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Abstract
Anesthesiologists are increasingly called on to care for pediatric patients undergoing diagnostic imaging and invasive procedures in interventional radiology. These procedures are typically classified as either nonvascular or vascular, and can range from short diagnostic imaging studies or biopsies to significantly longer and more invasive intravascular procedures. Anesthesia providers must consider each child's ability to cooperate reliably during the procedure, their age, and any cognitive impairment to define the best anesthetic plan. Several unique pediatric patient populations with specific procedural implications and anesthetic considerations who will benefit from additional periprocedural planning are discussed.
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Affiliation(s)
- Olivia Nelson
- Department of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, 9th Floor, 3401 Civic Center Boulevard, Philadelphia, PA 19104, USA
| | - Philip D Bailey
- Department of Anesthesiology and Critical Care Medicine, Perelman School of Medicine, The University of Pennsylvania, The Children's Hospital of Philadelphia, 9th Floor, 3401 Civic Center Boulevard, Philadelphia, PA 19104, USA.
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2
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Crowley JJ, Hogan MJ, Towbin RB, Saad WE, Baskin KM, Marie Cahill A, Caplin DM, Connolly BL, Kalva SP, Krishnamurthy V, Marshalleck FE, Roebuck DJ, Saad NE, Salazar GM, Stokes LS, Temple MJ, Gregory Walker T, Nikolic B. Quality improvement guidelines for pediatric gastrostomy and gastrojejunostomy tube placement. J Vasc Interv Radiol 2014; 25:1983-91. [PMID: 25439676 DOI: 10.1016/j.jvir.2014.08.002] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2014] [Accepted: 08/01/2014] [Indexed: 01/20/2023] Open
Affiliation(s)
- John J Crowley
- Department of Radiology, Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania
| | - Mark J Hogan
- Department of Vascular and Interventional Radiology, Nationwide Children's Hospital and The Ohio State University, Columbus, Ohio
| | - Richard B Towbin
- Department of Radiology, Phoenix Children's Hospital, Phoenix, Arizona
| | - Wael E Saad
- Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Medical Center, 1500 E. Medical Drive, SPC 5868, Cardiovascular Center, #5588, Ann Arbor, MI 48109-5868.
| | - Kevin M Baskin
- Advanced Interventional Institute, Pittsburgh, Pennsylvania
| | - Anne Marie Cahill
- Department of Interventional Radiology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
| | - Drew M Caplin
- Department of Radiology, Division of Interventional Radiology, Northshore University Hospital, Manhasset, New York
| | - Bairbre L Connolly
- Centre for Image Guided Therapy, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada
| | | | - Venkataramu Krishnamurthy
- Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Medical Center, 1500 E. Medical Drive, SPC 5868, Cardiovascular Center, #5588, Ann Arbor, MI 48109-5868
| | - Francis E Marshalleck
- Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, Indiana
| | - Derek J Roebuck
- Department of Radiology, Great Ormond Street Hospital, London, United Kingdom
| | - Nael E Saad
- Department of Radiology, Division of Vascular and Interventional Radiology, Mallinckrodt Institute of Radiology, Washington University in St. Louis School of Medicine, St. Louis, Missouri; Department of Surgery, Mallinckrodt Institute of Radiology, Washington University in St. Louis School of Medicine, St. Louis, Missouri
| | - Gloria M Salazar
- Department of Radiology, Division of Vascular Imaging and Intervention, Massachusetts General Hospital, Boston, Massachusetts
| | - Leann S Stokes
- Vanderbilt University Medical Center, Nashville, Tennessee
| | - Michael J Temple
- Centre for Image Guided Therapy, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada
| | - T Gregory Walker
- Department of Radiology, Division of Vascular Imaging and Intervention, Massachusetts General Hospital, Boston, Massachusetts
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4
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Hogan MJ, Marshalleck FE, Sidhu MK, Connolly BL, Towbin RB, Saad WA, Cahill AM, Crowley J, Heran MK, Hohenwalter EJ, Roebuck DJ, Temple MJ, Walker TG, Cardella JF. Quality Improvement Guidelines for Pediatric Abscess and Fluid Drainage. J Vasc Interv Radiol 2012; 23:1397-402. [DOI: 10.1016/j.jvir.2012.06.016] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2012] [Revised: 06/13/2012] [Accepted: 06/14/2012] [Indexed: 10/27/2022] Open
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Hogan MJ. Infection in pediatric interventional radiology. Pediatr Radiol 2011; 41 Suppl 1:S99-106. [PMID: 21523578 DOI: 10.1007/s00247-011-2000-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/15/2010] [Revised: 01/12/2011] [Accepted: 01/18/2011] [Indexed: 10/18/2022]
Abstract
Interventional radiology in children involves nearly every aspect of infectious disease. Diagnosis, treatment, prophylaxis and disease transmission in infectious disease are a daily part of pediatric interventional radiology practice. This article will discuss each of these aspects of infection with respect to interventional radiology.
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Affiliation(s)
- Mark J Hogan
- Department of Radiology, Nationwide Children's Hospital, The Ohio State University, 700 Children's Drive, Columbus, OH 43205, USA.
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