Analgosedation for Endovascular Embolization of Intracranial Arteriovenous Malformations

Czech version

Authors: J. Schreiberová; V. Bašta; A. Krajina ^*
Authors‘ workplace: Klinika anesteziologie, resuscitace a intenzivní medicíny, Fakultní nemocnice Hradec Králové, přednosta MUDr. Vladimír Černý, PhD., FCCM
Published in: Anest. intenziv. Med., , 2000, č. 4, s. 149-151
Category:

Overview

The introductory part of the paper reviews the characteristics of intracranial arteriovenous malformations (AVM), current treatment options andspecific features of anesthesia and analgosedation for their treatment with endovascular embolization The sedation must be very flexible, since itsdepth has to be changed rapidly to allow for contact and cooperation with a patient to perform function tests before embolization procedure isaccomplished, discarding AVM from circulation. The other part of the paper reviews the authors’ own experience with analgosedation in 75 cases ofendovascular embolization. Analgosedation is preferentially achieved by combination of fentanyl and midazolam, with bolus doses of propofol. Thisstrategy allows for adequate analgesia, rapidly changing depth of sedation while maintaining cardiovascular stability and adequate spontaneousventilation.

Key words:
arterivenous malformations – analgosedation – methohexital test

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