Interventions to Reduce Anxiety, Distress, and the Need for Sedation in Pediatric Patients Undergoing Magnetic Resonance Imaging: A Systematic Review

Munn, Zachary; Jordan, Zoe

doi:10.1016/j.jradnu.2012.08.003

Cited by 17 publications

(11 citation statements)

References 18 publications

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“…This review considered studies that included adults (aged 18 years and over) with any pre‐existing condition or disability, undergoing MRI for a wide range of indications. A separate review has been published that considers patients under the age of 18 . MRI procedures are more complex than other basic procedures (such as X‐rays) and can be more difficult to operate, which may have an effect on the holistic care of the patient, as it distances healthcare staff from the patient .…”

Section: Methodsmentioning

confidence: 99%

“…A separate review has been published that considers patients under the age of 18. 23 MRI procedures are more complex than other basic procedures (such as X-rays) and can be more difficult to operate, which may have an effect on the holistic care of the patient, as it distances healthcare staff from the patient. 4,24 All diagnostic imaging procedures considered for this review were non-invasive or minimally invasive.…”

Section: Types Of Participantsmentioning

confidence: 99%

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Interventions to reduce anxiety, distress and the need for sedation in adult patients undergoing magnetic resonance imaging: a systematic review

Munn

Jordan

2013

International Journal of Evidence-Based Healthcare

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Section: Methodsmentioning

confidence: 99%

Section: Types Of Participantsmentioning

confidence: 99%

Interventions to reduce anxiety, distress and the need for sedation in adult patients undergoing magnetic resonance imaging: a systematic review

Munn

Jordan

2013

International Journal of Evidence-Based Healthcare

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“… 3-7 However, to decrease the need of sedation, distress, nervousness and anxiety in children undergoing MRI, several interventions have been adopted. 8 For example, Carter et al . 1 performed a mock MRI before the true scan, and reported a benefit consisting in decreased sedation in children ranging from 3 to 8 years.…”

Section: Introductionmentioning

confidence: 99%

Impact of Psychological Interventions on Reducing Anxiety, Fear and the Need for Sedation in Children Undergoing Magnetic Resonance Imaging

et al. 2015

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Children undergoing magnetic resonance imaging examination frequently experience anxiety and fear before and during the scanning. The aim of the present study was to assess: i) whether and to what extent psychological interventions might reduce anxiety and fear levels; ii) whether the intervention is related to a decrease in the need for sedation. The interventions consisted of three activities: a clown show, dog interaction and live music. The emotional status (anxiety and fear) of the children was evaluated before and after the activities through a rating scale questionnaire. The results showed that the activities had high effectiveness in reducing the level of anxiety and fear and decreased the need for sedation in the experimental group compared to the control group. This approach proved to be a positive patient experience, helping to alleviate children’s anxiety and fear, decreasing the need for sedation, and was cost-effective.

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“…The preliminary searches for systematic reviews and meta-analyses on nonpharmacological interventions for children and adolescents undergoing MRI that we carried out identified five nonsystematic reviews [8][9][10][11][12] and two systematic reviews of which one included metaanalysis. 13,14 Munn et al 13 published their systematic review with metaanalysis back in 2013, and our preliminary search results identified several studies of relevance published since then. The nonsystematic reviews are descriptive and contain no information on search strategy or effect estimates.…”

Section: Hybschmann Et Almentioning

confidence: 99%

Nonpharmacological interventions to reduce sedation/general anaesthesia in paediatric patients undergoing magnetic resonance imaging: A systematic review and meta‐analysis protocol

Hybschmann

Povlsen

Sørensen

et al. 2021

Acta Anaesthesiol Scand

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Background Magnetic resonance imaging is frequently used in paediatrics and requires the child/adolescent to remain still for 45 min or more. The long and narrow scanner gantry makes loud noises and may cause anxiety. To complete the procedure, children and adolescents are often sedated or receive general anaesthesia. Our primary aim is to determine whether nonpharmacological interventions designed to mentally prepare, support or distract children, and adolescents are effective in reducing the need for sedation and general anaesthesia. Methods We will conduct a systematic review with meta‐analysis by searching the following electronic databases: Ovid MEDLINE, CINAHL, Embase and CENTRAL, as well as databases for ongoing trials. Eligibility criteria are based on the participants, intervention, comparator and outcome (PICO) framework. We will include intervention studies with comparator group(s) with no restriction on date. Two reviewers will independently screen titles/abstracts, and three reviewers will assess the full texts of potentially relevant studies. Data will be extracted, and the methodological quality will be assessed using Cochrane risk of bias tools. If the data allow, we will perform a meta‐analysis using a random effects model on the primary outcome, sedation/general anaesthesia. A narrative synthesis will supplement the statistical analysis. Quality of evidence for the primary outcome will be assessed using the grading of recommendations, assessment, development and evaluations (GRADE) approach. Discussion Our findings will provide directions for future research and may guide clinicians in terms of which type(s) of intervention(s) to implement to reduce the use of sedation/general anaesthesia during paediatric magnetic resonance imaging.

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Interventions to Reduce Anxiety, Distress, and the Need for Sedation in Pediatric Patients Undergoing Magnetic Resonance Imaging: A Systematic Review

Cited by 17 publications

References 18 publications

Interventions to reduce anxiety, distress and the need for sedation in adult patients undergoing magnetic resonance imaging: a systematic review

Interventions to reduce anxiety, distress and the need for sedation in adult patients undergoing magnetic resonance imaging: a systematic review

Impact of Psychological Interventions on Reducing Anxiety, Fear and the Need for Sedation in Children Undergoing Magnetic Resonance Imaging

Nonpharmacological interventions to reduce sedation/general anaesthesia in paediatric patients undergoing magnetic resonance imaging: A systematic review and meta‐analysis protocol

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