Atelectasis on pediatric chest CT : comparison of sedation techniques
A change in practice at our institution resulted in increased use of anesthesia for CT scan of the chest in children who required sedation. To determine whether there is a difference in the frequency or severity of pulmonary atelectasis on CT scan in children sedated by anesthesiologists compared wi...
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| Veröffentlicht in: | Pediatric radiology 1999-07, Vol.29 (7), p.509-513 |
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| creator | SARGENT, M. A MCEACHERN, A. M JAMIESON, D. H KAHWAJI, R |
| description | A change in practice at our institution resulted in increased use of anesthesia for CT scan of the chest in children who required sedation.
To determine whether there is a difference in the frequency or severity of pulmonary atelectasis on CT scan in children sedated by anesthesiologists compared with children sedated by radiologists using intravenous pentobarbital.
Retrospective blinded review of 60 CT scans of the chest performed in 41 children. Forty-one studies in children sedated by radiologists (median age 29 months) were compared with 19 studies in children sedated by anesthesiologists (median age 25 months).
Atelectasis sufficient to obscure pulmonary metastases was shown in 5 of 41 (12 %) radiology sedations and 13 of 19 (68 %) anesthesiology sedations (P < 0.01). Higher grades of atelectasis were recorded in children under anesthesia (P < 0.01).
Atelectasis is more frequent and more severe in children undergoing general anesthesia compared with intravenous pentobarbital sedation. Consideration should be given to the use of forced inspiration in children anesthetized for CT scan of the chest. |
| doi_str_mv | 10.1007/s002470050632 |
| format | Article |
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To determine whether there is a difference in the frequency or severity of pulmonary atelectasis on CT scan in children sedated by anesthesiologists compared with children sedated by radiologists using intravenous pentobarbital.
Retrospective blinded review of 60 CT scans of the chest performed in 41 children. Forty-one studies in children sedated by radiologists (median age 29 months) were compared with 19 studies in children sedated by anesthesiologists (median age 25 months).
Atelectasis sufficient to obscure pulmonary metastases was shown in 5 of 41 (12 %) radiology sedations and 13 of 19 (68 %) anesthesiology sedations (P < 0.01). Higher grades of atelectasis were recorded in children under anesthesia (P < 0.01).
Atelectasis is more frequent and more severe in children undergoing general anesthesia compared with intravenous pentobarbital sedation. Consideration should be given to the use of forced inspiration in children anesthetized for CT scan of the chest.</description><identifier>ISSN: 0301-0449</identifier><identifier>EISSN: 1432-1998</identifier><identifier>DOI: 10.1007/s002470050632</identifier><identifier>PMID: 10398785</identifier><identifier>CODEN: PDRYA5</identifier><language>eng</language><publisher>Berlin: Springer</publisher><subject>Anesthesiology - methods ; Anesthetics, General - adverse effects ; Biological and medical sciences ; Child ; Humans ; Hypnotics and Sedatives - administration & dosage ; Hypnotics and Sedatives - adverse effects ; Infusions, Intravenous ; Lung Neoplasms - diagnostic imaging ; Lung Neoplasms - secondary ; Medical sciences ; Pentobarbital - administration & dosage ; Pentobarbital - adverse effects ; Pneumology ; Pulmonary Atelectasis - chemically induced ; Radiology - methods ; Respiratory system : syndromes and miscellaneous diseases ; Retrospective Studies ; Single-Blind Method ; Tomography, X-Ray Computed</subject><ispartof>Pediatric radiology, 1999-07, Vol.29 (7), p.509-513</ispartof><rights>1999 INIST-CNRS</rights><rights>Springer-Verlag Berlin Heidelberg 1999</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c345t-b0610ed47ccb31b055b820b1602b5894ea1e84b35b25c52d28953211a44c13a63</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1917198$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10398785$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>SARGENT, M. A</creatorcontrib><creatorcontrib>MCEACHERN, A. M</creatorcontrib><creatorcontrib>JAMIESON, D. H</creatorcontrib><creatorcontrib>KAHWAJI, R</creatorcontrib><title>Atelectasis on pediatric chest CT : comparison of sedation techniques</title><title>Pediatric radiology</title><addtitle>Pediatr Radiol</addtitle><description>A change in practice at our institution resulted in increased use of anesthesia for CT scan of the chest in children who required sedation.
To determine whether there is a difference in the frequency or severity of pulmonary atelectasis on CT scan in children sedated by anesthesiologists compared with children sedated by radiologists using intravenous pentobarbital.
Retrospective blinded review of 60 CT scans of the chest performed in 41 children. Forty-one studies in children sedated by radiologists (median age 29 months) were compared with 19 studies in children sedated by anesthesiologists (median age 25 months).
Atelectasis sufficient to obscure pulmonary metastases was shown in 5 of 41 (12 %) radiology sedations and 13 of 19 (68 %) anesthesiology sedations (P < 0.01). Higher grades of atelectasis were recorded in children under anesthesia (P < 0.01).
Atelectasis is more frequent and more severe in children undergoing general anesthesia compared with intravenous pentobarbital sedation. Consideration should be given to the use of forced inspiration in children anesthetized for CT scan of the chest.</description><subject>Anesthesiology - methods</subject><subject>Anesthetics, General - adverse effects</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Humans</subject><subject>Hypnotics and Sedatives - administration & dosage</subject><subject>Hypnotics and Sedatives - adverse effects</subject><subject>Infusions, Intravenous</subject><subject>Lung Neoplasms - diagnostic imaging</subject><subject>Lung Neoplasms - secondary</subject><subject>Medical sciences</subject><subject>Pentobarbital - administration & dosage</subject><subject>Pentobarbital - adverse effects</subject><subject>Pneumology</subject><subject>Pulmonary Atelectasis - chemically induced</subject><subject>Radiology - methods</subject><subject>Respiratory system : syndromes and miscellaneous diseases</subject><subject>Retrospective Studies</subject><subject>Single-Blind Method</subject><subject>Tomography, X-Ray Computed</subject><issn>0301-0449</issn><issn>1432-1998</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNpV0E1LAzEQBuAgiq3Vo1dZxOvqTD52E29lqR9Q8FLPS5LN0pR2d03Sg__eLS2opxmYh3fgJeQW4REByqcIQHkJIKBg9IxMkTOao1LynEyBAebAuZqQqxg3AMAEsksyQWBKllJMyWKe3NbZpKOPWd9lg2u8TsHbzK5dTFm1yp4z2-8GHXwc732bRdfo5Mc9Obvu_NfexWty0eptdDenOSOfL4tV9ZYvP17fq_kyt4yLlBsoEFzDS2sNQwNCGEnBYAHUCKm40-gkN0wYKqygDZVKMIqoObfIdMFm5P6YO4T-8DfVm34fuvFlTSktRCGLA8qPyIY-xuDaegh-p8N3jVAfOqv_dTb6u1Po3uxc80cfSxrBwwnoaPW2DbqzPv46hSUqyX4AsThxEQ</recordid><startdate>19990701</startdate><enddate>19990701</enddate><creator>SARGENT, M. 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A</au><au>MCEACHERN, A. M</au><au>JAMIESON, D. H</au><au>KAHWAJI, R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Atelectasis on pediatric chest CT : comparison of sedation techniques</atitle><jtitle>Pediatric radiology</jtitle><addtitle>Pediatr Radiol</addtitle><date>1999-07-01</date><risdate>1999</risdate><volume>29</volume><issue>7</issue><spage>509</spage><epage>513</epage><pages>509-513</pages><issn>0301-0449</issn><eissn>1432-1998</eissn><coden>PDRYA5</coden><abstract>A change in practice at our institution resulted in increased use of anesthesia for CT scan of the chest in children who required sedation.
To determine whether there is a difference in the frequency or severity of pulmonary atelectasis on CT scan in children sedated by anesthesiologists compared with children sedated by radiologists using intravenous pentobarbital.
Retrospective blinded review of 60 CT scans of the chest performed in 41 children. Forty-one studies in children sedated by radiologists (median age 29 months) were compared with 19 studies in children sedated by anesthesiologists (median age 25 months).
Atelectasis sufficient to obscure pulmonary metastases was shown in 5 of 41 (12 %) radiology sedations and 13 of 19 (68 %) anesthesiology sedations (P < 0.01). Higher grades of atelectasis were recorded in children under anesthesia (P < 0.01).
Atelectasis is more frequent and more severe in children undergoing general anesthesia compared with intravenous pentobarbital sedation. Consideration should be given to the use of forced inspiration in children anesthetized for CT scan of the chest.</abstract><cop>Berlin</cop><pub>Springer</pub><pmid>10398785</pmid><doi>10.1007/s002470050632</doi><tpages>5</tpages></addata></record> |
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| identifier | ISSN: 0301-0449 |
| ispartof | Pediatric radiology, 1999-07, Vol.29 (7), p.509-513 |
| issn | 0301-0449 1432-1998 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Anesthesiology - methods Anesthetics, General - adverse effects Biological and medical sciences Child Humans Hypnotics and Sedatives - administration & dosage Hypnotics and Sedatives - adverse effects Infusions, Intravenous Lung Neoplasms - diagnostic imaging Lung Neoplasms - secondary Medical sciences Pentobarbital - administration & dosage Pentobarbital - adverse effects Pneumology Pulmonary Atelectasis - chemically induced Radiology - methods Respiratory system : syndromes and miscellaneous diseases Retrospective Studies Single-Blind Method Tomography, X-Ray Computed |
| title | Atelectasis on pediatric chest CT : comparison of sedation techniques |
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