Journal of Regional Section of Serbian Medical Association in Zajecar

Year 2007     Volumen 32     Number 4
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UDK 616-053.2-073"2004/2007" ISSN 0350-2899, 32(2007) br.4 p.159-163
   
Original paper

Use of midazolam ketamine in deep sedation of pediatric patients during magnetic resonance imagining ambulatory practice

Aleksandra Vukotić (1), Aleksandra Živković (1), Predrag Petrović (2)
(1) SLUŽBA ANESTEZIJE I REANIMACIJE, KLINIČKO BOLNIČKI CENTAR ZEMUN-BEOGRAD, (2) DIJAGNOSTIČKI CENTAR ZEMUN, BEOGRAD

  
 

 

  
  Summary:
Magnetic resonance diagnostic procedures are very popular and common among the population of pediatric patients due to their precision and harmlessness, especially in comparison with other widely applied imaging techniques. There is only one thing that magnetic resonance imaging demands from a patient: to be extremely still and cooperative during the imaging period. Such condition can not be obtained in pediatric patients unless they are deeply sedated. Such deep sedation is challenging for the anaesthesiologist for numerous reasons: achieving deep sedation with stable hemodynamic parameters, spontaneous breathing without any assistance and sufficient airway. Once the imaging has finished, it is necessary to achieve a fast and full recovery, following which the child is discharged from hospital. It is therefore vital to have such sedation that will be fully safe not only during sedation, but also after recovery. During the period 2004 to 2007, 443 pediatric patients aged 1month-12years underwent deep sedation for magnetic resonance diagnostic procedure. The following study has proved that coadministration of midazolam and ketamine is the best choice for magnetic resonance diagnostic procedure in outpatients.
Key words: magnetic resonance imaging, children, sedation, ketamine, midazolam

Napomena: kompletan tekst na srpskom jeziku
Note: full text in Serbian		  
     
  Corresponding Address:
Aleksandra Vukotić
Služba anestezije i reanimacije KBC Zemun
Vukova 9 Zemun - Beograd
Tel: 381 11 3772692
e-mail: kbczemun@afrodita.rcub.bg.ac.yu

Paper received: 02.02.2008
Paper accepted: 19.03.2007
Published online: 24.04.2008		  
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