Sedation and anesthesia for magnetic resonance imaging in pediatric patients: is dexmedetomidine the answer?

Szmuk, Peter; Steiner, Jeffrey W.; Sheeran, Paul; Farrow-Gillespie, Alan; Ezri, Tiberiu

doi:10.1053/j.sane.2007.09.002

Cited by 1 publication

(2 citation statements)

References 67 publications

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“…MRI; propofol, chloral hydrate, diazepam, midazolam, methohexithal, pentobarbital and etomidate) with the addition of non-opiate analgesics such as ketamine or opiate analgesics to the treatment regimen for painful procedures (i.e. bone marrow biopsy, reduction of fractures, burn scrubs) (13,14). Nonetheless, while propofol or ketamine with the coadministration of benzodiazepines (principally midazolam) are the most commonly used agents for pediatric anesthesia outside the operating room, the clear benefit of these combinations on pain reduction or amelioration of recovery agitation as well as their impact on the developing brain remains controversial (2,4,7,12,(15)(16)(17)(18)(19)(20)(21)(22).…”

Section: Discussionmentioning

confidence: 99%

“…This also seems notable given the recently reported trend of using more potent sedatives and hypnotics by non-anesthesiologists (i.e. physicians and nurses) (13,23,24). Anesthesia technicians and anesthesia specialists were identified as the primary members of the team, while hospital conditions were considered to be appropriate by 77.6% of the physicians and the room for procedure was considered sufficiently large by 54.0%.…”

Section: Discussionmentioning

confidence: 99%

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Attitudes of Anesthesiology and Reanimation Specialists Towards Pediatric Anesthesia Outside of the Operating Room Practices: A survey analysis

Soyalp¹,

Yüzkat²

2019

Eastern J Med

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Material and Methods Study Population: The study included a total of 219 anesthesiology and reanimation specialists, comprising 50.7% females and 49.3% males with a ABSTRACT There is a growing demand for safe and effective sedation/anesthesia of pediatric patients outside the operating room. This study was designed to investigate the practices and resources of pediatric anesthesia outside the operating room. A total of 219 anesthesiology and reanimation specialists (mean±SD age: 38.3±7.2 years, 50.7% female) voluntarily completed this online questionnaire survey. The questionnaire included items on demographic data, professional characteristics, type of hospital, and the characteristics of anesthesia applied outside the operating room. Most respondents reported that they performed pediatric anesthesia outside the operating room frequently, ranging from a couple of days per week (47.2%) to every day (27.3%), mostly for MRI (87.7%), endoscopy (60.1%), pediatric angiography (58.9%) and biopsy (54.6%) procedures. Overall, 60.1% and 25.8% of the anesthetists stated that they use ASA criteria (inclusion of ASA I-II patients, 39.9%) and age criteria for candidacy, respectively. The professors were determined to be the group with the highest rates for the procedure (66.7%) on a daily basis, while state hospitals were associated with less frequent implementation of the procedure (p<0.001 for each). In conclusion, this questionnaire-based survey revealed frequent and guideline-adherent application of pediatric anesthesia outside the operating room by anesthesiology and reanimation specialists. Together with the likelihood of professional training and hospital type influencing the frequency of the procedure and recovery strategies, these findings emphasize the need for improved practice regarding consideration of appropriate candidacy for ASA physical status and patient age as well as a uniform and standardized recovery practice among anesthesiology and reanimation specialists.

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