Sedation/anaesthesia in paediatric radiology
Sedation/anaesthesia in paediatric radiology
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DOI：
10.1259/bjr/28871143
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发表时间：
2012-11-01
影响因子：
2.6
通讯作者：
Ganatra, R. H.
中科院分区：
文献类型：
--
作者：
Arlachov, Y.;Ganatra, R. H.
目的：在本文中，我们将对镇静/全身麻醉 (S/GA) 进行全面的文献综述，并讨论 S/GA 用于儿童成像的实践和选择的国际差异。方法：主要文章主要来自 PubMed、MEDLINE、ERIC、NHS Evidence 和 Cochrane 图书馆。结果：最近，儿科放射学出现了诊断和治疗程序的激增，其中一些程序要求儿童保持静止并顺从长达 1 次。 h.对于某些儿童，如果不使用镇静技术，很难甚至有时甚至不可能获得快速且高质量的图像。与任何医疗程序一样，放射实践中的 S/GA 并非没有风险，如果管理不当，可能会产生潜在的灾难性后果。为了减少放射科的并发症并保证放射科的安全，必须对儿童进行镇静前评估，获得父母/监护人的同意，在术前、术中和术后密切监测，并配备足够的设备、安全的环境和训练有素的人员。结论：虽然各国的S/GA技术、镇静药物和涉及的人员不同，但S/GA在放射科的最终目标是相同的；即为患者提供安全和舒适。知识进步：全身麻醉下对儿童进行成像已成为常规，并受到操作员的青睐，因为它可以确保患者的顺应性并提供更受控的环境。
Objectives: In this article we will give a comprehensive literature review on sedation/general anaesthesia (S/GA) and discuss the international variations in practice and options available for S/GA for imaging children.Methods: The key articles were obtained primarily from PubMed, MEDLINE, ERIC, NHS Evidence and The Cochrane Library.Results: Recently, paediatric radiology has seen a surge of diagnostic and therapeutic procedures, some of which require children to be still and compliant for up to 1 h. It is difficult and sometimes even impossible to obtain quick and high-quality images without employing sedating techniques in certain children. As with any medical procedure, S/GA in radiological practice is not without risks and can have potentially disastrous consequences if mismanaged. In order to reduce any complications and practice safety in radiological units, it is imperative to carry out pre-sedation assessments of children, obtain parental/guardian consent, monitor them closely before, during and after the procedure and have adequate equipment, a safe environment and a well-trained personnel.Conclusion: Although the S/GA techniques, sedative drugs and personnel involved vary from country to country, the ultimate goal of S/GA in radiology remains the same; namely, to provide safety and comfort for the patients.Advances in knowledge: Imaging children under general anaesthesia is becoming routine and preferred by operators because it ensures patient conformity and provides a more controlled environment.