Document Detail


Magnetic resonance imaging studies without sedation in the neonatal intensive care unit: safe and efficient.
MedLine Citation:
PMID:  20697244     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Use of magnetic resonance imaging (MRI) in the neonatal intensive care unit has been increasing over the past several years because of improved MRI technology and increased clinical awareness of the prognostic and diagnostic information available. Historically, the use of sedation has been the standard for achieving quality imaging without motion artifact, but it exposed the patient to risks associated with sedation medications. In an effort to obtain MRI studies with elimination of risks associated with sedation, a quality improvement project was initiated. Implementing a standardized approach utilizing a vacuum immobilizer has led to successful neonatal MRI completion without the need for sedation in 94% of study attempts. Acceptable or excellent image quality was achieved in more than 97% of attempts. Time away from the neonatal intensive care unit significantly decreased with this approach, with the mean duration of time away decreasing from 60 to 48 minutes (P < .0001). Obtaining MRI studies without sedation can be successfully implemented in a neonatal intensive care unit, nearly eliminating patient risks associated with sedation while improving utilization of hospital resources and maintaining adequate quality imaging.
Authors:
Barbara Haney; Daphne Reavey; Linda Atchison; Janice Poull; Lisa Dryer; Betsi Anderson; Tracy Sandritter; Eugenia Pallotto
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of perinatal & neonatal nursing     Volume:  24     ISSN:  1550-5073     ISO Abbreviation:  J Perinat Neonatal Nurs     Publication Date:    2010 Jul-Sep
Date Detail:
Created Date:  2010-08-10     Completed Date:  2010-12-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8801387     Medline TA:  J Perinat Neonatal Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  256-66     Citation Subset:  N    
Affiliation:
Children's Mercy Hospitals and Clinics, Kansas City, Missouri 64108, USA. bhaney@cmh.edu
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MeSH Terms
Descriptor/Qualifier:
Algorithms
Conscious Sedation / methods,  nursing*
Humans
Infant
Intensive Care Units, Neonatal*
Intensive Care, Neonatal / organization & administration*
Magnetic Resonance Imaging / methods*,  nursing*
Neonatal Nursing / education,  methods*
Nurse's Role
Practice Guidelines as Topic
Program Evaluation
Quality Assurance, Health Care

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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