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Background and objectives:
The researchers will perform this study to reveal the clinical meaning of fatigue, headache, diarrhea, and impaired cognitive functions that are often expressed verbally in healthcare professionals who are exposed to fluoroscopy.
Methods:
After obtaining written informed consent, 84 samples will be included in the study. For operating room employees who meet the criteria determined before and after the operation; mini-mental state examination, weight, heart rate, non-invasive blood pressure value, VAS score for headache, radiation exposure time on fluoroscopy device, Rad measurement with the help of personal dosimeter before and after surgery, and total time in the operating room will be recorded.
Background and objectives:
Nowadays, operations under fluoroscopy are performed at increasing rates with the aim of increasing case management and surgical success. Due to this increasing exposure to radiation, it is important to show that fluoroscopy has an impact on employees not only annually but also daily. The researchers will perform this study to reveal the clinical meaning of fatigue, headache, diarrhea, and impaired cognitive functions that are often expressed verbally in healthcare workers who are exposed to fluoroscopy.
Methods:
After obtaining written informed consent; 84 samples consisting of orthopedic surgery and anesthesia residents and orthopedic operating room nurses between the ages of 18-60 who do not have cardiological, neurological and psychiatric diseases, have had fluoroscopic operations lasting more than 2 hours, wear protective scopy gowns and collar during surgery, will be included in the study. The total number of samples required for the study will be reached by taking repeated measurements on consecutive days from the same sample group, but not on the same day. For operating room employees who meet the criteria determined before and after the operation; mini-mental state examination, weight, heart rate, non-invasive blood pressure value, VAS score for headache, radiation exposure time on fluoroscopy device, Rad measurement with the help of personal dosimeter before and after surgery, and total time in the operating room will be recorded. This prospective study will be executed between December 2020 and June 2021.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| VAS Score | Diagnostic Test | The visual analog scale (VAS) is a validated, subjective measure for acute and chronic pain. Scores are recorded by making a handwritten mark on a 10-cm line that represents a continuum between "no pain" and "worst pain. The Mini-Mental State Exam (MMSE) is a widely used test of cognitive function among the elderly; it includes tests of orientation, attention, memory, language and visual-spatial skills. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Heart Rate | Pulse oximeter | In the perioperative period |
| Non Invasive Blood Pressure | Syphgmomanometer | In the perioperative period |
| Weight | Weighing machine | In the perioperative period |
| Measure | Description | Time Frame |
|---|---|---|
| Diarrhea | Verbal answers | 2 hours after surgery |
| Visual Analog Scale (VAS) Score | VAS Score Scale (Scores are recorded by making a handwritten mark on a 10-cm line that represents a continuum between "no pain(0 mm)" and "worst pain(100mm)".) |
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Inclusion Criteria:
Exclusion Criteria:
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Orthopedic surgery and anesthesia residents and orthopedic operating room nurses between the ages of 18-60 who do not have cardiological, neurological and psychiatric diseases, have had fluoroscopic operations lasting more than 2 hours, wear protective scopy gowns and collar during surgery
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| Name | Affiliation | Role |
|---|---|---|
| Nur Canbolat, MD | Istanbul University Faculty of Medicine Department of Anesthesiology | Principal Investigator |
| Elif Aygün, MD | Istanbul University Faculty of Medicine Department of Anesthesiology | Principal Investigator |
| Cansu Uzunturk, MD | Istanbul University Faculty of Medicine Department of Anesthesiology | Principal Investigator |
| Evren Aygun, MD | Istanbul University Faculty of Medicine Department of Anesthesiology | Study Director |
| Yavuz Saglam, MD | Istanbul University Faculty of Medicine Department of Orthopedics | Study Chair |
| Mehmet I Buget, Assoc. Prof. | Istanbul University Faculty of Medicine Department of Anesthesiology | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Istanbul University, Faculty of Medicine | Istanbul | Fatih | 34093 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Mohsen S, Elham H, Hassan V, Sajad B, Mohammad G, Razieh R (2016) Hematological findings in medical professionals involved at intraoperative fluoroscopy. Glob J Health Sci 8:12 | ||
| 28500459 | Background | Sailer AM, Vergoossen L, Paulis L, van Zwam WH, Das M, Wildberger JE, Jeukens CRLPN. Personalized Feedback on Staff Dose in Fluoroscopy-Guided Interventions: A New Era in Radiation Dose Monitoring. Cardiovasc Intervent Radiol. 2017 Nov;40(11):1756-1762. doi: 10.1007/s00270-017-1690-5. Epub 2017 May 12. |
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| ID | Term |
|---|---|
| D003681 | Dehydration |
| ID | Term |
|---|---|
| D014883 | Water-Electrolyte Imbalance |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D010335 | Pathologic Processes |
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| 15 minutes after surgery |
| Radiation Exposure Time on Fluoroscopy Device | Chronometer | During surgery |
| Rad Measurement | Personal Dosimeter | 5 minutes after surgery |
| Total Time in the Operating Room | Chronometer | During surgery |
| Mini Mental State Examination | Mini Mental State Examination Scale (This scale is a 30-point questionnaire that is used extensively in clinical and research settings to measure cognitive impairment. Any score of 24 or more (out of 30) indicates a normal cognition. Below this, scores can indicate severe (≤9 points), moderate (10-18 points) or mild (19-23 points) cognitive impairment.) | 15 minutes after surgery |
| D013568 | Pathological Conditions, Signs and Symptoms |