Sedation for magnetic resonance imaging in a child with ling
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The number of diagnostic and therapeutic procedures performed outside the operation theatre has increased over the last decade and providing anaesthesia and sedation will be a real challenge to the anaesthetisiologists. Sedation for magnetic resonance imaging (MRI) procedures in children adds a substantial risk in younger children. This is more so in paediatric patients with difficult airway. A 4 years male child weighing 16 kg presented to paediatric department with a huge swelling of tongue since birth. He had undergone resection of the same at 6 months of age which had recurred (size approximately around 6 cm × 4 cm). He had difficulty in speech and feeding, and, of course, cosmetic issue to his family and society. Paediatricians suspected venolymphatic malformation and to confirm the diagnosis child was advised MRI neck. During preanaesthetic evaluation, we noted the profusely enlarged tongue which was protruding out of oral cavity.The child was unable to protrude his tongue as it was covering the entire oral cavity. Availability of all emergency drugs and difficult airway cart including fibreoptic bronchoscope were confirmed in the MRI suite...

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