在脑磁共振成像期间,在早产婴儿的横向位置进行深度镇静:试点研究
Fabio Sbaraglia1, Simona Gaudino2, Eloisa Tiberi3
1Department of Anesthesia and Intensive Care, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy. fabio.sbaraglia@policlinicogemelli.it.
Journal of anesthesia, analgesia and critical care
|December 19, 2024
概括
在早产婴儿的MRI镇静期间侧侧定位是安全有效的. 这种方法最大限度地减少了呼吸系统事件和对平衡的影响,确保了高质量的成像,没有并发症.
科学领域:
- 新生儿护理 新生儿护理
- 儿科放射学 儿科放射学
- 镇静管理 镇静管理
背景情况:
- 在被镇静的早产婴儿中,呼吸系统不良事件很常见,可能会延长MRI扫描并影响平衡.
- 通常需要积极的气道支持,这使得易受伤害的新生儿的程序变得复杂.
研究的目的:
- 评估横向腰位置在接受MRI的早产婴儿镇静的安全性和有效性.
- 为了确定这种位置是否可以改善镇静质量,而不会影响成像结果或平衡.
主要方法:
- 一项前性,单中心研究,涉及23名早产婴儿 (<37周妊娠年龄) 接受选择性大脑MRI.
- 用西沃弗兰进行深度镇静,在横向位进行.
- 监测婴儿的呼吸暂停,脱,成像质量,手术时间和热/代谢恒温.
主要成果:
- 所有23名婴儿在30分钟内完成了MRI,没有中断.
- 只有一个婴儿 (4%) 经历过渡性不和;两个 (9%) 的呼吸暂停>20秒.
- 身体温度平均下降1°C,在1.5小时内恢复食. 图像质量被评为高.
结论:
- 侧向定位是MRI期间安静的早产婴儿的安全和可行的选择.
- 这种位置与低风险的呼吸道并发症和最小的影响在平衡.
- 可以实现高质量的成像,支持标准护理安排.
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