Details

Autor(en) / Beteiligte

• SANDNER-KIESLING, ANDREAS
• SCHWARZ, GERHARD
• VICENZI, MARTIN
• FALL, ASTRID
• JAMES, ROBERT L.
• EBNER, FRANZ
• LIST, WERNER F.

Titel

Side-effects after inhalational anaesthesia for paediatric cerebral magnetic resonance imaging

Ist Teil von

• Pediatric anesthesia, 2002-06, Vol.12 (5), p.429-437

Ort / Verlag

Oxford UK: Blackwell Science Ltd

Erscheinungsjahr

2002

Quelle

MEDLINE

Beschreibungen/Notizen

• Background: The aim of this study was to evaluate the type, incidence and duration of postprocedure side‐effects in 168 children within the first 72 h after inhalational anaesthesia for magnetic resonance imaging (MRI). Methods: Premedication and induction followed standardized routines. Maintenance of anaesthesia was performed with inhalational anaesthetics solely: isoflurane (n=60 of 112; 53%), sevoflurane (n=32 of 112; 29%), desflurane (n=12 of 112; 11%) or halothane (n= 8 of 112; 7%) using a strapped on face mask (FiO2=0.4; flow 5 l·min–1). When indicated, gadolinium was administered (n=45; OF 112; 40%). Results: One hundred and twelve of 168 parents (67%) responded to questionnaires. In these 112 children, pathological MR findings were found supratentorially (n=31; 28%), infratentorially (n=9; 8%), extracerebrally (n=12; 11%) or combined (n=9; 8%). In 56 of these 112 children (50%), 14 different side‐effects were reported. One hour after anaesthesia, 55 children suffered between one and four side‐effects. Neurological side‐effects were associated with age ≥ 5 years (P < 0.01) or infratentorial pathophysiology (P < 0.01) and abdominal side‐effects (P < 0.02), especially nausea (P < 0.001) with age ≥ 5 years. Conclusions: Our findings indicate the need to inform parents of the incidence and variability of side‐effects after inhalational anaesthesia for minimally invasive, diagnostic procedures, such as MRI.