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Title: Analgesia and sedation in interventional radiological procedures.
Authors: Hiew, Chee-Yan;Hart, Graeme K;Thomson, K R;Hennessy, O F
Affiliation: Department of Radiology, Austin Hospital, Heidelberg, Australia.
Issue Date: 1-May-1995
Citation: Australasian Radiology; 39(2): 128-34
Abstract: The use of intravenous analgesia and anxiolytics in interventional radiology improves the patient's tolerance of potentially painful and prolonged procedures and allows the radiologist better control of the course of the procedure being undertaken. Monitoring of the patient's oxygen saturation, pulse rate, respiration, blood pressure and cardiac rhythm during a procedure is essential. Fentanyl and midazolam is a combination that is effective and convenient to use because both agents are relatively short acting, have little cardiovascular depression and are easily reversible (with naloxone and flumazenil). They are a better alternative to pethidine and diazepam because they can be more tightly titrated and controlled and are safer and more suitable for use in outpatients. Monitoring for respiratory depression is important and special care must be taken in the elderly and patients with hepatic, renal or chronic airways disease. General anaesthesia may be unavoidable in patients who are unstable, unco-operative or who have raised intracranial pressure.
Internal ID Number: 7605316
Type: Journal Article
Subjects: Aged
Ambulatory Care
Analgesics.administration & dosage
Analgesics, Opioid.administration & dosage
Anesthesia, General
Anesthetics, Local.administration & dosage
Anti-Anxiety Agents.administration & dosage
Blood Pressure
Chronic Disease
Conscious Sedation
Fentanyl.administration & dosage
Heart Rate
Injections, Intravenous
Midazolam.administration & dosage
Monitoring, Physiologic.instrumentation.methods
Radiology, Interventional
Appears in Collections:Journal articles

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