Objective: To compare the use of propofol and thiopental in children undergoing MRI.
Study design: Descriptive, comparative study.
Place and duration of study: University of Health Sciences, Van Training and Research Hospital, Van, Turkey, between January 01 and December 31, 2019.
Methodology: One thousand two hundred and twenty two paediatric patients having MRI were included and divided into two groups. Patients aged 2-18 years who were administered Propofol were classified as Group I, and the patients under the age of 2 years who were administered Thiopental were classified as group II. All patients received Sevoflurane insufflation via face mask after induction agent. Patient’s demographic data, ASA scores, anaesthesia-procedure-recovery times, comorbidities, type of MRI examination and complications were recorded.
Results: Age, body weight and ASA score of the patients in Group I were higher than Group II (p<0.05). Epilepsy, cerebral palsy, mental retardation, speech retardation and autism were more prevalent in Group I than in Group II (p<0.05). Neuromuscular growth retardation, hydrocephalus, and metabolic disease were less common in Group I than in Group II (p<0.05). With this Apnea and desaturation was higher in Group I, and bradycardia was higher in Group II.
Conclusion: Sevoflurane insufflation with a face mask can be safely used in children after induction of anaesthesia with propofol or thiopental.
Kurt, Caliskan, & Gunes.
Journal of the College of Physicians and Surgeons — Pakistan : JCPSP November 2022