TY - JOUR
T1 - Differing radiation exposure in scrub technicians and rotating staff in Cardiac catheterization laboratory
T2 - occupation matters
AU - Rahman, Muhammad Nasir
AU - Javed, Maleeha
AU - Adnan, Ghufran
AU - Khan, Maria
AU - Nizar, Zeenat
AU - Shah, Izat
N1 - Publisher Copyright:
© The Author(s) 2024.
PY - 2024/12
Y1 - 2024/12
N2 - Background: Radiation exposure is a significant hazard associated with invasive Cardiology, with most studies based on primary operator exposure. This prospective, observational study aimed to find out over lead radiation exposure as effective dose acquired by non-physician staff comprising scrub technicians and rotating staff in the cath laboratory. Effective dose (ED) measured per procedure via Raysafe i2®dosimeter badges worn by both rotating staff and scrub technicians over lead aprons along with dose area product (DAP), fluoroscopy time (FT) and procedure time (PT) in minutes was collected prospectively over forty-six invasive Cardiology procedures. Results: This study shows that rotating staff acquire higher ED in comparison with their scrub technician colleagues in diagnostic, interventional and electrophysiology cases. However, a statistically significant difference in radiation exposure of both staff groups was demonstrated in diagnostic and interventional Cardiology procedures, with p values of 0.04 and 0.01, respectively. Conclusions: These findings highlight occupational role and mobility around fluoroscopic sources as major factors in radiation exposure, which should be addressed within current radiation protection practices.
AB - Background: Radiation exposure is a significant hazard associated with invasive Cardiology, with most studies based on primary operator exposure. This prospective, observational study aimed to find out over lead radiation exposure as effective dose acquired by non-physician staff comprising scrub technicians and rotating staff in the cath laboratory. Effective dose (ED) measured per procedure via Raysafe i2®dosimeter badges worn by both rotating staff and scrub technicians over lead aprons along with dose area product (DAP), fluoroscopy time (FT) and procedure time (PT) in minutes was collected prospectively over forty-six invasive Cardiology procedures. Results: This study shows that rotating staff acquire higher ED in comparison with their scrub technician colleagues in diagnostic, interventional and electrophysiology cases. However, a statistically significant difference in radiation exposure of both staff groups was demonstrated in diagnostic and interventional Cardiology procedures, with p values of 0.04 and 0.01, respectively. Conclusions: These findings highlight occupational role and mobility around fluoroscopic sources as major factors in radiation exposure, which should be addressed within current radiation protection practices.
KW - Coronary angiography
KW - Non-physician staff
KW - Occupational role
KW - Radiation exposure
UR - http://www.scopus.com/inward/record.url?scp=85184939248&partnerID=8YFLogxK
U2 - 10.1186/s43044-024-00448-8
DO - 10.1186/s43044-024-00448-8
M3 - Article
AN - SCOPUS:85184939248
SN - 1110-2608
VL - 76
JO - Egyptian Heart Journal
JF - Egyptian Heart Journal
IS - 1
M1 - 18
ER -