Comparison of periprocedural and procedure room times between moderate sedation and monitored anesthesia care in interventional radiology.

Autor: Sotirchos VS; Interventional Radiology Service, Memorial Sloan Kettering Cancer Center, New York, United States., Alexander ES; Interventional Radiology Service, Memorial Sloan Kettering Cancer Center, New York, United States., Zhao K; Interventional Radiology Service, Memorial Sloan Kettering Cancer Center, New York, United States., Zhan C; Interventional Radiology Service, Memorial Sloan Kettering Cancer Center, New York, United States., Yarmohammadi H; Interventional Radiology Service, Memorial Sloan Kettering Cancer Center, New York, United States., Ziv E; Interventional Radiology Service, Memorial Sloan Kettering Cancer Center, New York, United States., Erinjeri JP; Interventional Radiology Service, Memorial Sloan Kettering Cancer Center, New York, United States.
Jazyk: angličtina
Zdroj: Journal of clinical imaging science [J Clin Imaging Sci] 2024 Apr 11; Vol. 14, pp. 11. Date of Electronic Publication: 2024 Apr 11 (Print Publication: 2024).
DOI: 10.25259/JCIS_9_2024
Abstrakt: Objectives: In recent years, there has been increased utilization of monitored anesthesia care (MAC) in interventional radiology (IR) departments. The purpose of this study was to compare pre-procedure bed, procedure room, and post-procedure bed times for IR procedures performed with either nurse-administered moderate sedation (MOSED) or MAC.
Material and Methods: An institutional review board-approved single institution retrospective review of IR procedures between January 2010 and September 2022 was performed. Procedures performed with general anesthesia or local anesthetic only, missing time stamps, or where <50 cases were performed for both MAC and MOSED were excluded from the study. Pre-procedure bed, procedure room, post-procedure bed, and total IR encounter times were compared between MAC and MOSED using the t -test. The effect size was estimated using Cohen's d statistic.
Results: 97,480 cases spanning 69 procedure codes were examined. Mean time in pre-procedure bed was 27 min longer for MAC procedures (69 vs. 42 min, P < 0.001, d = 0.95). Mean procedure room time was 11 min shorter for MAC (60 vs. 71 min, P < 0.001, d = 0.48), and mean time in post-procedure bed was 10 min longer for MAC (102 vs. 92 min, P < 0.001, d = 0.22). Total IR encounter times were on average 27 min longer for MAC cases (231 vs. 204 min, P < 0.001, d = 0.41).
Conclusion: MAC improves the utilization of IR procedure rooms, but at the cost of increased patient time in the pre- and post-procedure areas.
Competing Interests: There are no conflicts of interest.
(© 2024 Published by Scientific Scholar on behalf of Journal of Clinical Imaging Science.)
Databáze: MEDLINE
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