Magnetic Resonance Imaging (MRI) is the ability to produce intricate images of organs and tissues within the human body using a magnetic field and radio waves. When a patient receives a MRI examination, he or she must remain still throughout the whole process. If the patient happens to move during the examination, the results could be inadequate and require a repeat procedure. Repeat examinations occur mostly in pediatrics due to their inability to sit still and plenty of other factors. One way to prevent pediatric patients from moving during an exam is the use of sedation, however, sedating the patient comes with a multitude of both advantages and disadvantages. In general, sedation decreases patient motion and helps to provide better care …show more content…
Although it seems that sedating pediatrics is ideal, many adverse, life threating events have been claimed. The most common across the board is airway and respiratory depression. Other adverse events include decreased oxygenation, cardiac arrest, hypertension, hypotension hypoxia, dyspnea, airway obstruction, bradycardia, increased time recovery, and death (Pizzo, 2016). Another disadvantaged with sedating pediatrics is the failure of sedation. Failure to sedate a pediatric patient can cause distress to the family of the patient due to a repeat examination. Sedation failure also affects the hospital or institution due to the fact that they are responsible for paying for the repeat examination and any additional resources for sedation or general anesthesia used during the second procedure (Pizzo, 2016). Even if there are both advantages and disadvantages to sedating a pediatric patient, alternatives are present. For example, pertaining to infants, the feed and swaddle technique is frequently used. This process begins by feeding the infant than immediately swaddling the child before the examination begins. Another form of an alternative is using a MR procedure. MR video goggles enable young patients to watch videos while the examination takes place (Pizzo, 2016). The purpose of the goggles is to distract younger patients from the exam, and put their focus towards the
Prior to intubation for a surgical procedure, the anesthesiologist administered a single dose of the neuromuscular blocking agent, succinylcholine, to a 23-year-old female to provide muscular relaxation during surgery and to facilitate the insertion of the endotracheal tube. Following this, the inhalation anesthetic was administered and the surgical procedure completed.
The innovation of surfactant replacement therapy in the treatment of respiratory distress syndrome has proven to increase the survival and minimize the complications of the premature neonate. Replacing surfactant has lessened time on ventilators, and allowing the neonate and parents an opportunity to grow together earlier outside of intensive care. This paper will discuss the etiology of respiratory distress syndrome type I, the treatment options and nursing care of the neonate during surfactant replacement.
Breathing is the most important AL (Roper et al, 1998). A detailed assessment of her airway would be performed because protection of the airway throughout anaesthesia is essential (Yates, 2000). This does not just include recording of respiration rate and oxygen saturation (SpO2) but also noting any use of accessory muscles, shortness of breath, auscultation of chest and lungs areas for wheezes/crackles and asking patient about history of any respiratory illness/smoking (McArthur-Rouse, 2007).
IV sedation is reserved for our most complicated procedures and patients with very high levels of fear and anxiety. IV sedation creates a sleep-like state that allows you to wake up from a procedure with no memory of the sights, smells, sounds, or sensations that occurred during the treatment. This form of sedation is administered through an intravenous line and only by a licensed
John B. Pollard, Ann L. Zboray, Richard I Mazze. The International Anesthesia Research Society. (1996).
American Association of Nurse Anesthetists. Professional Aspects of Nurse Anesthesia Practice. Philadelphia: F. A. Davis Company, 1994. Print.
Medicating our children for problems such as; Attention Deficit Hyperactive Disorder, bipolar disorder, or autism seems to be a new trend. Unfortunately, these medications have very dangerous side-effects especially in sensitive children like those in foster care. Healthy alternatives are often overlooked for a quick fix pill. Do parents even know what these medications do? Do they know what these medications were originally for?
Volles, D. F. (2011, April 11). University of Virginia Health System Adult and Geriatric Sedation/Analgesia for Diagnostic and Therapeutic Procedures. Retrieved May 12, 2011, from University of Virgina Health System: University of Virginia Health System Adult and Geriatric Sedation/Analgesia for Diagnostic and Therapeutic Procedures
...e operating table and the nurse anesthetist begins to place the monitors on them. Next, everyone in the room confirms the patient’s name and the scheduled operation. Then the nurse anesthetist puts the anesthesia in the patient’s IV. Once the patient is asleep, the CRNA manages his/her airway. To do this they place an endotracheal tube through the patient’s mouth, allowing them to breathe anesthesia gases. Now the operation can begin.
Anesthesia is used in almost every single surgery. It is a numbing medicine that numbs the nerves and makes the body go unconscious. You can’t feel anything or move while under the sedative and are often delusional after being taken off of the anesthetic. Believe it or not, about roughly two hundred years ago doctors didn’t use anesthesia during surgery. It was rarely ever practiced. Patients could feel everything and were physically held down while being operated on. 2It wasn’t until 1846 that a dentist first used an anesthetic on a patient going into surgery and the practice spread and became popular (Anesthesia). To this day, advancements are still being made in anesthesiology. 7The more scientists learn about molecules and anesthetic side effects, the better ability to design agents that are more targeted, more effective and safer, with fewer side effects for the patients (Anesthesia). Technological advancements will make it easier to read vital life signs in a person and help better decide the specific dosages a person needs.
Today, a full 61 percent of adults use at least one drug to treat a chronic health problem, a nearly 15 percent rise since 2001. In today’s society doctors around America are abusing the privilege to prescribe medicine. This then causes the issue of overmedication. Americans who are being prescribed drugs that are not needed for them have more risk of side effects. The long-term effects are dangerous and have caused numerous children hospitalized. Americans who are buying treatments for ADHD, depression, and many more disorders have spent over 4 billion dollars in the past year. Prices are increasing because the desires for these drugs are becoming more prevalent. Overmedication is a global issue that is affecting children that come from many different backgrounds and live in many different areas in America.
After surgery, they monitor the patient to see if there are any problems while they are coming off an anesthesia (Nurse Anesthetists, Nurse Midwives…) If there are no problems the surgery will be deemed as successful, and the nurse anesthetist will report all findings to the
Sedation dentistry involves the use of medications to allow a patient to relax when they
(10) Levi B.H., Thomas N.J., Green M.J., Rentmeester C.A. & Ceneviva G.D. (2004), jading in the paediatric intensive care unit: implications for healthcare providers of medically complex children. Paediatric Critical Care Medicine 5 (3), 275–277. (11) Ward. E [1990] Ch. 359.
There are still many barriers interfering with sleep in the hospital, as the disruption of sleep is common through frequent monitoring and procedures, noise, lighting, and anxiety about being in the hospital (Robinson et al., 2005). Another barrier is the critical care environment, which has more invasive monitoring and tests and noise from monitors and ventilators (Eliassen & Hopstock, 2011).