Anesthesia for Embolization from 2003-2004 in Siriraj Hospital: A Retrospective Study
Objective: To report and evaluate the choices and techniques of anesthesia, drug usage and complications at Siriraj Hospital. Methods: Retrospectively analyzed the patients on whom embolization had been performed during the period of January, 2003 to October, 2004 in Siriraj Hospital. The patients...
Ausführliche Beschreibung
Autor*in: |
Somchai Amornyotin [verfasserIn] Phagapanth Parichatikanond [verfasserIn] Wachira Reunreung [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
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2007 |
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Übergeordnetes Werk: |
In: Siriraj Medical Journal - Mahidol University, 2017, 59(2007), 4 |
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Übergeordnetes Werk: |
volume:59 ; year:2007 ; number:4 |
Links: |
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Katalog-ID: |
DOAJ065190777 |
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520 | |a Objective: To report and evaluate the choices and techniques of anesthesia, drug usage and complications at Siriraj Hospital. Methods: Retrospectively analyzed the patients on whom embolization had been performed during the period of January, 2003 to October, 2004 in Siriraj Hospital. The patientsû characteristics, preanesthetic problems, anesthetic techniques, anesthetic agents, embolization agents and complications were assessed. Results: There were 292 cases and 476 procedures. The age group of 20-29 years was the highest one (27.9%). Most patients had American Society of Anesthesiologist (ASA) class I (60.3%). The diagnoses were brain arteriovenous malformation (30.3%), carotid cavernous sinus fistula (23.5%), other arteriovenous malformations (11.8%), hemangioma (7.8%), venous malformation (3.6%), arteriovenous fistula (2.3%), angiofibroma (2.3%), hemoptysis (2.1%), brain aneurysm (1.7%), gastrointestinal bleeding (1.3%) and others (13.3%). Hematologic disease, hypertension and neurological disease were the most common preanesthetic problems. General anesthesia with endotracheal tube was the anesthetic technique mainly employed (71.0%). Anesthetic agents were mainly administered with propofol, fentanyl and succinylcholine. The mean anesthetic time was 132.5 ± 63.0 minutes. The embolization agents were glue (42.0%), balloon (20.6%), alcohol (13.2%), ivolon (7.1%), coil (6.9%) and gel foam (0.4%). The most frequent anesthetic complication was hypotension. Conclusion: During anesthetic management for embolization, special techniques or drugs in anesthesia are not routinely required, although the anesthetic personnel had to optimize the patientûs condition for safety and there should be an awareness of complications. | ||
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(DE-627)DOAJ065190777 (DE-599)DOAJ2bb156cfef0e4177bfa93b32fed14875 DE-627 ger DE-627 rakwb eng R5-920 Somchai Amornyotin verfasserin aut Anesthesia for Embolization from 2003-2004 in Siriraj Hospital: A Retrospective Study 2007 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: To report and evaluate the choices and techniques of anesthesia, drug usage and complications at Siriraj Hospital. Methods: Retrospectively analyzed the patients on whom embolization had been performed during the period of January, 2003 to October, 2004 in Siriraj Hospital. The patientsû characteristics, preanesthetic problems, anesthetic techniques, anesthetic agents, embolization agents and complications were assessed. Results: There were 292 cases and 476 procedures. The age group of 20-29 years was the highest one (27.9%). Most patients had American Society of Anesthesiologist (ASA) class I (60.3%). The diagnoses were brain arteriovenous malformation (30.3%), carotid cavernous sinus fistula (23.5%), other arteriovenous malformations (11.8%), hemangioma (7.8%), venous malformation (3.6%), arteriovenous fistula (2.3%), angiofibroma (2.3%), hemoptysis (2.1%), brain aneurysm (1.7%), gastrointestinal bleeding (1.3%) and others (13.3%). Hematologic disease, hypertension and neurological disease were the most common preanesthetic problems. General anesthesia with endotracheal tube was the anesthetic technique mainly employed (71.0%). Anesthetic agents were mainly administered with propofol, fentanyl and succinylcholine. The mean anesthetic time was 132.5 ± 63.0 minutes. The embolization agents were glue (42.0%), balloon (20.6%), alcohol (13.2%), ivolon (7.1%), coil (6.9%) and gel foam (0.4%). The most frequent anesthetic complication was hypotension. Conclusion: During anesthetic management for embolization, special techniques or drugs in anesthesia are not routinely required, although the anesthetic personnel had to optimize the patientûs condition for safety and there should be an awareness of complications. Anesthetic management anesthetic technique complication embolization Medicine (General) Phagapanth Parichatikanond verfasserin aut Wachira Reunreung verfasserin aut In Siriraj Medical Journal Mahidol University, 2017 59(2007), 4 (DE-627)1760599492 22288082 nnns volume:59 year:2007 number:4 https://doaj.org/article/2bb156cfef0e4177bfa93b32fed14875 kostenfrei https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/246090 kostenfrei https://doaj.org/toc/2228-8082 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 59 2007 4 |
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(DE-627)DOAJ065190777 (DE-599)DOAJ2bb156cfef0e4177bfa93b32fed14875 DE-627 ger DE-627 rakwb eng R5-920 Somchai Amornyotin verfasserin aut Anesthesia for Embolization from 2003-2004 in Siriraj Hospital: A Retrospective Study 2007 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: To report and evaluate the choices and techniques of anesthesia, drug usage and complications at Siriraj Hospital. Methods: Retrospectively analyzed the patients on whom embolization had been performed during the period of January, 2003 to October, 2004 in Siriraj Hospital. The patientsû characteristics, preanesthetic problems, anesthetic techniques, anesthetic agents, embolization agents and complications were assessed. Results: There were 292 cases and 476 procedures. The age group of 20-29 years was the highest one (27.9%). Most patients had American Society of Anesthesiologist (ASA) class I (60.3%). The diagnoses were brain arteriovenous malformation (30.3%), carotid cavernous sinus fistula (23.5%), other arteriovenous malformations (11.8%), hemangioma (7.8%), venous malformation (3.6%), arteriovenous fistula (2.3%), angiofibroma (2.3%), hemoptysis (2.1%), brain aneurysm (1.7%), gastrointestinal bleeding (1.3%) and others (13.3%). Hematologic disease, hypertension and neurological disease were the most common preanesthetic problems. General anesthesia with endotracheal tube was the anesthetic technique mainly employed (71.0%). Anesthetic agents were mainly administered with propofol, fentanyl and succinylcholine. The mean anesthetic time was 132.5 ± 63.0 minutes. The embolization agents were glue (42.0%), balloon (20.6%), alcohol (13.2%), ivolon (7.1%), coil (6.9%) and gel foam (0.4%). The most frequent anesthetic complication was hypotension. Conclusion: During anesthetic management for embolization, special techniques or drugs in anesthesia are not routinely required, although the anesthetic personnel had to optimize the patientûs condition for safety and there should be an awareness of complications. Anesthetic management anesthetic technique complication embolization Medicine (General) Phagapanth Parichatikanond verfasserin aut Wachira Reunreung verfasserin aut In Siriraj Medical Journal Mahidol University, 2017 59(2007), 4 (DE-627)1760599492 22288082 nnns volume:59 year:2007 number:4 https://doaj.org/article/2bb156cfef0e4177bfa93b32fed14875 kostenfrei https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/246090 kostenfrei https://doaj.org/toc/2228-8082 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 59 2007 4 |
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(DE-627)DOAJ065190777 (DE-599)DOAJ2bb156cfef0e4177bfa93b32fed14875 DE-627 ger DE-627 rakwb eng R5-920 Somchai Amornyotin verfasserin aut Anesthesia for Embolization from 2003-2004 in Siriraj Hospital: A Retrospective Study 2007 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: To report and evaluate the choices and techniques of anesthesia, drug usage and complications at Siriraj Hospital. Methods: Retrospectively analyzed the patients on whom embolization had been performed during the period of January, 2003 to October, 2004 in Siriraj Hospital. The patientsû characteristics, preanesthetic problems, anesthetic techniques, anesthetic agents, embolization agents and complications were assessed. Results: There were 292 cases and 476 procedures. The age group of 20-29 years was the highest one (27.9%). Most patients had American Society of Anesthesiologist (ASA) class I (60.3%). The diagnoses were brain arteriovenous malformation (30.3%), carotid cavernous sinus fistula (23.5%), other arteriovenous malformations (11.8%), hemangioma (7.8%), venous malformation (3.6%), arteriovenous fistula (2.3%), angiofibroma (2.3%), hemoptysis (2.1%), brain aneurysm (1.7%), gastrointestinal bleeding (1.3%) and others (13.3%). Hematologic disease, hypertension and neurological disease were the most common preanesthetic problems. General anesthesia with endotracheal tube was the anesthetic technique mainly employed (71.0%). Anesthetic agents were mainly administered with propofol, fentanyl and succinylcholine. The mean anesthetic time was 132.5 ± 63.0 minutes. The embolization agents were glue (42.0%), balloon (20.6%), alcohol (13.2%), ivolon (7.1%), coil (6.9%) and gel foam (0.4%). The most frequent anesthetic complication was hypotension. Conclusion: During anesthetic management for embolization, special techniques or drugs in anesthesia are not routinely required, although the anesthetic personnel had to optimize the patientûs condition for safety and there should be an awareness of complications. Anesthetic management anesthetic technique complication embolization Medicine (General) Phagapanth Parichatikanond verfasserin aut Wachira Reunreung verfasserin aut In Siriraj Medical Journal Mahidol University, 2017 59(2007), 4 (DE-627)1760599492 22288082 nnns volume:59 year:2007 number:4 https://doaj.org/article/2bb156cfef0e4177bfa93b32fed14875 kostenfrei https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/246090 kostenfrei https://doaj.org/toc/2228-8082 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 59 2007 4 |
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(DE-627)DOAJ065190777 (DE-599)DOAJ2bb156cfef0e4177bfa93b32fed14875 DE-627 ger DE-627 rakwb eng R5-920 Somchai Amornyotin verfasserin aut Anesthesia for Embolization from 2003-2004 in Siriraj Hospital: A Retrospective Study 2007 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: To report and evaluate the choices and techniques of anesthesia, drug usage and complications at Siriraj Hospital. Methods: Retrospectively analyzed the patients on whom embolization had been performed during the period of January, 2003 to October, 2004 in Siriraj Hospital. The patientsû characteristics, preanesthetic problems, anesthetic techniques, anesthetic agents, embolization agents and complications were assessed. Results: There were 292 cases and 476 procedures. The age group of 20-29 years was the highest one (27.9%). Most patients had American Society of Anesthesiologist (ASA) class I (60.3%). The diagnoses were brain arteriovenous malformation (30.3%), carotid cavernous sinus fistula (23.5%), other arteriovenous malformations (11.8%), hemangioma (7.8%), venous malformation (3.6%), arteriovenous fistula (2.3%), angiofibroma (2.3%), hemoptysis (2.1%), brain aneurysm (1.7%), gastrointestinal bleeding (1.3%) and others (13.3%). Hematologic disease, hypertension and neurological disease were the most common preanesthetic problems. General anesthesia with endotracheal tube was the anesthetic technique mainly employed (71.0%). Anesthetic agents were mainly administered with propofol, fentanyl and succinylcholine. The mean anesthetic time was 132.5 ± 63.0 minutes. The embolization agents were glue (42.0%), balloon (20.6%), alcohol (13.2%), ivolon (7.1%), coil (6.9%) and gel foam (0.4%). The most frequent anesthetic complication was hypotension. Conclusion: During anesthetic management for embolization, special techniques or drugs in anesthesia are not routinely required, although the anesthetic personnel had to optimize the patientûs condition for safety and there should be an awareness of complications. Anesthetic management anesthetic technique complication embolization Medicine (General) Phagapanth Parichatikanond verfasserin aut Wachira Reunreung verfasserin aut In Siriraj Medical Journal Mahidol University, 2017 59(2007), 4 (DE-627)1760599492 22288082 nnns volume:59 year:2007 number:4 https://doaj.org/article/2bb156cfef0e4177bfa93b32fed14875 kostenfrei https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/246090 kostenfrei https://doaj.org/toc/2228-8082 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 59 2007 4 |
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(DE-627)DOAJ065190777 (DE-599)DOAJ2bb156cfef0e4177bfa93b32fed14875 DE-627 ger DE-627 rakwb eng R5-920 Somchai Amornyotin verfasserin aut Anesthesia for Embolization from 2003-2004 in Siriraj Hospital: A Retrospective Study 2007 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: To report and evaluate the choices and techniques of anesthesia, drug usage and complications at Siriraj Hospital. Methods: Retrospectively analyzed the patients on whom embolization had been performed during the period of January, 2003 to October, 2004 in Siriraj Hospital. The patientsû characteristics, preanesthetic problems, anesthetic techniques, anesthetic agents, embolization agents and complications were assessed. Results: There were 292 cases and 476 procedures. The age group of 20-29 years was the highest one (27.9%). Most patients had American Society of Anesthesiologist (ASA) class I (60.3%). The diagnoses were brain arteriovenous malformation (30.3%), carotid cavernous sinus fistula (23.5%), other arteriovenous malformations (11.8%), hemangioma (7.8%), venous malformation (3.6%), arteriovenous fistula (2.3%), angiofibroma (2.3%), hemoptysis (2.1%), brain aneurysm (1.7%), gastrointestinal bleeding (1.3%) and others (13.3%). Hematologic disease, hypertension and neurological disease were the most common preanesthetic problems. General anesthesia with endotracheal tube was the anesthetic technique mainly employed (71.0%). Anesthetic agents were mainly administered with propofol, fentanyl and succinylcholine. The mean anesthetic time was 132.5 ± 63.0 minutes. The embolization agents were glue (42.0%), balloon (20.6%), alcohol (13.2%), ivolon (7.1%), coil (6.9%) and gel foam (0.4%). The most frequent anesthetic complication was hypotension. Conclusion: During anesthetic management for embolization, special techniques or drugs in anesthesia are not routinely required, although the anesthetic personnel had to optimize the patientûs condition for safety and there should be an awareness of complications. Anesthetic management anesthetic technique complication embolization Medicine (General) Phagapanth Parichatikanond verfasserin aut Wachira Reunreung verfasserin aut In Siriraj Medical Journal Mahidol University, 2017 59(2007), 4 (DE-627)1760599492 22288082 nnns volume:59 year:2007 number:4 https://doaj.org/article/2bb156cfef0e4177bfa93b32fed14875 kostenfrei https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/246090 kostenfrei https://doaj.org/toc/2228-8082 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 59 2007 4 |
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R5-920 Anesthesia for Embolization from 2003-2004 in Siriraj Hospital: A Retrospective Study Anesthetic management anesthetic technique complication embolization |
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Anesthesia for Embolization from 2003-2004 in Siriraj Hospital: A Retrospective Study |
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Objective: To report and evaluate the choices and techniques of anesthesia, drug usage and complications at Siriraj Hospital. Methods: Retrospectively analyzed the patients on whom embolization had been performed during the period of January, 2003 to October, 2004 in Siriraj Hospital. The patientsû characteristics, preanesthetic problems, anesthetic techniques, anesthetic agents, embolization agents and complications were assessed. Results: There were 292 cases and 476 procedures. The age group of 20-29 years was the highest one (27.9%). Most patients had American Society of Anesthesiologist (ASA) class I (60.3%). The diagnoses were brain arteriovenous malformation (30.3%), carotid cavernous sinus fistula (23.5%), other arteriovenous malformations (11.8%), hemangioma (7.8%), venous malformation (3.6%), arteriovenous fistula (2.3%), angiofibroma (2.3%), hemoptysis (2.1%), brain aneurysm (1.7%), gastrointestinal bleeding (1.3%) and others (13.3%). Hematologic disease, hypertension and neurological disease were the most common preanesthetic problems. General anesthesia with endotracheal tube was the anesthetic technique mainly employed (71.0%). Anesthetic agents were mainly administered with propofol, fentanyl and succinylcholine. The mean anesthetic time was 132.5 ± 63.0 minutes. The embolization agents were glue (42.0%), balloon (20.6%), alcohol (13.2%), ivolon (7.1%), coil (6.9%) and gel foam (0.4%). The most frequent anesthetic complication was hypotension. Conclusion: During anesthetic management for embolization, special techniques or drugs in anesthesia are not routinely required, although the anesthetic personnel had to optimize the patientûs condition for safety and there should be an awareness of complications. |
abstractGer |
Objective: To report and evaluate the choices and techniques of anesthesia, drug usage and complications at Siriraj Hospital. Methods: Retrospectively analyzed the patients on whom embolization had been performed during the period of January, 2003 to October, 2004 in Siriraj Hospital. The patientsû characteristics, preanesthetic problems, anesthetic techniques, anesthetic agents, embolization agents and complications were assessed. Results: There were 292 cases and 476 procedures. The age group of 20-29 years was the highest one (27.9%). Most patients had American Society of Anesthesiologist (ASA) class I (60.3%). The diagnoses were brain arteriovenous malformation (30.3%), carotid cavernous sinus fistula (23.5%), other arteriovenous malformations (11.8%), hemangioma (7.8%), venous malformation (3.6%), arteriovenous fistula (2.3%), angiofibroma (2.3%), hemoptysis (2.1%), brain aneurysm (1.7%), gastrointestinal bleeding (1.3%) and others (13.3%). Hematologic disease, hypertension and neurological disease were the most common preanesthetic problems. General anesthesia with endotracheal tube was the anesthetic technique mainly employed (71.0%). Anesthetic agents were mainly administered with propofol, fentanyl and succinylcholine. The mean anesthetic time was 132.5 ± 63.0 minutes. The embolization agents were glue (42.0%), balloon (20.6%), alcohol (13.2%), ivolon (7.1%), coil (6.9%) and gel foam (0.4%). The most frequent anesthetic complication was hypotension. Conclusion: During anesthetic management for embolization, special techniques or drugs in anesthesia are not routinely required, although the anesthetic personnel had to optimize the patientûs condition for safety and there should be an awareness of complications. |
abstract_unstemmed |
Objective: To report and evaluate the choices and techniques of anesthesia, drug usage and complications at Siriraj Hospital. Methods: Retrospectively analyzed the patients on whom embolization had been performed during the period of January, 2003 to October, 2004 in Siriraj Hospital. The patientsû characteristics, preanesthetic problems, anesthetic techniques, anesthetic agents, embolization agents and complications were assessed. Results: There were 292 cases and 476 procedures. The age group of 20-29 years was the highest one (27.9%). Most patients had American Society of Anesthesiologist (ASA) class I (60.3%). The diagnoses were brain arteriovenous malformation (30.3%), carotid cavernous sinus fistula (23.5%), other arteriovenous malformations (11.8%), hemangioma (7.8%), venous malformation (3.6%), arteriovenous fistula (2.3%), angiofibroma (2.3%), hemoptysis (2.1%), brain aneurysm (1.7%), gastrointestinal bleeding (1.3%) and others (13.3%). Hematologic disease, hypertension and neurological disease were the most common preanesthetic problems. General anesthesia with endotracheal tube was the anesthetic technique mainly employed (71.0%). Anesthetic agents were mainly administered with propofol, fentanyl and succinylcholine. The mean anesthetic time was 132.5 ± 63.0 minutes. The embolization agents were glue (42.0%), balloon (20.6%), alcohol (13.2%), ivolon (7.1%), coil (6.9%) and gel foam (0.4%). The most frequent anesthetic complication was hypotension. Conclusion: During anesthetic management for embolization, special techniques or drugs in anesthesia are not routinely required, although the anesthetic personnel had to optimize the patientûs condition for safety and there should be an awareness of complications. |
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Anesthesia for Embolization from 2003-2004 in Siriraj Hospital: A Retrospective Study |
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7.3998365 |