A patient care system for early 3.0 Tesla magnetic resonance imaging of very low birth weight infants.

Hdl Handle:
http://hdl.handle.net/10147/189593
Title:
A patient care system for early 3.0 Tesla magnetic resonance imaging of very low birth weight infants.
Authors:
Merchant, N; Groves, A; Larkman, D J; Counsell, S J; Thomson, M A; Doria, V; Groppo, M; Arichi, T; Foreman, S; Herlihy, D J; Hajnal, J V; Srinivasan, L; Foran, A; Rutherford, M; Edwards, A D; Boardman, J P
Affiliation:
Imaging Sciences Department, Division of Clinical Sciences, MRC Clinical Sciences Centre, Imperial College London, Hammersmith Hospital Campus, Du Cane Road, London W12 0NN, UK.
Citation:
A patient care system for early 3.0 Tesla magnetic resonance imaging of very low birth weight infants. 2009, 85 (12):779-83 Early Hum. Dev.
Journal:
Early human development
Issue Date:
Dec-2009
URI:
http://hdl.handle.net/10147/189593
DOI:
10.1016/j.earlhumdev.2009.10.007
PubMed ID:
19926413
Abstract:
Very low birth weight (VLBW) infants (weight <1500 g) are increasingly cared for without prolonged periods of positive pressure ventilation (PPV).; To develop a system for 3.0 T magnetic resonance (MR) image acquisition from VLBW infants who are not receiving PPV, and to test the clinical stability of a consecutive cohort of such infants.; Seventy VLBW infants whose median weight at image acquisition was 940 g (590-1490) underwent brain MR imaging with the developed care system as participants in research. Twenty infants (29%) received nasal continuous positive airway pressure (nCPAP), 28 (40%) received supplemental oxygen by nasal cannulae, and 22 (31%) breathed spontaneously in air during the MR examination.; There were no significant adverse events. Seventy-six percent had none or transient self-correcting oxygen desaturations. Desaturations that required interruption of the scan for assessment were less common among infants receiving nCPAP (2/20) or breathing spontaneously in air (2/22), compared with those receiving nasal cannulae oxygen (13/28), p=0.003. Sixty-four (91%) infants had an axillary temperature > or =36 degrees C at completion of the scan (lowest 35.7 degrees C), There was no relationship between weight (p=0.167) or use of nCPAP (p=0.453) and axillary temperature <36 degrees C. No infant became hyperthermic.; VLBW infants who do not require ventilation by endotracheal tube can be imaged successfully and safely at 3.0 T, including those receiving nCPAP from a customised system.
Item Type:
Article
Language:
en
MeSH:
Birth Weight; Continuity of Patient Care; Humans; Infant, Newborn; Infant, Premature; Infant, Very Low Birth Weight; Intensive Care, Neonatal; Intubation, Intratracheal; Magnetic Resonance Imaging; Oxygen Inhalation Therapy; Patient Care Team; Patient Positioning; Patient-Centered Care; Positive-Pressure Respiration; Safety
ISSN:
1872-6232

Full metadata record

DC FieldValue Language
dc.contributor.authorMerchant, Nen
dc.contributor.authorGroves, Aen
dc.contributor.authorLarkman, D Jen
dc.contributor.authorCounsell, S Jen
dc.contributor.authorThomson, M Aen
dc.contributor.authorDoria, Ven
dc.contributor.authorGroppo, Men
dc.contributor.authorArichi, Ten
dc.contributor.authorForeman, Sen
dc.contributor.authorHerlihy, D Jen
dc.contributor.authorHajnal, J Ven
dc.contributor.authorSrinivasan, Len
dc.contributor.authorForan, Aen
dc.contributor.authorRutherford, Men
dc.contributor.authorEdwards, A Den
dc.contributor.authorBoardman, J Pen
dc.date.accessioned2011-11-15T10:09:03Z-
dc.date.available2011-11-15T10:09:03Z-
dc.date.issued2009-12-
dc.identifier.citationA patient care system for early 3.0 Tesla magnetic resonance imaging of very low birth weight infants. 2009, 85 (12):779-83 Early Hum. Dev.en
dc.identifier.issn1872-6232-
dc.identifier.pmid19926413-
dc.identifier.doi10.1016/j.earlhumdev.2009.10.007-
dc.identifier.urihttp://hdl.handle.net/10147/189593-
dc.description.abstractVery low birth weight (VLBW) infants (weight <1500 g) are increasingly cared for without prolonged periods of positive pressure ventilation (PPV).-
dc.description.abstractTo develop a system for 3.0 T magnetic resonance (MR) image acquisition from VLBW infants who are not receiving PPV, and to test the clinical stability of a consecutive cohort of such infants.-
dc.description.abstractSeventy VLBW infants whose median weight at image acquisition was 940 g (590-1490) underwent brain MR imaging with the developed care system as participants in research. Twenty infants (29%) received nasal continuous positive airway pressure (nCPAP), 28 (40%) received supplemental oxygen by nasal cannulae, and 22 (31%) breathed spontaneously in air during the MR examination.-
dc.description.abstractThere were no significant adverse events. Seventy-six percent had none or transient self-correcting oxygen desaturations. Desaturations that required interruption of the scan for assessment were less common among infants receiving nCPAP (2/20) or breathing spontaneously in air (2/22), compared with those receiving nasal cannulae oxygen (13/28), p=0.003. Sixty-four (91%) infants had an axillary temperature > or =36 degrees C at completion of the scan (lowest 35.7 degrees C), There was no relationship between weight (p=0.167) or use of nCPAP (p=0.453) and axillary temperature <36 degrees C. No infant became hyperthermic.-
dc.description.abstractVLBW infants who do not require ventilation by endotracheal tube can be imaged successfully and safely at 3.0 T, including those receiving nCPAP from a customised system.-
dc.language.isoenen
dc.subject.meshBirth Weight-
dc.subject.meshContinuity of Patient Care-
dc.subject.meshHumans-
dc.subject.meshInfant, Newborn-
dc.subject.meshInfant, Premature-
dc.subject.meshInfant, Very Low Birth Weight-
dc.subject.meshIntensive Care, Neonatal-
dc.subject.meshIntubation, Intratracheal-
dc.subject.meshMagnetic Resonance Imaging-
dc.subject.meshOxygen Inhalation Therapy-
dc.subject.meshPatient Care Team-
dc.subject.meshPatient Positioning-
dc.subject.meshPatient-Centered Care-
dc.subject.meshPositive-Pressure Respiration-
dc.subject.meshSafety-
dc.titleA patient care system for early 3.0 Tesla magnetic resonance imaging of very low birth weight infants.en
dc.typeArticleen
dc.contributor.departmentImaging Sciences Department, Division of Clinical Sciences, MRC Clinical Sciences Centre, Imperial College London, Hammersmith Hospital Campus, Du Cane Road, London W12 0NN, UK.en
dc.identifier.journalEarly human developmenten
dc.description.provinceLeinster-
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