在MRI和CT中,在6岁以下患有心脏病的儿童进行门诊镇静
Nicolas Reichl1, Elisabeth Rabl2, Nerejda Shehu1
1Congenital Heart Disease and Pediatric Cardiology, German Heart Center Munich, Technical University of Munich, Munich, Germany.
Cardiology in the young
|September 11, 2023
概括
对于患有先天性心脏病 (CHD) 的儿科患者,接受MRI或CT扫描的门诊镇静在门诊环境中是安全的. 一个经验丰富的团队和可用的医院内备份对于管理意外的气道事件至关重要.
科学领域:
- 儿科放射学 儿科放射学
- 心脏病学 心脏病学
- 麻醉学 麻醉学
背景情况:
- 儿科成像,包括MRI和CT,通常需要镇静或麻醉来减轻运动工件.
- 患有先天性心脏病 (CHD) 的儿童由于其复杂的医疗状况,对镇静提出了独特的挑战.
研究的目的:
- 评估在患有心血管疾病的儿童接受MRI或CT时的门诊镇静的安全性和可行性.
- 为了比较门诊镇静与传统的医院内管理.
主要方法:
- 一项针对91名患有心脏病的6岁以下儿童进行的前性研究,这些儿童接受了MRI或CT,并进行了门诊镇静.
- 收集的数据包括心脏病诊断,生命体征,使用的镇静剂 (midazolam,propofol,S-ketamine) 和不良事件.
- 记录了患者的人口统计和美国麻醉学会 (ASA) 的身体状况.
主要成果:
- 91名患者 (平均年龄26个月) 具有不同的ASA分类 (II-IV) 接受了镇静.
- 镇静时间各不相同:MRI的中位数为90分钟,CT的65分钟.
- 两名患者出现了严重的呼吸道阻塞,需要住院治疗,但没有任何后果就出院了;其他所有人都在同一天出院了.
结论:
- 门诊门诊镇静是儿童心脏病患者需要MRI或CT的安全和可行的选择.
- 经验丰富的镇静团队对于成功的门诊手术至关重要.
- 建议在医院内提供支持,以应对潜在的并发症.
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