Decrease of sedation and general anesthesia rate with distraction techniques in children during magnetic resonance imaging [Manyetik rezonans görüntülemede çocuklarda sedasyon ve genel anestezi sikliʇinin dikkat daʇitici yöntemlerle azaltilmasi]

Objective: mri in children is hard to complete with high resolution due to noise,long duration of procedure and the need to stand still. the aim of the study is to investigate the ratio of anesthesia or sedation requirement in pediatric patients following one of the psychological distraction techniques or being close to parents or with babies,breastfeeding during the mri procedure. metods: in this retrospective study we retrospectively analyzed the data of 60 patients,1 month to 4 years,who receive mri. all children were accepted into the machine with their parents. in order to reduce noise the external ear canals were plugged with cotton. toys or candies were used to distract the anxiety of children to keep them stay still. children under 12 months were breastfed and put to sleep before introducing to the mri. if all the above were unsuccessful,only then patients were sedatized or given anesthesia. results: five patients under 12 months were imaged during breast feeding and sleeping. in patients older than 12 months,36 of them (%65.5) completed the imaging without receiving anesthesia. seven of the patients (%12.7) received sedation and twelve (%21.8) received general anesthesia. sixty-five point five percent (65.5%) of patients did not receive any sedation or general anesthesia while receiving mri. conclusion: using distractive methods or being close to parents should decrease the anxiety of the children while receiving mri. with babies providing the physiological needs such as feeding should be effective to decrease the need of sedation or general anesthesia requirement in mri procedures.