酮脱氧皮质酮用于先天性心脏异常综合征患儿的MRI镇静——病例系列
Ketodex for MRI sedation in syndromic children with congenital cardiac anomalies - A case series.
作者信息
Magoon Rohan, Choudhary Nitin, Wadhawan Sonia
机构信息
Department of Anaesthesia, Atal Bihari Vajpayee Institute of Medical Sciences (ABVIMS) and Dr. Ram Manohar Lohia Hospital, New Delhi, India.
Department of Anaesthesiology and Intensive Care, Maulana Azad Medical College, New Delhi, India.
出版信息
Indian J Anaesth. 2022 Jun;66(6):456-459. doi: 10.4103/ija.ija_606_21. Epub 2022 Jun 21.
Abstract
Safe paediatric sedation in a magnetic resonance imaging (MRI) suite can be challenging. The challenges intensify in uncooperative syndromic children compounded by an accentuated risk of periprocedural cardio-respiratory complications with anaesthetic sedation in this peculiarly predisposed subset. Amidst ardent debates on the ideal sedative agent for paediatric MRI, we report an encouraging application of ketamine-dexmedetomidine combination (ketodex) sedation for MRI in our case-series including syndromic children with coexistent congenital cardiac anomalies.
摘要
在磁共振成像（MRI）室中实现安全的儿科镇静具有挑战性。对于不合作的综合征患儿而言，这些挑战更加严峻，因为在这个特别易患疾病的亚组中，麻醉镇静会加剧围手术期心肺并发症的风险。在关于儿科MRI理想镇静剂的激烈辩论中，我们在病例系列中报告了氯胺酮-右美托咪定联合（氯胺酮-右美托咪定）镇静在MRI中的令人鼓舞的应用，该病例系列包括患有先天性心脏异常的综合征患儿。
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