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Optimizing anxiolysis and analgesia for percutaneous intervention by the abdominal radiologist

  • Special Section: Cross sectional interventions
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Abdominal Radiology Aims and scope Submit manuscript

Abstract

Abdominal radiologists perform a wide variety of image-guided interventions. Procedures performed by abdominal radiologists can be broadly categorized into paracentesis, thoracentesis, superficial and deep soft tissue biopsy, drain placement, and ablation. As these procedures continue to develop as an alternative to more invasive and potentially morbid interventions, and with continued improvements in minimally invasive technologies, it becomes increasingly important for abdominal radiologists to be familiar with options for peri-procedural analgesia and anxiolysis, as well as when to consult anesthesiology. In this review, we discuss analgesic, anxiolytic, and nonpharmacologic options available to the abdominal radiologist. We focus on practical agents that are relatively safe for general use, special populations, and considerations for post-procedural monitoring.

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Authors and Affiliations

  1. Department of Radiology, Mayo Clinic Arizona, Phoenix, AZ, USA

    Amar Shah, Bhavik Patel, Nirvikar Dahiya & Ghaneh Fananapazir

  2. Department of Anesthesia, Washington University School of Medicine in St. Louis, St. Louis, MO, USA

    Kevin Cohen

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  1. Amar Shah
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  2. Kevin Cohen
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  3. Bhavik Patel
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  4. Nirvikar Dahiya
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  5. Ghaneh Fananapazir
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Contributions

All authors contributed equally to the literature search for this article. GF originated the idea, AS wrote the primary manuscript, ND offered expertise and editing of the manuscript, and KC provided expertise and writing regarding pharmacotherapy and created Table 1. All authors commented on previous versions of the manuscript and approved the final version.

Corresponding author

Correspondence to Ghaneh Fananapazir.

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The authors have no conflicts of interest to disclose, financial or otherwise.

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This article was an invited review for Abdominal Radiology.

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Shah, A., Cohen, K., Patel, B. et al. Optimizing anxiolysis and analgesia for percutaneous intervention by the abdominal radiologist. Abdom Radiol 47, 2721–2729 (2022). https://doi.org/10.1007/s00261-022-03417-4

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  • DOI: https://doi.org/10.1007/s00261-022-03417-4

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