TY - JOUR
T1 - Sedation and anesthesia for magnetic resonance imaging in pediatric patients
T2 - is dexmedetomidine the answer?
AU - Szmuk, Peter
AU - Steiner, Jeffrey W.
AU - Sheeran, Paul W.
AU - Farrow-Gillespie, Alan C.
AU - Ezri, Tiberiu
PY - 2007/12
Y1 - 2007/12
N2 - We reviewed the current state of knowledge regarding pediatric sedation mainly for nonpainful procedures, such as MRI studies. The increasing number of requests for pediatric sedation has triggered intense research for finding various solutions that would enable the safe administration of sedation by nonanesthesiologist physicians, supervised trained nursing personnel (CRNAs and/or RNs), or sedation teams combining different provider types. We also reviewed the current data on the use of dexmedetomidine in children, as a sedative agent in the MRI suite. Dexmedetomidine is an excellent sedative, has analgesic properties, and appears to be clinically safe from a respiratory point of view even at high doses, although instances of bradycardia and hypotension have been reported. Dexmedetomidine appears to be a promising option for sedation in the pediatric population in the MRI setting.
AB - We reviewed the current state of knowledge regarding pediatric sedation mainly for nonpainful procedures, such as MRI studies. The increasing number of requests for pediatric sedation has triggered intense research for finding various solutions that would enable the safe administration of sedation by nonanesthesiologist physicians, supervised trained nursing personnel (CRNAs and/or RNs), or sedation teams combining different provider types. We also reviewed the current data on the use of dexmedetomidine in children, as a sedative agent in the MRI suite. Dexmedetomidine is an excellent sedative, has analgesic properties, and appears to be clinically safe from a respiratory point of view even at high doses, although instances of bradycardia and hypotension have been reported. Dexmedetomidine appears to be a promising option for sedation in the pediatric population in the MRI setting.
KW - Dexmedetomidine
KW - Magnetic resonance imaging
KW - Pediatric anesthesia
KW - Sedation
UR - http://www.scopus.com/inward/record.url?scp=36649000487&partnerID=8YFLogxK
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U2 - 10.1053/j.sane.2007.09.002
DO - 10.1053/j.sane.2007.09.002
M3 - Article
AN - SCOPUS:36649000487
SN - 0277-0326
VL - 26
SP - 229
EP - 236
JO - Seminars in Anesthesia, Perioperative Medicine and Pain
JF - Seminars in Anesthesia, Perioperative Medicine and Pain
IS - 4
ER -