scholarly journals Impact of Respiratory Compromise in Inpatient Interventional Radiology Procedures with Moderate Sedation in the United States

Radiology ◽  
2019 ◽  
Vol 292 (3) ◽  
pp. 702-710 ◽  
Author(s):  
Richard D. Urman ◽  
Marilyn Moucharite ◽  
Courtney Flynn ◽  
Ejegul Nuryyeva ◽  
Charles E. Ray
2005 ◽  
Vol 12 (11) ◽  
pp. 1475-1482 ◽  
Author(s):  
Paul Nikolaidis ◽  
Eric vanSonnenberg ◽  
Ziyad K. Haddad ◽  
Yung-Hsin Chen ◽  
Kelly H. Zou ◽  
...  

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Deepak Agrawal ◽  
Rajeev Jain

Background. Endoscopy nurse (RN) has a pivotal role in administration and monitoring of moderate sedation during endoscopic procedures. When sedation for the procedure is administered and monitored by an anesthesia specialist, the role of an RN is less clear. The guidelines on this issue by nursing and gastroenterology societies are contradictory. Methods. Survey study of endoscopy lab managers and directors at outpatient endoscopy units in Texas. The questions related to staffing patterns for outpatient endoscopies and responsibilities of different personnel assisting with endoscopies. Results. Responses were received from 65 endoscopy units (response rate 38%). 63/65 (97%) performed at least a few cases with an anesthesia specialist. Of these, 49/63 (78%) involved only an endoscopy technician, without an additional RN in the room. At 12/49 (25%) units, the RN performed tasks of an endoscopy technician. At 14/63 (22%), an additional RN was present during endoscopic procedures and performed tasks not directly related to patient care. Conclusions. Many ambulatory endoscopy units do not have an RN present at all times when sedation is administered by an anesthesia specialist. An RN, when present, did not perform tasks commensurate with the education and training. This has implications about optimal utilization of nurses and cost of performing endoscopies.


2017 ◽  
Vol 1 ◽  
pp. 3
Author(s):  
Jacqueline Murtha ◽  
Vinit Khanna ◽  
Talia Sasson ◽  
Devang Butani

Sepsis is frequently encountered in the hospital setting and can be community-acquired, health-care-associated, or hospital-acquired. The annual incidence of sepsis in the United States population ranges from 300 to 1031 per 100,000 and is increasing by 13% annually. There is an associated inhospital mortality of 10% for sepsis and >40% for septic shock. Interventional radiology is frequently called on to treat patients with sepsis, and in rarer circumstances, interventional radiologists themselves may cause sepsis. Thus, it is essential for interventional radiologists to be able to identify and manage septic patients to reduce sepsis-related morbidity and mortality. The purpose of this paper is to outline procedures most likely to cause sepsis and delineate important clinical aspects of identifying and managing septic patients.


Author(s):  
Leslie B. Scorza

Interventional radiology (IR) is a specialty often called on to help solve many different clinical problems. Sometimes, that help comes by obtaining a diagnosis, other times by treatment, and still other times by both. The array of problems for which an IR consultation can be helpful is quite broad. Some IR procedures, which are described in more detail in this chapter, include, Abscess drainage, Arterial procedures and interventions, Biliary procedures and interventions, Gastrointestinal procedures and interventions, Genitourinary procedures and interventions, Intraoperative cases, Noninvasive vascular imaging, Percutaneous oncologic interventions, Percutaneous biopsies, Venous procedures and interventions, Venous access. The anesthesia needed to accomplish these procedures, just like the procedures themselves, varies widely. Anesthesia support can range from none at all up to and including general anesthesia. However, the majority of these procedures can be successfully accomplished with the use of “sedation and analgesia,” also known as moderate sedation.


2021 ◽  
Vol 18 (1) ◽  
pp. 53-59
Author(s):  
Soleil S. Shah ◽  
Lakshika Tennakoon ◽  
Edward O’Beirne ◽  
Kristan L. Staudenmayer ◽  
Nishita Kothary

Resuscitation ◽  
2016 ◽  
Vol 105 ◽  
pp. 123-129 ◽  
Author(s):  
Lars W. Andersen ◽  
Katherine M. Berg ◽  
Maureen Chase ◽  
Michael N. Cocchi ◽  
Joseph Massaro ◽  
...  

2021 ◽  
Vol 38 (01) ◽  
pp. 003-008
Author(s):  
A. S. Pillai ◽  
S. Srinivas ◽  
G. Kumar ◽  
A. K. Pillai

AbstractTrauma is a major cause of death in the United States, particularly in the younger population. Many traumatic deaths, as well as major morbidity, occur secondary to uncontrolled hemorrhage and eventual exsanguination. Interventional radiology plays a major role in treating these patients, and interventional techniques have evolved to the point where they are an integral part of treatment in these critically ill patients. This article reviews the role of interventional radiology in the treatment algorithms for traumatic injury sponsored by major societies and associations.


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