Department of Pediatric Imaging, Children's Hospital of Michigan, 3901 Beaubien Blvd, Detroit, MI 48201, USA.
Pediatr Radiol. 2011 Sep;41 Suppl 2:514-6. doi: 10.1007/s00247-011-2115-2. Epub 2011 Aug 17.
Sedation and anesthesia for pediatric imaging departments has changed dramatically for the following reasons: (1) radiologists have stopped sedating patients; (2) the majority of sedations are not for CT (because of the speed of the procedure) but for MR, which lasts 45 min or greater; (3) a cadre of services--pediatricians, emergency medicine physicians, hospitalists and intensivists, as well as anesthesiologists--can provide the services. These changes have significantly influenced the type of agents utilized for sedation and anesthesia and, most important, have created operational issues for MR departments. Nevertheless, it is important for each imaging department to create a uniform approach to sedation, taking into account patient expectations, efficiency of through-put, facilities and personnel available, and institutional costs.
（1）放射科医生已经停止对患者进行镇静；（2）大多数镇静治疗不是用于 CT（由于该程序速度较快），而是用于持续时间为 45 分钟或更长时间的磁共振成像，（3）一群服务人员——儿科医生、急诊医生、医院医生和重症监护医生以及麻醉师——可以提供这些服务。这些变化显著影响了镇静和麻醉所使用的药物类型，并且最重要的是，为磁共振成像部门带来了运营问题。尽管如此，每个影像科都有必要根据患者的期望、效率、可用设施和人员以及机构成本，制定统一的镇静方法。
