The choice of sedation for computed tomography in children: a prospective evaluation.

Abstract:

:A prospective study of 582 pediatric cranial computed tomographic (CT) examinations was made in order to determine the efficacy and safety of two sedation regimens and general anesthesia. Two hundred seventy-nine outpatients were randomly given oral chloral hydrate (80 mg/kg) or an intramuscular preparation composed of atropine, meperidine, promethazine, and secobarbital (AMPS). Three hundred three inpatients were randomly administered chloral hydrate, the AMPS, or endotracheal anesthesia. Intravenous supplementation of the sedation was limited by the protocol to a maximum secobarbital dosage of 2 mg/kg. An additional retrospective analysis was made of 316 scan attempts obtained outside the study during the same period. A failed CT examination was defined as one that could not be completed or one that showed motion artifacts on two or more scan pairs after two scan pair repeats. The failure rate was 15% for the chloral hydrate group and 12% for the AMPS group. No motion artifacts were present on 94% of the completed studies. There was no mortality, but major and minor complications occurred in 3.5% of the randomized group. It was concluded that each of the methods had proved acceptably safe and effective and that measures can be taken to decrease complications and sedation failures further.

journal_name

Radiology

journal_title

Radiology

authors

Thompson JR,Schneider S,Ashwal S,Holden BS,Hinshaw DB Jr,Hasso AN

doi

10.1148/radiology.143.2.7071350

subject

Has Abstract

pub_date

1982-05-01 00:00:00

pages

475-9

issue

2

eissn

0033-8419

issn

1527-1315

journal_volume

143

pub_type

临床试验,杂志文章,随机对照试验
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    abstract::Twenty-one patients with prostate cancer underwent intermittent arterial infusion chemotherapy with an implanted reservoir and alteration of the intrapelvic blood flow. One internal iliac artery was embolized with steel coils so that the drugs would perfuse throughout the tumor through a single tube. Angiography perfo...

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    doi:10.1148/radiology.185.3.1438780

    authors: Nakamura K,Takashima S,Nakatsuka H,Onoyama Y

    更新日期:1992-12-01 00:00:00

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    doi:10.1148/radiol.12120509

    authors: Genders TS,Spronk S,Stijnen T,Steyerberg EW,Lesaffre E,Hunink MG

    更新日期:2012-12-01 00:00:00

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    abstract::The concept of diffusion magnetic resonance (MR) imaging emerged in the mid-1980s, together with the first images of water diffusion in the human brain, as a way to probe tissue structure at a microscopic scale, although the images were acquired at a millimetric scale. Since then, diffusion MR imaging has become a pil...

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    doi:10.1148/radiol.2015150244

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    更新日期:2016-01-01 00:00:00

  • Reported mammographic density: film-screen versus digital acquisition.

    abstract:PURPOSE:To test the hypothesis that American College of Radiology Breast Imaging Reporting and Data System (BI-RADS) categories for breast density reported by radiologists are lower when digital mammography is used than those reported when film-screen (FS) mammography is used. MATERIALS AND METHODS:This study was inst...

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    pub_type: 杂志文章

    doi:10.1148/radiol.12120221

    authors: Harvey JA,Gard CC,Miglioretti DL,Yankaskas BC,Kerlikowske K,Buist DS,Geller BA,Onega TL,Breast Cancer Surveillance Consortium.

    更新日期:2013-03-01 00:00:00

  • Dynamic contrast-enhanced MR imaging measurement of vertebral bone marrow perfusion may be indicator of outcome of acute myeloid leukemia patients in remission.

    abstract:PURPOSE:To examine whether dynamic contrast material-enhanced (DCE) magnetic resonance (MR) imaging measurement of bone marrow perfusion in acute myeloid leukemia (AML) patients in complete remission (CR) is associated with outcome and survival. MATERIALS AND METHODS:After institutional review board approval and infor...

    journal_title:Radiology

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    doi:10.1148/radiol.10100995

    authors: Chen BB,Hsu CY,Yu CW,Hou HA,Liu CY,Wei SY,Chou WC,Tien HF,Shih TT

    更新日期:2011-03-01 00:00:00

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    abstract::High-resolution magnetic resonance (MR) images of the skin were acquired with a whole-body MR system at 1.5 T by adding a specific imaging module: A saddle-shaped surface gradient coil was connected in place of one of the gradient coils of the system, and a surface radio-frequency coil with a 1.5-cm radius was placed ...

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    pub_type: 杂志文章

    doi:10.1148/radiology.176.2.2367660

    authors: Bittoun J,Saint-Jalmes H,Querleux BG,Darrasse L,Jolivet O,Idy-Peretti I,Wartski M,Richard SB,Leveque JL

    更新日期:1990-08-01 00:00:00

  • Healing of lytic Paget bone disease with diphosphonate therapy.

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    doi:10.1148/radiology.134.3.7355210

    authors: Murphy WA,Whyte MP,Haddad JG Jr

    更新日期:1980-03-01 00:00:00

  • MR coronary angiography and late-enhancement myocardial MR in children who underwent arterial switch surgery for transposition of great arteries.

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    更新日期:2005-02-01 00:00:00

  • Screening for occlusive vascular disease with intraarterial DSA: preliminary experience with a high flow 4-F catheter.

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    doi:10.1148/radiology.153.3.6387800

    authors: Becker GJ,Hicks ME,Holden RW,Edwards MK,Jackson VP,Bendick PJ

    更新日期:1984-12-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1148/133.1.95

    authors: Hall BD,Spranger J

    更新日期:1979-10-01 00:00:00

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    journal_title:Radiology

    pub_type: 杂志文章,多中心研究

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    authors: Warren RM,Pointon L,Thompson D,Hoff R,Gilbert FJ,Padhani A,Easton D,Lakhani SR,Leach MO,UK Magnetic Resonance Imaging in Breast Screening (MARIBS) Study Group.

    更新日期:2005-09-01 00:00:00

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    更新日期:2006-09-01 00:00:00

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    authors: Steckel RJ

    更新日期:1976-04-01 00:00:00

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    更新日期:2008-04-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1148/15.3.730

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    更新日期:1975-06-01 00:00:00

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    abstract:PURPOSE:To evaluate diagnostic performance of three nonenhanced methods: variable-refocusing-flip angle (FA) fast spin-echo (SE)-based magnetic resonance (MR) angiography (variable FA MR) and constant-refocusing-FA fast SE-based MR angiography (constant-FA MR) and flow-sensitive dephasing (FSD)-prepared steady-state fr...

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    pub_type: 杂志文章

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    authors: Lim RP,Fan Z,Chatterji M,Baadh A,Atanasova IP,Storey P,Kim DC,Kim S,Hodnett PA,Ahmad A,Stoffel DR,Babb JS,Adelman MA,Xu J,Li D,Lee VS

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  • Prostate cancer tumor grade differentiation with dynamic contrast-enhanced MR imaging in the rat: comparison of macromolecular and small-molecular contrast media--preliminary experience.

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    doi:10.1148/radiology.213.1.r99oc43265

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    更新日期:1999-10-01 00:00:00

  • Artificially induced pneumothorax for percutaneous transthoracic radiofrequency ablation of tumors in the hepatic dome: initial experience.

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    journal_title:Radiology

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    doi:10.1148/radiol.2362040992

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  • Characterization of prostate lesions as benign or malignant at multiparametric MR imaging: comparison of three scoring systems in patients treated with radical prostatectomy.

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    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.14131584

    authors: Vaché T,Bratan F,Mège-Lechevallier F,Roche S,Rabilloud M,Rouvière O

    更新日期:2014-08-01 00:00:00

  • "Missing" femoral condyle: an unusual sequela to neonatal osteomyelitis and septic arthritis.

    abstract::Growth deformities of the distal femur and unusual gait disturbances were observed in four girls who had had neonatal osteomyelitis and septic arthritis. In each case apparent absence or hypoplasia of one of the femoral condyles, as seen on plain radiographs, was associated with marked genu varum or genu valgum. Arthr...

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    doi:10.1148/radiology.161.2.3763900

    authors: Singson RD,Berdon WE,Feldman F,Denton JR,Abramson S,Baker DH

    更新日期:1986-11-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1148/radiology.194.1.7997540

    authors: Weber TM,Sostman HD,Spritzer CE,Ballard RL,Meyer GA,Clark-Pearson DL,Soper JT

    更新日期:1995-01-01 00:00:00

  • A molded acrylic applicator guiding the peroral X-ray beam.

    abstract::An intraoral acrylic mold technique to guide and maintain beam direction during oral roentgen therapy is described. It is used in combination with the treatment cone and a lead tube and protective diaphragm for collimation of the beam. ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/118.2.471

    authors: Pantoja E,Rodriguez-Ibanez I

    更新日期:1976-02-01 00:00:00

  • Congenital heart disease in children: coronary MR angiography during systole and diastole with dual cardiac phase whole-heart imaging.

    abstract:PURPOSE:To assess the optimal timing for coronary magnetic resonance (MR) angiography in children with congenital heart disease by using dual cardiac phase whole-heart MR imaging. MATERIALS AND METHODS:The local institutional review board approved this study, and informed consent was obtained from parents or guardians...

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    pub_type: 杂志文章

    doi:10.1148/radiol.11101659

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    更新日期:2011-07-01 00:00:00

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    doi:10.1148/radiology.214.1.r00ja05231

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    更新日期:1987-11-01 00:00:00

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    doi:10.1148/radiology.161.2.3532190

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    authors: Rempp KA,Brix G,Wenz F,Becker CR,Gückel F,Lorenz WJ

    更新日期:1994-12-01 00:00:00