The use of fluoroscopy has become commonplace in many orthopaedic surgery procedures. The benefits of fluoroscopy are not without risk of radiation to patient, surgeon, and operating room staff. There is a paucity of knowledge by the average orthopaedic resident in terms proper usage and safety. Personal protective equipment, proper positioning, effective communication with the radiology techni...

Radiation exposure with use of intraoperative fluoroscopy is a potential orthopedic occupational risk factor. The purpose of this study was to perform a prospective comparison of hand versus eye radiation exposure associated with mini-C-arm utilization and to test the hypothesis that routine mini-C-arm does not yield hand or eye dosages exceeding current recommended levels. Over a 12-month peri...

OBJECTIVE To ascertain the mean length of radiation emission from fluoroscopic devices during several types of orthopedic surgery and which of these required greater use of radiation. METHODS The times taken to perform sixteen different types of surgery (total of 80 procedures) were measured. At the end of each procedure, the length of time for which fluoroscopy was used directly from the ima...

Introduction Patients with congenital heart disease are at ongoing risk of developing both bradyarrhythmias and tachyarrhythmias decades after surgical repair. Rarely, arrhythmias can be exacerbated during pregnancy and require emergent intervention. Here, we report unique experience with nonfluoroscopic pacemaker implantation during pregnancy. Ionizing radiation, even in low doses, is associat...

F luoroscopy use has increased recently because of the growing use of minimally invasive surgical procedures. Fluoroscopy, and other procedures using radiation exposure, can induce acute and chronic skin damage. Diagnosis of fluoroscopy-induced chronic radiation dermatitis (FICRD) is challenging as patients are sometimes unaware of exposure to radiation and presentation often occurs after month...

We describe two cases in each of which a dental prosthesis, presenting as an endobronchial foreign body (FB), was successfully retrieved using a snare technique employing a flexible bronchoscope and fluoroscopy that enabled us to avoid the need for rigid bronchoscope and thoracotomy. In one case, the FB was peripherally lodged and bronchoscopically invisible. In the other case, the FB was obser...

INTRODUCTION Our aim was to specify the use of mini C-arm fluoroscopy in a woman with schizophrenia who was suffering from abdominal pain because of ingested needles. CASE PRESENTATION Here we report the case of an 18-year-old Turkish woman with schizophrenia who was admitted to the emergency department with signs of an acute abdomen as a result of ingestion of multiple needles. This is the t...

Due to the use of fluoroscopy in the electrophysiology lab, long and complex procedures to diagnose and treat cardiac arrhythmias can lead to radiation exposure to both patients and the laboratory staff. In this report, we present a case in which a diagnostic electrophysiology study was conducted on a 41 year-old patient with atrial tachycardia without the use of fluoroscopy. The diagnostic com...

RATIONALE The development of postoperative bronchopleural fistula (BPF) remains a challenge in thoracic surgery. We herein report a case of BPF successfully treated with endoscopic bronchial occlusion under computed tomography (CT) fluoroscopy and virtual bronchoscopic navigation (VBN). PATIENT CONCERNS A 63-year-old man underwent right upper lobectomy with concomitant S6a subsegmentectomy fo...

We compared the loss of resistance (LOR) technique and fluoroscopy with the LOR technique, fluoroscopy, and epidurography for interlaminar epidural injection. A total of 371 patients with symptomatic lumbosacral radiculopathy were enrolled; 17 had a history of allergy to iodinated contrast medium or seafood. Each patient was given an oral steroid before and after the procedure. A Tuohy needle w...