Anaesthetic considerations for magnetic resonance imaging.
Magnetic resonance imaging (MRI) has become an increasingly popular non-invasive radiological diagnostic procedure, with several distinct advantages over computerised tomography (CT). The images are produced using a strong (1.5-Tesla) magnetic field and radiofrequency (RF) pulses. Due to the effects of the strong magnetic field, certain groups of patients with implanted ferromagnetic objects and women in their first trimester of pregnancy are precluded from undergoing MRI. While most of the patients undergo MRI awake or with light sedation, few need heavy sedation or general anaesthesia. The problems related to anaesthesia in MRI include the constant presence of a strong magnetic field, the RF pulses and their effect on the anaesthesia machine, monitoring devices, magnetically coded material, and loose ferromagnetic objects. In this article, the current availability of MRI-compatible anaesthesia machine, various monitoring devices, and safe conduct of anaesthesia during MRI for patients of all ages are discussed. In addition, the implications of the strong magnetic field on patient resuscitation inside the MRI suite and the recommended procedure for a successful outcome are outlined.
Rao
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Department of Anesthesia, Indiana University School of Medicine, Indianapolis 46202-5200.
Krishna
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D000328:Adult; D000758:Anesthesia; D000768:Anesthesia, General / Q000295:instrumentation; D001364:Awareness; D002648:Child; D016292:Procedural Sedation; D004867:Equipment Design; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008279:Magnetic Resonance Imaging / Q000009:adverse effects / Q000379:methods; D008991:Monitoring, Physiologic