Research Information System
Anestezi Dergisi, vol.26, no.2, pp.75-80, 2018 (Scopus)
© 2018 Anestezi Dergisi. All rights reserved.Objective: In recent years the administration of sedation and/or general anesthesia for pediatric cases undergoing diagnostic magnetic resonance imaging (MRI) methods has increased. This study presents the complications and our anesthesia experience outside the operating room for pediatric cases undergoing MRI from 2000 to 2014. Method: From 2000 to 2014, pediatric cases administered anesthesia during MRI were retrospectively investigated. The intervention, age, weight, applied anesthesia methods and complications were recorded. During the procedure all cases had MRI-appropriate monitoring (ECG, SpO2) applied. All cases had premedication with midazolam after a vein was entered. Oxygen of 2-4 L min-1 was administered through a mask. For sedation procedures hypnotic medications of midazolam, ketamine and propofol were chosen. Before the procedure for cases with endotracheal intubation and mechanical ventilator support, general anesthesia was administered with an MRI-appropriate anesthetic device. After the procedure cases were observed for nearly 1 hour before being discharged with Aldrete score > 9. Results: Data from 1507 pediatric cases were analyzed. In this series in terms of complications 1 case had cardiac arrest, 2 cases had allergic reactions, 16 cases had desaturation, and 8 cases had vomiting. In the cardiac arrest case neurologic sequelae occurred. Conclusion: Anesthesia management for pediatric MRI requires appropriate monitoring and medication use due to lack of knowledge of diagnosis of cases, accompanying diseases like cardiac pathologies, Down Syndrome, cerebral palsy and mental retardation, properties of the environment, difficulty of airway maintenance, observing the case from an external location, and allergic reactions to chosen medications and contrast material; an experienced anesthesia team is of great importance.