Anesthsia for MRI.pptVIP

Anesthesia for MRI Clinical uses MRI has become one of the most important advances in diagnostic imaging since the x-ray It is especially useful for evaluating the central nervous system Also evaluate the spinal canal , cardiac chambers, traumatic muscle and ligament injuries, intrathoracic and intra-abdominal disorders Indications for anesthesia Patients must remain motionless for periods of up to 2 hours Young children Adults Painful conditions Movement disorders Claustrophobia Metal illness Serious medical prombles Traumatic injuries Ensure that patients receive a high-quality scan in a safe and efficient manner Hazards of MRi Remoteness of the location Lack of trained personnel to assist in the event of an emergency Lack of anesthetic requirements Pipeline gases, suction, waste gas exhaust capabilities Hazards of MRI Unique problem ----- powerful magnetic field Strength of static magnetic field of most MRI units ranges from 0.5~1.5 tesla, with increasing strength associated with better spatial resolution The problems of MRI scanner can be divided into five categories: Risking injury to the patient or others in the room Scissors, laryngoscopes, stylets, stethoscopes, gas cylinders, transport carts, even anesthesia machines In vivo metals: pacemakers, automatic impanted cardiac defibrillators, cochlear implants, some cerebrovascular clips Most electronic monitoring devices and anesthesia epuipment do not function properly Metal objects or electronic monitors can produce radiofrequency waves that interfere with the image Radiofrepuency energy can be absorbed by tissue or other objects and result in localized heating, particularly in a large metal prosthesis. The clinical impression is that these thermal effects are not great enough to cause tissue damage and are well tolerated Produce a loud banging sound (65~95dB) Extremely difficult to monitor heart sounds via an esophageal or precordial stethoscope Temporary or permanent hearing loss The patient and al