Incidence of Adverse Events During Propofol Sedation for Magnetic Resonance Imaging in Pediatric Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 99
- 试验地点
- 1
- 主要终点
- Hypoxemia
研究概览
简要总结
Propofol is often used for sedation in children undergoing magnetic resonance imaging. The investigators will perform a chart review of 4 month of activity (about 100 cases) and review the incidence and severity of adverse events of this sedation technique.
详细描述
Magnetic resonance imaging in children, especially under 6 years of age, is often performed under sedation. Propofol is a common drug used in this settings. In our institution, sedation is most often done by a propofol bolus of 2-5 mg/kg in order to reach a deep level of sedation as defined by Coté et al. If judged necessary by the attending anaesthesiologist, a additional propofol bolus of 0.5-1 mg/kg may be given. For longer lasting exams, the attending anaesthesiologist can chose to use a continuous infusion of propofol. The investigators will review the charts of 4 month of magnetic resonance imaging, which will give us a cohort of about 100 patients. Baseline characteristics, detailed sedation technique used will be recorded. Adverse events defined as:
- Oxygen desaturation measured by transcutaneous oximetry SpO2≤94%
- hypercapnia measure by end-tidal CO2 >45 mm Hg
- movement of the patient
Assuming a non-normal distribution (tested by a Kolmogorov-Smirnov test), variables will be reported as median and interquartile range. Statistical tests will be done by non-parametric tests, Mann Whitney U. Non continuous variables will be analyzed by a Chi-square test.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- — 至 16 Years(Child)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Pediatric patients scheduled for MRI under sedation by an anaesthesiologist
- •Age < 16 years
排除标准
- •Age > 16 years
- •Sedation performed by a non-anesthesiologist
结局指标
主要结局
Hypoxemia
时间窗: 90 minutes
Arterial desaturation defined as number of episodes with an SpO2≤94%
Hypercapnia
时间窗: 90 minutes
Hypercapnia, defined as number of episodes with an ETCO2 \> 45 mm HG
Movements
时间窗: 90 minutes
Number of patient movements interfering with the MRI exam
次要结局
未报告次要终点
研究者
Denis SCHMARTZ
Head of Anesthesiology department
Brugmann University Hospital
