ISSN: 1899-0967
Polish Journal of Radiology
Established by prof. Zygmunt Grudziński in 1926 Sun
Current issue Archive Manuscripts accepted About the journal Editorial board Abstracting and indexing Contact Instructions for authors Ethical standards and procedures
Editorial System
Submit your Manuscript
SCImago Journal & Country Rank
2017
vol. 82
 
Share:
Share:
abstract:
Original paper

Clinical Audit of Paediatric Magnetic Resonance Imaging Under Sedation at a Nigerian Tertiary Institution

Afolabi Muyiwa Owojuyigbe
,
Adeleye Dorcas Omisore
,
Anthony Taiwo Adenekan
,
Olusola Comfort Famurewa
,
Oluwagbemiga Oluwole Ayoola
,
Fredrick Andrew Attah
,
Victor Adebayo Adetiloye

Pol J Radiol, 2017; 82: 457-462
Online publish date: 2018/01/18
View full text Get citation
 
PlumX metrics:
Background: Magnetic resonance imaging (MRI) in paediatric patients requires them to be calm during the procedure to avoid motion artefacts in the acquired images. Sedation and/or anaesthesia is a way to achieve this. We evaluated all paediatric MRI sedations since installation of an MRI device in our hospital.

Material/Methods: We retrospectively reviewed 69 paediatric MRI sedations performed over a 5-year period using records of patients’ biodata, MRI date, indication, findings and scan time, sources of referral, body region scanned, type, dose, related adverse events and route of administration of sedatives as well as image quality.

Results: The median age and weight of the patients were 24 months {range of 0.3 months (10 days) to 132 months (11 years)} and 11.5 kg (range of 2.6 kg to 42 kg), respectively. Males constituted 50.7% of the patients. Most participants (94.2%) were in-patients of the hospital, mainly (60.0%) referred from the paediatric unit, with slightly over one third (36.2%) of the studies performed in 2015. The commonest indication and scanned body region were macrocephaly (18.8%) and the brain (76.8%), respectively. Hydrocephalus (17.4%) was the commonest MRI finding. Sedation was planned in 66 (95.7%) patients and was successful in 68 (98.6%). Midazolam and the IV route were the commonest sedative agent and route of administration, respectively. Image quality determined by age was fair to good in 68 (98.6%) patients with only 1 patient requiring re-scanning due to motion blur. No adverse events with sedation were recorded.

Conclusions: Midazolam via the IV route with or without oral route is the drug of choice for MRI sedation in children in our institution with a success rate of about 99%.
keywords:

Conscious Sedation • Hospitals, Pediatric • Nigeria




Quick links
© 2024 Termedia Sp. z o.o.
Developed by Bentus.