A Comparison of Dexmedetomidine-Midazolam with Propofol for Maintenance of Anesthesia in Children Undergoing Magnetic Resonance Imaging

Heard, Christopher; Burrows, Frederick A.; Johnson, Kristin; Joshi, Prashant; Houck, James; Lerman, Jerrold

doi:10.1213/ane.0b013e31818874ee

Cited by 91 publications

(70 citation statements)

References 24 publications

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“…Heard et al [11 ] compared a combination of DEX/midazolam with propofol for MRI imaging. Doses employed for DEX were considerably lower (1 mg/kg bolus followed by 0.5 mg/kg/h infusion) than those used by Mason et al (above).…”

Section: Dexmedetomidine Developmentsmentioning

confidence: 99%

Risk and safety of pediatric sedation/anesthesia for procedures outside the operating room

Cravero

2009

Current Opinion in Anaesthesiology

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The latest publications continue to document a relatively low risk to pediatric sedation yet also warn us about the potential adverse events in this field. The results help to define competencies required to deliver pediatric sedation and make this practice even safer. Particularly interesting are new jargon and methodologies for defining adverse events and the use of new methods for training sedation providers.

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Section: Dexmedetomidine Developmentsmentioning

confidence: 99%

Risk and safety of pediatric sedation/anesthesia for procedures outside the operating room

Cravero

2009

Current Opinion in Anaesthesiology

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“…Heard ve ark.nın [12] 2008 yılında yaptığı çalışmada MRG işlemi yapılan 40 çocukta deksmedetomidin-midazolam anestezisi ile propofol anestezisi karşılaştırılmıştır. Bizim çalışmamızda premedikasyon kullanılmamıştır.…”

Section: Discussionunclassified

“…Midazolam eklenmesi çocuk hastalarda derlenme ve taburculuk sürelerini uzatmaktadır. [12,13] Sonuç olarak, MRG işlemi esnasında günü birlik anestezi verilen hastalarda son yıllarda kullanılmaya başla-nan propofolün özellikle hemodinamik değişiklikler, MRG işlemine hazır hale gelme süreleri, derlenme …”

Section: Discussionunclassified

Comparison of comfort, recovery and discharge times of sodium thiopental and propofol anesthesia in pediatric patients who underwent outpatient anesthesia for magnetic resonance imaging

Adas¹,

Adas²,

Ergun³

et al. 2013

J Kartal TR

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“…A small study on 40 children undergoing magnetic resonance imaging (MRI) under general anaesthesia showed that dexmedetomidine-midazolam provides adequate anaesthesia for MRI although recovery is prolonged when compared with propofol. Heart rate was slower and systolic blood pressure was greater with dexmedetomidine when compared with propofol [49]. Moreover, Mason et al [50] concluded in their study that dexmedetomidine is a safe and effective alternative to pentobarbital for paediatric CT, being associated with a much shorter recovery time and less need for adjuvant sedatives.…”

Section: Miscellaneous Sedative Agentsmentioning

confidence: 99%

Sedation/anaesthesia in paediatric radiology

Arlachov¹,

Ganatra²

2012

The British Journal of Radiology

125

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Objectives In this article we will give a comprehensive literature review on sedation/general anaesthesia (S/GA) and discuss the international variations in practice and options available for S/GA for imaging children. Methods The key articles were obtained primarily from PubMed, MEDLINE, ERIC, NHS Evidence and The Cochrane Library. Results Recently, paediatric radiology has seen a surge of diagnostic and therapeutic procedures, some of which require children to be still and compliant for up to 1 h. It is difficult and sometimes even impossible to obtain quick and high-quality images without employing sedating techniques in certain children. As with any medical procedure, S/GA in radiological practice is not without risks and can have potentially disastrous consequences if mismanaged. In order to reduce any complications and practice safety in radiological units, it is imperative to carry out pre-sedation assessments of children, obtain parental/guardian consent, monitor them closely before, during and after the procedure and have adequate equipment, a safe environment and a well-trained personnel. Conclusion Although the S/GA techniques, sedative drugs and personnel involved vary from country to country, the ultimate goal of S/GA in radiology remains the same; namely, to provide safety and comfort for the patients. Advances in knowledge Imaging children under general anaesthesia is becoming routine and preferred by operators because it ensures patient conformity and provides a more controlled environment.

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A Comparison of Dexmedetomidine-Midazolam with Propofol for Maintenance of Anesthesia in Children Undergoing Magnetic Resonance Imaging

Cited by 91 publications

References 24 publications

Risk and safety of pediatric sedation/anesthesia for procedures outside the operating room

Risk and safety of pediatric sedation/anesthesia for procedures outside the operating room

Comparison of comfort, recovery and discharge times of sodium thiopental and propofol anesthesia in pediatric patients who underwent outpatient anesthesia for magnetic resonance imaging

Sedation/anaesthesia in paediatric radiology

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