Shah Summit,  Mcgonagill Phillip,  Hu Houchon,  Sankaran Akila,  Krishnamurthy Rajesh,  Krishnamurthy Ramkumar

Final Pr. ID: Poster #: SCI-030

The likelihood of sedation for an MRI exam in a patient under 8 years is high. Disadvantages of sedation usage include direct complications, suspected long-term effects, and higher costs. Sedation reduction techniques include the use of an MRI simulator, accelerated MRI scans, abbreviated protocols, and swaddle and sleep techniques. We evaluated the clinical image quality and cost effectiveness associated with an MRI simulator training program. Read More

Authors:  Shah Summit , Mcgonagill Phillip , Hu Houchon , Sankaran Akila , Krishnamurthy Rajesh , Krishnamurthy Ramkumar

Keywords:  MRI Sedation, Quality Improvement, Cost

Rudder Barbra,  Easley Sara,  Robinson Amie,  Nielsen David

Final Pr. ID: Poster #: SCI-012

Pediatric patients are often sedated for MRI scans to ensure images are of diagnostic quality. However, access time for MRIs requiring sedation in is often long due to high patient volumes. In 2014, an MRI Try Without (MTW) program was established at our institution to facilitate eligible patients to ‘try’ their MRI without sedation with the help of a dedicated team comprised of child life specialists (CLS), radiology nurses and scheduling as well as MRI technologists. During their MTW appointment, patients and families met with a CLS who used various preparation tools and methods, such as showing videos and pictures, utilizing a mock MRI, listening to sample noises, rehearsing laying still, and choosing a movie to watch during the MRI. The goal of this program was to decrease the wait time for obtaining an MRI, while ensuring diagnostic-quality images for the interpreting radiologist. Read More

Authors:  Rudder Barbra , Easley Sara , Robinson Amie , Nielsen David

Keywords:  Child Life, MRI Try Without Sedation, Pediatric 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

Langford Stacey,  Hess Erika,  Lenhart Carolyn,  Kapsin Kathleen

Final Pr. ID: Poster #: EDU-049

Some negative patient and family experiences at our institution relating to sedation MRI examinations were thouroughly investigated. While causes of negative experiences varied, multiple patients arrived with misconceptions and unrealistic expectations regarding their examination, particularly relating to issues of MR safety, MR incompatibility, and use of sedation. Some of these misconceptions were found to be derived from interactions with referring physicians. As our institution already has multiple practices in place for preparing and educating our sedation MRI patients and families, we instead targetted the education of our referring physicians with a comprehensive sedation MRI packet complete with additional resources for both physicians and patients. Read More

Authors:  Langford Stacey , Hess Erika , Lenhart Carolyn , Kapsin Kathleen

Keywords:  Sedation, MRI, Referring physicians, Education

Blake Crystal,  Chastain Laura

Final Pr. ID: Poster #: EDU-009 (T)

Pediatric patients five years and younger often require sedation to successfully complete CT imaging of the thorax and/or abdomen/pelvis. Sedation of pediatric patients poses certain risks and should be avoided when possible. In August of 2017, Children’s Healthcare of Atlanta installed a new CT scanner – a Siemens SOMATOM Force. The SOMATOM Force posesses a Turbo Flash mode which results in sub second scan times for CT imaging of the thorax and/or abdomen/pelvis.
Read More

Authors:  Blake Crystal , Chastain Laura

Keywords:  sedation reduction, Siemens SOMATOM Force

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

Jaimes Camilo,  Mahan Kellyn,  Machado-rivas Fedel,  Bixby Sarah,  Robertson Richard

Final Pr. ID: Paper #: 005 (S)

To report the success rate of non-sedate MRI studies in children 1-7 years of age and to evaluate clinical factors predictive of success. Read More

Authors:  Jaimes Camilo , Mahan Kellyn , Machado-rivas Fedel , Bixby Sarah , Robertson Richard

Keywords:  sedation, MRI

Harris Chris

Final Pr. ID: Poster #: SCI-001 (R)

Background: Brain MRI has become an integral tool in the diagnosis and management of neonates with possible brain injury. In a large quaternary care neonatal intensive care unit (NICU), MRIs are routinely performed for the identification of white matter lesions in preterm infants, prognostication in hypoxic ischemic encephalopathy, peri-operative evaluation of patients with meningomyeloceles and hydrocephalus among other indications. Patients are often sedated in order to obtain high quality images, but sedation comes with complications. As these studies become an integral part of our practice in the NICU, we have identified a need to minimize the use of sedation to obtain clinically acceptable neonatal brain MRIs. Read More

Authors:  Harris Chris

Keywords:  Quality Improvements, Reduce Sedation, MRI brains