Sedation and general anaesthesia in children undergoing MRI and CT: adverse events and outcomes
Quality assurance data were collected prospectively for children who were sedated (n=922) or given general anaesthesia (n=140) for magnetic resonance imaging (MRI) or computerized tomography (CT). The data included patient characteristics, concurrent medication, adequacy of sedation, adverse events...
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Published in | British journal of anaesthesia : BJA Vol. 84; no. 6; pp. 743 - 748 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
England
Elsevier Ltd
01.06.2000
Oxford University Press Oxford Publishing Limited (England) |
Subjects | |
Online Access | Get full text |
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Abstract | Quality assurance data were collected prospectively for children who were sedated (n=922) or given general anaesthesia (n=140) for magnetic resonance imaging (MRI) or computerized tomography (CT). The data included patient characteristics, concurrent medication, adequacy of sedation, adverse events and requirement for escalated care. The quality of scans was evaluated. Reasons for preselection of general anaesthesia included previously failed sedation (28%), potential for failed sedation (32%) and perceived medical risk (14%). Hypoxaemia occurred in 2.9% of sedated children, and was more common in children classified as ASA III or IV. Sedation was inadequate for 16% of children and failed in 7%. Failed sedation was associated with greater age (P=0.009), higher ASA status (P=0.04) and use of benzodiazepines as sole sedatives (P<0.03). More of the children who underwent general anaesthesia were ASA III or IV than sedated children, yet the procedure was successful in all the children who underwent general anaesthesia, with one incident of laryngospasm. Excessive motion was noted in 12% of scans of sedated children and 0.7% of those completed with general anaesthesia. We conclude that sedation of children for MRI and CT is associated with risks of hypoxaemia and of inadequate or failed sedation. These adverse events were more likely to occur in older children, those with a higher ASA status and those in whom benzodiazepines had been used as sole sedatives. For a preselected high-risk group of children, general anaesthesia may make MRI and CT scans more successful with minimal adverse events. |
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AbstractList | Quality assurance data were collected prospectively for children who were sedated (n=922) or given general anaesthesia (n=140) for magnetic resonance imaging (MRI) or computerized tomography (CT). The data included patient characteristics, concurrent medication, adequacy of sedation, adverse events and requirement for escalated care. The quality of scans was evaluated. Reasons for preselection of general anaesthesia included previously failed sedation (28%), potential for failed sedation (32%) and perceived medical risk (14%). Hypoxaemia occurred in 2.9% of sedated children, and was more common in children classified as ASA III or IV. Sedation was inadequate for 16% of children and failed in 7%. Failed sedation was associated with greater age (P=0.009), higher ASA status (P=0.04) and use of benzodiazepines as sole sedatives (P<0.03). More of the children who underwent general anaesthesia were ASA III or IV than sedated children, yet the procedure was successful in all the children who underwent general anaesthesia, with one incident of laryngospasm. Excessive motion was noted in 12% of scans of sedated children and 0.7% of those completed with general anaesthesia. We conclude that sedation of children for MRI and CT is associated with risks of hypoxaemia and of inadequate or failed sedation. These adverse events were more likely to occur in older children, those with a higher ASA status and those in whom benzodiazepines had been used as sole sedatives. For a preselected high-risk group of children, general anaesthesia may make MRI and CT scans more successful with minimal adverse events. |
Author | Voepel-Lewis, T. Malviya, S. Eldevik, O. P. Wong, J. H. Rockwell, D. T. Tait, A. R. |
Author_xml | – sequence: 1 givenname: S. surname: Malviya fullname: Malviya, S. organization: Departments of Anesthesiology and Radiology, University of Michigan Health Systems, 1500 E. Medical Center Drive, F3900 Box 0211, Ann Arbor, MI 48109-0211, USA – sequence: 2 givenname: T. surname: Voepel-Lewis fullname: Voepel-Lewis, T. organization: Departments of Anesthesiology and Radiology, University of Michigan Health Systems, 1500 E. Medical Center Drive, F3900 Box 0211, Ann Arbor, MI 48109-0211, USA – sequence: 3 givenname: O.P. surname: Eldevik fullname: Eldevik, O.P. organization: Departments of Anesthesiology and Radiology, University of Michigan Health Systems, 1500 E. Medical Center Drive, F3900 Box 0211, Ann Arbor, MI 48109-0211, USA – sequence: 4 givenname: D.T. surname: Rockwell fullname: Rockwell, D.T. organization: Departments of Anesthesiology and Radiology, University of Michigan Health Systems, 1500 E. Medical Center Drive, F3900 Box 0211, Ann Arbor, MI 48109-0211, USA – sequence: 5 givenname: J.H. surname: Wong fullname: Wong, J.H. organization: Departments of Anesthesiology and Radiology, University of Michigan Health Systems, 1500 E. Medical Center Drive, F3900 Box 0211, Ann Arbor, MI 48109-0211, USA – sequence: 6 givenname: A.R. surname: Tait fullname: Tait, A.R. organization: Departments of Anesthesiology and Radiology, University of Michigan Health Systems, 1500 E. Medical Center Drive, F3900 Box 0211, Ann Arbor, MI 48109-0211, USA |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/10895749$$D View this record in MEDLINE/PubMed |
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Keywords | hypnotics, chloral hydrate risk complications anaesthesia, paediatric |
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Notes | local:840743 ark:/67375/HXZ-F0HM0CCD-1 S. Malviya, Departments of Anesthesiology and Radiology, University of Michigan Health Systems, 1500 E. Medical Center Drive, F3900 Box 0211, Ann Arbor, MI 48109-0211, USA istex:A0C5A7FEF1449EF68CCB71EB4D6BD0CB7F0C00C5 |
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PublicationTitle | British journal of anaesthesia : BJA |
PublicationTitleAbbrev | Br. J. Anaesth |
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PublicationYear | 2000 |
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References | 10895742 - Br J Anaesth. 2000 Jun;84(6):713-4 11094604 - Br J Anaesth. 2000 Nov;85(5):803-4 11064633 - Br J Anaesth. 2000 Oct;85(4):659-60; author reply 660-1 |
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Snippet | Quality assurance data were collected prospectively for children who were sedated (n=922) or given general anaesthesia (n=140) for magnetic resonance imaging... Quality assurance data were collected prospectively for children who were sedated (n = 922) or given general anaesthesia (n = 140) for magnetic resonance... |
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SubjectTerms | Adolescent anaesthesia anaesthesia, paediatric Anesthesia, General - adverse effects Anti-Anxiety Agents - adverse effects Benzodiazepines Child Child, Preschool chloral hydrate Cohort Studies complications Conscious Sedation - adverse effects Female Humans hypnotics hypnotics, chloral hydrate Hypoxia - etiology Infant Infant, Newborn Magnetic Resonance Imaging Male paediatric Prospective Studies Quality Assurance, Health Care risk Risk Factors Tomography, X-Ray Computed Treatment Failure |
Title | Sedation and general anaesthesia in children undergoing MRI and CT: adverse events and outcomes |
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