Magnetresonanstomografi av barn - Alternativa metoder till sedering och generell anestesi

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Sammanfattning: Background: Sedation or general anesthesia of children in connection with MRI examina-tions should be minimized as it may cause both short-term and long-term risks. Furthermore, healthcare resources can be utilized more efficiently as examinations on children who are awake involve lower health care costs, reduced study time, and shorter stay at the hospital.Purpose: The purpose of this literature study was to investigate the methods available to re-duce the need for sedation and general anesthesia in children undergoing an MRI examina-tion.Method: Literature review of 17 articles from scientific publications via database search, Jan-uary - February 2018.Result: Four methods are identified; (1) MRI- adapted play therapy, (2) audio- and video systems, (3) natural sleep and (4) methods for achieving a sedative effect. All methods indi-cate a decreased need for sedation and general anesthesia among the population, without sig-nificant impact on image quality. However, the results are most significant for different age categories of children.Conclusion: The conclusion is that these methods are preferable to sedation or general anes-thesia in MRI examinations of children, as they do not involve the same type of risks for ad-verse events as a sedative or general anesthesia. The methods must be adapted based on the child's age and maturity level.Keywords: magnetic resonance tomography, children, methods, sedation, general anesthesia, non-sedation

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