The Length Of Stay In Patients Undergoing Diagnostic MRI And CT-Scan With Intravenous Anesthesia At Outpatient Clinic Dr. Soetomo General Hospital: An Overview

Abstract

Received: September, 1, 2020 Revised: February, 10, 2021 Available online: May 2021 Magnetic Resonance Imaging (MRI) and Computerized Tomography (CT) Scans might be challenging for children or individuals with anxiety or claustrophobia. General anesthesia aims to increase the success rate, but inadequate management can result in a longer length of stay. This study aims to analyze patients' length of stay on MRI and CT-scan with intravenous anesthesia. This was a descriptive observational study. The data were collected retrospectively from the medical records at General Diagnostic Center Dr. Soetomo General Hospital. A total of 721 patients underwent MRI or CT Scan procedures with intravenous anesthesia during 2017-2018. The data obtained were patients' age, gender, procedure, physical status, comorbid, type of anesthesia drug, diagnostic procedure duration, length of observation in the Post Anesthesia Care Unit (PACU), and overall length of stay. All MRI procedures used a midazolam-propofol combination. Meanwhile, only one CT scan procedure used those combinations, and other CT scan procedures utilized propofol. Patients undergoing MRI had a length of stay with a mean duration of 6,6,3±1,26 hours, compared to CT scans with 5,20 ±1,38 hours, due to the lengthier procedure and observation duration in the PACU. Patients undergoing MRI have a longer overall length of stay than the ones doing CT scans.