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Review article
Anesthesiology and Pain Medicine
Drug selection for sedation and general anesthesia in children undergoing ambulatory magnetic resonance imaging
Sung Mee Jung
Yeungnam Univ J Med. 2020;37(3):159-168.   Published online April 17, 2020
DOI: https://doi.org/10.12701/yujm.2020.00171
  • 22,627 View
  • 454 Download
  • 45 Crossref
AbstractAbstract PDF
The demand for drug-induced sedation for magnetic resonance imaging (MRI) scans have substantially increased in response to increases in MRI utilization and growing interest in anxiety in children. Understanding the pharmacologic options for deep sedation and general anesthesia in an MRI environment is essential to achieve immobility for the successful completion of the procedure and ensure rapid and safe discharge of children undergoing ambulatory MRI. For painless diagnostic MRI, a single sedative/anesthetic agent without analgesia is safer than a combination of multiple sedatives. The traditional drugs, such as chloral hydrate, pentobarbital, midazolam, and ketamine, are still used due to the ease of administration despite low sedation success rate, prolonged recovery, and significant adverse events. Currently, dexmedetomidine, with respiratory drive preservation, and propofol, with high effectiveness and rapid recovery, are preferred for children undergoing ambulatory MRI. General anesthesia using propofol or sevoflurane can also provide predictable rapid time to readiness and scan times in infant or children with comorbidities. The selection of appropriate drugs as well as sufficient monitoring equipment are vital for effective and safe sedation and anesthesia for ambulatory pediatric MRI.

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Case Report
Nephrology
A Case of Exit-Site Infection and Abscess by Mycobacterium Abscessus in a CAPD Patient.
Sun Young Jung, Ji Hoon Na, Kyu Hyang Cho, Jong Won Park, Jun Young Do, Kyeung Woo Yun, In Wook Song, Jeong Hwan Cho, Chang Woo Son
Yeungnam Univ J Med. 2009;26(2):137-143.   Published online December 31, 2009
DOI: https://doi.org/10.12701/yujm.2009.26.2.137
  • 3,031 View
  • 8 Download
  • 2 Crossref
AbstractAbstract PDF
Nontuberculous mycobacterial infections are a rare, but clinically important cause of infections in continuous ambulatory peritoneal dialysis (CAPD) patients. This is typically suspected when a patient does not respond to treatment with the usual antibiotics. We describe here a case of Mycobacterium abscessus exit site infection with abdominal wall abscess formation that was associated with CAPD, which required peritoneal catheter removal, surgical debridement of the abscess and long term antibiotic therapy.

Citations

Citations to this article as recorded by  
  • A Case Report ofMycobacterium abscessusPeritonitis in a Patient on Continuous Ambulatory Peritoneal Dialysis
    Seon Joo Kang, Heungsoo Kim, Kyoung Un Park, Young Ae Lim, Wee Gyo Lee
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  • A Case of Continuous Ambulatory Peritonitis Dialysis Peritonitis Due toStenotrophomonas maltophiliaUsing Antibiotic Combination
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    Yeungnam University Journal of Medicine.2013; 30(2): 109.     CrossRef

JYMS : Journal of Yeungnam Medical Science
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