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针锋相对:影像引导活检是否应使用镇静剂?

Point-counterpoint: should sedation be used for image-guided biopsies?

作者信息

W Bowman Andrew, Wildman-Tobriner Benjamin, Itani Malak, R Brook Olga, M Burgan Constantine

机构信息

Mayo Clinic, Jacksonville, FL, USA.

Duke Medical Center, Durham, NC, USA.

出版信息

Abdom Radiol (NY). 2025 Sep;50(9):4389-4394. doi: 10.1007/s00261-024-04649-2. Epub 2025 Jan 30.

DOI:10.1007/s00261-024-04649-2
PMID:39883166
Abstract

Cross-sectional interventional radiology procedures can be performed using a range of techniques with approaches varying across institutions. One area in which practices for these procedures may differ is in the use of moderate sedation. This perspective discusses the pros and cons of using moderate sedation for deep organ biopsies commonly experienced in radiology departments.

摘要

横断面介入放射学程序可使用一系列技术来执行,各机构的方法有所不同。这些程序的操作可能存在差异的一个领域是中度镇静的使用。本文观点讨论了在放射科常见的深部器官活检中使用中度镇静的利弊。

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本文引用的文献

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The influence of drugs used for sedation during mechanical ventilation on respiratory pattern during unassisted breathing and assisted mechanical ventilation: a physiological systematic review and meta-analysis.机械通气期间用于镇静的药物对自主呼吸和辅助机械通气时呼吸模式的影响:一项生理学系统评价和荟萃分析。
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The Staffing Shortage Pandemic.人员短缺大流行。
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Assessment of Appropriate Recovery Time After Liver Biopsy.
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Sedation, analgesia, and local anesthesia: a review for general and interventional radiologists.镇静、镇痛和局部麻醉:普通放射科和介入放射科医师的综述。
Radiographics. 2013 Mar-Apr;33(2):E47-60. doi: 10.1148/rg.332125012.
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Anesth Prog. 2007 Summer;54(2):59-68; quiz 69. doi: 10.2344/0003-3006(2007)54[59:MOCDMA]2.0.CO;2.
8
Frequent hypoxemia and apnea after sedation with midazolam and fentanyl.使用咪达唑仑和芬太尼镇静后频繁出现低氧血症和呼吸暂停。
Anesthesiology. 1990 Nov;73(5):826-30. doi: 10.1097/00000542-199011000-00005.