Gemma M, Bricchi M, Ferrazza C, Montolivo M, Regi B, Giannini A, Fiacchino F
Divisione Neuroanestesia e Neuorianimazione, Istituto Neurologico C. Besta, Milano.
Minerva Anestesiol. 1992 Jul-Aug;58(7-8):415-8.
The diffusion of magnetic resonance imaging as a powerful non-invasive diagnostic procedure has led to an increasing request for general anaesthesia in patients who cannot lie still and/or who cannot guarantee adequate spontaneous breathing during the procedure. We report our own experience in 100 patients of this kind, in whom the need for general anaesthesia was due to neurological problems and/or tender age. Anaesthesia and monitoring devices were either devoted of ferromagnetic properties (allowing their location near the patient; as the ARM-S88 portable ventilator, which we used for adult patients) or connected to the patient with long connectors (allowing their location outside the resonance magnetic field; as the Draeger-Babylog pressometric ventilator, which we used in pediatric patients). On these bases administration of intravenous (86 patients) and inhalation (14 patients) anaesthesia during magnetic resonance proved safe in our experience.
磁共振成像作为一种强大的非侵入性诊断程序的普及，导致对那些在检查过程中不能保持静止和/或不能保证充分自主呼吸的患者进行全身麻醉的需求不断增加。我们报告了我们在100例此类患者中的经验，这些患者需要全身麻醉的原因是神经问题和/或年龄小。麻醉和监测设备要么没有铁磁性（允许其放置在患者附近；如我们用于成年患者的ARM-S88便携式呼吸机），要么通过长连接器与患者相连（允许其放置在共振磁场外；如我们用于儿科患者的德尔格Babylog压力控制呼吸机）。基于这些情况，在我们的经验中，磁共振检查期间静脉麻醉（86例患者）和吸入麻醉（14例患者）的实施是安全的。
