Feed and Wrap MRI Technique in Infants
Nina K Antonov1, Carrie B Ruzal-Shapiro1, Kimberly D Morel1
11 Columbia University, New York, NY, USA.
Clinical Pediatrics
|November 23, 2016
Summary
The feed and wrap technique successfully induces sleep for infant MRI scans, avoiding sedation. However, success may be limited in preterm infants and for spine imaging.
Area of Science:
- Pediatric imaging
- Neonatal care
Background:
- Sedation and anesthesia in infants for MRI pose risks.
- The feed and wrap technique offers a non-pharmacological alternative for infant sleep induction.
Purpose of the Study:
- To evaluate the efficacy of the feed and wrap technique for infant magnetic resonance imaging (MRI) scans.
- To identify factors associated with scan success or failure.
Main Methods:
- Retrospective review of 279 feed and wrap MRI scans in infants 3 months or younger.
- Analysis of scan outcomes and patient history, including preterm birth and MRI type.
Main Results:
- 79% of scans successfully addressed the clinical question.
- Preterm birth history (OR=2.368) and spine MRI (OR=2.821) were linked to less successful outcomes.
- Only 1% of scans were technically inadequate.
Conclusions:
- The feed and wrap technique is effective for infant MRI, potentially avoiding sedation.
- Careful consideration is needed for preterm infants and those requiring spine MRI.
- Standardized techniques by experienced staff can maximize success.
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