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. 2018 Dec 20;16(1):61-63.
doi: 10.1016/j.jor.2018.12.003. eCollection 2019 Jan-Feb.

A standard universal C-arm language: Assessing its need and its likelihood of acceptance

Affiliations

A standard universal C-arm language: Assessing its need and its likelihood of acceptance

Jacob B Stirton et al. J Orthop. .

Abstract

Intraoperative fluoroscopy has facilitated improvements in surgical procedures across various subspecialties but has resulted in increased radiation exposure to the patient and surgeon. The results of a survey administered to 447 orthopedic surgeons and radiological technologists show that there is no standard universal c-arm language, that significant confusion and miscommunication exists between surgeons and technologists because of this, that unnecessary radiation exposure occurs as a direct consequence of this miscommunication, and that the vast majority of respondents would accept a standardized language similar to the one proposed in this study. This could potentially lead to less miscommunication and radiation exposure.

Keywords: Communication; Language; Orthopedic; Radiation; c-Arm.

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Figures

Fig. 1
Fig. 1
Proposed Standard Universal C-arm Language (Action, Component, Direction). The terminology follows an easily repeatable order of directions starting first with the desired action, followed by the component being acted upon, followed by the direction the component is to be moved.

References

    1. National Council on Radiation Protection and Measurements Radiation dose management for fluoroscopically guided interventional medical procedures. Bethesda, MD: NCRP. NCRP Rep. 2010;168:225–245.
    1. Singer G. Occupational radiation exposure to the surgeon. J Am Acad Orthop Surg. 2005;13:69–76. - PubMed
    1. Gendelberg D. A radiation safety training program results in reduced radiation exposure for orthopaedic residents using the mini c-arm. Clin Orthop Relat Res. 2016;474:580–584. - PMC - PubMed
    1. Pally E., Kreder H. Survey of terminology used for the intraoperative direction of C-arm fluoroscopy. Can J Surg. 2013;56:109–112. - PMC - PubMed
    1. Trehan R., Tennent T.D. Which way is up? The control of image intensifier movement in the operating theatre. J Bone Joint Surg Br. 2006;88(Suppl II):277. - PubMed

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