Literature DB >> 17425124

Nurse led sedation for paediatric MRI: progress and issues.

Claire Woodthorpe1, Angela Trigg, Gurney Alison, Mike Sury.   

Abstract

AIM: This article describes the current magnetic resonance imaging (MRI) sedation service, the role of the nurse sedationist, results of clinical audits, and future issues within MRI.
METHOD: Data from 2004 until 2006 were analysed to describe the percentage of children who were successfully sedated, and any complications. The recovery profile was investigated by a questionnaire of 100 consecutive cases.
FINDINGS: Sedation was attempted in 455 cases with chloral hydrate, and 325 with temazepam and droperidol. The success rate was 97.4 and 92.6 per cent respectively. Top-up sedation was used in 10 and 29 per cent respectively. There were seven minor incidents but none required admission. Approximately 20 per cent of children were drowsy the following day.
CONCLUSION: We believe that the success of the service depends upon three main factors: the deselection of children in whom sedation is unsafe or likely to be unsuccessful, the use of appropriate drugs in limited doses, and the training of experienced nurses.

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Year:  2007        PMID: 17425124

Source DB:  PubMed          Journal:  Paediatr Nurs        ISSN: 0962-9513


  6 in total

Review 1.  Paediatric MRI under sedation: is it necessary? What is the evidence for the alternatives?

Authors:  Andrea D Edwards; Owen J Arthurs
Journal:  Pediatr Radiol       Date:  2011-06-16

2.  Assessment of upper airway patency in spontaneously breathing non-intubated neonates and infants undergoing conventional MRI of head and neck.

Authors:  Thangamadhan Bosemani; Malvi Hemani; Angelo Cruz; Meehir Shah; Barbara Kim; Brian Gu; Soumyadipta Acharya; Robert H Allen; Thierry A G M Huisman; Utpal Bhalala
Journal:  Childs Nerv Syst       Date:  2015-06-16       Impact factor: 1.475

3.  Pediatric Sedation: Using Secondary Data to Describe Registered Nurse Practice in Radiology.

Authors:  Nancy Crego
Journal:  J Radiol Nurs       Date:  2014-12

4.  Differences in Pediatric Non-Interventional Radiology Procedural Sedation Practices and Adverse Events by Registered Nurses and Physicians.

Authors:  Nancy Crego; Marianne Baernholdt; Elizabeth Merwin
Journal:  J Pediatr Nurs       Date:  2016-10-04       Impact factor: 2.145

5.  Non-pharmacological strategies to obtain usable magnetic resonance images in non-sedated infants: Systematic review and meta-analysis.

Authors:  Elisa R Torres; Tyler A Tumey; Douglas C Dean; Wondwosen Kassahun-Yimer; Eloise D Lopez-Lambert; Mary E Hitchcock
Journal:  Int J Nurs Stud       Date:  2020-02-22       Impact factor: 5.837

6.  Local sphere-based co-registration for SAM group analysis in subjects without individual MRI.

Authors:  O Steinstraeter; Inga K Teismann; A Wollbrink; S Suntrup; K Stoeckigt; R Dziewas; C Pantev
Journal:  Exp Brain Res       Date:  2008-11-15       Impact factor: 1.972

  6 in total

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