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Additional info for Positioning Techniques in Surgical Applications
Immediate measure to be taken on exceeding the limit values. If it is possible for the dose limit value for persons with occupational radiation exposure to be exceeded for one or several persons when operating an X-ray machine as a result of »extraordinary events or circumstances« (§ 42 of the X-ray Directive), this »event«, which the old X-ray Ordinance referred to as accident, must be reported immediately to the supervisory authorities. In addition, the affected persons must consult an »authorised doctor« immediately.
Fig. 13 a, b. e. curves with the same dose graphy of smaller patient volumes than in the case of larger volumes (. Fig. 13). g. at a distance of less than 20 cm). When using surgical image intensifiers in the operating theatre, it is apparently not possible to rule out the risk of the hands and lower arms of the users being in the effective radiation bundle or in the area of intensive interference radiation during their surgical activities, at least occasionally and usually only for a short period.
Although these perquisites usually do not apply when using radiation in the operating theatre, enlarging the distance to the patient volume being exposed to radiation always considerably reduces the Occupational exposure to radiation, personal dosimetry When surgical image intensifiers are being used in the operating theatre, the medical and nursing staff can receive a body dose as effective dose or part body dose of more than 1 mSv/a in certain organs. e. their body dose, must be monitored by measuring the personal dose.