Objectives: Patients younger than 8 years are usually examined by cardiovascular magnetic resonance (CMR) under general anesthesia (GA) or sedation without intubation. Therefore, we sought to study the feasibility of CMR in patients aged 3 to 8 years without GA or sedation. Patients: Data sets of 71 consecutive patients aged 3 to 8 years were studied retrospectively. Design: The total cohort was divided into 2 groups: a no-GA or sedation without intubation group (no-GA or sedation) and a GA or sedation without intubation group (GA or sedation). Measurements: The patients' age, scan durations for each group, successfully answered clinical question, and number of sequences per study were compared between both groups. Main results: Scan duration in the no-GA or sedation group (n = 44) was 35 ± 20 minutes, and that in the GA or sedation group (n = 27) was 60 ± 31 minutes (P <.001). The percentage of successful reports was 95% (42/44) in the no-GA or sedation group and 89% (24 of 27) in the GA or sedation group (P =.29). Conclusion: CMR in patients aged 3 to 8 years is usually successfully feasible without GA or sedation.
Kharabish, A., Mkrtchyan, N., Meierhofer, C., Martinoff, S., Ewert, P., Stern, H., & Fratz, S. (2016). Cardiovascular magnetic resonance is successfully feasible in many patients aged 3 to 8 years without general anesthesia or sedation. Journal of Clinical Anesthesia, 34, 11–14. https://doi.org/10.1016/j.jclinane.2016.02.048