title: [A survey on the use of fluoroscopy in the treatment of pain: do we perform it correctly?].
abstract: OBJECTIVE
  Fluoroscopy is technique that is commonly used for procedures in the treatment of pain, but despite its importance in healthcare, many specialists do not know how to use it. We conducted a national survey to evaluate its use.
  
  
  METHODS
  A questionnaire with 15 questions related to the use of fluoroscopy in the treatment of pain was designed and sent to 105 units that diagnosed and treated pain in Spain, in 2008.
  
  
  RESULTS
  A total of 63 (60%) questionnaires with valid responses were received. The majority of specialist (66.6%) had not received specific training on fluoroscopy or pain during their residency. Almost all (90%) of specialists who responded performed procedures that required X-rays in the operating theatre. Just over half (54.7%) performed less than 10 procedures a week, and only 12% performed more than 20 procedures per week. As regards radiation protection, the majority (80%) did not use protective glasses, and only 50% wore leaded gloves. Just under half (47%) were situated less than 0.5 metre from the patient. The majority (76%) did not inform about the radiation, nor was it mentioned in the informed consent (80%).
  
  
  CONCLUSIONS
  There is a lack of information on the handling of the fluoroscope in the area of pain treatment, and this usually leads to the adoption of insufficient radiation protection measures. The treatments are usually performed in the operating theatre. More than half the specialists perform less 10 procedures per week with x-rays. The control and follow-up of radiation values is insufficient, as is the information and protection offered to the patient.
authors: Departamento de Anestesiología y Tratamiento del Dolor, Hospital Universitario Madrid Montepríncipe, Madrid, España. jmhernandez@madridsindolor.com
authors: J M
authors: JM
authors: Hernández García
authors: A
authors: A
authors: Vidal Marcos
authors: C
authors: C
authors: Gasco García
mesh_terms: D005471:Fluoroscopy / Q000379:methods* / Q000706:statistics & numerical data; D019538:Health Care Surveys; D006801:Humans; D007258:Informed Consent; D016273:Occupational Exposure; D009873:Operating Rooms; D018710:Pain Clinics / Q000706:statistics & numerical data*; D059408:Pain Management / Q000379:methods*; D010353:Patient Education as Topic; D011482:Protective Devices / Q000706:statistics & numerical data; D011835:Radiation Protection / Q000379:methods; D015641:Radiography, Interventional / Q000379:methods* / Q000706:statistics & numerical data; D011874:Radiometry / Q000379:methods; D017751:Safety Management / Q000379:methods*; D013030:Spain; D011795:Surveys and Questionnaires