Pediatric radiology
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Pediatric radiology · May 2012
Deep sedation in pediatric imaging: efficacy and safety of intravenous chlorpromazine.
The quality of MRI and CT depends largely on immobility of the patient during the procedure, which is often difficult to achieve without sedation in children below the age of 6 years. ⋯ Intravenous chlorpromazine is safe and effective for procedural sedation in young children with cancer undergoing MRI and CT.
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Pneumatic reduction of intussusception under fluoroscopic guidance is a routine procedure. The unsedated child may resist the procedure, which may lengthen its duration and increase the radiation dose. We use deep sedation during the procedure to overcome these difficulties. ⋯ Deep sedation with propofol did not add any complication to the pneumatic reduction. The fluoroscopic time was short. The success rate of reduction was high,raising the possibility that sedation is beneficial, possibly by smooth muscle relaxation.