EN | TR
    E-ISSN: 2717-9206
    Sedation/Anestehesia Experiences During Magnetic Resonance Imaging Procedure in the Pediatric Patients
    PDF
    Cite
    Share
    Request
    Research Article
    VOLUME: 5 ISSUE: 2
    P: 69-74
    August 2018

    Sedation/Anestehesia Experiences During Magnetic Resonance Imaging Procedure in the Pediatric Patients

    J Pediatr Emerg Intensive Care Med 2018;5(2):69-74
    DOI: 10.4274/cayd.12754
    Bedih Balkan 1
    Mesut Türk 1
    Döndü Genç Moralar 1
    Selda Yaşaroğlu 1
    Abdulkadir Yektaş 2
    Gülsüm Oya Hergünsel 1
    1. Sağlık Bilimleri Üniversitesi, Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi, Anestezi ve Reanimasyon Kliniği, İstanbul, Türkiye
    2. Sağlık Bilimleri Üniversitesi, Gazi Yaşargil Eğitim ve Araştırma Hastanesi, Anestezi ve Reanimasyon Kliniği, Diyarbakır, Türkiye
    No information available.
    No information available
    Received Date: 11.01.2018
    Accepted Date: 14.05.2018
    Publish Date: 03.08.2018
    PDF
    Cite
    Share
    Request

    ABSTRACT

    Introduction:

    Sedation is often needed for magnetic resonance imaging (MRI) in pediatric patients for diagnostic purposes. In this study, we aimed to present anesthesia techniques and complications that occurred during sedation in pediatric patients.

    Methods:

    A total of 337 pediatric patients, in whom MRI was performed with sedation between January 1, 2016 and December 31, 2016, were retrospectively reviewed. The procedure, anesthetic drugs used, complications, and the need for additional medications were recorded. The patients were divided into 3 groups. Group 1: MRI procedure lasted 15 minutes, group 2: MRI procedure lasted 15-30 minutes and group 3: MRI procedure lasted more than 30 minutes. Within the groups, subgroup evaluations were made according to the type of anesthetic drug used.

    Results:

    There was no statistically significant effect of drug types used on complication development (bradicardia, hypoxia) and additional drug requirements in binary comparisons among subgroups (p=0.655, p=0.655 and p=0.317). In comparison of the groups according to the duration of the MRI procedure, complication development and need for additional medication were found to increase with prolonged imaging time (p=0.008, p=0.012 and p=0.02).

    Conclusion:

    Combinations of anesthetic and sedative drugs used during MRI in the pediatric patient group have no effect on complication development (bradicardia, hypoxia) and additional drug need. However, as the duration of the imaging procedure increases, complications and need for additional medication increase.

    Keywords: Sedation, magnetic resonance imaging, pediatric patient

    References

    1
    Ahmad R, Hu HH, Krishnamurthy R, Krishnamurthy R. Reducing sedation for pediatric body MRI using accelerated and abbreviated imaging protocols. Pediatr Radiol. 2018;48:37-49.
    2
    Serafini G, Zadra N. Anaesthesia for MRI in the paediatric patient. Curr Opin Anaesthesiol. 2008;21:499-503.
    3
    Doyle L, Colletti JE. Pediatric procedural sedation and analgesia. Pediatr Clin North Am. 2006;53:279-92.
    4
    Bernal B, Grossman S, Gonzalez R, Altman N. FMRI under sedation: what is the best choice in children? J Clın Med Res. 2012;4:363-70.
    5
    Starkey E, Sammons HM. Sedation for radiological imaging. Arch Dis Child Educ Pract Ed. 2011;96;101-6.
    6
    Zhou Q, Shen L, Zhang X, Li J, Tang Y. Dexmedetomidine versus propofol on the sedation of pediatric patients during magnetic resonance imaging (MRI) scanning: a meta-analysis of current studies. Oncotarget. 2017;8:102468-73.
    7
    Fang H, Yang L, Wang X, Zhu H. Clinical efficacy of dexmedetomidine versus propofol in children undergoing magnetic resonance imaging: a meta-analysis. Int J Exp Med. 2015;8:11881-9.
    8
    Boriosi JP, Eickhoff JC, Klein KB, Hollman GA. A retrospective comparison of propofol alone to propofol in combination with dexmedetomidine for pediatric 3T MRI sedation. Paediatr Anaesth. 2017;27:52-9.
    9
    Gooden CK. Anesthesia for magnetic resonance imaging. Curr Opin Anaesthesiol. 2004;17:339-42.
    10
    Malviya S, Voepel-Lewis T, Eldevik OP, Rockwell DT, Wong JH, Tait AR. Sedation and general anaesthesia in children undergoing MRI and CT: adverse events and outcomes. Br J Anaesth. 2000;84:743-8.
    11
    White PF. Eng MR. Ambulatory (Outpatıent) Anesthesia. In: Miller RD, Erıcsıon LI, Fleisher LA, Wiener-Kronısh JP, Yong WL, eds. Millers Anesthesia. 7th. edition. United States of Amerıca: Churchıll Livingtone, Elsever 2010, p.2419-60.
    12
    Coté GA, Hovis RM, Ansstas MA, Waldbaum L, Azar RR, et al. Incidence of sedation-related complications with propofol use during advanced endoscopic procedures. Clin Gastroenterol Hepatol. 2010;8:137-42.
    13
    Adaş C, Adaş H, Ergün G, Aydın N, Kurt N, et al. Manyetik Rezonans Görüntülenmesinde Günübirlik Anestezi Uygulanan Çocuk Hastalarda Tiyopental Sodyum ve Propofol Anestezisinin Konfor, Derlenme Skorları ve Taburculuk Sürelerinin Karşılaştırılması. J Kartal TR 2013;24:1-4.
    14
    Selçuk O, Hancı A, Selçuk E, Türk HŞ, Türk B, Atalan G. Manyetik rezonans görüntüleme yapılan pediatrik olgularda midazolam-ketamin kombinasyonu ile tiopentalin sedatif etkilerinin karşılaştırılması. Med Bull Sisli Etfal Hosp. 2013;47:122-9.
    15
    Cengiz M, Baysal Z, Ganidagli S. Oral sedation with midazolam and diphenhydramine compared with midazolam alone in children undergoing magnetic resonance imaging. Paediatr Anaesth. 2006;16:621-6.
    16
    Sethi D, Gupta M, Subramanian S. A randomized trial evaluating low doses of propofol infusion after intravenous ketamine for ambulatory pediatric magnetic resonance imaging. Saudi J Anaesth. 2014;8:510-6.
    17
    Başaranoğlu G, Esen A, Bakan M, Topuz U, İdin K, Umutoğlu T. Ketalar Propofol Karışımının Sedasyon ve Analjezide Kullanımı. Med Bull Haseki. 2015;53:41-6.
    18
    Malviya S, Voepel-Lewis T, Tait AR. Adverse events and risk factors associated with the sedation of children by nonanesthesiologists. Anesth Analg. 1997;85:1207-13.
    19
    Öztürk E, Yücel A, Begeç Z, Akgül Erdil F, Demir K, Ersoy MÖ. Manyetik Rezonans Görüntüleme Ünitesindeki Pediyatrik Olgularda Anestezi Deneyimlerimiz.J Turgut Ozal Med Cen. 2008;15:239-43.
    20
    Machata AM, Willschke H, Kabon B, Kettner SC, Marhofer P. Propofol-based sedation regimen for infants and children undergoing ambulatory magnetic resonance imaging. Br J Anaesth. 2008;101:239-43.
    21
    Kharabish A, Mkrtchyan N, Meierhofer C, Martinoff S, Ewert P, et al. Cardiovascular magnetic resonance is successfully feasible in many patients aged 3 to 8 years without general anesthesia or sedation. J Clin Anesth. 2016;34:11-4.
    22
    McGuirt D. Alternatives to Sedation and General Anesthesia in Pediatric Magnetic Resonance Imaging: A Literature Review. Radiol Technol. 2016;88:18-26.
    23
    Ives-Deliperi VL, Butler JT. Functional Mapping in Pediatric Epilepsy Surgical Candidates: Functional Magnetic Resonance Imaging Under Sedation With Chloral Hydrate. Pediatr Neurol. 2015;53:476-84.
    24
    Courtier J, Cardenas A, Tan C, Towne M, Rhee SJ, et al. Nonanesthesia magnetic resonance enterography in young children: feasibility, technique, and performance. J Pediatr Gastroenterol Nutr. 2015;60:754-61.
    2024 ©️ Galenos Publishing House