Chen Ying-Lun, Chen Chien-Chuan
Department of Anesthesiology, Mackay Memorial Hospital, Taipei, Taiwan.
Acta Paediatr Taiwan. 2007 Nov-Dec;48(6):305-8.
Sedation of children is always necessary for magnetic resonance imaging (MRI). General anesthesia may be recommended for infants and small children to protect the airway or in children who have previously failed sedation. Our practice has been to use intermittent administration of small doses of propofol.
We retrospectively reviewed the anesthesia records of all children who underwent sedation for MRI between March 2004 and March 2007.
A total of 120 children underwent sedation for MRI. Few adverse events (respiratory 3%, movement 8%) and no complications occurred during sedation. Almost all of the procedures (99%) were completed successfully.
Our experience demonstrates that intermittent administration of small doses of propofol by experienced personnel for MRI can be used safely and effectively in pediatric patients.
儿童进行磁共振成像(MRI)时总是需要镇静。对于婴儿和幼儿,可能建议采用全身麻醉以保护气道,或者用于之前镇静失败的儿童。我们的做法是间歇性给予小剂量丙泊酚。
我们回顾性分析了2004年3月至2007年3月期间所有接受MRI镇静的儿童的麻醉记录。
共有120名儿童接受了MRI镇静。镇静期间几乎没有不良事件发生(呼吸不良事件占3%,活动不良事件占8%),也没有并发症。几乎所有检查(99%)都成功完成。
我们的经验表明,经验丰富的人员对儿科患者进行MRI检查时,间歇性给予小剂量丙泊酚可安全有效地使用。