Sag Alan Alper, Qadri Yawar Jamal
Division of Interventional Radiology, Department of Radiology, Duke University Medical Center, Durham, North Carolina.
Division of Pain Medicine, Department of Anesthesiology, Emory University, Atlanta, Georgia.
Semin Intervent Radiol. 2022 Jun 30;39(2):142-149. doi: 10.1055/s-0042-1745799. eCollection 2022 Apr.
Effective pain control enables procedural success and improved patient satisfaction in interventional radiology. Regional anesthesia techniques are now established for intraoperative and postoperative anesthesia during major surgery, and interventional radiologists (IRs) can readily apply these injections for intraprocedural nerve blocks that can reduce anesthetic requirements and ensure durable analgesia postprocedure. Moreover, IR is poised to advance this field with novel blocks unique to IR needs and by blocking deep plexi safely reachable with CT guidance (e.g., hepatic hilar plexus, aorticorenal plexus blocks). This report aims to provide a succinct IR-directed primer for image-guided nerve blocks usable in the interventional radiology suite.
有效的疼痛控制有助于介入放射学手术的成功实施，并提高患者满意度。区域麻醉技术现已应用于大型手术的术中及术后麻醉，介入放射科医生（IRs）可轻松将这些注射方法应用于术中神经阻滞，从而减少麻醉需求并确保术后持久镇痛。此外，介入放射学准备通过满足IR需求的新型阻滞方法以及在CT引导下安全实施的深部神经丛阻滞（如肝门神经丛、主动脉肾神经丛阻滞）来推动该领域的发展。本报告旨在为介入放射学手术室中可用的影像引导神经阻滞提供一份简洁的、由IR主导的入门指南。
