Feed and Wrap MRI Technique in Infants

Feed and Wrap MRI Technique in Infants
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DOI:
10.1177/0009922816677806
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发表时间:
2017-10-01
影响因子:
1.6
通讯作者:
Garzon, Maria C.
Garzon, Maria C.
中科院分区:
医学4区
文献类型:
--
作者:
Antonov, Nina K.;Ruzal-Shapiro, Carrie B.;Garzon, Maria C.

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喂养和包裹技术是指使用喂养和襁褓来诱导婴儿自然睡眠。它可以在磁共振成像(MRI)扫描之前使用,避免镇静或麻醉。我们对我们中心2年内3个月或3个月以下婴儿的喂养和包裹MRI扫描(279次扫描)进行了回顾性分析,以评估该技术的有效性。在审查的扫描结果中,79%解决了临床问题,20%部分解决了临床问题,1%在技术上不充分。早产史(优势比[OR] = 2.368; P = 0.032)和脊柱MRI(OR = 2.821; P = 0.001)与扫描结果不太成功相关。喂养和包裹技术可成功用于接受MRI的婴儿;然而,在早产儿和需要脊柱MRI的婴儿中可能不太成功。由有经验的人员执行的标准化技术可能会避免需要MRI的婴儿的麻醉和镇静。
The feed and wrap technique refers to the use of feeding and swaddling to induce natural sleep in infants. It can be used prior to an magnetic resonance imaging (MRI) scan, avoiding sedation or anesthesia. We performed a retrospective review of feed and wrap MRI scans in infants 3 months or younger over a 2-year period at our center (279 scans) to evaluate the efficacy of this technique. Of scan results reviewed, 79% addressed the clinical question, 20% partially addressed the clinical question, and 1% were technically inadequate. History of preterm birth (odds ratio [OR] = 2.368; P = .032) and spine MRI (OR = 2.821; P = .001) were associated with a less-successful scan outcome. The feed and wrap technique can be used successfully in infants undergoing MRI; however, it may be less successful in preterm infants and those requiring spinal MRI. A standardized technique performed by experienced personnel may avoid anesthesia and sedation in infants who require MRI.