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新生儿在进行放射学检查时不使用镇静剂。

Non-sedation of the neonate for radiologic procedures.

作者信息

Parad Richard B

机构信息

Department of Pediatric Newborn Medicine, Brigham and Women's Hospital, 75 Francis St., Rm. CWN418, Boston, MA, 02115, USA.

Department of Pediatrics, Harvard Medical School, Boston, MA, 02115, USA.

出版信息

Pediatr Radiol. 2018 Apr;48(4):524-530. doi: 10.1007/s00247-017-4002-y. Epub 2018 Mar 17.

DOI:10.1007/s00247-017-4002-y
PMID:29550867
Abstract

On Dec. 16, 2016, the U.S. Food and Drug Administration (FDA) released a warning regarding the potential neurotoxicity of anesthesia and sedation agents on the developing brain in children younger than 3 years and in women during their 3rd trimester of pregnancy. These concerns have relevance to the pediatric radiologist who must take into consideration how the child's state might impact image quality. In this review the author provides background on the special concerns in the potentially highest-risk group, pre-term and term neonates, and provides guidance and rationale for the avoidance of sedation in procedural imaging of the newborn.

摘要

2016年12月16日,美国食品药品监督管理局(FDA)发布了一项警告,指出麻醉和镇静剂对3岁以下儿童以及妊娠晚期女性发育中的大脑可能存在神经毒性。这些问题与儿科放射科医生相关,他们必须考虑儿童的状态如何影响图像质量。在本综述中,作者介绍了潜在最高风险组(早产儿和足月儿)的特殊关注点背景,并为新生儿程序性成像中避免使用镇静剂提供了指导和依据。

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本文引用的文献

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Anaesthetic considerations for surgery in newborns.新生儿手术的麻醉注意事项。
Arch Dis Child Fetal Neonatal Ed. 2017 Jul;102(4):F359-F363. doi: 10.1136/archdischild-2016-311800. Epub 2017 Mar 10.
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Anesthesia and Developing Brains - Implications of the FDA Warning.麻醉与发育中的大脑——美国食品药品监督管理局警告的影响
N Engl J Med. 2017 Mar 9;376(10):905-907. doi: 10.1056/NEJMp1700196. Epub 2017 Feb 8.
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Review of preclinical studies on pediatric general anesthesia-induced developmental neurotoxicity.小儿全身麻醉诱导发育性神经毒性的临床前研究综述
用于优化接受磁共振成像的新生儿程序性镇静的干预组合:卡塔尔的一项单中心质量改进项目
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Sedation-free pediatric [F]FDG imaging on totalbody PET/CT with the assistance of artificial intelligence.人工智能辅助下的全身 PET/CT 无镇静儿童 [F]FDG 显像。
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Intelligent ultrafast total-body PET for sedation-free pediatric [F]FDG imaging.智能超快速全身 PET 用于无镇静儿科 [F]FDG 成像。
Eur J Nucl Med Mol Imaging. 2024 Jul;51(8):2353-2366. doi: 10.1007/s00259-024-06649-2. Epub 2024 Feb 22.
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Utilization of neonatal sedation and anesthesia: an SPR survey.新生儿镇静与麻醉的应用:一项SPR调查。
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State-of-the-art review of lung imaging in cystic fibrosis with recommendations for pulmonologists and radiologists from the "iMAging managEment of cySTic fibROsis" (MAESTRO) consortium.肺囊性纤维化影像学的最新研究进展:来自“囊性纤维化的影像学管理”(MAESTRO)联合会的肺科医生和放射科医生的建议。
Eur Respir Rev. 2022 Mar 23;31(163). doi: 10.1183/16000617.0173-2021. Print 2022 Mar 31.
8
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Zhongguo Dang Dai Er Ke Za Zhi. 2022 Jan 15;24(1):14-25. doi: 10.7499/j.issn.1008-8830.2110018.
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Assessing and conveying risks and benefits of imaging in neonates using ionizing radiation and sedation/anesthesia.评估并传达新生儿使用电离辐射和镇静/麻醉进行成像的风险与益处。
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10
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Neurotoxicol Teratol. 2017 Mar-Apr;60:2-23. doi: 10.1016/j.ntt.2016.11.005. Epub 2016 Nov 18.
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Ann Transl Med. 2016 Oct;4(20):408. doi: 10.21037/atm.2016.10.43.
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Anesthesiology. 2016 Oct;125(4):667-677. doi: 10.1097/ALN.0000000000001245.