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Patterns of anesthesia and nursing care for interventional radiology procedures: a national survey of physician practices and preferences.

机译:介入放射学程序的麻醉和护理模式:全国医师实践和偏好调查。

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PURPOSE: 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. MATERIALS AND METHODS: 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. RESULTS: 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 percentof 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. CONCLUSION: The data supply useful background information regarding the use of anesthesia, periprocedural monitoring, clinical assessment, and nursing care.
机译:目的:通过对介入放射科医生的调查,记录介入前后的镇静,镇静,护理和护理模式,并比较人口统计学和不同的介入放射学实践。材料与方法:该调查已发送至心血管和介入放射学学会的1,713名成员。镇静水平根据麻醉医师常用的以下分级等级进行分类:清醒/警觉,困倦/可睡,睡眠/可睡,深度镇静和全身麻醉。记录用于镇静的药物。该程序被分类为诊断性血管或内脏或治疗性血管或内脏。大多数标准的血管和内脏手术都有相关数据。结果:634名介入放射科医生对此作出了回应,并分析了500,000例手术。大多数(90%)治疗程序均采用困倦/可唤醒的镇静作用。 87%的受访者在专职放射科护士的协助下,有90%的人报告了常规使用血压或脉搏血氧饱和度监测,而有75%的人报告说每天的巡诊是由医生进行的。结论:该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。

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