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Journals / Cukurova Medical Journal / 2022 / Cilt: 47 - Sayı: 4

Incidence of complications in anesthesia applications during magnetic resonance imaging in pediatric patients

Pediatrik hastalarda manyetik rezonans görüntüleme sırasında anestezi uygulamalarında görülen komplikasyonların insidansı

Özge ÖZEN
Filiz ÜZÜMCÜGİL
Aysun ANKAY YILBAŞ
Başak AKÇA
Heves KARAGÖZ
Pages
1455–1462
Publication Date
2022-12-28
DOI
—
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AI Summary & Key Takeaways

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

It is important to anticipate such complications and intervene in a timely manner.

📌 3 Key Takeaways

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Objective & Hypothesis:Purpose: The aim of this study was to investigate complications during sedation of pediatric patients undergoing Magnetic Resonance Imaging (MRI) to determine precautions to take to minimize complications while providing a safer environment for patients and healthcare workers.
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Key Findings & Data:Materials and Methods: The files of consecutive patients taken for 6 months in the MRI unit of our hospital were reviewed retrospectively, and a total of 122 pediatric patients were included.
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Conclusion & Impact:It is important to anticipate such complications and intervene in a timely manner.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:MRG · ameliyathane dışı anestezi · komplikasyon

Abstract

Purpose: The aim of this study was to investigate complications during sedation of pediatric patients undergoing Magnetic Resonance Imaging (MRI) to determine precautions to take to minimize complications while providing a safer environment for patients and healthcare workers. Materials and Methods: The files of consecutive patients taken for 6 months in the MRI unit of our hospital were reviewed retrospectively, and a total of 122 pediatric patients were included. Primary parameter in the study is set as peroperative and postoperative complication incidence. Interventions to treat, demographic data, ASA scores, accompanying diseases, agents and their doses for sedation, sedation and recovery time are the secondary parameters and their correlation to complication incidence is assessed. Results: Using the data of 122 patients, complication rate is found as 6.6% (8/122). During sedation, desaturation in 6, bradycardia and desaturation in 1 and airway obstruction in 1 of the patients was observed. Desaturation was seen in 2, bradycardia was seen in 1 of the patients during recovery. Use of ketamine didn’t decrease the dose of midazolam or propofol used for maintenance but decreased the dose of propofol used for induction. Conclusion: Complications may occur despite the presence of an experienced anesthesia team. It is important to anticipate such complications and intervene in a timely manner.

Özet

Amaç: Çalışmamızda, Manyetik Rezonans Görüntüleme (MRG) Ünitesi’nde anestezi altında görüntüleme yapılan pediatrik hastalarda, uygulanan sedasyona bağlı gelişen komplikasyonları inceleyip; bu komplikasyonları daha aza indirmek için gereken önlemleri tespit ederek, hasta ve sağlık personeline daha güvenli bir ortam sağlanması amaçlanmıştır. Gereç ve Yöntem: MRG Ünitesi’nde 6 ay boyunca alınan hastaların dosyaları retrospektif olarak incelenip, toplam 122 pediatrik hasta çalışmaya dahil edilmiştir. Çalışmadaki birincil parametre, peroperatif ve postoperatif komplikasyon insidansı olarak belirlenmiştir. Bu komplikasyonlara olan müdahale yöntemleri, demografik verileri, ASA skorları, eşlik eden hastalıkları, kullanılan anestezik ajanlar ve dozları, sedasyon ve derlenme süreleri ikincil parametreler olarak incelenmiş; komplikasyon insidansı ile korelasyonları değerlendirilmiştir. Bulgular: Toplam 122 hastaya ait veriler çalışmaya dahil edilmiş; komplikasyon oranı %6.6 (8/122) olarak tespit edilmiştir. Sedasyon süresince; 6 hastada desaturasyon, 1 hastada bradikardi ve desaturasyon, 1 hastada havayolu obstrüksiyonu saptanmıştır. Derlenme sırasında, 2 hastada desaturasyon, 1 hastada bradikardi gelişmiştir. Ketamin kullanılan hastalardaki diğer anestezik ajanların dozlarında herhangi bir azalma olup olmadığı incelendiğinde midazolam dozunun ve idamede kullanılan propofol dozunun azalmadığı; ancak, indüksiyonda kullanılan propofol dozunun anlamlı şekilde azaldığı görülmüştür. Sonuç: MRG için anestezi sırasında, deneyimli bir anestezi ekibinin varlığına rağmen komplikasyonlar oluşabilir. Bu tür komplikasyonların öngörülmesi ve zamanında müdahale edilebilmesi için hazırlıklı olmak önemlidir.

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Cite This Article

ÖZEN, Ö., ÜZÜMCÜGİL, F., YILBAŞ, A. A., AKÇA, B., KARAGÖZ, H. (2022). Incidence of complications in anesthesia applications during magnetic resonance imaging in pediatric patients. Cukurova Medical Journal, Cilt: 47 - Sayı: 4, 1455–1462. https://ajindex.com/articles/858397

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