Sedation/anaesthesia in paediatric radiology

Area of Science:

• Pediatric Radiology
• Anesthesiology

Background:

• Paediatric radiology procedures are increasing, often requiring prolonged patient stillness.
• Sedation/general anaesthesia (S/GA) is frequently necessary for high-quality pediatric imaging.
• S/GA in pediatric radiology carries inherent risks if not managed properly.

Purpose of the Study:

• To conduct a comprehensive literature review on sedation/general anaesthesia (S/GA) in pediatric imaging.
• To discuss international variations in S/GA practices for pediatric radiological procedures.
• To outline available options for S/GA in pediatric imaging.

Main Methods:

• Literature search conducted using PubMed, MEDLINE, ERIC, NHS Evidence, and The Cochrane Library.
• Key articles were identified and reviewed for relevant information on S/GA in pediatric radiology.

Main Results:

• Achieving optimal imaging in children often necessitates S/GA due to the need for stillness.
• Safe S/GA practice requires pre-sedation assessment, informed consent, and close patient monitoring.
• Adequate equipment, a safe environment, and trained personnel are essential for minimizing S/GA complications.

Conclusions:

• International S/GA techniques, drugs, and personnel differ, but patient safety and comfort remain the universal goals.
• Imaging children under general anaesthesia is increasingly common and preferred for ensuring patient cooperation and procedural control.