Nurse‐led dexmedetomidine sedation for magnetic resonance imaging in children: a 6‐year quality improvement project-Reference-Cited by-同舟云学术

Nurse‐led dexmedetomidine sedation for magnetic resonance imaging in children: a 6‐year quality improvement project

Published:2023-01-28 Issue:5 Volume:78 Page:598-606
ISSN:0003-2409
Container-title:Anaesthesia
language:en
Short-container-title:Anaesthesia

Author:

Lin R.¹^ORCID,Lin H.²,Elder E.³,Cerullo A.⁴,Carrington A.⁴,Stuart G.¹

Affiliation:

1. Department of Anaesthesia Great Ormond Street Hospital for Children London UK

2. University of Cambridge UK

3. University College London UK

4. Department of Radiology Great Ormond Street Hospital for Children London UK

Abstract

SummaryWe aimed to safely introduce dexmedetomidine into a nurse‐led sedation service for magnetic resonance imaging in children. Secondary aims were to increase the number of children eligible for sedation and to increase the actual number of children having sedation performed by our nurse sedation team. We analysed 1768 consecutive intravenous and 219 intranasal dexmedetomidine sedation episodes in infants, children and adolescents having magnetic resonance imaging scans between March 2016 and March 2022. The overall sedation success rate was 98.4%, with a 98.9% success rate for intravenous dexmedetomidine and a 95.0% success rate for intranasal dexmedetomidine. The incidence of scan interruption during intravenous and intranasal dexmedetomidine sedation was 8.8% and 21.9%, respectively. We conclude that paediatric sedation with dexmedetomidine for magnetic resonance scanning is safe and successful.

Publisher

Wiley

Subject

Anesthesiology and Pain Medicine

Link

https://onlinelibrary.wiley.com/doi/pdf/10.1111/anae.15973

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1. Outcomes of a nurse practitioner-led, intravenous dexmedetomidine-based pediatric sedation program for Magnetic Resonance Imaging in a general hospital. A prospective observational study.;2023-08-11

2. Anesthesia for pediatric magnetic resonance imaging: a review of practices and current pathways;Current Opinion in Anaesthesiology;2023-03-17