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Published on: May 26, 2023
[Anaesthesia for interventional procedures]
Doreen Wiedemann1, Uwe Ebmeyer
1Universitätsklinik für Anaesthesiologie und Intensivtherapie in Magdeburg. doreen.wiedemann@med.ovgu.de
Summary
Anesthesiologists ensure patient stability during interventional radiology procedures. This article details anesthetic management for embolization, aneurysm coiling, kyphoplasty, and vertebroplasty, covering preparation, monitoring, techniques, and complications.
Area of Science:
- Anesthesiology
- Interventional Radiology
Context:
- Interventional radiology procedures require specialized anesthetic management.
- The anesthesiologist plays a critical role in patient safety and procedural success.
Purpose:
- To discuss anesthetic considerations for specific interventional radiology procedures.
- To outline preprocedure preparation, monitoring, anesthetic techniques, and postprocedure management.
Summary:
- Covers anesthetic management for embolization of arteriovenous malformations, coiling of cerebral aneurysms, kyphoplasty, and vertebroplasty.
- Details patient preparation, monitoring needs, anesthesia techniques, and complication management.
- Highlights the anesthesiologist's role in maintaining physiological stability and managing complications.
Impact:
- Provides guidance for anesthesiologists performing procedures in interventional radiology.
- Aims to improve patient outcomes and safety during these interventions.
Related Concept Videos
01:24General Anesthesia: Overview
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
01:24Parenteral Anesthetics: Overview
Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
01:16Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
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01:29Local Anesthetics: Clinical Application as Epidural Anesthesia
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
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01:11Local Anesthetics: Clinical Application as Spinal Anesthesia
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01:22Stages of General Anesthesia
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