Nurse‐led dexmedetomidine sedation for magnetic resonance imaging in children: a 6‐year quality improvement project
Summary We aimed to safely introduce dexmedetomidine into a nurse‐led sedation service for magnetic resonance imaging in children. Secondary aims were to increase the number of children eligible for sedation and to increase the actual number of children having sedation performed by our nurse sedatio...
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| Veröffentlicht in: | Anaesthesia 2023-05, Vol.78 (5), p.598-606 |
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| creator | Lin, R. Lin, H. Elder, E. Cerullo, A. Carrington, A. Stuart, G. |
| description | Summary
We aimed to safely introduce dexmedetomidine into a nurse‐led sedation service for magnetic resonance imaging in children. Secondary aims were to increase the number of children eligible for sedation and to increase the actual number of children having sedation performed by our nurse sedation team. We analysed 1768 consecutive intravenous and 219 intranasal dexmedetomidine sedation episodes in infants, children and adolescents having magnetic resonance imaging scans between March 2016 and March 2022. The overall sedation success rate was 98.4%, with a 98.9% success rate for intravenous dexmedetomidine and a 95.0% success rate for intranasal dexmedetomidine. The incidence of scan interruption during intravenous and intranasal dexmedetomidine sedation was 8.8% and 21.9%, respectively. We conclude that paediatric sedation with dexmedetomidine for magnetic resonance scanning is safe and successful. |
| doi_str_mv | 10.1111/anae.15973 |
| format | Article |
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We aimed to safely introduce dexmedetomidine into a nurse‐led sedation service for magnetic resonance imaging in children. Secondary aims were to increase the number of children eligible for sedation and to increase the actual number of children having sedation performed by our nurse sedation team. We analysed 1768 consecutive intravenous and 219 intranasal dexmedetomidine sedation episodes in infants, children and adolescents having magnetic resonance imaging scans between March 2016 and March 2022. The overall sedation success rate was 98.4%, with a 98.9% success rate for intravenous dexmedetomidine and a 95.0% success rate for intranasal dexmedetomidine. The incidence of scan interruption during intravenous and intranasal dexmedetomidine sedation was 8.8% and 21.9%, respectively. We conclude that paediatric sedation with dexmedetomidine for magnetic resonance scanning is safe and successful.</description><identifier>ISSN: 0003-2409</identifier><identifier>EISSN: 1365-2044</identifier><identifier>DOI: 10.1111/anae.15973</identifier><identifier>PMID: 36708590</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Administration, Intranasal ; Adolescent ; Child ; Children ; Dexmedetomidine ; Humans ; Hypnotics and Sedatives ; Infant ; Intravenous administration ; Magnetic Resonance Imaging ; Nurse's Role ; paediatric ; Pediatrics ; Quality control ; Quality Improvement ; sedation</subject><ispartof>Anaesthesia, 2023-05, Vol.78 (5), p.598-606</ispartof><rights>2023 Association of Anaesthetists.</rights><rights>Copyright © 2023 Association of Anaesthetists</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2133-d45469f83683ac938eb02e601fc7af0a858593ad4c3bdf6f5be0f9a9900005023</cites><orcidid>0000-0003-3804-1994</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fanae.15973$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fanae.15973$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,1433,27924,27925,45574,45575,46409,46833</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36708590$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lin, R.</creatorcontrib><creatorcontrib>Lin, H.</creatorcontrib><creatorcontrib>Elder, E.</creatorcontrib><creatorcontrib>Cerullo, A.</creatorcontrib><creatorcontrib>Carrington, A.</creatorcontrib><creatorcontrib>Stuart, G.</creatorcontrib><title>Nurse‐led dexmedetomidine sedation for magnetic resonance imaging in children: a 6‐year quality improvement project</title><title>Anaesthesia</title><addtitle>Anaesthesia</addtitle><description>Summary
We aimed to safely introduce dexmedetomidine into a nurse‐led sedation service for magnetic resonance imaging in children. Secondary aims were to increase the number of children eligible for sedation and to increase the actual number of children having sedation performed by our nurse sedation team. We analysed 1768 consecutive intravenous and 219 intranasal dexmedetomidine sedation episodes in infants, children and adolescents having magnetic resonance imaging scans between March 2016 and March 2022. The overall sedation success rate was 98.4%, with a 98.9% success rate for intravenous dexmedetomidine and a 95.0% success rate for intranasal dexmedetomidine. The incidence of scan interruption during intravenous and intranasal dexmedetomidine sedation was 8.8% and 21.9%, respectively. We conclude that paediatric sedation with dexmedetomidine for magnetic resonance scanning is safe and successful.</description><subject>Administration, Intranasal</subject><subject>Adolescent</subject><subject>Child</subject><subject>Children</subject><subject>Dexmedetomidine</subject><subject>Humans</subject><subject>Hypnotics and Sedatives</subject><subject>Infant</subject><subject>Intravenous administration</subject><subject>Magnetic Resonance Imaging</subject><subject>Nurse's Role</subject><subject>paediatric</subject><subject>Pediatrics</subject><subject>Quality control</subject><subject>Quality Improvement</subject><subject>sedation</subject><issn>0003-2409</issn><issn>1365-2044</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtKAzEUhoMoWi8bH0AC7oSpJ5O5xV0p3kDqRtdDmpxoyjRjkxlrdz6Cz-iTGG116dnkED6-w_8TcsxgyOKcSydxyHJR8i0yYLzIkxSybJsMAIAnaQZij-yHMANgacWqXbLHixKqXMCALCe9D_j5_tGgphrf5qixa-dWW4c0oJadbR01radz-eSws4p6DK2TTiG18c-6J2odVc-20R7dBZW0iLoVSk8XvWxst4rci29fcY6uo3GboeoOyY6RTcCjzXtAHq8uH8Y3yd399e14dJeolHGe6CzPCmEqXlRcKsErnEKKBTCjSmlAVnmMwaXOFJ9qU5h8imCEFCJGhxxSfkBO1954d9Fj6OpZ23sXT9ZpKXLgKavKSJ2tKeXbEDya-sXHcH5VM6i_O66_O65_Oo7wyUbZT2Ndf-hvqRFga2BpG1z9o6pHk9HlWvoF7IOJ6w</recordid><startdate>202305</startdate><enddate>202305</enddate><creator>Lin, R.</creator><creator>Lin, H.</creator><creator>Elder, E.</creator><creator>Cerullo, A.</creator><creator>Carrington, A.</creator><creator>Stuart, G.</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7U7</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><orcidid>https://orcid.org/0000-0003-3804-1994</orcidid></search><sort><creationdate>202305</creationdate><title>Nurse‐led dexmedetomidine sedation for magnetic resonance imaging in children: a 6‐year quality improvement project</title><author>Lin, R. ; Lin, H. ; Elder, E. ; Cerullo, A. ; Carrington, A. ; Stuart, G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2133-d45469f83683ac938eb02e601fc7af0a858593ad4c3bdf6f5be0f9a9900005023</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Administration, Intranasal</topic><topic>Adolescent</topic><topic>Child</topic><topic>Children</topic><topic>Dexmedetomidine</topic><topic>Humans</topic><topic>Hypnotics and Sedatives</topic><topic>Infant</topic><topic>Intravenous administration</topic><topic>Magnetic Resonance Imaging</topic><topic>Nurse's Role</topic><topic>paediatric</topic><topic>Pediatrics</topic><topic>Quality control</topic><topic>Quality Improvement</topic><topic>sedation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lin, R.</creatorcontrib><creatorcontrib>Lin, H.</creatorcontrib><creatorcontrib>Elder, E.</creatorcontrib><creatorcontrib>Cerullo, A.</creatorcontrib><creatorcontrib>Carrington, A.</creatorcontrib><creatorcontrib>Stuart, G.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><jtitle>Anaesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lin, R.</au><au>Lin, H.</au><au>Elder, E.</au><au>Cerullo, A.</au><au>Carrington, A.</au><au>Stuart, G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nurse‐led dexmedetomidine sedation for magnetic resonance imaging in children: a 6‐year quality improvement project</atitle><jtitle>Anaesthesia</jtitle><addtitle>Anaesthesia</addtitle><date>2023-05</date><risdate>2023</risdate><volume>78</volume><issue>5</issue><spage>598</spage><epage>606</epage><pages>598-606</pages><issn>0003-2409</issn><eissn>1365-2044</eissn><abstract>Summary
We aimed to safely introduce dexmedetomidine into a nurse‐led sedation service for magnetic resonance imaging in children. Secondary aims were to increase the number of children eligible for sedation and to increase the actual number of children having sedation performed by our nurse sedation team. We analysed 1768 consecutive intravenous and 219 intranasal dexmedetomidine sedation episodes in infants, children and adolescents having magnetic resonance imaging scans between March 2016 and March 2022. The overall sedation success rate was 98.4%, with a 98.9% success rate for intravenous dexmedetomidine and a 95.0% success rate for intranasal dexmedetomidine. The incidence of scan interruption during intravenous and intranasal dexmedetomidine sedation was 8.8% and 21.9%, respectively. We conclude that paediatric sedation with dexmedetomidine for magnetic resonance scanning is safe and successful.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>36708590</pmid><doi>10.1111/anae.15973</doi><tpages>606</tpages><orcidid>https://orcid.org/0000-0003-3804-1994</orcidid></addata></record> |
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| ispartof | Anaesthesia, 2023-05, Vol.78 (5), p.598-606 |
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| subjects | Administration, Intranasal Adolescent Child Children Dexmedetomidine Humans Hypnotics and Sedatives Infant Intravenous administration Magnetic Resonance Imaging Nurse's Role paediatric Pediatrics Quality control Quality Improvement sedation |
| title | Nurse‐led dexmedetomidine sedation for magnetic resonance imaging in children: a 6‐year quality improvement project |
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