerpt":{"rendered":"

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