Changing the paradigm for diagnostic MRI in pediatrics: Don't hold your breath

Melissa M. Masaracchia; Michael J. Tsapakos; Nancy J. McNulty; Michael L. Beach

doi:10.1111/pan.13165

journal article May 15, 2017

Changing the paradigm for diagnostic MRI in pediatrics: Don't hold your breath

Melissa M. Masaracchia

Michael J. Tsapakos

Nancy J. McNulty Michael L. Beach

Pediatric Anesthesia Vol. 27 No. 9 pp. 880-884 · Wiley

View at Publisher Save 10.1111/pan.13165

Abstract

SummaryIncreasingly complex pediatric patients and improvements in technology warrant reevaluation of the risk associated with anesthesia for diagnostic imaging. Although magnetic resonance imaging is the imaging modality of choice for children given the potentially harmful effects of computerized tomography‐associated ionizing radiation, we dare to suggest that certain patients would benefit from the liberalization of our current standard. Incorporating the use of newer computerized tomography technology may improve safety for those that are already at higher risk for adverse events. Furthermore, magnetic resonance imaging is not risk‐free—what is often overlooked is the need for controlled ventilation and breath‐holding to minimize motion artifact. As physicians at the forefront of the development and sustainability of the perioperative surgical home, anesthesiologists must work to not only optimize patients preoperatively but should also act as gatekeepers for procedural safety.

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References

Details

Published: May 15, 2017
Vol/Issue: 27(9)
Pages: 880-884
License: View

Authors

M

Melissa M. Masaracchia

Department of Anesthesiology Geisel School of Medicine at Dartmouth Dartmouth‐Hitchcock Medical Center Lebanon NH USA

M

Michael J. Tsapakos

Department of Radiology Geisel School of Medicine at Dartmouth Dartmouth‐Hitchcock Medical Center Lebanon NH USA

N

Nancy J. McNulty

Department of Radiology Geisel School of Medicine at Dartmouth Dartmouth‐Hitchcock Medical Center Lebanon NH USA

M

Michael L. Beach

Department of Anesthesiology Geisel School of Medicine at Dartmouth Dartmouth‐Hitchcock Medical Center Lebanon NH USA; Department of Pediatrics Geisel School of Medicine at Dartmouth Dartmouth‐Hitchcock Medical Center Lebanon NH USA

Funding

departmental resources

Cite This Article

Melissa M. Masaracchia, Michael J. Tsapakos, Nancy J. McNulty, et al. (2017). Changing the paradigm for diagnostic MRI in pediatrics: Don't hold your breath. Pediatric Anesthesia, 27(9), 880-884. https://doi.org/10.1111/pan.13165

Changing the paradigm for diagnostic MRI in pediatrics: Don't hold your breath

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