Evidence map›Paper›PMID 27026025›Full record

ArticlePediatric radiology2016

A quality improvement project to reduce hypothermia in infants undergoing MRI scanning.

Priti G Dalal, Janelle Porath, Uma Parekh, Padmani Dhar, Ming Wang, Michael Hulse, Dennis Mujsce, Patrick M McQuillan

Abstract read
PubMed Publisher
In one paragraph

Article in Pediatric radiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Priti G DalalDepartment of Anesthesiology, H187, Penn State Hershey Medical Center and Penn State Hershey Children's Hospital, 500 University Drive, Hershey, PA, 17033, USA. pdalal@hmc.psu.edu.
Janelle PorathDivision of Newborn Medicine, Penn State Children's Hospital, Hershey, PA, USA.
Uma ParekhDepartment of Anesthesiology, H187, Penn State Hershey Medical Center and Penn State Hershey Children's Hospital, 500 University Drive, Hershey, PA, 17033, USA.
Padmani DharDepartment of Anesthesiology, H187, Penn State Hershey Medical Center and Penn State Hershey Children's Hospital, 500 University Drive, Hershey, PA, 17033, USA.
Ming WangDepartment of Public Health Sciences, Penn State College of Medicine, Hershey, PA, USA.
Michael HulseDepartment of Radiology, Penn State Hershey Medical Center, Hershey, PA, USA.
Dennis MujsceDivision of Newborn Medicine, Penn State Children's Hospital, Hershey, PA, USA.
Patrick M McQuillanDepartment of Anesthesiology, H187, Penn State Hershey Medical Center and Penn State Hershey Children's Hospital, 500 University Drive, Hershey, PA, 17033, USA.
Penn State Milton S. Hershey Medical Center · USPennsylvania State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHypothermia prevention strategies during MRI scanning under general anesthesia in infants may pose a challenge due to the MRI scanner's technical constraints. Previous studies have demonstrated conflicting results related to increase or decrease in post-scan temperatures in children. We noted occurrences of post-scan hypothermia in anesthetized infants despite the use of routine passive warming techniques.

objectiveThe aims of our quality improvement project were (a) to identify variables associated with post-scan hypothermia in infants and (b) to develop and implement processes to reduce occurrence of hypothermia in neonatal intensive care unit (NICU) infants undergoing MRI. MATERIALS AND

methodsOne hundred sixty-four infants undergoing MRI scanning were prospectively audited for post-scan body temperatures. A multidisciplinary team identified potential variables associated with post-scan hypothermia and designed preventative strategies: protocol development, risk factor identification, vigilance and use of a vacuum immobilizer. Another audit was performed, specifically focusing on NICU infants.

resultsIn the initial phase, we found that younger age (P = 0.002), lower weight (P = 0.005), lower pre-scan temperature (P < 0.01), primary anesthetic technique with propofol (P < 0.01), advanced airway devices (P = 0.02) and being in the NICU (P < 0.01) were associated with higher odds for developing post-scan decrease in body temperature. Quality improvement processes decreased the occurrence of hypothermia in NICU infants undergoing MRI scanning from 65% to 18% (95% confidence interval for the difference, 26-70%, P < 0.001).

conclusionSeveral variables, including being in the NICU, are associated with a decrease in post-scan temperature in infants undergoing MRI scanning under sedation/general anesthesia. Implementation of strategies to prevent hypothermia in infants may be challenging in the high-risk MRI environment. We were able to minimize this problem in clinical practice by applying quality improvement principles.

Indexed as

Anesthesia, GeneralMagnetic Resonance ImagingQuality ImprovementAge FactorsBody WeightFemaleHumansHypothermiaInfantInfant, NewbornIntensive Care Units, NeonatalMaleProspective StudiesRisk FactorsHypothermiaInfantsMagnetic resonance imagingNeonatal intensive careQuality improvement

Identifiers

PMID27026025
OpenAlexW2322891257

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.