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10.3390/jcm10163598
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Article

Factors Associated with Occurrence of Atelectasis during Sedation for Imaging in Pediatric Patients: A Retrospective Single Center Cohort Study

by
Pyeong Hwa Kim
1,†,
Yong-Seok Park
2,†,
Hee-Mang Yoon
1,
Ah Young Jung
1,
Eun-Young Joo
2,
In-Cheol Choi
2 and
Myung-Hee Song
2,*
1
Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05505, Korea
2
Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05505, Korea
*
Author to whom correspondence should be addressed.
†
Authors contributed equally to this work.
J. Clin. Med. 2021, 10(16), 3598; https://doi.org/10.3390/jcm10163598
Submission received: 21 June 2021 / Revised: 10 August 2021 / Accepted: 12 August 2021 / Published: 16 August 2021
(This article belongs to the Section Respiratory Medicine)
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Abstract

Sedation can induce atelectasis which may cause suboptimal image quality. This study aimed to identify factors associated with the occurrence of atelectasis during sedation for imaging in pediatric patients. Patients < 18 years who had undergone whole-body magnetic resonance imaging (MRI) under sedation with propofol or dexmedetomidine were included in this study. The development of atelectasis was visually and quantitatively assessed by coronal short tau inversion recovery images of the thoracic level. Multivariable logistic regression was performed to identify the independent factors associated with the development of atelectasis. Ninety-one patients were included in the analysis. In the multivariable analysis, administration of supplemental oxygen was the only factor significantly associated with the occurrence of atelectasis (adjusted odds ratio, 4.84; 95% confidence interval, 1.48–15.83; p = 0.009). Univariable analysis showed that the use of dexmedetomidine was associated with a lower incidence of atelectasis; however, this could not be verified in the multivariable analysis. Among the pediatric patients who had undergone imaging under sedation, additional oxygen supplementation was the only independent factor associated with atelectasis occurrence. A prospective clinical trial is required to identify the cause-effect relationship between oxygen administration and occurrence of atelectasis during sedation.
Keywords: magnetic resonance imaging; atelectasis; pediatric sedation; dexmedetomidine; propofol magnetic resonance imaging; atelectasis; pediatric sedation; dexmedetomidine; propofol

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MDPI and ACS Style

Kim, P.H.; Park, Y.-S.; Yoon, H.-M.; Jung, A.Y.; Joo, E.-Y.; Choi, I.-C.; Song, M.-H. Factors Associated with Occurrence of Atelectasis during Sedation for Imaging in Pediatric Patients: A Retrospective Single Center Cohort Study. J. Clin. Med. 2021, 10, 3598. https://doi.org/10.3390/jcm10163598

AMA Style

Kim PH, Park Y-S, Yoon H-M, Jung AY, Joo E-Y, Choi I-C, Song M-H. Factors Associated with Occurrence of Atelectasis during Sedation for Imaging in Pediatric Patients: A Retrospective Single Center Cohort Study. Journal of Clinical Medicine. 2021; 10(16):3598. https://doi.org/10.3390/jcm10163598

Chicago/Turabian Style

Kim, Pyeong Hwa, Yong-Seok Park, Hee-Mang Yoon, Ah Young Jung, Eun-Young Joo, In-Cheol Choi, and Myung-Hee Song. 2021. "Factors Associated with Occurrence of Atelectasis during Sedation for Imaging in Pediatric Patients: A Retrospective Single Center Cohort Study" Journal of Clinical Medicine 10, no. 16: 3598. https://doi.org/10.3390/jcm10163598

APA Style

Kim, P. H., Park, Y.-S., Yoon, H.-M., Jung, A. Y., Joo, E.-Y., Choi, I.-C., & Song, M.-H. (2021). Factors Associated with Occurrence of Atelectasis during Sedation for Imaging in Pediatric Patients: A Retrospective Single Center Cohort Study. Journal of Clinical Medicine, 10(16), 3598. https://doi.org/10.3390/jcm10163598

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