Trotteur G, Stockx L, Dondelinger R F
Department of Medical Imaging, University Hospital Sart Tilman, Liège, Belgium.
JBR-BTR. 2000 Jun;83(3):111-5.
A questionnaire was mailed to 217 interventional radiologists to evaluate current practice in analgesia and sedation in adults. Response rate was 15% (33/217). Diagnostic angiography was performed with local anesthesia in 94% to 99%; for PTA, local thrombolysis or stent placement, light sedation was added in 0.1%. Premedication was given in 43% of diagnostic angiographies and in 68% of therapeutic procedures. Radiologists consulted an anesthesiologist before administration of intravenous sedation, always in 54% of cases, occasionally in 19% and never in 27%. General anesthesia with artificial ventilation was applied in 56% of TIPS, in 70% of aortic stent grafting and in 82% of neuroradiological interventions. Intravenous sedation was applied given in 53% of percutaneous biliary drainage, in 42% of bile duct dilatation or stenting, in 40% of percutaneous nephrostomy and in 72% of ureteral balloon dilatation. Patient monitoring during an interventional procedure was always carried out by an anesthesiologist in 52% of cases. 21% of radiologists never visited the patient before a therapeutic procedure, and 36% never did so after completion of a procedure. This survey showed that high standard practice of sedation and analgesia, with the assistance of anesthesiologists, is underused by interventional radiologists in Belgium.
我们向217名介入放射科医生邮寄了一份问卷，以评估目前成人镇痛和镇静的实践情况。回复率为15%（33/217）。94%至99%的诊断性血管造影采用局部麻醉；对于经皮腔内血管成形术（PTA）、局部溶栓或支架置入术，仅0.1%的情况会加用轻度镇静。43%的诊断性血管造影和68%的治疗性操作会进行术前用药。在给予静脉镇静前，放射科医生会咨询麻醉医生，总是咨询的占54%，偶尔咨询的占19%，从不咨询的占27%。56%的经颈静脉肝内门体分流术（TIPS）、70%的主动脉支架植入术和82%的神经放射介入操作采用人工通气的全身麻醉。53%的经皮胆道引流、42%的胆管扩张或支架置入、40%的经皮肾造瘘术和72%的输尿管球囊扩张采用静脉镇静。52%的情况下，介入操作期间的患者监测由麻醉医生全程进行。21%的放射科医生在治疗性操作前从未查看过患者，36%的放射科医生在操作完成后也从未这样做过。这项调查表明，在比利时，介入放射科医生对在麻醉医生协助下的高标准镇静和镇痛实践利用不足。
