Anesthesiological Management in a Non Accessible Environment Anesthesiological Care Flow during Diagnostic and Therapeutic Interventions in the Field ofMagnetic Resonance Imaging (MRI)

机译：不可及的环境中的麻醉管理麻醉领域的诊断和治疗干预期间的麻醉护理流程磁共振成像（MRI）

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Complexities may arise with patient care in the MRI environment wherever sedation or anesthesia is necessary. The minimum number of disciplines involved is three. The situation of a non-constantly accessible environment together with the potential health risks from the magnetic field underline the need for a central coordination with respect to the patient's individual intervention. The major risks encountered concern ferromagnetic objects and their potential to become projectiles within the MRI scanner room. The MRI setting also creates an unavoidable distancing between the patient and the anesthesiologist in combination with a lack of visibility and a lack of access to the patient, with all these factors impacting upon the anesthesia management. Moreover, the patients who require anesthesia in the MRI suite must be provided with the same level of safety and monitoring as in the operating room. Deep sedation and general anesthesia are equivalent and require the same monitoring. MRI-compatible monitors and anesthesia machines, commercially available and preferable, should ideally be equipped with an electrocardiogram, pulse oximetry, non-invasive blood pressure measurement, capnography and/or in- and expiratory gas monitoring. Essential components for patient care include a holding area, MRI compatible equipment and a professional management based on a complex work flow analysis.

机译：在需要镇静或麻醉的情况下，在MRI环境中进行患者护理可能会产生复杂性。涉及的学科最少为三门。非恒定访问环境的状况以及来自磁场的潜在健康风险强调了需要就患者的个人干预进行集中协调。遇到的主要风险涉及铁磁物体及其在MRI扫描仪室内成为弹丸的可能性。 MRI设置还会在患者和麻醉师之间造成不可避免的距离，同时缺乏可见性和与患者的接触，所有这些因素都会影响麻醉管理。此外，在MRI套件中需要麻醉的患者必须获得与手术室相同水平的安全性和监控。深层镇静和全身麻醉是等效的，并且需要相同的监测。 MRI兼容的监护仪和麻醉机（可商购获得并且是首选），理想情况下应配备心电图，脉搏血氧饱和度，无创血压测量，二氧化碳描记仪和/或呼气和呼气监测仪。病人护理的基本组成部分包括存放区，与MRI兼容的设备以及基于复杂工作流程分析的专业管理人员。

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《World congress on medical physics and biomedical engineering;International congress of the IUPESM》|2011年|p.897-900|共4页
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S. Boye; H. Gehring;
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中图分类医用物理学;
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Controlled hypoxemia; volunteer management; magnetic resonance spectroscopy; 3 tesla; monitoring;

机译：控制性低氧血症志愿者管理;磁共振波谱3特斯拉;监控;

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8. Local and Global Thermoregulatory Responses to MRI Electromagnetic Fields:Biological Effects and Safety Aspects of Nuclear Magnetic Resonance Imaging and Spectroscopy [R] . Gordon, C. J. 1991

机译：对mRI电磁场的局部和全球体温调节响应：核磁共振成像和光谱学的生物效应和安全性方面

Anesthesiological Management in a Non Accessible Environment Anesthesiological Care Flow during Diagnostic and Therapeutic Interventions in the Field ofMagnetic Resonance Imaging (MRI)

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