Sedating children for mri
Conclusions: Children with A/ASD can be successfully sedated for MRIs with IV dexmedetomidine without complications. PY - 2014Y1 - 2014N2 - Objectives: Autism and autism spectrum disorders (A/ASD) represent a family of neurodevelopmental conditions that are associated with overactive, difficult-to-control behaviors.
TY - JOURT1 - Successful use of intravenous dexmedetomidine for magnetic resonance imaging sedation in autistic children AU - Ahmed, Sheikh Sohail AU - Unland, Tamara AU - Slaven, James E. Sedating these patients for magnetic resonance imaging (MRI) poses challenges.
No major complications nor unexpected hospital admissions occurred during the study period for both sedation services. The failure rate for sedation was 5% for nurses and 0% for anesthesiologists.
Discussion: In our study, nurses provided sedation for routine cases, and anesthesiologists provided sedation for more difficult cases.
Patients in both groups were sedated by an intensivist-based team with a standard plan of 2 μg/kg IV dexmedetomidine administered for 10 minutes followed by an infusion of 1 μg I kg.
The amount of IV dexmedetomidine was titrated to the deep level of sedation.
Analyses were performed using analysis of covariancemethods and generalized linear models to control for age, sex, and weight.MR compatible monitoring equipment, including pulse oximetry, capnography, electrocardiogram, and non-invasive blood pressure measuring device, were similar for both sedation services.