الفهرس يوجد فقط 14 صفحة متاحة للعرض العام
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المستخلص
The speciality of interventional radiology is a new branch in the radiological field developed with the advances in catheter and instnlment technology, together with the development of appropriate radiological expertise and improvement in the image monitoring systems.
The anaesthesiologists are increasingly called III the
- ~interventional radiological suite to provide anaesthesia or manage the expected complications. So familiarity with the interventional ,radiological procedure is mandatory.
Preprocedural assessment of the patient as well as having full data about the procedures performed are mandatory to evaluate the medical condition of the patient, determine the anaesthetic plane, predict the possible complications and prepare for their management.
The preparation of the patient and the radiological laboratory is similar to that performed if the patient is going to surgical procedure, but problems associated with working environment like darkeness of the room, crowdedness and poor accessibility to the patient are encountered and must be dealt with.
The anaesthesiologist can provide monitored anaesthesia care ”MAC” in patients managed with local anaesthesia or in consciously
sedated patients. General anaesthesia may be indicated in some situations. Regional anaesthesia is helpful for some procedures.
The choice of anaesthetic plan depends on:
1) The patient’s medical condition: which also determine the agents used during the selected anaesthetic plane such as being hepatic, renal or cardiac, also being adult or pediatric.
2) The planned procedure: For example, minor procedures like percutaneous biopsy can be done under local anaesthesia but major procedures like pediatric cardiac catheterization is done under general anaesthesia.
3) Expected complications: For example, if aspiration,