Girişimsel Nöroradyolojide Anestezi Yönetimi

Yıl 2019, Cilt: 2 Sayı: 3, 188 - 198, 26.12.2019

Demet Laflı Tunay

https://doi.org/10.36516/jocass.2019.22

Öz

Özet: Görüntüleme tekniklerinin ve teknolojinin ilerlemesi, bir zamanlar açık cerrahi gerektiren bazı yaralanmaların ve tıbbi durumların tedavisinde girişimsel radyoloji işlemlerinin gelişmesine yol açmıştır. Girişimsel nöroradyoloji, endovasküler veya perkütan erişim yoluyla terapötik ilaçlar ve cihazlar yerleştirerek nörovasküler ve bazı nöroşirürjik hastalıkların yönetiminde önemli role sahiptir. Girişimsel nöroradyoloji işlemlerinin karmaşıklığı ve çoğunlukla uzun sürmesi ve sıklıkla önemli komorbiditeleri olan hastaların bu tür işlemlere alınması girişimsel nöroradyoloji alanında anestezi bakımına olan ihtiyacı giderek artırmaktadır. Bu alan aynı zamanda, özel hazırlıklar gerektiren ve ana ameliyathane bölümüne uzakta olan “saha dışı” konumu nedeniyle anestezi bakımında fazladan zorluklar yaratmaktadır. Bu derlemede girişimsel nöroradyolojide anestezi yönetimine değinilmek istenmiştir.

Anahtar kelimeler: Anestezi yönetimi, girişimsel nöroradyoloji,monitörizasyon.

 

Abstract: The advancement of imaging techniques and technology has led to the development of interventional radiology procedures in the treatment of certain injuries and medical conditions that once required open surgery. Interventional neuroradiology has an important role in the management of neurovascular and certain neurosurgical diseases by placing therapeutic drugs and devices through endovascular or percutaneous access. The complexity and often prolonged duration of interventional neuroradiology procedures, and the inclusion of patients with often significant comorbidities, increase the need for anesthesia care in the field of interventional neuroradiology. This area also contributes additional difficulties in anesthesia care due to its ‘’off-site” location, which requires special preparations and its distance from the main operating room. In this review, it is aimed to discuss anesthesia management in interventional neuroradiology.

Key words: Anesthesia management, interventional neuroradiology, monitorisation.

 

Anahtar Kelimeler

Anestezi yönetimi, girişimsel nöroradyoloji, monitörizasyon

Kaynakça

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