Master Fluoroscopy: Essential Tips Every Rad Tech Needs | CQR ARRT скачать в хорошем качестве

Master Fluoroscopy: Essential Tips Every Rad Tech Needs | CQR ARRT

How do we watch the GI tract in motion—catching reflux, ulcers, obstructions, or that swallowed chicken bone—without a single incision? Welcome to GI contrast procedures, where barium (or iodinated contrast) meets fluoroscopy to turn anatomy into moving pictures. What you’ll learn (clinically + ARRT CQR focused) Contrast & Pharmacology When to choose barium vs water-soluble iodine (perforation/aspiration risk) Ionic vs nonionic basics, reaction recognition & response, pediatrics, dosing Patient Prep & Care Orders & indications, allergies/pregnancy screen, NPO, consent, clear coaching Post-procedure: hydration, white stools after barium, when to call the doctor Positioning & Projections (with cases) Swallowing Dysfunction (MBS): lateral & AP, textures from thin to paste, aspiration vs penetration Esophagram: RAO (moves esophagus off spine), lateral, AP/PA; Candida case Upper GI: RAO for duodenal bulb, LPO for fundus, right lateral for retro-gastric space; gastric polyp case SBFT: timing every 15–30 min, terminal ileum endpoint (cecum = complete), SBO case Barium Enema: AP/PA, RPO/LPO for flexures, left/right decub for double-contrast separation, AP/PA axial for rectosigmoid; diverticulosis case Image Production & QA Pulse fluoro, last image hold, tight collimation Typical kVp: 110–120 for barium, 90–100 for iodine; SID/OID tips; LUT/windowing Radiation Safety Stand on the image intensifier side, PPE (apron/thyroid/gloves), record fluoro time & DAP, daily unit checks Image Evaluation Anatomy inclusion, contrast distribution, motion vs quantum mottle, labeling (side/decub/spot/post-evac) Comment prompts (drop yours!) Your best trick to ensure duodenal bulb is crisp on RAO? How do you remember the rectosigmoid needs an axial angle? One tip that guarantees you reach the cecum on SBFT every time. 🔗 More checklists, cases, and study tools: analyzewithcasey.org 👍 If this helped, like, subscribe, and share with your study crew. You’re not just taking pictures—you’re telling diagnostic stories. Keep your collimation tight and your compassion tighter. Here is the full outline of my CQR exam materials, to-date: https://docs.google.com/document/d/15... Resources: Case courtesy of Naim Qaqish, Radiopaedia.org. From the case rID: 87859 Case courtesy of Roman Bernal Troetsch, Radiopaedia.org. From the case rID: 37086 Case courtesy of Matt A. Morgan, Radiopaedia.org. From the case rID: 64772 Case courtesy of Henry Knipe, Radiopaedia.org. From the case rID: 22673 Case courtesy of Mohammad Taghi Niknejad, Radiopaedia.org. From the case rID: 96686 Case courtesy of J. Ray Ballinger, Radiopaedia.org. From the case rID: 22006 00:00 – Cold open: Why GI contrast matters (barium + fluoroscopy) 00:55 – What are GI contrast procedures? (dynamic anatomy + indications) 02:14 – Equipment & setup (fluoro suite, ABC, compression, overheads) 03:59 – Contrast media & pharmacology (barium vs water-soluble iodine, ionic/nonionic, reactions, pediatrics, dosing) 08:27 – Patient prep & care (orders, allergies/pregnancy, NPO, consent, coaching, post-procedure) 12:11 – Swallowing Dysfunction Study (MBS): lateral/AP, textures, aspiration vs penetration, case 15:11 – Esophagram (RAO/Lateral/AP/PA, positioning pearls, Candida case) 18:21 – Upper GI series (fundus, bulb, RAO/LPO/right lateral/AP-PA, polyp case, pitfalls) 21:44 – Small Bowel Follow-Through (protocol, timing, terminal ileum endpoint, SBO case) 24:20 – Barium Enema (indications, required projections, axial sigmoid, diverticulosis case) 27:34 – Image production deep dive (pulse fluoro, kVp ranges, ABC, LUT/windowing) 31:04 – Radiation safety & dose documentation (ALARA, PPE, II side, DAP/time, daily checks) 33:53 – Image evaluation checklist (per-procedure criteria & common misses) 36:28 – Wrap-up & next episode (peds adaptations, contrast tips, trauma protocols)