Ketodex for MRI sedation in syndromic children with congenital cardiac anomalies - A case series

Rohan Magoon; Nitin Choudhary; Sonia Wadhawan

doi:10.4103/ija.ija_606_21

Ketodex for MRI sedation in syndromic children with congenital cardiac anomalies - A case series

Indian J Anaesth. 2022 Jun;66(6):456-459. doi: 10.4103/ija.ija_606_21. Epub 2022 Jun 21.

Authors

Rohan Magoon¹, Nitin Choudhary¹, Sonia Wadhawan²

Affiliations

¹ Department of Anaesthesia, Atal Bihari Vajpayee Institute of Medical Sciences (ABVIMS) and Dr. Ram Manohar Lohia Hospital, New Delhi, India.
² Department of Anaesthesiology and Intensive Care, Maulana Azad Medical College, New Delhi, India.

Abstract

Safe paediatric sedation in a magnetic resonance imaging (MRI) suite can be challenging. The challenges intensify in uncooperative syndromic children compounded by an accentuated risk of periprocedural cardio-respiratory complications with anaesthetic sedation in this peculiarly predisposed subset. Amidst ardent debates on the ideal sedative agent for paediatric MRI, we report an encouraging application of ketamine-dexmedetomidine combination (ketodex) sedation for MRI in our case-series including syndromic children with coexistent congenital cardiac anomalies.

Keywords: Dexmedetomidine; ketamine; magnetic resonance imaging; non-operating room anaesthesia; sedation.

Publication types

Case Reports