Newsletter November 2020: Adult Interventional Radiology and Anaesthesia

2020 has penned out to be a year that is unmatched for a lot of us. Confronted with a pandemic that stressed out our speciality to the maximum we proved again how invaluable our expertise as anesthesiologists is. It has also changed our approach on how we enhance our knowledge base as we had to expand our zoom exposure and skills in order to attend lectures, webinar or other web-based products.

As part of this enhanced product aspect, I would like to introduce you to our webinar titled: “Adult Interventional Radiology and Anaesthesia.”

We are approaching rapidly a technological revolution in medicine: from artificial intelligence to Watson, later and more advanced generations of stents we are seeing a transition from more conventional operating room surgeries to less and less invasive procedures done in the majority of cases in non-operative locations and in interventional radiology suites.

Coupled with the rapid technological advancement and the desire for a less invasive approach (when appropriate), which would decrease hospital stay while affording a quicker rehabilitation for patients, there is a change in the overall population health as well. There is now an older (having patients in their 90s is not unusual) and sicker population (having more comorbidities, on multiple medications particularly of the most dangerous ones- anticoagulants, insulin for ex). Obesity and obstructive sleep apnea compound the challenges for both anesthesiologists and proceduralists.

Lastly, as opposed to the decades-old established relationship between anesthesiologists and surgeons, the relatively new certainly still under development one between anesthesiologists and proceduralists is a process improvement in progress.

There is a definite anesthesiology – medicine gap as proceduralists are unfamiliar with what anesthesiologists’ priorities are. As such a lot of times anesthesiologists are called in late on an emergent basis when a complication, particularly a respiratory one is underway.

For their part, anesthesiologists are also unfamiliar with interventional procedures and their complications.

The need for a multidisciplinary communication and team building is therefore of paramount importance.

Our webinar supported by a Medtronic grant is one to build on that multidisciplinary approach.

The webinar, which aims to include in its audience both, interventionalists/residents and anesthesiologists/nurse anaesthetists/residents is addressing the most important aspects of this relationship. Five anesthesiologists and two interventional radiologists are addressing issues related to team building and communication, newest approaches to procedures from the interventionalists’ point of view and the priorities and best quality and standards as they pertain to anesthesiologists

The 21st century will be the interventionalists’ century, which will bring in an unprecedented expansion of anesthesiology services in that arena (from already 30% of the anaesthesia coverage now). With that will come the need to build a more comprehensive interdisciplinary relationship in order to provide a more efficient and safer workflow.

We hope you will join our exciting webinar that will take place on November 10th hosted by a team of academics from both specialities. We look forward to having you there!

Watch the webinar through the ESAIC: https://www.esaic.org/event/adult-interventional-radiology-and-anaesthesia/  

Watch the webinar through the ASA: https://www.asahq.org/shop-asa/e020g66w06


Teodora Nicolescu MD, MBA.HCM

Professor of Anesthesiology

Oklahoma University

Chair of the ASA-ESAIC webinar

The host of the ASA-ESAIC webinar   

Zeev Goldik MD

 Clinical Assistant Professor- School of Medicine

Technion Technological University- Haifa

Head of Anaesthesia Intensive Care and Pain Service Division

Lady Davis Carmel Medical Centre- Haifa


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