Journals / Turkish Journal of Pediatrics / 2020 / Cilt: 62 - Sayı: 2

Does magnetic resonance imaging increase core body temperature in children? Results of the administration of propofol and ketofol: a randomized clinical study

Pages
224–232
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

However, temperature changes should be closely monitored in high-risk patients.

📌 3 Key Takeaways

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Objective & Hypothesis:Background and objectives.
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Key Findings & Data:Magnetic resonance imaging (MRI) may cause a temperature increase in the imaging area, while intravenous anesthetics may develop a tendency for hypothermia, especially in the pediatric population.
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Conclusion & Impact:However, temperature changes should be closely monitored in high-risk patients.
🔬Design:Research Article
📍Scope:2014 Verileri
⚙️Variables:Domain Parameters

Özet

Background and objectives. Magnetic resonance imaging (MRI) may cause a temperature increase in the imaging area, while intravenous anesthetics may develop a tendency for hypothermia, especially in the pediatric population. The effect of different anesthetics on core body temperature in children during these procedures remains controversial. We examined the effect of propofol and ketofol on core body temperatures in a pediatric population during MRI. Our hypothesis was that the increase in body temperature will be more prominent in pediatric patients receiving ketofol than in those receiving propofol. Methods. This was a randomized, prospective, double-blind study in pediatric patients aged 6 months to 10 years. The patients were American Society of Anesthesiologist (ASA) physical class I–II who had undergone MRI under anesthesia at the Cerrahpasa School of Medicine, MRI Area, between August 2014 and February 2016. Patients were assigned to one of two groups: Group I (propofol group) and Group II (ketofol group). MRIs were performed with a 1.5 Tesla (T) device. Bilateral tympanic membrane temperature measurements before and after the procedure were performed. Results. Body temperature decreased in both groups after MRI. Clinically significant hypothermia or hyperthermia was not observed in any of the patients. Conclusion. Temperature monitoring is not necessary for every patient being imaged. However, temperature changes should be closely monitored in high-risk patients.

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Cite This Article

BEYOĞLU, Ç. A., KENDİGELEN, P., BEYOĞLU, İ., ALTINDAŞ, F., KURUĞOĞLU, S., KAYA, G. (2020). Does magnetic resonance imaging increase core body temperature in children? Results of the administration of propofol and ketofol: a randomized clinical study. Turkish Journal of Pediatrics, Cilt: 62 - Sayı: 2, 224–232. https://ajindex.com/articles/411868

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References (16)

  1. Machata AM, Willschke H, Kabon B, Prayer D, Marhofer P. Effect of brain magnetic resonance imaging on body core temperature in sedated infants and children. Br J Anaesth 2009; 102: 385-389
  2. Bissonnette B, Sessler DI. Thermoregulatory thresholds for vasoconstriction in pediatric patients anesthetized with halothane or halothane and caudal bupivacaine. Anesthesiology 1992; 76: 387-389
  3. Sessler DI. Perioperative heat balance. Anesthesiology 2000; 92: 578-596
  4. Matsukawa T, Sessler DI, Sessler AM, et al. Heat flow and distribution of during induction of general anesthesia. Anesthesiology 1995; 82: 662-673
  5. Vassilieff N, Rosencher N, Sessler DI, Conseiller C, Lienhart A. Nifedipine and intraoperative core body temperature in humans. Anesthesiology 1994; 80: 123-128
  6. Kurz A, Sessler DI, Annadata R, Dechert M, Christensen R, Bjorksten AR. Midazolam minimally impairs thermoregulatory control. Anesth Analg 1995; 81: 393-398
  7. Mufti TM. Changes in body temperature during anaesthesia. J Pak Med Assoc 2002; 52: 220-224
  8. Ikeda T, Kazama T, Sessler DI, et al. Induction of anesthesia with ketamine reduces the magnitude of redistribution hypothermia. Anesth Analg 2001; 93: 934-938
  9. Isaacson DL, Yanosky DJ, Jones RA, Dennehy N, Spandorfer P, Baxter AL. Effect of MRI strength and propofol sedation on pediatric core temperature change. J Magn Reson Imaging 2011; 33: 950-956
  10. Tsui BC, Wagner A, Usher AG, Cave DA, Tang C. Combined propofol and remifentanil intravenous anesthesia for pediatric patients undergoing magnetic resonance imaging. Paediatr Anaesth 2005; 15: 397-401
  11. Kinoshita T, Suzuki M, Shimada Y, Ogawa R. Effect of low-dose ketamine on redistribution hypothermia during spinal anesthesia sedated by propofol. J Nippon Med Sch 2004; 71: 9298
  12. Thevaraja AK, Batra YK Rakesh SV, et al. Comparison of low-dose ketamine to midazolam for sedation during pediatric urodynamıc study. Pediatr Anesth 2013; 23: 415-421
  13. Acar HV, Yarkan Uysal H, Gunal Eruyar S, Dikmen B. Body temperature decreases in pediatric patients undergoing magnetic resonance imaging under general anaesthesia. 10AP3-4. Eur J Anaesthesiol 2012: 29: 160
  14. Lo C, Ormond G, McDougall R, Sheppards SJ, Davidson AJ. Effect of magnetic resonance imaging on core body temperature in anaesthetised children. Anaesth Intensive Care 2014; 42: 333-339
  15. Miller RD. Miller’s Anesthesia (8th ed). Philadelphia: Saunders, 2015: 2763
  16. Patel A, Davidson M, Aziz R, Taylor T. Pediatr