无痛介入——我们仍需做得更多

Painless intervention: there are still a lot of things for us to do

介入手术过程中对患者施以麻醉、镇静和镇痛有助于确保手术顺利和安全实施,并为患者提供尽可能的无痛和舒适体验。介入医师有必要对麻醉、镇静和镇痛相关概念及常规用药有一定了解,并接受适当的训练,以便在术前评估、术中及术后处理时能正确应对,必要时寻求麻醉医师帮助,并予以处方权内合理的镇静和镇痛。本文就麻醉相关概念、麻醉在介入手术中的应用现状、介入手术相关疼痛发生率及无痛介入发展方向作一综述,以期推广疼痛管理理念,使介入医师对麻醉、镇静和镇痛有更深入的理解。

During interventional procedures, the safe anesthesia, proper sedation and effective analgesia are the key to ensure a smooth and safe operation, which can also provide a painless and comfortable experience for patients as much as possible. It is necessary for interventional physicians to have enough understanding of the concepts and routine medication about anesthesia, sedation and analgesia, and to receive appropriate training, so that they can make correct response during preoperative assessment,intraoperative and postoperative managements, seek help from an anesthesiologist when necessary, and prescribe reasonable sedation and analgesia medication within the prescription right. This article aims to make a comprehensive review about painless intervention, focusing on the anesthesia-related concepts, the current application status of anesthesia in interventional procedures, the incidence of intervention-related pain, and the development orientation of painless intervention, so as to popularize the concept of pain management,helping the interventional physicians to get a deeper understanding about intervention-related anesthesia,sedation, and analgesia.(J Intervent Radiol, 2022, 31: 949-953)