Feed and Wrap MRI Technique in Infants

被引:91
作者
Antonov, Nina K. [1 ]
Ruzal-Shapiro, Carrie B. [1 ]
Morel, Kimberly D. [1 ]
Millar, William S. [2 ]
Kashyap, Sudha [1 ]
Lauren, Christine T. [1 ]
Garzon, Maria C. [1 ]
机构
[1] Columbia Univ, New York, NY USA
[2] Geisinger Hlth Syst, Danville, PA USA
关键词
feed and wrap; feed and swaddle; feed and sleep; feed and bundle; MRI; infant; GENERAL-ANESTHESIA EXPOSURE; MAGNETIC-RESONANCE; CHILDHOOD EXPOSURE; SEDATION; BRAIN; RESTRAINT; CHILDREN; OUTCOMES; SURGERY; MOTION;
D O I
10.1177/0009922816677806
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
The feed and wrap technique refers to the use of feeding and swaddling to induce natural sleep in infants. It can be used prior to an magnetic resonance imaging (MRI) scan, avoiding sedation or anesthesia. We performed a retrospective review of feed and wrap MRI scans in infants 3 months or younger over a 2-year period at our center (279 scans) to evaluate the efficacy of this technique. Of scan results reviewed, 79% addressed the clinical question, 20% partially addressed the clinical question, and 1% were technically inadequate. History of preterm birth (odds ratio [OR] = 2.368; P = .032) and spine MRI (OR = 2.821; P = .001) were associated with a less-successful scan outcome. The feed and wrap technique can be used successfully in infants undergoing MRI; however, it may be less successful in preterm infants and those requiring spinal MRI. A standardized technique performed by experienced personnel may avoid anesthesia and sedation in infants who require MRI.
引用
收藏
页码:1095 / 1103
页数:9
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