Document Detail


Video viewing as an alternative to sedation for young subjects who have cardiac ultrasound examinations.
MedLine Citation:
PMID:  2278714     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Sedation is often required for extended or quantitative echocardiographic examination of young patients. To test the hypothesis that patient viewing of entertaining videotapes during echocardiographic examinations would reduce the need for sedation and that Doppler pressure gradients so obtained would correspond satisfactorily with subsequent catheterization pressure gradients, 38 patients (age, 5 to 64 months; mean age, 18.6 months) with a variety of cardiac defects were studied. Because of excessive activity, resistance, fear, or crying, all of these patients would have normally been sedated. Instead, an age-appropriate videotape was used for patient viewing. In 35 of 38 patients, complete examinations were obtained with video viewing with no sedation. Twelve study patients later underwent catheterization while receiving sedation. The Doppler pressure gradients obtained while patients were viewing videotapes corresponded well with catheterization (r = 0.94). However, those pressure gradients were higher than those obtained with catheterization (mean, 8.3 mm Hg), but there was only one significant discrepancy of 22 mm Hg. In this series, complete examinations were obtained without sedation in 92% of subjects who would have normally required sedation (p less than 0.001), with minimal reduction in the accuracy of prediction of subsequent sedated catheterization pressure gradients. This suggests that near baseline conditions existed while patients were viewing television. Video viewing during echocardiographic examinations appears to be advantageous.
Authors:
J G Stevenson; J W French; L Tenckhoff; H Maeda; S Wright; K Zamberlin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography     Volume:  3     ISSN:  0894-7317     ISO Abbreviation:  J Am Soc Echocardiogr     Publication Date:    1990 Nov-Dec
Date Detail:
Created Date:  1991-03-08     Completed Date:  1991-03-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8801388     Medline TA:  J Am Soc Echocardiogr     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  488-90     Citation Subset:  IM    
Affiliation:
Cardiac Ultrasound Laboratory, Children's Hospital, Seattle, WA 98105.
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MeSH Terms
Descriptor/Qualifier:
Child, Preschool
Echocardiography*
Heart Catheterization
Heart Defects, Congenital / ultrasonography
Humans
Hypnotics and Sedatives
Infant
Mucocutaneous Lymph Node Syndrome / ultrasonography
Patient Compliance*
Prospective Studies
Television*
Videotape Recording*
Chemical
Reg. No./Substance:
0/Hypnotics and Sedatives

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


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