[Anesthesia in interventional neuroradiology].
Interventional neuroradiology procedures have become increasingly complex, requiring planning and coordination. Key roles are played by the anesthesiologist and the radiologist, as well as by technicians and nurses. This review aims to analyze the anesthesiologist's part in managing these procedures, from the start of the intervention through the immediate postoperative period. First concerns are to assure patient safety during transfer, maintain the airway, keep the patient immobile and hemodynamically stable, and manage anticoagulant and antiplatelet treatments. Rapid awakening must also be assured so that the patient's neurologic status can be assessed in situ. The anesthesiologist should treat any neurologic complications that develop and that might lead to emergency situations during the procedures.
Casasa
J I
JI
Servicio de Anestesiología, Reanimación y Terapeútica del Dolor, Hospital de la Santa Creu i Sant Pau, Barcelona. jcasas@santpau.cat
Gil de Bernabé
M A
MA
Martín
M B
MB
Rivilla
M T
MT
D000762:Anesthesia Recovery Period; D000768:Anesthesia, General / Q000379:methods*; D000776:Anesthesiology; D000925:Anticoagulants / Q000627:therapeutic use; D001927:Brain Diseases / Q000601:surgery; D002561:Cerebrovascular Disorders / Q000601:surgery / Q000628:therapy; D004621:Embolization, Therapeutic; D006801:Humans; D033183:Interdisciplinary Communication; D007431:Intraoperative Complications / Q000517:prevention & control; D016343:Monitoring, Intraoperative; D019635:Neurosurgical Procedures; D010819:Physician's Role; D011182:Postoperative Care; D011183:Postoperative Complications / Q000517:prevention & control; D011229:Preanesthetic Medication; D011300:Preoperative Care; D015641:Radiography, Interventional
D000925:Anticoagulants