Changing the paradigm for diagnostic MRI in pediatrics: Don't hold your breath

Paediatric Anaesthesia
Melissa M MasaracchiaMichael L Beach

Abstract

Increasingly complex pediatric patients and improvements in technology warrant reevaluation of the risk associated with anesthesia for diagnostic imaging. Although magnetic resonance imaging is the imaging modality of choice for children given the potentially harmful effects of computerized tomography-associated ionizing radiation, we dare to suggest that certain patients would benefit from the liberalization of our current standard. Incorporating the use of newer computerized tomography technology may improve safety for those that are already at higher risk for adverse events. Furthermore, magnetic resonance imaging is not risk-free-what is often overlooked is the need for controlled ventilation and breath-holding to minimize motion artifact. As physicians at the forefront of the development and sustainability of the perioperative surgical home, anesthesiologists must work to not only optimize patients preoperatively but should also act as gatekeepers for procedural safety.

References

Feb 13, 2001·AJR. American Journal of Roentgenology·D BrennerW Berdon
Apr 17, 2002·Pediatric Radiology·Thomas L Slovis, Walter E Berdon
Nov 24, 2004·Journal of Neurosurgical Anesthesiology·Torsten BirkholzBernd Schmitz
Jan 20, 2007·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Christian J KellenbergerEmanuela R Valsangiacomo Büchel
Aug 29, 2007·Radiation Research·D L PrestonK Kodama
Sep 25, 2007·Journal of Cardiovascular Magnetic Resonance : Official Journal of the Society for Cardiovascular Magnetic Resonance·Adam L DorfmanTal Geva
Jun 10, 2010·Current Opinion in Anaesthesiology·Leonie Schulte-Uentrop, Matthias S Goepfert
Apr 20, 2011·Journal of Medical Imaging and Radiation Oncology·Mark S Pearce
Apr 22, 2011·Journal of Magnetic Resonance Imaging : JMRI·Vincent WuAnthony Z Faranesh
Aug 19, 2014·Seminars in Ultrasound, CT, and MR·Joseph M RozellLindsay Fox
Nov 25, 2014·Radiology·William W Mayo-SmithWilliam Pavlicek
Mar 31, 2015·Paediatric Anaesthesia·Patricia D ScherrerUNKNOWN Pediatric Sedation Research Consortium
Jul 3, 2015·Investigative Radiology·Michael M LellMarc Kachelriess

❮ Previous
Next ❯

Citations

Feb 27, 2018·Anesthesia and Analgesia·Allan F SimpaoThienkim V Ngo
Oct 17, 2017·Paediatric Anaesthesia·Leah C TempletonT Wesley Templeton
Feb 6, 2018·Seminars in Cardiothoracic and Vascular Anesthesia·Richard J Ing, Mark D Twite
May 5, 2018·La Radiologia medica·Sergio SalernoPaolo Tomà
Oct 9, 2019·The Journal of Emergency Medicine·Brandi C BarnesCarmen Denease Sulton
Mar 13, 2021·Pediatric Radiology·Michael J Callahan, Joseph P Cravero
Aug 15, 2020·Anesthesiology Clinics·Mary Landrigan-Ossar, Christopher Tan Setiawan
Apr 27, 2021·NMR in Biomedicine·Max H C van RielMartijn A Cloos
Apr 26, 2020·Pediatrics·Pradip P KamatJoseph P Cravero

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of General Internal Medicine
Vishal Goyal, Malathi Srinivasan
Archives françaises de pédiatrie
D LallemandV Tavière
Annales de pédiatrie
J D PicardF Neftel
Revista española de anestesiología y reanimación
P Sanabria CarreteroA Lahoz Ramón
© 2022 Meta ULC. All rights reserved