. 2017; 32(3): 141-146 | DOI: 10.5222/MMJ.2017.141 | |||
Evaluation of 865 children who underwent magnetic resonance imaging under propofol-midazolam sedationGülsen Keskin, Mine Akın, Yeşim Şenaylı, Sibel Saydam, Sengül Özmert, Devrim Tanıl Kurt, Feyza SeverUniversity of Health Sciences, Ankara Child Health and Diseases Hematology Oncology Training and Research Hospital, Department of Anesthesiology, Ankara, TurkeyImplementation of sedatives during magnetic resonance imaging (MRI) in pediatric patients is often preferred. Propofol and midazolam are mostly chosen drugs, and it is suggested that these drugs have synergistic affects. However, studies with large populations in order to observe the possible complications of this combination are very few. In this study we aimed to evaluate the effectiveness, side effects, complications of 865 children undergoing MRI with propofol-midazolam sedation. Anesthesia charts of 865 children sedated for MRI between January 2010 and December 2015 were analyzed retrospectively. Standardized sedation protocol was used. General features, demographic parameters and complications were recorded. Results were compared and discussed with literature. Median age of patients was 3.01, 2% of the patients were classified in ASA II-III risk groups. 79,9% of the patients had neurological impairment. Respiratory depression, bradycardia, allergic reactions and hiccup were recorded, and the complication rate was 1,9%. Respiratory depression was the most seen in all complications. In pediatric patients usage of a standard propofol and midazolam regime is a very effective method with few complication rate. Effectiveness was nearly 98%. Allergic reactions and hiccup were very rare. When compared with literature, it seems that complication rates and types will increase with escalating number of patients. We can also pronounce that ASA risk classification is not a predictive factor to decide for MRI examination under anesthesia. Keywords: Child, magnetic resonance imaging, midazolam, propofolPropofol-midazolam sedasyonu altında magnetik rezonans görüntüleme yapılan 865 çocuk hastanın değerlendirilmesiGülsen Keskin, Mine Akın, Yeşim Şenaylı, Sibel Saydam, Sengül Özmert, Devrim Tanıl Kurt, Feyza SeverSağlık Bilimleri Üniversitesi, Ankara Çocuk Sağlığı ve Hastalıkları Hematoloji Onkoloji Eğitim ve Araştırma Hastanesi, Anestezi Bölümü, AnkaraÖZ Gülsen Keskin, Mine Akın, Yeşim Şenaylı, Sibel Saydam, Sengül Özmert, Devrim Tanıl Kurt, Feyza Sever. Evaluation of 865 children who underwent magnetic resonance imaging under propofol-midazolam sedation. . 2017; 32(3): 141-146 Corresponding Author: Gülsen Keskin, Türkiye |
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