TITLE:
Anteroposterior Airway Diameter during Sedation for Brain MRI in Children with and without Developmental Disabilities
AUTHORS:
Nirupama Kannikeswaran, Swati Mody, Xinguang Chen, Marwan Zidan, Lalitha Sivaswamy
KEYWORDS:
Sedation, Magnetic Resonance Imaging, Airway Diameter, Developmental Disabilities, Children
JOURNAL NAME:
Open Journal of Anesthesiology,
Vol.4 No.8,
August
8,
2014
ABSTRACT: Objective: Our
study objective was to compare the anteroposterior (AP) oropharyngeal airway diameter measured using static MRI images in children with and without
developmental disabilities during sedation. Methods: We performed a secondary
analysis on a prospective, observational age-matched, 1:2 case-control study of
children aged 3 - 10 years who were sedated for brain MRI. AP airway diameters were determined at the level of
soft palate (airway_SP) and tongue (airway_T) from midline sagittal
images by a single blinded radiologist. Results: Airway diameter was evaluated
in 134 controls (C) and 68 cases (D). There was no difference in the overall
adverse events (D: 30% C: 32.9%; p = 0.7) as well as hypoxia (D: 10%; C: 9.3%,
p = 0.9). There was no significant
difference in mean airway_T (D: 10.62 ± 3.48 vs. C: 10.38 ± 3.47; p = 0.64) and
airway_SP diameter (D: 4.59 ± 2.36 vs. C: 5.17 ± 3.9; p = 0.14) between the two
groups. There was no significant difference in airway_T and airway_SP diameters
amongst those who experienced and those who did not experience hypoxia in
cases. Amongst controls however, the airway_SP was smaller in those who experienced
hypoxia compared to those who did not experience hypoxia. Conclusions:
There was no difference in the AP airway_T and airway_SP diameter during
sedation using static MRI images in children
with and without developmental disabilities. Changes in airway_SP was associated with hypoxia amongst controls in our study cohort.