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Deutsch N, Swink J, Matisoff AJ, Olivieri LJ, Cross RR, Waberski AT, Unegbu C, Cronin IF, Kanter JP, Schwartz JM. Anesthetic considerations for magnetic resonance imaging-guided right-heart catheterization in pediatric patients: A single institution experience. Paediatr Anaesth 2019; 29:8-15. [PMID: 30375141 PMCID: PMC8074513 DOI: 10.1111/pan.13512] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/04/2018] [Revised: 08/31/2018] [Accepted: 09/17/2018] [Indexed: 12/22/2022]
Abstract
Cardiac catheterization is an integral part of medical management for pediatric patients with congenital heart disease. Owing to age and lack of cooperation in children who need this procedure, general anesthesia is typically required. These patients have increased anesthesia risk secondary to cardiac pathology. Furthermore, multiple catheterization procedures result in exposure to harmful ionizing radiation. Magnetic resonance imaging-guided right-heart catheterization offers decreased radiation exposure and diagnostic imaging benefits over traditional fluoroscopy but potentially increases anesthetic complexity and risk. We describe our early experience with anesthetic techniques and challenges for pediatric magnetic resonance imaging-guided right-heart catheterization.
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Affiliation(s)
- Nina Deutsch
- Division of Anesthesiology, Pain, and Perioperative Medicine, Children’s National Medical Center, Washington, DC
| | - Jonathan Swink
- Division of Anesthesiology, Pain, and Perioperative Medicine, Children’s National Medical Center, Washington, DC
| | - Andrew J Matisoff
- Division of Anesthesiology, Pain, and Perioperative Medicine, Children’s National Medical Center, Washington, DC
| | - Laura J Olivieri
- Division of Cardiology, Children’s National Medical Center, Washington, DC
| | - Russell R Cross
- Division of Cardiology, Children’s National Medical Center, Washington, DC
| | - Andrew T Waberski
- Division of Anesthesiology, Pain, and Perioperative Medicine, Children’s National Medical Center, Washington, DC
| | - Chinwe Unegbu
- Division of Anesthesiology, Pain, and Perioperative Medicine, Children’s National Medical Center, Washington, DC
| | - Ileen F Cronin
- Division of Cardiology, Children’s National Medical Center, Washington, DC
| | - Joshua P Kanter
- Division of Cardiology, Children’s National Medical Center, Washington, DC
| | - Jamie M Schwartz
- Department of Anesthesiology and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, MD
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