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Paediatric anaesthesia · Jan 2019
Anesthetic considerations for magnetic resonance imaging-guided right-heart catheterization in pediatric patients: A single institution experience.
- Nina Deutsch, Jonathan Swink, Andrew J Matisoff, Laura J Olivieri, Russell R Cross, Andrew T Waberski, Chinwe Unegbu, Ileen F Cronin, Joshua P Kanter, and Jamie M Schwartz.
- Division of Anesthesiology, Pain, and Perioperative Medicine, Children's National Medical Center, Washington, District of Columbia.
- Paediatr Anaesth. 2019 Jan 1; 29 (1): 8-15.
AbstractCardiac 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.© 2018 John Wiley & Sons Ltd.
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