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Updated: Apr 30, 2026

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
Anesthesia for interventional radiology
Mary Landrigan-Ossar1, Craig D McClain
1Department of Anesthesiology, Perioperative and Pain Medicine, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Insights
Anesthesiologists face unique challenges in pediatric neurointerventional radiology, requiring expertise in pediatric anesthesia and patient physiology. A team-based approach ensures safe and compassionate care for children undergoing these procedures.
Area of Science:
- Neurointerventional Radiology
- Pediatric Anesthesia
- Cerebral Lesions
Background:
- Pediatric neurointerventional radiology involves complex procedures on young patients.
- These patients often present with significant underlying medical conditions.
- The 'outfield' environment presents unique logistical and care challenges.
Purpose of the Study:
- To review key aspects for successful anesthetic management in pediatric neurointerventional radiology.
- To highlight the dual challenges of pediatric anesthesia and specific patient physiology.
- To emphasize the importance of a multidisciplinary team approach.
Main Methods:
- This is a review article.
- It synthesizes current knowledge on pediatric neuroanesthesia for neurointerventional procedures.
- Key aspects of patient care and physiological demands are summarized.
Main Results:
- Successful practice requires a deep understanding of pediatric anesthesia principles.
- Anesthesiologists must comprehend the physiological demands related to cerebral lesions.
- Effective communication and collaboration within the healthcare team are crucial.
Conclusions:
- Optimizing anesthetic care for pediatric neurointerventional radiology necessitates specialized knowledge and skills.
- A collaborative, team-based strategy is essential for ensuring patient safety and positive outcomes.
- Addressing the unique physiological needs of pediatric patients with cerebral lesions is paramount.
Abstract:
Pediatric patients in the neurointerventional radiology setting pose the dual challenges of caring for relatively sick patients in the outfield environment. For safe and successful practice, the anesthesiologist must not only understand the nuances of pediatric anesthesia and the physiologic demands of the cerebral lesions. They must also help maintain a team-based approach to safe, compassionate care of the child in this challenging setting. In this review article, we summarize key aspects of success for several of these topics.
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