Mueller P R, Wittenberg K H, Kaufman J A, Lee M J
Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston 02114, USA.
Radiology. 1997 Feb;202(2):339-43. doi: 10.1148/radiology.202.2.9015053.
Through a survey of interventional radiologists, to document patterns of conscious sedation, nursing assistance, and care before and after the intervention and to compare demographics and different interventional radiology practices.
The survey was sent to the 1,713 members of the Society of Cardiovascular and Interventional Radiology. The levels of sedation were categorized according to the following grading scale commonly employed by anesthesiologists: awake/alert, drowsy/arousable, asleep/arousable, deep sedation, and general anesthesia. The drugs used for sedation were recorded. The procedures were categorized as diagnostic vascular or visceral or therapeutic vascular or visceral. Data were available for most standard vascular and visceral procedures.
Six hundred thirty-four (37%) interventional radiologists responded, and 500,000 procedures were analyzed. Most (90%) therapeutic procedures employed the drowsy/arousable level of sedation. Eighty-seven percent of respondents had the assistance of a full-time radiology nurse, 90% reported routine use of blood pressure or pulse oximetry monitoring, and 75% reported daily rounds were performed by physicians.
The data supply useful background information regarding the use of anesthesia, periprocedural monitoring, clinical assessment, and nursing care.
通过对介入放射科医生的调查，记录介入前后清醒镇静、护理协助及护理模式，并比较人口统计学特征和不同的介入放射学操作。
该调查发送给了心血管和介入放射学会的1713名成员。镇静水平根据麻醉医生常用的以下分级标准进行分类：清醒/警觉、嗜睡/可唤醒、入睡/可唤醒、深度镇静和全身麻醉。记录用于镇静的药物。操作分为诊断性血管或内脏操作或治疗性血管或内脏操作。大多数标准血管和内脏操作都有数据。
634名（37%）介入放射科医生回复，共分析了500,000例操作。大多数（90%）治疗性操作采用嗜睡/可唤醒水平的镇静。87%的受访者有全职放射科护士协助，90%报告常规使用血压或脉搏血氧饱和度监测，75%报告由医生进行每日查房。
这些数据提供了有关麻醉使用、围手术期监测、临床评估和护理的有用背景信息。
