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How does preoperative fasting affect the success rate of magnetic resonance imaging in sedated infants?

MRI-scanning of infants facilitated by dexmedetomidine sedation. Can reduction of pre-procedure fasting reduce the risk of movement artifacts?

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN14074587
Enrollment
100
Registered
2020-01-15
Start date
2020-01-15
Completion date
Unknown
Last updated
2021-01-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Infants undergoing MRI scanning with dexmedetomidine sedation Not Applicable

Interventions

Children < 3 years old scheduled for short (<45 minutes) MRI procedures with dexmedetomidine sedation may be included. In the researchers' department, children are routinely fasted for at least 4 hour

Sponsors

Uppsala University Hospital
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Infants planned for an MRI scan

Exclusion criteria

Exclusion criteria: 1. Age 36 months 3. Gastro-esophageal reflux disease 4. Respiratory disease such as bronchopulmonary dysplasia, requiring oxygen therapy or CPAP 5. Congenital heart disease with cyanosis or myocardial dysfunction 6. MRI protocol planned duration > 45 minutes

Design outcomes

Primary

MeasureTime frame
MRI scan outcome (with or without movement artefacts) when the patient is moved from the MRI suite after the scanning procedure

Secondary

MeasureTime frame
1. Duration of MRI scanning procedure, the time from the patient is laid onto the MRI scanner bed until the patient is taken off the bed after the completed scan 2. Incidence of movements during the procedure, the number of times the MRI scanning is stopped due to observed movements of the patients or movement artefacts on the MRI scan preview. Each movement event is recorded on the CRF when it occurs and summed at the end of the procedure 3. Complications of the procedure 4. The volume of residual gastric volume content after bottle feeding 1-4 hours prior to scanning is measured by delineating the gastric mucosa on adjacent MRI images covering the full extent of the stomach and calculating the volume in millilitres by summing the resulting voxels. An estimate of gastric emptying rate is calculated by integrating the sets of ingested volume VOIs subtracted by the residual volume vs time between ingestion and the start of scanning of the stomach

Countries

Sweden

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026