Anesthesia care in the interventional neuroradiology suite: an update.

Bello, Corina; Paisansathan, Chanannait; Riva, Thomas; Luedi, Markus M; Andereggen, Lukas (2022). Anesthesia care in the interventional neuroradiology suite: an update. Current opinion in anaesthesiology, 35(4), pp. 457-464. Wolters Kluwer Health 10.1097/ACO.0000000000001151

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PURPOSE OF REVIEW

The scope of procedures conducted by neurointerventionalists is expanding quickly, with lacking consensus over the best anesthesia modality. Although the procedures involve all age groups, the interventions may be complex and lengthy and may be provided in hospitals currently not yet familiar with the field. Here we review current literature addressing elective outpatient neurointerventional procedures and aim to provide an update on the management of intervention-specific crises, address special patient populations, and provide key learning points for everyday use in the neurointerventional radiology suite.

RECENT FINDINGS

Various studies have compared the use of different anesthesia modalities and preinterventional and postinterventional care. Monitored anesthesia care is generally recommended for elderly patients, whereas children are preferably treated with general anesthesia. Additional local anesthesia is beneficial for procedures, such as percutaneous kyphoplasty and vascular access.

SUMMARY

Combining different anesthetic modalities is a valuable approach in the neurointerventional radiology suite. More interventional and patient population-specific studies are needed to improve evidence-based perioperative management.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic and Policlinic for Anaesthesiology and Pain Therapy
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurosurgery

UniBE Contributor:

Riva, Thomas, Lüdi, Markus, Andereggen, Lukas

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1473-6500

Publisher:

Wolters Kluwer Health

Language:

English

Submitter:

Pubmed Import

Date Deposited:

25 Jul 2022 11:42

Last Modified:

05 Dec 2022 16:21

Publisher DOI:

10.1097/ACO.0000000000001151

PubMed ID:

35861472

URI:

https://boris.unibe.ch/id/eprint/171468

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