Impact of audio/visual systems on pediatric sedation in magnetic resonance imaging

J Magn Reson Imaging. 2009 Sep;30(3):649-55. doi: 10.1002/jmri.21870.

Abstract

Purpose: To evaluate the use of an audio/visual (A/V) system in pediatric patients as an alternative to sedation in magnetic resonance imaging (MRI) in terms of wait times, image quality, and patient experience.

Materials and methods: Pediatric MRI examinations from April 8 to August 11, 2008 were compared to those 1 year prior to the installation of the A/V system. Data collected included age, requisition receive date, scan date, and whether sedation was used. A posttest questionnaire was used to evaluate patient experience. Image quality was assessed by two radiologists.

Results: Over the 4 months in 2008 there was an increase of 7.2% (115; P < 0.05) of pediatric patients scanned and a decrease of 15.4%, (67; P = 0.32) requiring sedation. The average sedation wait time decreased by 33% (5.8 months) (P < 0.05). Overall, the most positively affected group was the 4-10 years. The questionnaire resulted in 84% of participants expressing a positive reaction to the A/V system. Radiological evaluation revealed no changes in image quality between A/V users and sedates.

Conclusion: The A/V system was a successful method to reduce patient motion and obtain a quality diagnostic MRI without the use of sedation in pediatric patients. It provided a safer option, a positive experience, and decreased wait times.

Publication types

  • Evaluation Study

MeSH terms

  • Acoustic Stimulation / methods*
  • Adolescent
  • Age Factors
  • Analysis of Variance
  • Artifacts
  • Child
  • Child, Preschool
  • Deep Sedation / statistics & numerical data*
  • Humans
  • Infant
  • Magnetic Resonance Imaging / methods*
  • Observer Variation
  • Patient Satisfaction
  • Pediatrics / methods
  • Photic Stimulation / methods*
  • Surveys and Questionnaires
  • Time Factors
  • Video Recording / methods*