BACKGROUND: Acoustic noise may have adverse effects, even in patients under general anesthetic. OBJECTIVE: We aimed to determine the effect of headphones on sevoflurane requirements in children undergoing general anesthesia for an MRI scan. MATERIALS AND METHODS:Children scheduled for MRI were enrolled in the study. Sevoflurane was used for general anesthesia in all children. Patients were randomly divided into two groups, one to wear headphones and the other none. After reaching a predetermined end-tidal concentration, the MRI scan was initiated, and the patient was evaluated by an observer blinded to the concentration of sevoflurane. Awakening was defined as eye opening, onset of continued purposeful movement or phonation. Using the Dixon up-and-down method, each target concentration was determined by the response of the previous child in the same group. RESULTS: The study included 28 children undergoing MRI. There was a significant difference in ED50 between the two groups (0.92, 0.81-1.02, vs. 0.47, 0.42-0.63; P < 0.001). The times to spontaneous arm and leg movements, eye opening and discharge from the post-anesthesia care unit were significantly shorter in patients with headphones than in those without (P < 0.001). However, there was no difference in times to hospital discharge (P = 0.056). CONCLUSION: Noise-concealing headphones decrease inhalational anesthetic requirements and facilitate recovery. We recommend the routine use of headphones in children undergoing an MRI scan.
RCT Entities:
BACKGROUND: Acoustic noise may have adverse effects, even in patients under general anesthetic. OBJECTIVE: We aimed to determine the effect of headphones on sevoflurane requirements in children undergoing general anesthesia for an MRI scan. MATERIALS AND METHODS:Children scheduled for MRI were enrolled in the study. Sevoflurane was used for general anesthesia in all children. Patients were randomly divided into two groups, one to wear headphones and the other none. After reaching a predetermined end-tidal concentration, the MRI scan was initiated, and the patient was evaluated by an observer blinded to the concentration of sevoflurane. Awakening was defined as eye opening, onset of continued purposeful movement or phonation. Using the Dixon up-and-down method, each target concentration was determined by the response of the previous child in the same group. RESULTS: The study included 28 children undergoing MRI. There was a significant difference in ED50 between the two groups (0.92, 0.81-1.02, vs. 0.47, 0.42-0.63; P < 0.001). The times to spontaneous arm and leg movements, eye opening and discharge from the post-anesthesia care unit were significantly shorter in patients with headphones than in those without (P < 0.001). However, there was no difference in times to hospital discharge (P = 0.056). CONCLUSION: Noise-concealing headphones decrease inhalational anesthetic requirements and facilitate recovery. We recommend the routine use of headphones in children undergoing an MRI scan.
Authors: S C Brennan; W H Redd; P B Jacobsen; O Schorr; R T Heelan; G K Sze; G Krol; B E Peters; J K Morrissey Journal: Lancet Date: 1988-08-27 Impact factor: 79.321
Authors: Nora M Raschle; Michelle Lee; Roman Buechler; Joanna A Christodoulou; Maria Chang; Monica Vakil; Patrice L Stering; Nadine Gaab Journal: J Vis Exp Date: 2009-07-30 Impact factor: 1.355
Authors: Maddy Artunduaga; C Amber Liu; Cara E Morin; Suraj D Serai; Unni Udayasankar; Mary-Louise C Greer; Michael S Gee Journal: Pediatr Radiol Date: 2021-04-16