Anaesthesia for critically ill children during magnetic resonance imaging.
Magnetic resonance imaging (MRI) is becoming increasingly useful in children. Because of technical considerations and safety concerns, critically ill children have frequently been excluded from MRI. We have accomplished safely both transport and MRI in 21 patients from paediatric intensive care units (ICU). Three children were not considered appropriate for transport from the ICU to the MRI facility. All patients underwent assisted ventilation using a modified Mapleson D system. Monitoring of oxygenation, ventilation and haemodynamic state, including invasive arterial (n = 4) and intracranial pressures (n = 3) was continued successfully using routinely available equipment. All MRI studies were completed successfully with satisfactory image quality and all patients returned to the ICU in satisfactory condition. In contrast with previous reports which have excluded critically ill children, we have demonstrated that MRI may be undertaken safely and efficiently in critically ill children.
Tobin
J R
JR
Department of Anesthesiology/Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland 21205.
Spurrier
E A
EA
Wetzel
R C
RC
D000293:Adolescent; D000771:Anesthesia, Intravenous / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D000075202:Contraindications; D016638:Critical Illness; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008991:Monitoring, Physiologic / Q000379:methods; D014187:Transportation of Patients / Q000379:methods