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Optimal sedative dose of propofol to start MRI in children with cerebral palsy. | LitMetric

Optimal sedative dose of propofol to start MRI in children with cerebral palsy.

Korean J Anesthesiol

Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea.

Published: September 2011

Background: This study was designed to determine the optimal sedative dose of propofol to start brain magnetic resonance imaging (MRI) in children with cerebral palsy (CP).

Methods: Twenty children, aged 0.5-5 years, were administered propofol to achieve a University of Michigan Sedation Scale (UMSS) score ≥ 3 in the MRI room. The proper dose of propofol was determined using the up-and-down method.

Results: The ED50 and ED95 for successful sedation with a UMSS ≥ 3 were 2.07 mg/kg (95% CI 1.69-2.56) and 2.69 mg/kg (95% CI 2.35-5.59). Respiratory events occurred in 5 patients and were resolved with neck extension, chin lift, or transient respiratory assistance with successful sedation.

Conclusions: Low dose propofol can safely facilitate the initiation of MRI in children with CP.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3198182PMC
http://dx.doi.org/10.4097/kjae.2011.61.3.216DOI Listing

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