Comparison of periprocedural and procedure room times between moderate sedation and monitored anesthesia care in interventional radiology Journal Article
| Authors: | Sotirchos, V. S.; Alexander, E. S.; Zhao, K.; Zhan, C.; Yarmohammadi, H.; Ziv, E.; Erinjeri, J. P. |
| Article Title: | Comparison of periprocedural and procedure room times between moderate sedation and monitored anesthesia care in interventional radiology |
| 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. © 2024 Scientific Scholar. All rights reserved. |
| Keywords: | controlled study; human tissue; major clinical study; retrospective study; patient care; general anesthesia; interventional radiology; lung biopsy; liver biopsy; local anesthetic agent; conscious sedation; nurse; human; article; monitored anesthesia care; moderate sedation; postanesthesia care; interventional radiology workflow; post-procedure recovery; procedure room utilization |
| Journal Title: | Journal of Clinical Imaging Science |
| Volume: | 14 |
| ISSN: | 2156-7514 |
| Publisher: | Medknow Publications |
| Date Published: | 2024-01-01 |
| Start Page: | 11 |
| Language: | English |
| DOI: | 10.25259/jcis_9_2024 |
| PROVIDER: | scopus |
| PMCID: | PMC11021082 |
| PUBMED: | 38628610 |
| DOI/URL: | |
| Notes: | The MSK Cancer Center Support Grant (P30 CA008748) is acknowledged in the PDF -- Corresponding author is MSK author: Vlasios S. Sotirchos -- Source: Scopus |
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