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[Application of vacuum stretcher combined with feeding in cranial magnetic resonance imaging examination for neonates: a prospective randomized controlled study].
Zhongguo Dang Dai Er Ke Za Zhi. 2020 May; 22(5):435-440.ZD

Abstract

OBJECTIVE

To study the effect and safety of vacuum stretcher combined with feeding in cranial magnetic resonance imaging (MRI) examination for neonates.

METHODS

A prospective study was performed for the neonates with hyperbilirubinemia, with a gestational age of >34 weeks and stable vital signs, who needed cranial MRI examination and did not need oxygen inhalation hospitalized in the Department of Neonatology, Children's Hospital of Zhejiang University School of Medicine, from September to November, 2019. The neonates were randomly divided into a vacuum stretcher combined with feeding group and a conventional sedation group. Vital signs were monitored before, during, and after MRI examination. The success rate of MRI procedure was recorded.

RESULTS

A total of 80 neonates were enrolled in the study, with 40 neonates in the vacuum stretcher combined with feeding group and 40 in the conventional sedation group. The vacuum stretcher combined with feeding group had a significantly higher success rate of MRI procedure than the conventional sedation group (P<0.05). As for the neonates who underwent successful MRI examination, the fastest heart rate after examination in the vacuum stretcher combined with feeding group was significantly lower than that in the conventional sedation group (P<0.05), while there were no significant differences between the two groups in transcutaneous oxygen saturation, respiratory rate, and body temperature before and after MRI examination (P>0.05). No complications, such as apnea, acute allergic reactions, and malignant fever, were observed.

CONCLUSIONS

Vacuum stretcher combined with feeding can improve the success rate of MRI procedure and reduce the use of sedatives, and meanwhile, it does not increase related risks.

Authors+Show Affiliations

Department of Neonatal Intensive Care Unit, Children's Hospital, Zhejiang University School of Medicine, Hangzhou 310051, China. maxiaolu_zjuch@zju.edu.cn.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

chi

PubMed ID

32434637

Citation

Shen, Xiao-Xia, et al. "[Application of Vacuum Stretcher Combined With Feeding in Cranial Magnetic Resonance Imaging Examination for Neonates: a Prospective Randomized Controlled Study]." Zhongguo Dang Dai Er Ke Za Zhi = Chinese Journal of Contemporary Pediatrics, vol. 22, no. 5, 2020, pp. 435-440.
Shen XX, Liu TT, Gao FS, et al. [Application of vacuum stretcher combined with feeding in cranial magnetic resonance imaging examination for neonates: a prospective randomized controlled study]. Zhongguo Dang Dai Er Ke Za Zhi. 2020;22(5):435-440.
Shen, X. X., Liu, T. T., Gao, F. S., Wu, D., DU, L. Z., & Ma, X. L. (2020). [Application of vacuum stretcher combined with feeding in cranial magnetic resonance imaging examination for neonates: a prospective randomized controlled study]. Zhongguo Dang Dai Er Ke Za Zhi = Chinese Journal of Contemporary Pediatrics, 22(5), 435-440.
Shen XX, et al. [Application of Vacuum Stretcher Combined With Feeding in Cranial Magnetic Resonance Imaging Examination for Neonates: a Prospective Randomized Controlled Study]. Zhongguo Dang Dai Er Ke Za Zhi. 2020;22(5):435-440. PubMed PMID: 32434637.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Application of vacuum stretcher combined with feeding in cranial magnetic resonance imaging examination for neonates: a prospective randomized controlled study]. AU - Shen,Xiao-Xia, AU - Liu,Ting-Ting, AU - Gao,Fu-Sheng, AU - Wu,Dan, AU - DU,Li-Zhong, AU - Ma,Xiao-Lu, PY - 2020/5/22/entrez PY - 2020/5/22/pubmed PY - 2020/7/28/medline SP - 435 EP - 440 JF - Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics JO - Zhongguo Dang Dai Er Ke Za Zhi VL - 22 IS - 5 N2 - OBJECTIVE: To study the effect and safety of vacuum stretcher combined with feeding in cranial magnetic resonance imaging (MRI) examination for neonates. METHODS: A prospective study was performed for the neonates with hyperbilirubinemia, with a gestational age of >34 weeks and stable vital signs, who needed cranial MRI examination and did not need oxygen inhalation hospitalized in the Department of Neonatology, Children's Hospital of Zhejiang University School of Medicine, from September to November, 2019. The neonates were randomly divided into a vacuum stretcher combined with feeding group and a conventional sedation group. Vital signs were monitored before, during, and after MRI examination. The success rate of MRI procedure was recorded. RESULTS: A total of 80 neonates were enrolled in the study, with 40 neonates in the vacuum stretcher combined with feeding group and 40 in the conventional sedation group. The vacuum stretcher combined with feeding group had a significantly higher success rate of MRI procedure than the conventional sedation group (P<0.05). As for the neonates who underwent successful MRI examination, the fastest heart rate after examination in the vacuum stretcher combined with feeding group was significantly lower than that in the conventional sedation group (P<0.05), while there were no significant differences between the two groups in transcutaneous oxygen saturation, respiratory rate, and body temperature before and after MRI examination (P>0.05). No complications, such as apnea, acute allergic reactions, and malignant fever, were observed. CONCLUSIONS: Vacuum stretcher combined with feeding can improve the success rate of MRI procedure and reduce the use of sedatives, and meanwhile, it does not increase related risks. SN - 1008-8830 UR - https://www.unboundmedicine.com/medline/citation/32434637/[Application_of_vacuum_stretcher_combined_with_feeding_in_cranial_magnetic_resonance_imaging_examination_for_neonates:_a_prospective_randomized_controlled_study] L2 - http://www.zgddek.com/EN/abstract/abstract25005.shtml DB - PRIME DP - Unbound Medicine ER -