KMID : 1155520220170030286
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Anesthesia and Pain Medicine 2022 Volume.17 No. 3 p.286 ~ p.290
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Sedation for magnetic resonance imaging in the prone position - A report of four cases -
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Jung Jae-Woong
Kang You-Jin Chae Won-Seok Chung Yang-Hoon
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Abstract
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Background: Magnetic resonance imaging (MRI) is a useful tool, but it can be difficult to perform in those with claustrophobia as it requires being enclosed in a noisy cylindrical space. Being in the prone position is essential to spread breast tissue. However, sedation in a prone position is challenging because of the possibility of respiratory depression and the difficulty in manipulating the airway.
Case: Four patients with claustrophobia were sedated using dexmedetomidine, has minimal effect on respiration. Dexmedetomidine also enables the patient¡¯s cooperation in assuming the prone position while infusing loading time. But dexmedetomidine requires a longer time to reach moderate sedation, an intermittent bolus of midazolam was required for rapid induction of moderate sedation. All exams were conducted successfully without any complications.
Conclusions: Administering dexmedetomidine and a midazolam bolus at the appropriate dose and timing will render MRI examinations in the prone position safe and satisfactory, without respiratory complications.
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KEYWORD
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Case report, Conscious sedation, Magnetic resonance imaging, Patient safety, Prone position
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