Interventional radiology (IR) is appealing to many caregivers because of the technical challenge, creative problem-solving opportunities, and the immediate gratification associated with a wide array of minimally invasive procedures. In addition to possessing excellent technical skills, interventional radiologists must also be able to provide comprehensive periprocedural care.
Comprehensive care involves providing education to patients and their families, developing excellent working relationships with referring physicians and practices, and directing holistic patient management, both during a procedure and throughout the post-procedure and follow-up period. For patients that remain in the hospital following a procedure, interventional radiologists must be comfortable functioning as the primary team or as a highly engaged consultant. Inpatients requiring interventional procedures are often complicated, debilitated persons; it is incumbent on the interventionist to be comfortable working with various hospital teams and confident in their own medical management to ensure maximum procedure safety.
This chapter will deal with management of the patient before, during, and after a procedure. We will review pre-procedure assessment specific to IR procedures, optimal preparation of the patient for a procedure, and the observation and care needed post procedure to prevent or manage common adverse events. It will also cover the critical role of an IR consult service and outpatient IR clinic.
KeywordsAdmission Adverse event Assessment Communication Consultation Contrast allergy Documentation Electronic medical record (EMR) Informed consent Laboratory Post-procedure care Pre-procedure care Moderate (conscious) sedation Triage
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