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Title: Anesthesia Practice and Clinical Trends in Interventional Radiology: A European Survey

Abstract

Purpose: To determine current European practice in interventional radiology regarding nursing care, anesthesia, and clinical care trends.Methods: A survey was sent to 977 European interventional radiologists to assess the use of sedoanalgesia, nursing care, monitoring equipment, pre- and postprocedural care, and clinical trends in interventional radiology. Patterns of sedoanalgesia were recorded for both vascular and visceral interventional procedures. Responders rated their preferred level of sedoanalgesia for each procedure as follows: (a) awake/alert, (b) drowsy/arousable, (c) asleep/arousable, (d) deep sedation, and (e) general anesthesia. Sedoanalgesic drugs and patient care trends were also recorded. A comparison was performed with data derived from a similar survey of interventional practice in the United States.Results: Two hundred and forty-three of 977 radiologists responded (25%). The total number of procedures analyzed was 210,194. The majority (56%) of diagnostic and therapeutic vascular procedures were performed at the awake/alert level of sedation, 32% were performed at the drowsy/arousable level, and 12% at deeper levels of sedation. The majority of visceral interventional procedures were performed at the drowsy/arousable level of sedation (41%), 29% were performed at deeper levels of sedation, and 30% at the awake/alert level. In general, more sedoanalgesia is used in the United States. Eighty-three percent ofmore » respondents reported the use of a full-time radiology nurse, 67% used routine blood pressure/pulse oximetry monitoring, and 46% reported the presence of a dedicated recovery area. Forty-nine percent reported daily patient rounds, 30% had inpatient hospital beds, and 51% had day case beds.Conclusion: This survey shows clear differences in the use of sedation for vascular and visceral interventional procedures. Many, often complex, procedures are performed at the awake/alert level of sedation in Europe, whereas deeper levels of sedation are used in the United States. Trends toward making interventional radiology a clinical specialty are evident, with 51% of respondents having day case beds, and 30% having inpatient beds.« less

Authors:
;  [1];  [2];  [1]
  1. Department of Radiology, Beaumont Hospital and Royal College of Surgeons in Ireland Medical School, Dublin 9 (Ireland)
  2. Department of Radiology, WHT220, Massachusetts General Hospital, Harvard Medical School, 32 Fruit Street, Boston, MA 02114 (United States)
Publication Date:
OSTI Identifier:
21083631
Resource Type:
Journal Article
Journal Name:
Cardiovascular and Interventional Radiology
Additional Journal Information:
Journal Volume: 23; Journal Issue: 4; Other Information: DOI: 10.1007/s002700010065; Copyright (c) 2000 Springer-Verlag New York Inc; Country of input: International Atomic Energy Agency (IAEA); Journal ID: ISSN 0174-1551
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ANESTHESIA; BIOMEDICAL RADIOGRAPHY; BLOOD PRESSURE; DRUGS; HOSPITALS; PATIENTS; VASCULAR DISEASES

Citation Formats

Haslam, Philip J, Yap, Bernard, Mueller, Peter R, and Lee, Michael J. Anesthesia Practice and Clinical Trends in Interventional Radiology: A European Survey. United States: N. p., 2000. Web. doi:10.1007/S002700010065.
Haslam, Philip J, Yap, Bernard, Mueller, Peter R, & Lee, Michael J. Anesthesia Practice and Clinical Trends in Interventional Radiology: A European Survey. United States. https://doi.org/10.1007/S002700010065
Haslam, Philip J, Yap, Bernard, Mueller, Peter R, and Lee, Michael J. 2000. "Anesthesia Practice and Clinical Trends in Interventional Radiology: A European Survey". United States. https://doi.org/10.1007/S002700010065.
@article{osti_21083631,
title = {Anesthesia Practice and Clinical Trends in Interventional Radiology: A European Survey},
author = {Haslam, Philip J and Yap, Bernard and Mueller, Peter R and Lee, Michael J},
abstractNote = {Purpose: To determine current European practice in interventional radiology regarding nursing care, anesthesia, and clinical care trends.Methods: A survey was sent to 977 European interventional radiologists to assess the use of sedoanalgesia, nursing care, monitoring equipment, pre- and postprocedural care, and clinical trends in interventional radiology. Patterns of sedoanalgesia were recorded for both vascular and visceral interventional procedures. Responders rated their preferred level of sedoanalgesia for each procedure as follows: (a) awake/alert, (b) drowsy/arousable, (c) asleep/arousable, (d) deep sedation, and (e) general anesthesia. Sedoanalgesic drugs and patient care trends were also recorded. A comparison was performed with data derived from a similar survey of interventional practice in the United States.Results: Two hundred and forty-three of 977 radiologists responded (25%). The total number of procedures analyzed was 210,194. The majority (56%) of diagnostic and therapeutic vascular procedures were performed at the awake/alert level of sedation, 32% were performed at the drowsy/arousable level, and 12% at deeper levels of sedation. The majority of visceral interventional procedures were performed at the drowsy/arousable level of sedation (41%), 29% were performed at deeper levels of sedation, and 30% at the awake/alert level. In general, more sedoanalgesia is used in the United States. Eighty-three percent of respondents reported the use of a full-time radiology nurse, 67% used routine blood pressure/pulse oximetry monitoring, and 46% reported the presence of a dedicated recovery area. Forty-nine percent reported daily patient rounds, 30% had inpatient hospital beds, and 51% had day case beds.Conclusion: This survey shows clear differences in the use of sedation for vascular and visceral interventional procedures. Many, often complex, procedures are performed at the awake/alert level of sedation in Europe, whereas deeper levels of sedation are used in the United States. Trends toward making interventional radiology a clinical specialty are evident, with 51% of respondents having day case beds, and 30% having inpatient beds.},
doi = {10.1007/S002700010065},
url = {https://www.osti.gov/biblio/21083631}, journal = {Cardiovascular and Interventional Radiology},
issn = {0174-1551},
number = 4,
volume = 23,
place = {United States},
year = {Sat Jul 15 00:00:00 EDT 2000},
month = {Sat Jul 15 00:00:00 EDT 2000}
}