Cardiovascular magnetic resonance is successfully feasible in many patients aged 3 to 8 years without general anesthesia or sedation

Cardiovascular magnetic resonance is successfully feasible in many patients aged 3 to 8 years without general anesthesia or sedation
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DOI:
10.1016/j.jclinane.2016.02.048
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发表时间:
2016-11-01
影响因子:
6.7
通讯作者:
Fratz, Sohrab
Fratz, Sohrab
中科院分区:
医学1区
文献类型:
--
作者:
Kharabish, Ahmed;Mkrtchyan, Naira;Fratz, Sohrab

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目的:年龄小于8岁的患者通常在全身麻醉(GA)或镇静不插管的情况下进行心血管磁共振(CMR)检查。因此,我们试图研究CMR在3 - 8岁无GA或镇静患者中的可行性。患者:回顾性研究了71例3 - 8岁连续患者的数据集。设计:将整个队列分为2组:无GA或镇静不插管组(无GA或镇静)和GA或镇静不插管组(GA或镇静)。测量方法:比较两组患者的年龄、每组的扫描时间、成功回答的临床问题以及每项研究的序列数量。主要结果:无GA或镇静组(n = 44)扫描时间为35 +/- 20分钟,GA或镇静组(n = 27)扫描时间为60 +/- 31分钟(P < 0.001)。无GA或镇静组的成功率为95% (42/44),GA或镇静组的成功率为89% (27 / 24)(P = 0.29)。结论:在没有GA或镇静的情况下,3 - 8岁患者的CMR通常是成功可行的。(C) 2016 Elsevier Inc.版权所有。
Objectives: Patients younger than 8 years are usually examined by cardiovascular magnetic resonance (CMR) under general anesthesia (GA) or sedation without intubation. Therefore, we sought to study the feasibility of CMR in patients aged 3 to 8 years without GA or sedation.Patients: Data sets of 71 consecutive patients aged 3 to 8 years were studied retrospectively.Design: The total cohort was divided into 2 groups: a no-GA or sedation without intubation group (no-GA or sedation) and a GA or sedation without intubation group (GA or sedation).Measurements: The patients' age, scan durations for each group, successfully answered clinical question, and number of sequences per study were compared between both groups.Main results: Scan duration in the no-GA or sedation group (n = 44) was 35 +/- 20 minutes, and that in the GA or sedation group (n = 27) was 60 +/- 31 minutes (P < .001). The percentage of successful reports was 95% (42/44) in the no-GA or sedation group and 89% (24 of 27) in the GA or sedation group (P = .29).Conclusion: CMR in patients aged 3 to 8 years is usually successfully feasible without GA or sedation. (C) 2016 Elsevier Inc. All rights reserved.