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Fwd: Re: Patient Survey during BetaCath Procedure
>Sender: Global Medical Physics Mailing List
>From: Harry Tyler <tylerh@EXEMPLA.ORG>
>
>
>We do the survey here... I suppose it's a good idea in case all the
>sources don't come back. You might be able to get an idea of how many are
>located where in the patient, though I have to admit it seems like a very
>conservative safety measure. It was distracting to the cardiologists at
>first, but now they're used to it. They even refrain from fluoroing now
>when they see me bring out the survey meter!
>
>Hank
>
>
>Hank Tyler, M.S.
>Radiation Oncology
>Exempla St. Joseph Hospital
>1835 Franklin St.
>Denver CO 80218
>303-866-8910
>tylerh@exempla.org
>We've now done a few Intravascular Brachytherapy cases with the Novoste
>BetaCath system. Everything in the User's Manual made sense except the
>following. Step N.8 says that while the sources are positioned in the
>patient's heart,
>
>"Perform a Radiation Survey of the patient's chest and groin area and
>note results."
>
>If we can see the leading and trailing gold markers on the fluoro monitor,
>what purpose is served by measuring the dose rate at the patient's chest
>and groin? We already know the sources are in the heart because we can
>see them.
>
>The survey is a distraction to the cardiologist and can be a problem if
>the meter breaks the sterile field. Plus the physicist needs to be
>operating the stop watch.
>
>Do other users continue to perform the intra-treatment survey? Or is it
>reasonable to skip this step?
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