Problems With Magnetic Resonance Imaging-Conditional Anesthesia Machine During Routine Imaging: A Near-Miss Case Report.

IF 0.5 A&A Practice Pub Date : 2023-07-01 DOI:10.1213/XAA.0000000000001692
George Sun, Kevin J Min
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Abstract

Delivering safe anesthesia care in the magnetic resonance imaging (MRI) scanner presents many unique challenges. We present a case report of how an MRI-conditional anesthesia machine malfunctioned after being pulled toward an MRI scanner during routine imaging, not previously reported in the literature. This near-miss event emphasizes the continued need for staff education and vigilance.

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磁共振成像条件麻醉机在常规成像中的问题:一个侥幸的病例报告。
在磁共振成像(MRI)扫描仪中提供安全的麻醉护理提出了许多独特的挑战。我们提出一个病例报告,MRI条件麻醉机是如何在常规成像过程中被拉向MRI扫描仪后发生故障的,以前没有文献报道。这次险些发生的事件强调了继续需要对工作人员进行教育和提高警惕。
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A&A Practice
A&A Practice ANESTHESIOLOGY-
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期刊介绍: A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.
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