Development of a nurse-led sedation service for paediatric magnetic resonance imaging

Sury, Michael R. J.; Hatch, D. J.; Deeley, T. J.; Dicks‐Mireaux, C.; Chong, WK

doi:10.1016/s0140-6736(98)08383-4

Cited by 127 publications

(96 citation statements)

References 19 publications

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“…4,[5][6][7][8][9][10][11][12][13][14] Intravenous deep sedation is thus required for many of those between one and 7 years, and some older children with learning difficulties or claustrophobia. 15 Intravenous sedation is more predictable in this group as it has an immediate effect and is much less reliant on other factors such as absorption. However, it has also been suggested that there are varying levels of deep sedation at the end, which is an overlap with general anaesthesia.…”

Section: The Need For Deep Sedationmentioning

confidence: 99%

Paediatric procedural sedation for radiological imaging

Maruf¹,

Kamal²,

Islam

et al. 2014

j Bangladesh Soc Anaesthesiologists

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Sedation is frequently undertaken for radiological imaging procedures in paediatric patients. Movement during procedure degrades all images of a particular sequence. A deeper level of sedation is needed. The sedation of children is different from the sedation of adult. The safe sedation of children for imaging procedure requires a systematic approach that includes the followings. Careful presedation health evaluation of the child with ASA classification. Appropriate fasting guidelines for sedation procedure. Detailed airway examination for any airway abnormalities that might increase the potential for airway obstruction. Adequate training and skills of sedating personnel in paediatric airway management. Age and size appropriate equipment for airway management and venous access. Adequate medications to combat adverse events. Monitoring of vital parameters during and after the procedure. A properly equipped and staffed recovery area. Recovery to presedation level of consciousness of patient before discharge from medical supervision and appropriate discharge instructions. The whole procedure should be well documented. Children who have contraindications to sedation should be selected for general Anaesthesia. This review article has been made to discuss the need for sedation of children during radiological imaging, currently practiced different regimens of sedation, safe guidelines for sedation and also covers the debate between need for GA versus sedation. DOI: http://dx.doi.org/10.3329/jbsa.v24i2.19805 Journal of Bangladesh Society of Anaesthesiologists 2011; 24(2): 70-76

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Section: The Need For Deep Sedationmentioning

confidence: 99%

Paediatric procedural sedation for radiological imaging

Maruf¹,

Kamal²,

Islam

et al. 2014

j Bangladesh Soc Anaesthesiologists

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“…However, constructive discussion between anaesthetists and the other specialties performing sedation within hospitals may result in safe and workable sedation protocols that eliminate or minimise risk. The recent publication by Sury et al from Great Ormond Street demonstrates that the use of such protocols has enabled them successfully to set up and use a nurse sedation service for children undergoing MRI [13].…”

Section: Anaesthetic Practicementioning

confidence: 99%

Anaesthesia for magnetic resonance imaging: a survey of current practice in the UK and Ireland

McBrien¹,

Winder²,

Smyth

2000

Anaesthesia

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SummaryThe lack of information about standards for anaesthetic practice in magnetic resonance imaging is of concern, since increasing requests are being made for this service, often in units not designed for the purpose. An overview of current practice was sought by conducting a postal survey of magnetic resonance units in the UK and Ireland. Replies were received from 100 units (79%), 46 of which had an anaesthetic service provided. A wide diversity of practice and opinion on the conduct of anaesthesia in this field was evident from the replies received. The survey highlighted particular areas of concern about the personal safety of anaesthetists within such units, including exposure to magnetic fields, noise and unscavenged anaesthetic gases. The evidence for such concerns is reviewed.

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“…But there are no clear cut boundaries between moderate and deep sedation in all patients, particularly pediatric patients. The term sleep sedation was coined as an unarousable patient with retained breathing and airway reflexes [11] . However, some childrens, developmentally delayed or mentally challenged adults, will require additional sedation / monitored anesthesia care with intravenous (IV) anesthetics and analgesic medications.…”

mentioning

confidence: 99%