Journal article
Interventional radiology in the pregnant patient for obstetric and nonobstetric indications: organizational, anesthetic, and procedural issues
Current opinion in anaesthesiology, Vol.26(4), pp.450-455
08/2013
DOI: 10.1097/ACO.0b013e3283625e89
PMID: 23756912
Abstract
As indications for interventional radiology procedures during pregnancy continue to expand, anesthesiologists must be aware of the indications for specific procedures as well as provide the safest possible anesthetic care to both the mother and the fetus in nontraditional environments.
Among the different imaging modalities employed for interventional procedures, ultrasonography and MRI without gadolinium-based contrast are preferred because they are free of ionizing radiation. Providers continue to report cases in which interventional techniques are used in a well tolerated and effective manner. The current literature emphasizes radiation-sparing maneuvers to minimize maternal and fetal ionizing radiation exposure. Maternal physiologic changes should be considered when planning anesthetic management for interventional radiology procedures. Because most of these procedures are performed outside the operating rooms or labor and delivery suites, the anesthesiologists should familiarize themselves with the environment prior to providing anesthesia.
The risk to the fetus of the imaging procedure must be weighed against the benefit to the mother of early and accurate diagnosis and treatment of the underlying pathology. As the organizational aspects of providing care become more complex, simulation, guidelines, and protocols may become important to the safe care of these patients.
Details
- Title: Subtitle
- Interventional radiology in the pregnant patient for obstetric and nonobstetric indications: organizational, anesthetic, and procedural issues
- Creators
- Feyce Peralta - Northwestern University Feinberg School of Medicine, Chicago, Illinois 60614, USACynthia A Wong
- Resource Type
- Journal article
- Publication Details
- Current opinion in anaesthesiology, Vol.26(4), pp.450-455
- Publisher
- United States
- DOI
- 10.1097/ACO.0b013e3283625e89
- PMID
- 23756912
- ISSN
- 0952-7907
- eISSN
- 1473-6500
- Language
- English
- Date published
- 08/2013
- Academic Unit
- Anesthesia
- Record Identifier
- 9984006477102771
Metrics
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