Congress:
EuroSafe Imaging 2020
Keywords:
Performed at one institution, Observational, Retrospective, Dosimetric comparison, Radiation safety, Fluoroscopy, Digital radiography, CT, Radioprotection / Radiation dose, Paediatric, Action 7 - Radiation protection of children
Authors:
A. Urtasun, F. N. Diaz, M. A. D. C. Marquez Bravo, N. G. Racioppo, S. R. Garcia Lopez, M. Ulla
DOI:
10.26044/esi2020/ESI-13422
Conclusion and recommendations
A total of 23 PN were included and analyzed. The mean age of the patients was 31.61 gestational age birth, with a meantime of NICU stay of 30.83 days ( Fig. 4).
The average of x-rays was 10.17/patient, only one head CT scan was performed, and the cumulative ERD was 0.21 mSv/patient (range 0-1.82 mSv).
From 234 x-rays, 214 were classified as suboptimal collimated (91.45%).
The x-rays/day index results in 0.33 x-rays/day (or one x-ray every three days). Only one patient exceeds the upper control limit (Fig. 5).
Despite the cumulative ERD was low and only one patient exceeds the upper control limit that we established for audit, a concern was raised about collimation (Fig. 3).
This work establishes our baseline or radiation exposure of PN, before our radiation protection program implementation.
Our intervention will include:
- Conscientization workshops for physicians, technicians, and NICU nurses, with focus on indications and collimation.
- The requirement of two NICU physicians agreement to request an x-ray, with written justification and suspected diagnosis.
- The requirement of a radiologist agreement to request a CT scan.
- Audition of technicians collimation of x-rays studies.
- Post Intervention evaluation of the same variables described.