Sedation of children in radiology: time to wake up.

Frush, Donald P.; Bisset, rd Gs

doi:10.2214/ajr.165.4.7676992

Cited by 7 publications

(3 citation statements)

References 3 publications

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“…A review of the literature conducted by Frush et al [8] that appeared in 1996 disclosed that virtually every article published to date dealt with patients in the pediatric age group. In an earlier article, Frush and Bisset [9] pointed out that other earlier articles dealt primarily with the safety and effectiveness of sedating agents, whereas later ones dealt with monitoring and management of patients. The scientific literature and the guidelines on sedation promulgated by the professional organizations have paid scant attention to the issue highlighted in the malpractice lawsuit described here: When and under what circumstances is it safe to discharge an adult outpatient who has been administered a sedating drug?…”

Section: Discussionmentioning

confidence: 99%

Sedation and Analgesia in MR Imaging

Berlin

2001

American Journal of Roentgenology

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Section: Discussionmentioning

confidence: 99%

Sedation and Analgesia in MR Imaging

Berlin

2001

American Journal of Roentgenology

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“…It may be difficult to provide adequate sedation in young children, especially those with mental retardation, using antiepileptic drugs. In addition, special monitors and anesthesia equipment that will not cause interference in the MRI environment are needed (4,5) . However, this increases the cost of the system so monitoring is limited.…”

Section: Introductıonmentioning

confidence: 99%

Comparison of Propofol and Thiopental in Sedation of Children for MRI Procedure

Geyik¹

2019

jmscr

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Aım: Children who will be sedated for MRI was compared about the propofol and thiopental application. Materıal and Methods: ASA I-II, 160 cases between 1 month and 8 years old were included. Initial systolicblood pressure (SBP), diastolic blood pressure (SBP), heart rate, oxygen saturation (SPO2) values were recorded. Group I: Propofol 2 mg / kg bolus, Group II: Thiopental sodium 2 mg / kg bolus. The University of Michigan Sedation Scale (UMSS) was used to determine the sedation level. Age, sex, body weight, ASA, MRI region, total amount of drug used were recorded. The technician performing MRI evaluated the quality of the shots with a verbal scoring system ranging from 1 to 3. Results: The total dose given to the males was 43.6 ± 20 mg and the females were 38.3 ± 18 mg. The difference was not statistically significant (p = 0.944). In terms of processing time, the difference was statistically significant (p = 0.09). UMSS averaged 2.81 in Group I and 2.60 in Group II, with a statistically significant difference between groups (p = 0.003). There was a statistically significant difference between groups in terms of side effects, desaturation, prolonged sedation and nausea and vomiting (p <0.05). Conclusıon: Because of the minimal side effects and rapid induction, propofol was under the control of anesthesiologist. Unlike our previous literature, it could be used effectively and reliably even in younger infants.

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“…ISSN Despite an increasing number of brief diagnostic and therapeutic procedures in paediatric imaging units, a generally accepted concept is lacking for the sedation and monitoring of children undergoing procedures that require sedation (1,2). Various sedative and hypnotic drugs and different routes of administration have been reported in the literature in order to alleviate anxiety and guarantee absolute rest (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14). In particular, general anaesthesia has been recommended for magnetic resonance imaging (MRI) in small children (5,7).…”

mentioning

confidence: 99%

Sedation and monitoring of paediatric patients undergoing open low‐field MRI

Rupprecht¹,

Kuth

Böwing³

et al. 2000

Acta Paediatrica

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Rupprecht T, Kuth R, Bowing B, Gerling S, Wagner M, Rascher W. Sedation and monitoring of paediatric patients undergoing open low-field MRI. Acta Paediatr 2000; 89: 1077-8 I. Stockholm.The purpose of this study was to determine the need, effectiveness and safety of sedation and monitoring in infants and children in a paediatric open low-field MRI system. Of 274 patients (median age 9y) examined, only 74 children (median age 25 mo) needed sedation. Sedation was achieved by intravenous administration of midazolam (0.2 mgkg) and etomidate (0.2 mgkg). Mean total doses required were 0.28 and 0.27 mgkg, respectively. With the exception of eight primarily ventilated patients, all children breathed spontaneously. 0 2 saturation, arterial blood pressure and ECG were monitored. The low resonance frequency of the MRI system required a specially designed high frequency (HF) shielding of the monitor system to avoid HF artifacts. The overall sedation rate was markedly lower (74/274 = 27%) compared to a control group previously examined in a closed high-field MRI system (52/111 = 47%). This was due to a significant lower need for sedation in patients aged up to 10 y (p 5 0.0001) in the open MRI unit. General anaesthesia could be avoided in all patients. No significant movement artifacts occurred in any of the MRI examinations and no serious side effects were observed.Conchwm: MRI of children is easier in an open MRI system and with fewer sedations, as in closed hi@-field systems. Sedation by a combination of rnidazolam and etomidate is highly effective and safe. M o n i t o r i n g devices for high-field systems may have to be modified for low-field systems. An inhowe pnediatric MRI unit with an open and special paediatric design is of major advantage for imaging pediatric patients. ) Harte GJ. Gray PH, Lee TC, Steer PA, Charles BG. Haemodynamic responses and population pharmacokinetics of midazolam following administration to ventilated, preterm neonates. J Paediatr Child Health 1997; 33: 335-8 Gremse DA, Kumar S, Sacks AI. Conscious sedation with highdose midazolam for pediatric gastrointestinal endoscopy. South Med J 1997; 90: 821-5 Cote CJ. Sedation for the pediatric patient. A review. Pediatr Clin

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Sedation of children in radiology: time to wake up.

Cited by 7 publications

References 3 publications

Sedation and Analgesia in MR Imaging

Sedation and Analgesia in MR Imaging

Comparison of Propofol and Thiopental in Sedation of Children for MRI Procedure

Sedation and monitoring of paediatric patients undergoing open low‐field MRI

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