{"id":128232,"date":"2025-11-21T19:54:29","date_gmt":"2025-11-21T19:54:29","guid":{"rendered":"https:\/\/todaysveterinarynurse.com\/?p=128232"},"modified":"2026-01-19T13:52:35","modified_gmt":"2026-01-19T13:52:35","slug":"hands-free-radiography-in-veterinary-medicine","status":"publish","type":"post","link":"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/radiology-imaging\/hands-free-radiography-in-veterinary-medicine\/","title":{"rendered":"Hands-Free Radiography in Veterinary Medicine"},"content":{"rendered":"<div class=\"su-spacer\" style=\"height:20px\"><\/div><div class=\"su-note\"  style=\"border-color:#d8d8d8;border-radius:3px;-moz-border-radius:3px;-webkit-border-radius:3px;\"><div class=\"su-note-inner su-u-clearfix su-u-trim\" style=\"background-color:#f2f2f2;border-color:#ffffff;color:#333333;border-radius:3px;-moz-border-radius:3px;-webkit-border-radius:3px;\"><b>Abstract<\/b><\/p>\n<p class=\"p1\">Hands-free radiography, which uses nonmanual restraint techniques, is becoming more common among veterinary clinics. Veterinary professionals recognize the need for safer radiography practices that more closely align with those of human medicine. Nonmanual restraint techniques complement low-stress practices that reduce patient anxiety and support the acquisition of quality diagnostic images while improving workflow efficiency within the clinic.<\/p>\n<p><b>Take-Home Points <\/b><\/p>\n<ul>\n<li>Radiographs are produced by high-energy ionizing rays passing through the body; these rays cause stochastic effects to the body such as cell mutation, cell death, and DNA alteration.<\/li>\n<li>No amount of radiation is safe.<\/li>\n<li>Hands-free radiography techniques enable veterinary professionals to distance themselves from the primary radiation beam, which significantly reduces their radiation exposure.<\/li>\n<li>Adhering to the principles of ALARA (as low as reasonably achievable)\u2014which consider time, distance, and shielding\u2014reduces radiation exposure.<\/li>\n<li>The adoption of hands-free radiography techniques involves the entire veterinary team and supports improved safety protocols.<\/li>\n<\/ul>\n<\/div><\/div>\n<p class=\"p1\"><span class=\"s1\">T<\/span>he implementation and cultural shift toward the adoption of hands-free radiography represent significant advancement in occupational safety <span class=\"s2\">and patient care within veterinary medicine. By employing nonmanual restraint techniques, veterinary professionals can minimize exposure to ionizing radiation while simultaneously improving diagnostic <\/span>image quality. This approach aligns with the principles of ALARA (as low as reasonably achievable) and parallels <span class=\"s2\">safety standards long established in human medicine. Furthermore, hands-free radiography promotes compassionate handling, reducing patient stress and improving efficiency and team morale.<\/span><\/p>\n<h3 class=\"p2\">What Is Hands-Free Radiography and Why Is it Valuable?<\/h3>\n<p class=\"p1\"><span class=\"s2\">Hands-free radiography incorporates techniques and tools that enable veterinary professionals to distance themselves from the primary radiation beam and patient during radiograph acquisition, thus reducing exposure to primary and secondary, or scatter, radiation.<\/span><\/p>\n<p class=\"p1\"><span class=\"s2\">In most medical settings (e.g., hospitals, dentistry clinics), veterinary nurses\/technicians minimize their exposure by stepping behind a lead wall or shield rather than standing beside a patient. Nevertheless, most countries do not have parity of radiation safety standards between human and veterinary medicine.<sup>1<\/sup> Furthermore, industry standards in the United States for veterinary radiography are severely outdated.<sup>2<\/sup> Continuous occupational exposure to radiation is not safe.<sup>3<\/sup> Thus, each veterinary clinic should implement safety measures to reduce radiation exposure for the health of the team.<\/span><\/p>\n<h3 class=\"p2\">What Is an X-Ray And Radiation Exposure?<\/h3>\n<p class=\"p1\"><span class=\"s2\">The electromagnetic spectrum of radiation ranges from low-energy nonionizing waves (e.g., radio waves, microwaves) to high-energy ionizing waves (e.g., x-rays, gamma rays) (<\/span><strong><span class=\"s3\">FIGURE 1<\/span><\/strong><span class=\"s2\">). High-energy ionizing waves are required to penetrate tissues and bones and, ultimately, make a radiograph. The stochastic effects of ionizing radiation alter and\/or damage DNA, causing molecular mutations and potentially cell death. These effects of occupational radiation exposure are cumulative, and there is most likely a latent period between the time of exposure and detection of its effects (e.g., cancer, hereditary genetic mutations). No amount of radiation is safe.<sup>4<\/sup><\/span><\/p>\n<div id=\"attachment_128235\" style=\"width: 510px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2025\/11\/Laoutaris_TVNWinter26_HandsFreeImaging_Fig1.jpg\"><img fetchpriority=\"high\" decoding=\"async\" aria-describedby=\"caption-attachment-128235\" class=\" wp-image-128235\" src=\"https:\/\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2025\/11\/Laoutaris_TVNWinter26_HandsFreeImaging_Fig1.jpg\" alt=\"\" width=\"500\" height=\"199\" srcset=\"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2025\/11\/Laoutaris_TVNWinter26_HandsFreeImaging_Fig1.jpg 1350w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2025\/11\/Laoutaris_TVNWinter26_HandsFreeImaging_Fig1-300x119.jpg 300w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2025\/11\/Laoutaris_TVNWinter26_HandsFreeImaging_Fig1-1024x407.jpg 1024w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2025\/11\/Laoutaris_TVNWinter26_HandsFreeImaging_Fig1-768x305.jpg 768w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/><\/a><p id=\"caption-attachment-128235\" class=\"wp-caption-text\">Figure 1. Electromagnetic spectrum. Credit: Edge Creative\/shutterstock<\/p><\/div>\n<h3 class=\"p2\">How Can Radiation Exposure Be Reduced?<\/h3>\n<p class=\"p1\"><span class=\"s2\">One of the most effective ways to reduce radiation exposure is to increase the distance from the primary beam of radiation\u2014a principle known as the inverse square law (<\/span><strong><span class=\"s3\">FIGURE 2<\/span><\/strong><span class=\"s2\">). This law states that \u201cthe intensity of radiation emitted by a point source is inversely proportional to the square of the distance from the source.\u201d<sup>5<\/sup> This means that if the distance from the radiation source is doubled, radiation exposure decreases by a factor of 4, or one-quarter of the dose. This continues exponentially\u2014tripling the distance reduces exposure by one-ninth, and so on.<sup>6<\/sup><\/span><\/p>\n<div id=\"attachment_128236\" style=\"width: 510px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2025\/11\/Laoutaris_TVNWinter26_HandsFreeImaging_Fig2.png\"><img decoding=\"async\" aria-describedby=\"caption-attachment-128236\" class=\" wp-image-128236\" src=\"https:\/\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2025\/11\/Laoutaris_TVNWinter26_HandsFreeImaging_Fig2.png\" alt=\"\" width=\"500\" height=\"213\" srcset=\"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2025\/11\/Laoutaris_TVNWinter26_HandsFreeImaging_Fig2.png 1296w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2025\/11\/Laoutaris_TVNWinter26_HandsFreeImaging_Fig2-300x128.png 300w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2025\/11\/Laoutaris_TVNWinter26_HandsFreeImaging_Fig2-1024x436.png 1024w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2025\/11\/Laoutaris_TVNWinter26_HandsFreeImaging_Fig2-768x327.png 768w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/><\/a><p id=\"caption-attachment-128236\" class=\"wp-caption-text\">Figure 2. The inverse square law: Radiation exposure exponentially reduces as distance increases from the primary beam and the source of scatter radiation (patient). Credit: design36\/shutterstock, Anshuman Rath\/shutterstock<\/p><\/div>\n<p class=\"p3\"><strong>ALARA Principles<\/strong><\/p>\n<p class=\"p4\"><span class=\"s2\">To reduce radiation exposure, the 3 principles of ALARA should be incorporated.<sup>7<\/sup><\/span><\/p>\n<p><span class=\"s4\"><b>1. Time:<\/b><\/span><span class=\"s2\"> Reduce the amount of time in the radiology suite.<\/span><\/p>\n<p style=\"padding-left: 40px\"><span class=\"s2\"><strong>a.<\/strong> Rotate duties between team members if someone must remain in the suite. <\/span><\/p>\n<p style=\"padding-left: 40px\"><span class=\"s2\"><strong>b.<\/strong> Ensure proper collimation, technique, and positioning to reduce the need for radiograph retakes.<\/span><\/p>\n<p style=\"padding-left: 40px\"><span class=\"s2\"><strong>c.<\/strong> Use positioning devices rather than team members whenever possible. <\/span><\/p>\n<p style=\"padding-left: 40px\"><span class=\"s2\"><strong>d.<\/strong> Provide sedative and\/or analgesic drugs for squirmy, fearful, or painful patients.<\/span><\/p>\n<p class=\"p5\"><span class=\"s4\"><b>2. Distance:<\/b><\/span><span class=\"s2\"> Increase the distance from the primary radiation beam.<\/span><\/p>\n<p class=\"p6\" style=\"padding-left: 40px\"><span class=\"s2\"><strong>a.<\/strong> Per the inverse square law, every step away from the beam exponentially reduces exposure. <\/span><\/p>\n<p class=\"p7\" style=\"padding-left: 40px\"><span class=\"s2\"><strong>b.<\/strong> Positioning devices, along with sedative\/analgesic drugs as needed, enable effective distancing from the primary radiation beam.<\/span><\/p>\n<p class=\"p5\"><span class=\"s4\"><b>3. Shielding:<\/b><\/span><span class=\"s2\"> Minimize exposure to scatter radiation. <\/span><\/p>\n<p class=\"p6\" style=\"padding-left: 40px\"><span class=\"s2\"><strong>a.<\/strong> Personal protective equipment (PPE), including gown, gloves, goggles, and thyroid protector, is mandatory and should always be worn in the radiology suite.<\/span><\/p>\n<p class=\"p6\" style=\"padding-left: 40px\"><span class=\"s2\"><strong>b.<\/strong> Lead PPE is not meant to be within the primary radiation beam and only protects from scatter radiation.<\/span><\/p>\n<p class=\"p6\" style=\"padding-left: 40px\"><span class=\"s2\"><strong>c.<\/strong> PPE should be well-maintained and assessed twice annually by radiographing the equipment to check for damage that is not visible by manual inspection. Scratches and tears to the fabric can result in radiation exposure, warranting immediate replacement.<\/span><\/p>\n<p class=\"p7\" style=\"padding-left: 40px\"><span class=\"s2\"><strong>d.<\/strong> Movable lead doors and\/or curtains can be used for additional shielding.<\/span><\/p>\n<p class=\"p1\"><span class=\"s2\">Beyond incorporating the 3 principles of ALARA to reduce radiation exposure, monitoring radiation exposure levels is mandatory. Dosimeters should be worn during radiograph acquisition to provide continuous measured feedback about exposure.<sup>8<\/sup><\/span><\/p>\n<h3 class=\"p2\">How Can Hands-Free Radiography Be Implemented in Practice?<\/h3>\n<p class=\"p1\"><span class=\"s2\">Similar to all new skills, hands-free radiography takes time to master. When the entire team recognizes the importance of minimizing radiation exposure, then hands-free radiography can be smoothly integrated into the practice\u2019s methodologies. Proper training and equipment are paramount to successfully obtain radiographs using nonmanual restraint techniques. Fortunately, many resources and tools are relatively low cost and readily available. <\/span><\/p>\n<p class=\"p1\"><span class=\"s2\">Begin with simple cases and cooperative patients. Be patient with the veterinary team and patients; patient comfort and safety are top priorities. Use positioning devices as needed for different types of studies. Administer sedative\/analgesic drugs whenever necessary. <\/span><\/p>\n<p class=\"p3\"><b>Positioning Devices for Nonmanual Restraint Techniques<\/b><\/p>\n<p class=\"p1\"><span class=\"s2\">Various positioning devices are available to gently restrain and secure patients to the radiography table, which enable team members to step away from the primary radiation beam. These devices are nontraumatic and comfortably immobilize the patient in a secure position, replacing the need for hands and arms to stabilize the patient during radiograph acquisition. <\/span><\/p>\n<p class=\"p8\"><b>Sandbags<\/b><\/p>\n<p class=\"p1\"><span class=\"s2\">Sandbags are partially filled to enable sand to shift and conform to a patient\u2019s body without compression or constriction (<\/span><strong><span class=\"s3\">FIGURE 3<\/span><\/strong><span class=\"s2\">). These bags are radiopaque and are not meant to overlay the anatomic area of interest. They are easy to clean, do not slip on the table, and can be used for all types of studies.<\/span><\/p>\n<div class=\"su-image-carousel  su-image-carousel-has-spacing su-image-carousel-crop su-image-carousel-crop-1-1 su-image-carousel-has-lightbox su-image-carousel-has-outline su-image-carousel-adaptive su-image-carousel-slides-style-default su-image-carousel-controls-style-dark su-image-carousel-align-center\" style=\"max-width:70%\" data-flickity-options='{\"groupCells\":true,\"cellSelector\":\".su-image-carousel-item\",\"adaptiveHeight\":false,\"cellAlign\":\"left\",\"prevNextButtons\":true,\"pageDots\":false,\"autoPlay\":5000,\"imagesLoaded\":true,\"contain\":true,\"selectedAttraction\":0.025,\"friction\":0.28}' id=\"su_image_carousel_69eb466bb3a0f\"><div class=\"su-image-carousel-item\"><div class=\"su-image-carousel-item-content\"><a href=\"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2025\/11\/Laoutaris_TVNWinter26_HandsFreeImaging_Fig3A.png\" target=\"_blank\" rel=\"noopener noreferrer\" data-caption=\"Figure 3. An unsedated canine patient is positioned for lateral abdominal and thoracic views by using sandbags that keep the patient secure and comfortable on the x-ray table.\"><img decoding=\"async\" width=\"864\" height=\"648\" src=\"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2025\/11\/Laoutaris_TVNWinter26_HandsFreeImaging_Fig3A.png\" class=\"\" alt=\"\" srcset=\"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2025\/11\/Laoutaris_TVNWinter26_HandsFreeImaging_Fig3A.png 864w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2025\/11\/Laoutaris_TVNWinter26_HandsFreeImaging_Fig3A-300x225.png 300w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2025\/11\/Laoutaris_TVNWinter26_HandsFreeImaging_Fig3A-768x576.png 768w\" sizes=\"(max-width: 864px) 100vw, 864px\" \/><span>Figure 3. An unsedated canine patient is positioned for lateral abdominal and thoracic views by using sandbags that keep the patient secure and comfortable on the x-ray table.<\/span><\/a><\/div><\/div><div class=\"su-image-carousel-item\"><div class=\"su-image-carousel-item-content\"><a href=\"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2025\/11\/Laoutaris_TVNWinter26_HandsFreeImaging_Fig3B.png\" target=\"_blank\" rel=\"noopener noreferrer\" data-caption=\"Figure 3. An unsedated canine patient is positioned for lateral abdominal and thoracic views by using sandbags that keep the patient secure and comfortable on the x-ray table.\"><img loading=\"lazy\" decoding=\"async\" width=\"864\" height=\"648\" src=\"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2025\/11\/Laoutaris_TVNWinter26_HandsFreeImaging_Fig3B.png\" class=\"\" alt=\"\" srcset=\"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2025\/11\/Laoutaris_TVNWinter26_HandsFreeImaging_Fig3B.png 864w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2025\/11\/Laoutaris_TVNWinter26_HandsFreeImaging_Fig3B-300x225.png 300w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2025\/11\/Laoutaris_TVNWinter26_HandsFreeImaging_Fig3B-768x576.png 768w\" sizes=\"(max-width: 864px) 100vw, 864px\" \/><span>Figure 3. An unsedated canine patient is positioned for lateral abdominal and thoracic views by using sandbags that keep the patient secure and comfortable on the x-ray table.<\/span><\/a><\/div><\/div><\/div><script id=\"su_image_carousel_69eb466bb3a0f_script\">if(window.SUImageCarousel){setTimeout(function() {window.SUImageCarousel.initGallery(document.getElementById(\"su_image_carousel_69eb466bb3a0f\"))}, 0);}var su_image_carousel_69eb466bb3a0f_script=document.getElementById(\"su_image_carousel_69eb466bb3a0f_script\");if(su_image_carousel_69eb466bb3a0f_script){su_image_carousel_69eb466bb3a0f_script.parentNode.removeChild(su_image_carousel_69eb466bb3a0f_script);}<\/script>\n<p class=\"p8\"><b>Straps <\/b><\/p>\n<p class=\"p1\"><span class=\"s2\">Straps can be applied to hold extremities in place (<\/span><strong><span class=\"s3\">FIGURE 4<\/span><\/strong><span class=\"s2\">). They are soft, comfortable, and mostly radiolucent (some versions have radiopaque buckles). They can be removed quickly and used for all studies.<\/span><\/p>\n<div id=\"attachment_128239\" style=\"width: 360px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2025\/11\/Laoutaris_TVNWinter26_HandsFreeImaging_Fig4.png\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-128239\" class=\" wp-image-128239\" src=\"https:\/\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2025\/11\/Laoutaris_TVNWinter26_HandsFreeImaging_Fig4.png\" alt=\"\" width=\"350\" height=\"467\" srcset=\"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2025\/11\/Laoutaris_TVNWinter26_HandsFreeImaging_Fig4.png 720w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2025\/11\/Laoutaris_TVNWinter26_HandsFreeImaging_Fig4-225x300.png 225w\" sizes=\"(max-width: 350px) 100vw, 350px\" \/><\/a><p id=\"caption-attachment-128239\" class=\"wp-caption-text\">Figure 4. A sedated canine patient is positioned for a craniocaudal elbow or antebrachium view by utilizing positioning aids such as sandbags, a foam wedge, straps, and a v-trough.<\/p><\/div>\n<p class=\"p8\"><b>Towels<\/b><\/p>\n<p class=\"p1\"><span class=\"s2\">Towels can be used to secure patients in a variety of positions. They can be placed under and\/or alongside anatomic areas that need lifting and\/or aligning to ensure correct orientation. Towels are typically radiolucent unless they are thick or have heavy embroidering.<\/span><\/p>\n<p class=\"p8\"><b>Foam Wedges and Troughs<\/b><\/p>\n<p class=\"p1\"><span class=\"s2\">Foam wedges and troughs ensure the patient is positioned comfortably (<\/span><strong><span class=\"s3\">FIGURE 5<\/span><\/strong><span class=\"s2\">). They are soft and radiolucent; many have covers that are easy to clean. With correct placement, foam wedges and troughs can be used for many types of studies.<\/span><\/p>\n<div class=\"su-image-carousel  su-image-carousel-has-spacing su-image-carousel-crop su-image-carousel-crop-1-1 su-image-carousel-has-lightbox su-image-carousel-has-outline su-image-carousel-adaptive su-image-carousel-slides-style-default su-image-carousel-controls-style-dark su-image-carousel-align-center\" style=\"max-width:70%\" data-flickity-options='{\"groupCells\":true,\"cellSelector\":\".su-image-carousel-item\",\"adaptiveHeight\":false,\"cellAlign\":\"left\",\"prevNextButtons\":true,\"pageDots\":false,\"autoPlay\":5000,\"imagesLoaded\":true,\"contain\":true,\"selectedAttraction\":0.025,\"friction\":0.28}' id=\"su_image_carousel_69eb466bb3fbe\"><div class=\"su-image-carousel-item\"><div class=\"su-image-carousel-item-content\"><a href=\"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2025\/11\/Laoutaris_TVNWinter26_HandsFreeImaging_Fig5A.png\" target=\"_blank\" rel=\"noopener noreferrer\" data-caption=\"Figure 5. A sedated canine patient is positioned for an orthogonal pelvic view by utilizing a v-trough, a foam wedge, staps, and tape.\"><img loading=\"lazy\" decoding=\"async\" width=\"864\" height=\"648\" src=\"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2025\/11\/Laoutaris_TVNWinter26_HandsFreeImaging_Fig5A.png\" class=\"\" alt=\"\" srcset=\"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2025\/11\/Laoutaris_TVNWinter26_HandsFreeImaging_Fig5A.png 864w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2025\/11\/Laoutaris_TVNWinter26_HandsFreeImaging_Fig5A-300x225.png 300w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2025\/11\/Laoutaris_TVNWinter26_HandsFreeImaging_Fig5A-768x576.png 768w\" sizes=\"(max-width: 864px) 100vw, 864px\" \/><span>Figure 5. A sedated canine patient is positioned for an orthogonal pelvic view by utilizing a v-trough, a foam wedge, staps, and tape.<\/span><\/a><\/div><\/div><div class=\"su-image-carousel-item\"><div class=\"su-image-carousel-item-content\"><a href=\"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2025\/11\/Laoutaris_TVNWinter26_HandsFreeImaging_Fig5B.png\" target=\"_blank\" rel=\"noopener noreferrer\" data-caption=\"Figure 5. A sedated canine patient is positioned for an orthogonal pelvic view by utilizing a v-trough, a foam wedge, staps, and tape.\"><img loading=\"lazy\" decoding=\"async\" width=\"720\" height=\"960\" src=\"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2025\/11\/Laoutaris_TVNWinter26_HandsFreeImaging_Fig5B.png\" class=\"\" alt=\"\" srcset=\"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2025\/11\/Laoutaris_TVNWinter26_HandsFreeImaging_Fig5B.png 720w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2025\/11\/Laoutaris_TVNWinter26_HandsFreeImaging_Fig5B-225x300.png 225w\" sizes=\"(max-width: 720px) 100vw, 720px\" \/><span>Figure 5. A sedated canine patient is positioned for an orthogonal pelvic view by utilizing a v-trough, a foam wedge, staps, and tape.<\/span><\/a><\/div><\/div><\/div><script id=\"su_image_carousel_69eb466bb3fbe_script\">if(window.SUImageCarousel){setTimeout(function() {window.SUImageCarousel.initGallery(document.getElementById(\"su_image_carousel_69eb466bb3fbe\"))}, 0);}var su_image_carousel_69eb466bb3fbe_script=document.getElementById(\"su_image_carousel_69eb466bb3fbe_script\");if(su_image_carousel_69eb466bb3fbe_script){su_image_carousel_69eb466bb3fbe_script.parentNode.removeChild(su_image_carousel_69eb466bb3fbe_script);}<\/script>\n<h3 class=\"p2\">When Is Sedation\/Analgesia Warranted?<\/h3>\n<p class=\"p1\"><span class=\"s2\">The administration of a mild sedative drug is sometimes necessary to calm patients during radiograph acquisition. Sedative drugs may be used more frequently when the veterinary team is learning hands-free radiography techniques. Overall, sedative drugs should not be avoided as they facilitate quality diagnostic radiographs. If pain is a concern, analgesic drugs should be administered. Sedative and analgesic drugs are indicated for orthopedic studies; these patients are painful, and correct positioning requires significant torque and extension of extremities\/joints. Drug protocols should be tailored to each patient. <\/span><\/p>\n<h3 class=\"p2\">What Are Some Tips for Success?<\/h3>\n<p class=\"p1\"><span class=\"s2\">To master hands-free radiography, practice and perseverance are needed. Gentle, calm patient handling is recommended; often, this can enable the acquisition of thoracic and abdominal radiographs without sedation, especially if a patient is unwell or lethargic. Nonetheless, sedative and analgesic drugs are likely indicated to ensure a patient is comfortable while being positioned.<\/span><\/p>\n<h3 class=\"p2\">What Client Communication Is Needed?<\/h3>\n<p class=\"p1\"><span class=\"s2\">Educating clients about the need for hands-free radiography to reduce occupational radiation exposure is necessary. It may be helpful to compare these practices to those used in human medicine, then explain that hands-free radiography abides by the practice\u2019s policy to promote the veterinary team\u2019s safety. In addition, clients should be informed that a mild sedative and\/or analgesic drug will likely be necessary to ensure their pet is stress- and pain-free during radiograph acquisition.<sup>9<\/sup> Clearly communicating these concerns and objectives is essential. <\/span><\/p>\n<h3 class=\"p2\">What Are the Benefits of Hands-Free Radiography?<\/h3>\n<ul>\n<li class=\"p5\"><span class=\"s2\">Reduces radiation exposure <\/span><\/li>\n<li class=\"p5\"><span class=\"s2\">Encourages better-quality radiographs<\/span><\/li>\n<li class=\"p5\"><span class=\"s2\">Improves workflow efficiency (i.e., a team member can use positioning devices rather than another team member)<\/span><\/li>\n<li class=\"p9\"><span class=\"s2\">Decreases stress for the patient and veterinary team, resulting in a calmer experience<\/span><\/li>\n<\/ul>\n<div class=\"su-box su-box-style-default\" id=\"\" style=\"border-color:#606060;border-radius:3px;\"><div class=\"su-box-title\" style=\"background-color:#939393;color:#FFFFFF;border-top-left-radius:1px;border-top-right-radius:1px\">Into Practice<\/div><div class=\"su-box-content su-u-clearfix su-u-trim\" style=\"border-bottom-left-radius:1px;border-bottom-right-radius:1px\">\n<ul>\n<li>Form a plan for the veterinary team to introduce hands-free radiography.<\/li>\n<li>Assess the radiology suite to identify positioning devices that are needed.<\/li>\n<li>Seek hands-free radiography training opportunities (e.g., in-person conferences, virtual workshops).10<\/li>\n<\/ul>\n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>The implementation and cultural shift toward the adoption of hands-free radiography represent significant advancement in occupational safety and patient care within veterinary medicine.<\/p>\n","protected":false},"author":817,"featured_media":128234,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"iawp_total_views":0,"footnotes":""},"categories":[816],"tags":[145],"class_list":["post-128232","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-winter-2026","tag-peer-reviewed","column-qa-emerging-topics","clinical_topics-radiology-imaging"],"acf":{"hide_sidebar":false,"hide_sidebar_ad":false,"hide_all_ads":false},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.7 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Hands-Free Radiography in Veterinary Medicine | Today&#039;s Veterinary Nurse<\/title>\n<meta name=\"description\" content=\"By employing nonmanual restraint techniques, veterinary professionals can reduce radiation exposure while improving diagnostic image 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