Anesthesia Approaches in the Interventional Radiology Unit: A Retrospective Single-Center Study

Abstract

Objective: This study aimed to examine the anesthesia management in patients who underwent radiological intervention in the interventional radiology unit. Materials and Methods: 536 patients who underwent intervention in the interventional radiology unit between 2015-2021 were evaluated retrospectively. Demographic data, American Society of Anesthesiology classification, diagnoses, interventional procedure, anesthesia method, anesthesia and interventional procedure times, anesthetic agents, intraoperative complications and postoperative hospitalization areas were recorded. Results: Of 536 patients with a mean age of 60.06±18.19, 4.3% were <18 years old, and 53.4% were male. 397 (74.1%) patients were admitted under emergency conditions, and ASA III (54.5%) was most commonly admitted. The most common intervention was thrombectomy (66%). General anesthesia (GA) (63.6%) was the most preferred anesthesia method in interventions, sedoanalgesia at 34.1% and monitored anesthesia care at 2.3%. Propofol was the most frequently preferred iv anesthetic in GA induction (79.5%), and sevoflurane, one of the inhaled agents, was used at a rate of 81.2%. The intubation exit rate of cases was 46.4%. The intensive care unit and postoperative care unit exit rate was 89.9% (n=482). The most common complication was hypotension (15.3%). Conclusion: The most appropriate anesthesia method should be selected for the patient's general condition, and the interventional procedure to improve the treatment results of patients,