Nonoperating Room Anesthesia for Interventional Neuroangiographic Procedures: Outcomes of 105 Patients.
J Stroke Cerebrovasc Dis
; 29(2): 104495, 2020 Feb.
Article
in En
| MEDLINE
| ID: mdl-31806453
ABSTRACT
BACKGROUND AND AIM:
Accurate anesthesia management is of great importance for the success of interventional neuroangiographic procedures (INPs). General anesthesia with endotracheal intubation is the most commonly preferred anesthetic method for these procedures. However, whether laryngeal mask airway (LMA) anesthesia is a suitable and safe option for such cases is unclear. The aims of this study were to report the outcomes of anesthetic management in patients who underwent INP, and to compare endotracheal intubation with LMA anesthesia in terms of anesthesia-related outcomes.METHODS:
Data of patients who underwent INP under general anesthesia at interventional neuroangiography unit were retrospectively evaluated.RESULTS:
A total of 105 patients with a mean age of 52.9 years were included in the study. All procedures were performed under general anesthesia with using endotracheal tube (nâ¯=â¯79, 75.2%) or laryngeal mask (nâ¯=â¯26, 24.8%). Anesthesia-related complications, including respiratory (laryngospasm,bronchospasm, and desaturation) and circulatory (disrhythmia, hypotension, hypertension), were observed in 20 (19.1%) patients. The 2 airway instruments were similar in age, gender, diagnosis, American Society of Anesthesiologist score, mallampati score, duration of procedure, and duration of anesthesia (Pâ¯> .05). Anesthesia-related complications were more common in LMA group compared with patients who were intubated using endotracheal tube (P = .003).CONCLUSIONS:
Anesthesia management in INPs carries many challenges for anesthesiologists, due to the need of exact immobility during the procedure and potential procedure-related risks such as vasculary perforation and bleeding. General anesthesia using endotracheal intubation seems to be more secure, in comparison to LMA anesthesia.Key words
Full text:
1
Database:
MEDLINE
Main subject:
Chest Tubes
/
Radiography, Interventional
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Cerebrovascular Disorders
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Laryngeal Masks
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Endovascular Procedures
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Intubation, Intratracheal
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Anesthesia, General
Type of study:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limits:
Adult
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Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
J Stroke Cerebrovasc Dis
Journal subject:
ANGIOLOGIA
/
CEREBRO
Year:
2020
Type:
Article