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

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-04-11 DOI:10.25259/JCIS_9_2024

V. Sotirchos, Erica S. Alexander, Ken Zhao, Chenyang Zhan, H. Yarmohammadi, E. Ziv, J. Erinjeri

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引用次数: 0

Abstract

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.

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介入放射学中适度镇静与监测麻醉护理的围手术期和手术室时间比较

目的：近年来，介入放射科（IR）越来越多地使用监测麻醉护理（MAC）。本研究旨在比较使用护士管理的中度镇静（MOSED）或 MAC 进行 IR 手术的术前床位、手术室和术后床位时间。材料和方法：对 2010 年 1 月至 2022 年 9 月期间的红外手术进行了机构审查委员会批准的单一机构回顾性审查。研究排除了使用全身麻醉或仅使用局部麻醉、缺少时间戳或使用 MAC 和 MOSED 的病例少于 50 例的手术。使用 t 检验比较了 MAC 和 MOSED 的术前病床、术中病室、术后病床和 IR 总诊疗时间。使用 Cohen's d 统计量估计效应大小。结果共检查了 97,480 个病例，涉及 69 个手术代码。MAC 手术的术前卧床平均时间比 MOSED 多 27 分钟（69 分钟对 42 分钟，P < 0.001，d = 0.95）。MAC手术的平均手术室时间缩短了11分钟（60分钟 vs. 71分钟，P < 0.001，d = 0.48），MAC手术的平均术后卧床时间延长了10分钟（102分钟 vs. 92分钟，P < 0.001，d = 0.22）。MAC病例的IR总时间平均延长27分钟（231分钟 vs. 204分钟，P < 0.001，d = 0.41）。结论：MAC 提高了红外手术室的利用率，但却增加了患者在术前和术后区域的时间。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.