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Master Thesis

Évaluation de la sédation pour les IRMs pédiatriques à partir d’une série de cas au sein d’une unité française de réanimation pédiatrique et d’une enquête nationale sur les pratiques anesthésiques pour les IRMs pédiatriques (DEXIRM-Survey)

Abstract : Objective: MRI requires patient’s immobility and justifies use of general anesthesia or sedation in children. Recently, national drug safety agencies have warned physicians about the risk of neurotoxicity of conventional anesthetic agents. We reported the potential usefulness of dexmedetomidine sedation for pediatric MRI and we investigated anesthetic management for pediatric MRI in France. Methods: we reported a single center experience of six pediatric patients sedated with dexmedetomidine for MRI in an emergency context. We carried out a national survey asking questions about anesthetic management for pediatric MRI in French university hospitals. Results: dexmedetomidine sedation was successful for all patients, without adverse effect. The image qualities were rated as good. General anesthesia appears to be the most used management for pediatric MRI in France with no reported use of dexmedetomidine. Conclusion: dexmedetomidine appears to be a promising alternative to general anesthesia. The use of procedural sedation remains rare in France compared to other countries.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02490756
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Submitted on : Tuesday, February 25, 2020 - 2:43:35 PM
Last modification on : Friday, October 23, 2020 - 4:57:42 PM
Long-term archiving on: : Tuesday, May 26, 2020 - 4:30:40 PM

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  • HAL Id : dumas-02490756, version 1

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Hélène Lepeltier. Évaluation de la sédation pour les IRMs pédiatriques à partir d’une série de cas au sein d’une unité française de réanimation pédiatrique et d’une enquête nationale sur les pratiques anesthésiques pour les IRMs pédiatriques (DEXIRM-Survey). Médecine humaine et pathologie. 2019. ⟨dumas-02490756⟩

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