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Semin intervent Radiol 2022; 39(04): 381-386
DOI: 10.1055/s-0042-1757342
Review Article

Local Anesthesia in Interventional Radiology

Xin Li
1   Section of Interventional Radiology, Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
,
Scott O. Trerotola
1   Section of Interventional Radiology, Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
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Abstract

Interventional radiology is an evolving field that treats a variety of diseases. Local anesthetics is an important component of pain management during interventional radiologic procedures. It is highly effective and generally safe for routine procedures. However, local anesthetics can be associated with painful initial injection, allergic reactions, and rare but potentially devastating systemic toxicities. Recent evidence has shown that buffered solution and warm local anesthetics may reduce injection discomfort and improve clinical efficacy. Sensible safety practices and prompt recognition/treatment of the systemic toxicity are of paramount importance to provide safe local anesthesia. Interventional radiologists should be familiar with the basic pharmacology, common local anesthetics, optimizing strategies, complications, and management to provide safe and effective local anesthesia for patients.

Keywords

anesthesia - local anesthetics - pain control - medication - interventional radiology


Publication History

Article published online:
17 November 2022

© 2022. Thieme. All rights reserved.

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