Generally, MRIs under anesthesia are performed under sedation, although sometimes they are performed under general anesthesia. Sedation is characterized as being in a state between relaxed and very sleepy, but not quite unconscious.
Patients with certain conditions that may prevent them from staying still in the MRI machine, such as claustrophobia, anxiety, or any condition that causes physical pain, may qualify for an MRI with sedation.
MRI of any region can be done under anesthesia, for pediatric or adult patients. Must be authorized in advance by an imaging physician.
The Upright MRI is the only MRI scanner that can image patients in any position, whether it's sitting, standing, bending or lying down. This allows it to image any part of the body.
The open, upright MRI machine is much better tolerated by patients who are claustrophobic. The scans can be performed with the patient sitting, lying down, or standing. People can watch television while the scans are performed. The unit is open in the front, back, and top.
Today, when it comes to getting an MRI, that innate reaction is considerably less helpful if your doctor says you need a scan to guide your treatment. The escape reaction leads some people to crawl right out the end of an MRI machine during the middle of an exam.
If you move, the MRI scan pictures may not be clear. Your primary care physician may order you a mild sedative if you are claustrophobic (afraid of closed spaces), have a hard time staying still, or have chronic pain. You will hear very loud banging noises during the series of scans.
Many patients find that an oral benzodiazepine, such as Xanax, Ativan, or Valium, taken prior to the exam sufficiently relieves their anxiety and allows them to complete an MRI with relative ease.
A. Diazepam 5 mg po, once for MRI study or Lorazepam 1mg po, once for MRI study.
MRI Sedation. Sedation for diagnostic services conjures up images of pain and discomfort. MRI sedation is used during an MRI for patients who cannot remain still in the scanner due to problems such as anxiety, claustrophobia, or a condition that causes physical discomfort.
For example, sedation is most frequently used for children too young to stay still during an exam. It's also used during MRI exams for adults who struggle with anxiety and claustrophobia. A third common use is for interventional radiology procedures.
In most cases, a family member or friend may enter the MRI room with you and stay with you throughout your exam. If the situation allows, they may even hold your hand or pat you on the knees so that you know that they are there with you.
If you need to cough or get an itch, tell them and they can get you out, or give you a short break between sequences. Then you are moved out of the machine, released, have your plastic tube removed and can go home.
You can have your eyes open during the scan, although some patients find that closing their eyes or putting a washcloth over them helps keep their nerves calm. If you close your eyes, though, please be sure not to fall asleep. While you sleep, your body can twitch and move, ruining the MR images being taken.
Since the MRI machines are magnets, it is best to not apply deodorants, antiperspirants, perfumes, or body lotions before the examination. These items contain metals that might interfere with the magnetic field inside the MRI machine and cause you to have distorted images and wrong results.
How long does an MRI scan take? A single scan may take a few seconds or 3 to 8 minutes. You may be asked to hold your breath during short scans. The total scan lasts 15 to 90 minutes, depending on the size of the area being scanned and how many images are needed.
Many MRI procedures don't require your head to go inside the machine at all, but if you need a head or upper spine MRI, you'll appreciate the fact our machine provides a full 12 inches of clearance between your face and the wall – relieving stress for our patients with claustrophobia.
An MRI scanner is a short cylinder that's open at both ends. You'll lie on a motorised bed that's moved inside the scanner. You'll enter the scanner either head first or feet first, depending on the part of your body being scanned.
For patients who may experience claustrophobia during an MRI scan and require prophylaxis, the University of Wisconsin Department of Radiology suggests the use of Lorazepam (Ativan, Temesta), a short-to-intermediate duration benzodiazepine.
Of the 939 patients 134 (14.3%) required oral sedation, i.v. sedation, or general anesthesia to tolerate MRI. This group was 35.8% male, 64.1% female (control group 48.1% male, 51.9% female). Of those requiring sedation, 89 patients (66.4%) were having brain MRI (male n = 29 or 32.6%, female n = 60 or 67.4%).