A standardised communication tool reduces radiation exposure associated with intraoperative fluoroscopy

• Published in: Irish journal of medical science 2024-02, Vol.193 (1), p.257-263
• Main Authors: McAleese, Timothy, Price, Alexander, Ryan, Anthony G., Rowan, Fiachra E.
• Format: Article
• Language: English
• Subjects: Communication; Family Medicine; Fluoroscopy - methods; General Practice; Humans; Internal Medicine; Medicine; Medicine & Public Health; Original; Original Article; Orthopedic Procedures - methods; Radiation Dosage; Radiation Exposure
• ISSN: 0021-1265; 1863-4362; 1863-4362
• DOI: 10.1007/s11845-023-03442-2

Background The widespread use of intraoperative fluoroscopy in orthopaedic procedures has revolutionised surgical practice. However, there are risks associated with using ionising radiation. Efforts to reduce radiation exposure include low-dose imaging protocols and lead protective equipment. Current communication during fluoroscopic procedures can be inefficient and lead to excessive radiation exposure for patients and staff. Aims This study aims to implement a communication tool with standardised commands to reduce radiation exposure in an Irish orthopaedic department. Methods Radiation exposure was evaluated using dose-area product (DAP) measured in uGy/m2. A control group was recorded before implementing the communication tool. Training sessions were conducted and posters of the standardised commands were displayed. Feedback was collected from surgeons and radiographers via surveys. Statistical analysis was performed to compare pre- and post-intervention groups. Results A total of 673 surgical cases were included over 6 months. The post-intervention group showed a mean reduction in radiation exposure from 59.8 to 36.4 uGy/m2 ( p