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Updated: May 30, 2026

Making MR Imaging Child's Play - Pediatric Neuroimaging Protocol, Guidelines and Procedure

Making MR Imaging Child's Play - Pediatric Neuroimaging Protocol, Guidelines and Procedure

Published on: July 30, 2009

Sedation and anesthesia issues in pediatric imaging.

Thomas L Slovis¹

¹Department of Pediatric Imaging, Children's Hospital of Michigan, 3901 Beaubien Blvd, Detroit, MI 48201, USA. pedradeditor@med.wayne.edu

Pediatric Radiology

|August 18, 2011

Summary

This summary is machine-generated.

Pediatric imaging sedation has shifted, with radiologists no longer sedating most patients. This impacts agent choice and operations, especially for MRI scans, necessitating a unified departmental sedation approach.

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Last Updated: May 30, 2026

Making MR Imaging Child's Play - Pediatric Neuroimaging Protocol, Guidelines and Procedure

Making MR Imaging Child's Play - Pediatric Neuroimaging Protocol, Guidelines and Procedure

Published on: July 30, 2009

Area of Science:

Pediatric Radiology
Medical Imaging
Anesthesiology

Background:

Sedation and anesthesia practices in pediatric imaging have undergone significant changes.
Radiologists are increasingly delegating sedation responsibilities.
The shift impacts procedural choices, with MRI scans (≥45 min) now dominating sedation needs over faster CT scans.

Purpose of the Study:

To analyze the evolving landscape of pediatric sedation and anesthesia in imaging departments.
To identify the key drivers behind these practice changes.
To highlight the operational challenges and the need for standardized sedation protocols.

Main Methods:

Review of current trends in pediatric sedation for imaging procedures.
Analysis of the impact of changing sedation practices on different imaging modalities (CT vs. MRI).
Identification of the various medical services now involved in providing sedation.

Main Results:

Radiologists have largely ceased performing patient sedations.
MRI scans, due to their longer duration, are the primary procedures requiring sedation, unlike faster CT scans.
A multidisciplinary team, including pediatricians, emergency physicians, hospitalists, intensivists, and anesthesiologists, now provides sedation services.

Conclusions:

Dramatic shifts in pediatric imaging sedation necessitate a review of current practices.
Operational issues, particularly for MRI departments, have arisen due to these changes.
Developing a uniform, institution-specific sedation approach is crucial, considering patient factors, efficiency, resources, and costs.