Lederer Wolfgang, Grams Astrid, Helbok Raimund, Stichlberger Martina, Bale Reto, Wiedermann Franz J
Department of Anaesthesiology and Critical Care Medicine, Medical University of Innsbruck, 6020 Innsbruck, Austria.
Department of Neuroradiology, Medical University of Innsbruck, 6020 Innsbruck, Austria.
Open Med (Wars). 2016 Oct 21;11(1):270-278. doi: 10.1515/med-2016-0053. eCollection 2016.
Interventional radiology is a rapidly growing discipline with an expanding variety of indications and techniques in pediatric and adult patients. Accordingly, the number of procedures during which monitoring either under sedation or under general anesthesia is needed is increasing. In order to ensure high-quality care as well as patient comfort and safety, implementation of anes-thesiology practice guidelines in line with institutional radiology practice guidelines is paramount [1]. However, practice guidelines are no substitute for lack of communi-cation between specialties. Interdisciplinary indications within neurosciences call for efficient co-operation among radiology, neurology, neurosurgery, vascular surgery, anesthesiology and intensive care. Anesthesia team and intensive care personnel should be informed early and be involved in coordinated planning so that optimal results can be achieved under minimized risks and pre-arranged complication management.
介入放射学是一门迅速发展的学科,在儿科和成人患者中的适应症和技术种类不断增加。因此,需要在镇静或全身麻醉下进行监测的手术数量正在增加。为了确保高质量的护理以及患者的舒适度和安全性,根据机构放射学实践指南实施麻醉实践指南至关重要[1]。然而,实践指南不能替代专科之间缺乏沟通的问题。神经科学领域的跨学科适应症要求放射学、神经病学、神经外科、血管外科、麻醉学和重症监护之间进行高效合作。应尽早通知麻醉团队和重症监护人员并让他们参与协调规划,以便在风险最小化和预先安排好并发症管理的情况下取得最佳结果。