Anaesthesia for Neuro Interventional Radiology

Curriculum Reference

13.9.13 Provides safe general anaesthesia for diagnostic and therapeutic procedures in the non-theatre environment but within the hospital setting for ASA 1-3 adult patients independently, recognising when this is inappropriate.

13.9.14 Provides safe anaesthetic care to ASA 1-3 adults for simple elective and emergency intracranial, spinal and neuroradiology procedures under local supervision.

HiLLO 12: Doctors specialising in Intensive Care Medicine understand the special needs of, and are competent to manage patients with neurological diseases, both medical and those requiring surgery, which will include the management of raised intracranial pressure, central nervous system infections and neuromuscular disorders.

HiLLO 10: Intensive Care Medicine specialists will have developed the necessary skills of induction of anaesthesia, airway control, care of the unconscious patient and understanding of surgery and its physiological impact on the patient.

Review Articles

Anaesthesia for interventional neuro radiology BJA Education 16(5), 2016, 147-152

Further Reading (incl. Key Trials)

CAST: randomised placebo-controlled trial of early aspirin use in 20 000 patients with acute ischaemic stroke

Thrombolysis with Alteplase 3 to 4.5 Hours after Acute Ischemic Stroke

Intensive blood pressure reduction with intravenous thrombolysis therapy for acute ischaemic stroke (ENCHANTED): an international, randomised, open-label, blinded-endpoint, phase 3 trial

A Randomized Trial of Intraarterial Treatment for Acute Ischemic Stroke

6-24 hour window thrombectomy

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)00575-5/fulltext

intensive BP control

https://pubmed.ncbi.nlm.nih.gov/36341753/

SSNAP outcomes from thrombectomy, data sheet

https://www.strokeaudit.org/Documents/National/Clinical/Apr2021Mar2022/Apr2021Mar2022-ThrombectomyReport.aspx

National Guidelines

SNACC: Anaesthetic management of endovascular treatment for acute ischaemic stroke (2014)

SNACC: Anaesthetic management of endovascular for acute ischaemic stroke due to Covid-19 (2020)

Webinars

Stroke management: what the intensivist needs to know (cyim.com)

RCoA Audit Compendium

12.7 Endovascular Thrombectomy

NACCS Webinars & Video

Upcoming Events