Medication
If you need additional support for your anxiety, your referring provider may prescribe a benzodiazepine to take prior to the exam. Benzodiazepines are a class of drugs commonly prescribed to treat anxiety and can typically relax an anxious patient enough to complete an MRI.
IMPORTANT NOTE: DO NOT TAKE your medication until you arrive for the MRI and the technologist has told you to do so. We need to ensure you are properly screened and that we are running on time before you take the medication.
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.
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.
If you are having an MRI scan that does not require you to follow commands, you may be allowed to fall asleep. You should clarify this with your radiologist before the procedure begins.
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.
Reactions can include anything from mild anxiety to all out panic attacks and hyperventilating. More to the point, researchers in one study found that as many as 13% of all patients who received an MRI (Magnetic Resonance Imaging), reported feelings of panic and or anxiety during their MRI.
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.
Another concern for people undergoing MRI testing is claustrophobia, or the fear associated with being in a small or enclosed space. If you experience claustrophobia or anxiety-induced panic attacks from being in tight spaces, you are not alone. An estimated 7–10% of the population lives with this condition.
A. Diazepam 5 mg po, once for MRI study or Lorazepam 1mg po, once for MRI study.
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.
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.
Counting numbers or listening to music: Counting slowly or listening to a soothing melody can help distract you and make the time pass quickly while you are in the scanner. Talk to the Technician: In most instances, you can speak to the technician throughout most of the procedure.
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.
Can a subject wear deodorant for an MRI scan? It is recommended to refrain from wearing any powder, perfumes, deodorant and/or lotions on your underarms and chest area prior to the procedure. This is to prevent the possibility of localized burns because these items may have metal in them.
Exposure therapy and cognitive behavioral therapy are the two main treatments for claustrophobia. In this type of psychotherapy, you are gradually exposed to your feared situation. With gradual, repeated exposure, the goal is that you will feel comfortable in your specific feared situation.
When it is possible to give diazepam to patients with claustrophobia at the time of CMR, it is a safe, predictable, and highly effective method of obtaining a successful result.
Open MRI is a modified type of unit that is typically designed to be completely open, either side to side or front to back. The obvious draw to open MRI is the fact that the open spacing can alleviate stress in a patient with severe claustrophobia.
Conclusion: The use of melatonin before the musculoskeletal MRI in preschool children is an effective, safe, and inexpensive alternative to standard sedation and general anesthesia in preventing motion artifacts.
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.