title: Nurse led sedation for paediatric MRI: progress and issues.
abstract: OBJECTIVE
  This article describes the current magnetic resonance imaging (MRI) sedation service, the role of the nurse sedationist, results of clinical audits, and future issues within MRI.
  
  
  METHODS
  Data from 2004 until 2006 were analysed to describe the percentage of children who were successfully sedated, and any complications. The recovery profile was investigated by a questionnaire of 100 consecutive cases.
  
  
  RESULTS
  Sedation was attempted in 455 cases with chloral hydrate, and 325 with temazepam and droperidol. The success rate was 97.4 and 92.6 per cent respectively. Top-up sedation was used in 10 and 29 per cent respectively. There were seven minor incidents but none required admission. Approximately 20 per cent of children were drowsy the following day.
  
  
  CONCLUSIONS
  We believe that the success of the service depends upon three main factors: the deselection of children in whom sedation is unsafe or likely to be unsuccessful, the use of appropriate drugs in limited doses, and the training of experienced nurses.
authors.affiliation: Department of Radiology, Great Ormond Street Hospital for Children NHS Trust, London, UK. claire.woodthorpe@kch.nhs.uk
authors.forename: Claire
authors.initials: C
authors.lastname: Woodthorpe
authors.forename: Angela
authors.initials: A
authors.lastname: Trigg
authors.forename: Gurney
authors.initials: G
authors.lastname: Alison
authors.forename: Mike
authors.initials: M
authors.lastname: Sury
mesh_terms: D000759:Adjuvants, Anesthesia / Q000627:therapeutic use; D002648:Child; D002697:Chloral Hydrate / Q000627:therapeutic use; D002985:Clinical Protocols; D016292:Procedural Sedation / Q000009:adverse effects / Q000379:methods / Q000451:nursing*; D004329:Droperidol / Q000627:therapeutic use; D016903:Drug Monitoring / Q000451:nursing; D004359:Drug Therapy, Combination; D004509:Education, Nursing, Continuing; D006801:Humans; D006993:Hypnotics and Sedatives / Q000627:therapeutic use; D007318:Inservice Training; D007857:Leadership; D008131:London; D008279:Magnetic Resonance Imaging / Q000451:nursing*; D024802:Nurse's Role; D009730:Nursing Assessment; D009731:Nursing Audit; D015403:Nursing Evaluation Research; D010351:Patient Discharge; D010371:Pediatric Nursing / Q000193:education / Q000458:organization & administration*; D017009:Professional Autonomy; D012449:Safety; D013693:Temazepam / Q000627:therapeutic use
chemical_list: D000759:Adjuvants, Anesthesia; D006993:Hypnotics and Sedatives; D002697:Chloral Hydrate; D013693:Temazepam; D004329:Droperidol