Afonya Boma,  Kandil Ali,  Mahmoud Mohamed,  Das Bobby,  Fleck Robert

Final Pr. ID: Paper #: 079

Administering oral contrast less than two hours before sedation/anesthesia is often needed for computed tomography (CT) studies of the abdomen in children, but violates the American Society of Anesthesiologists (ASA) nothing-by-mouth guidelines and may increase the risk of aspiration pneumonia. ASA guidelines are based on gastric aspiration. Oral contrast is best administered 1 hour prior to imaging for optimal abdominal CT evaluation. The aim of our study was to measure residual gastric fluid volume (RGV) by CT and with manual aspiration in subjects undergoing general anesthesia (GA) less than 2 hours after oral contrast. Read More

Authors:  Afonya Boma , Kandil Ali , Mahmoud Mohamed , Das Bobby , Fleck Robert

Keywords:  Anesthesia, Enteric Contrast, Safety

Harris Chris,  Drum Elizabeth

Final Pr. ID: Poster #: SCI-002 (T)

Anesthesiologists face challenges in practicing in locations outside of the operating room. In particular when working in the MRI environment there may be unfamiliarity of the physiologic monitors and other equipment, MRI safety policies and procedures, limited access to expected equipment or additional anesthesia providers, unsure imaging protocols and positions as well as inability to rescue patients in the MRI scanner room. Read More

Authors:  Harris Chris , Drum Elizabeth

Keywords:  Anesthesia, MRI

Dillman Jonathan,  Gee Michael,  Ward Christopher,  Drum Elizabeth,  Servaes Sabah,  Jaimes Camilo,  States Lisa

Final Pr. ID: Paper #: 082

There is little data describing imaging sedation and anesthesia practice patterns in pediatric radiology. The purpose of this study was to understand current imaging sedation and anesthesia practice patterns based on a survey of member institutions of the Society of Chairs of Radiology at Children’s Hospitals (SCORCH) in conjunction with the American College of Radiology’s Pediatric Imaging Sedation and Anesthesia Committee. Read More

Authors:  Dillman Jonathan , Gee Michael , Ward Christopher , Drum Elizabeth , Servaes Sabah , Jaimes Camilo , States Lisa

Keywords:  Imaging, Anesthesia, Sedation

States Lisa,  Gee Michael,  Servaes Sabah,  Jaimes Camilo,  Ward Christopher,  Drum Elizabeth,  Dillman Jonathan

Final Pr. ID: Paper #: 084

The use of feed and swaddle (FS) technique in infants has increased in popularity due to the concern for neurotoxicity from medications used for anesthesia or sedation. The purpose for evaluating the age group < 6 months of age was to understand current imaging sedation and anesthesia practice patterns based on a survey of member institutions of the Society of Chairs of Radiology at Children’s Hospitals (SCORCH) in conjunction with the American College of Radiology’s Pediatric Imaging Sedation and Anesthesia Committee. Read More

Authors:  States Lisa , Gee Michael , Servaes Sabah , Jaimes Camilo , Ward Christopher , Drum Elizabeth , Dillman Jonathan

Keywords:  Feed and Swaddle, sedation, anesthesia

Griffin Lindsay,  Francois Christopher

Final Pr. ID: Poster #: EDU-003

The purpose of this educational presentation is to review the feed and wrap method, also known as feed and sleep, swaddle, or bundle, as an alternative to deep sedation or general anesthesia through a pictorial review of cardiac magnetic resonance (MR) studies performed using this method. The feed and wrap technique in which feeding and warmth are used to induce sleep and swaddling is used to reduce motion is described. Indications and contraindications as well risks and benefits of this method versus general anesthesia and deep sedation are discussed. Multiple examples of congenital heart disease including atrial and ventricular septal defects, atrioventricular canal defects, and double outlet right ventricle are provided, with sequences used, length of scan, and diagnostic quality also summarized. The example shown in Figures 1-3 is a 12-day-old female. The scan was completed in 12 minutes without intravenous contrast. Figure 1 is the scout image showing situs inversus. Figure 2 is a gated axial steady state free procession (SSFP) image showing a membranous ventricular septal defect (yellow arrow), an atrial septal defect (yellow arrowhead), and atrial inversion. Figure 3 is a 4D flow reconstruction showing the superior and inferior vena cava entering anatomic right atrium on the left, a right aortic arch with mirror branch pattern, and relationship to the main pulmonary artery (MPA). Read More

Authors:  Griffin Lindsay , Francois Christopher

Keywords:  Cardiac, Anesthesia, Alternative

Ngo Anh-vu,  Otto Randolph

Final Pr. ID: Poster #: EDU-043

1. To review clinical strategies for reducing the anesthesia exposure for magnetic resonance imaging exams.
2. To review magnetic resonance imaging protocols to reduce examination time. Read More

Authors:  Ngo Anh-vu , Otto Randolph

Keywords:  MRI, Anesthesia, Protocol, Sedation

Naresh Nivedita,  Browne Lorna,  Barker Alex,  Malone Ladonna,  Fujiwara Takashi,  Hulseberg-dwyer Emma,  Mcgee Janet,  Lu Quin,  Twite Mark,  Dimaria Michael,  Fonseca Brian

Final Pr. ID: Paper #: 041

Introduction: Conventional pediatric MRI acquisitions of a short axis (SA) stack for ventricular volumes typically requires one breath-hold per slice, resulting in multiple coordinated breath-holds under anesthesia to acquire the entire stack. Here, we aim to validate a compressed sensing approach to reduce breath-holding during SA balanced steady state free precession (bSSFP) cine imaging. Equivalency is tested via qualitative image scoring and global volumes compared to conventional bSSFP cine imaging. Read More

Authors:  Naresh Nivedita , Browne Lorna , Barker Alex , Malone Ladonna , Fujiwara Takashi , Hulseberg-dwyer Emma , Mcgee Janet , Lu Quin , Twite Mark , Dimaria Michael , Fonseca Brian

Keywords:  Compressed Sensing, Cardiac Function, Anesthesia