scholarly journals Injection propofol and ketamine in pediatric and adult patients undergoing diagnostic radiological procedure (magnetic resonance imaging and computed tomography scan)

Author(s):  
Mahendra Agrawal ◽  
Pushpal Gandhi ◽  
Bhavika Agrawal ◽  
Simarn Behl

Background: The purpose of this study was to evaluate the effect of propofol and ketamine in pediatric and adult patients undergoing diagnostic radiological procedure (magnetic resonance imaging (MRI) and computed tomography (CT) scan).  Methods: A comparative observation study conducted at Sri Aurobindo Medical College and PG Institute, Indore, Department of Anesthesiology after approval from Institutional ethical committee. The duration of this study was April 2019 to May 2020. Group KP: Inj. combination of ketamine and propofol (ketofol) with bolus dose of 0.50 mg/kg and 0.75 mg/kg respectively in initial 10 min followed by infusion at the rate of 0.05 ml/kg/hr till the completion of imaging.Results: The mean age was 11.55±2.80 in children and 31.34±2.43 in adult. Mean weight of patients were 30.54±8.86 in children and 60.21±10.45 in adult. Gender distribution (male:female) were 24/16 and 26/14 children group and adult group.  Conclusions: We found that the combination of ketamine (ketofol) and propofol to be safe and well tolerated in pediatric patients and adult patients undergoing diagnostic radiological procedure (MRI and CT scan). 

2020 ◽  
Vol 3 (4) ◽  
pp. 193-200
Author(s):  
Tjam Diana Samara ◽  
Meylan Fitriyani ◽  
Paluvi Safitri ◽  
Puti Shahnaz ◽  
Isra Sabrina ◽  
...  

Mesothelioma adalah kanker yang berkembang mengenai lapisan paru-paru, adomen, atau jantung. Risiko mesothelioma tidak turun dari waktu kewaktu setelah paparan asbes berhenti. Sebanyak 80% mesothelioma disebabkan oleh inhalasi debu asbes. Masa laten mesothelioma dapat terjadi 10 sampai 50 tahun. Mesothelioma pleura adalah mesothelioma yang paling sering ditemukan dengan gejala sesak nafas, batuk kering, nyeri dada, hemoptoe, mudah lelah, demam disertai keringat terutama malam hari, berat badan menurun, dan efusi pleura. Standar penegakan diagnosis mesothelioma pleura dapat dilakukan dengan beberapa pilihan pemeriksaan antara lain rontgen thoraks, Computed Tomography (CT) Scan, Positron-Emission Tomography (PET) Scan, atau Magnetic Resonance Imaging (MRI). Terapi mesothelioma terutama pada mesothelioma pleural dapat dilakukan pembedahan, kemoterapi, radioterapi atau kombinasi dari keduanya atau lebih atau yang disebut sebagai terapi multimodal. Prognosis untuk kanker mesothelioma umumnya buruk dan banyak pasien yang hidup kurang dari satu tahun.


1989 ◽  
Vol 101 (4) ◽  
pp. 506-506 ◽  
Author(s):  
Stephen G. Rothstein ◽  
Patricia L. Stewart

High quality slides of radiographs may be made with a simple, fast, and inexpensive technique using Kodak Rapid Process Copy film. Lecture presentations may include a slide of a pertinent plain radiograph, computed tomography (CT) scan, or magnetic resonance imaging (MRI). Although these slides may be made with a 35 mm SLR camera and flash or with a 35 mm SLR camera and a lighted viewbox, an alternative method is available that is easy to perform, inexpensive, and can produce quality slides in as little as 30 minutes.


2018 ◽  
Vol 41 (1) ◽  
pp. 40
Author(s):  
Tuti Handayani

Leiomioma intravena (IVL) merupakan kasus yang sangat jarang terjadi. Keterlibatan jantung yang terjadi pada kasus IVL sering salah dikenali sebagai tumor jantung primer atau trombus. Hal ini mengakibatkan tingginya angka kejadian misdiagnosis atau keterlambatan diagnosis yang selanjutnya dapat menyebabkan penatalaksanaan yang kurang tepat. Pemeriksaan radiologi dapat memberikan informasi perluasan tumor yang sangat bermanfaat dalam diagnosis dan perencanaan operasi. Ultrasonografi (USG), computed tomography (CT scan), Magnetic Resonance Imaging (MRI) dan radiologi intervensi adalah modalitas radiologi yang sangat bermanfaat dalam mendeteksi leiomioma ekstrauterin. Pengetahuan ahli radiologi dari gambaran karakteristik leiomioma ini dapat membantu mengarahkan para klinisi menuju tatalaksana yang tepat, cepat dan jauh dari pengobatan yang tidak diperlukan atau berpotensi bahaya.


2012 ◽  
Vol 12 (S1) ◽  
Author(s):  
Roszita Ibrahim ◽  
Sa’don Samian ◽  
MZ Mazli ◽  
MN Amrizal ◽  
Syed Mohamed Aljunid

2021 ◽  
Vol 4 (Supplement_1) ◽  
pp. 300-301
Author(s):  
M Monachese ◽  
S Li ◽  
M Salim ◽  
L Guimaraes ◽  
P D James

Abstract Background Pancreatic cystic lesions are increasingly identified in persons undergoing abdominal imaging. Serous cystic neoplasms (SCNs) have a very low risk of malignant transformation. Resection of SCNs is not recommended in the absence of related symptoms. The accuracy of computed tomography (CT) and magnetic resonance imaging (MRI) to identify SCNs is not known and may impact clinical care. Aims To evaluate the accuracy of computed tomography (CT) and magnetic resonance imaging (MRI) for the diagnosis of SCN. To see how this can impact the decision to resect suspected SCNs. Methods Retrospective cohort study of patients from the University Health Network with suspected SCNs from 2017–2020 who underwent either a CT or MRI of the abdomen. Reports noting pancreatic cystic lesions were identified and reviewed. Only cases with suspected SCNs were included. Clinical (age, sex, symptoms, treatment) and radiographic (type of imaging, reported cyst characteristics) data was collected. Pathology was reviewed for all cases where the cysts was biopsied or resected during follow-up. The gold standard for the diagnosis for SCN was pathology of resected specimen or EUS-guided biopsy cytopathology showing no evidence of a mucinous lesion, CEA level below 10ug per L and amylase level below 50 U/L. Results 163 patients were included in the study. 99 (61%) were female and 98 (60%) underwent CT scan. EUS-guided biopsy was performed in 24 (15%) of patients and 8 (5%) had surgical resection. Multidisciplinary review was performed in 6 of the 8 cases that went to surgery. Of the resected specimens, 5 (63%) were SCN, 1 was a mucinous cystic lesion, 1 was a neuroendocrine tumor and 1 was a carcinoma. Two patients underwent EUS evaluation prior to surgical resection. In one case SCN was resected when EUS reported an undetermined cyst type. Reasons for surgical resection were: the diagnosis of serous cyst was not definitive (n=5), symptoms (n=2), and high-risk mucinous cystic neoplasm identified on EUS (n=1). Of 30 patients with pathology available, 15 (50%) were confirmed to have a SCN. CT and MRI had a sensitivity, specificity, positive predictive value and negative predictive value of 93%, 25%, 52% and 80%, respectively. Conclusions Surgical resection for SCN lesions is driven by diagnostic uncertainty after cross-sectional imaging. Multidisciplinary review and EUS evaluation may improve diagnostic accuracy and should be considered prior to surgical resection of possible SCN lesions. Funding Agencies None


2019 ◽  
Vol 58 (6) ◽  
pp. 671-676
Author(s):  
Amy M. West ◽  
Pierre A. d’Hemecourt ◽  
Olivia J. Bono ◽  
Lyle J. Micheli ◽  
Dai Sugimoto

The objective of this study was to determine diagnostic accuracy of magnetic resonance imaging (MRI) and computed tomography (CT) scans in young athletes diagnosed with spondylolysis. A cross-sectional study was used. Twenty-two young athletes (14.7 ± 1.5 years) were diagnosed as spondylolysis based on a single-photon emission CT. Following the diagnosis, participants underwent MRI and CT scan imaging tests on the same day. The sensitivity and false-negative rate of the MRI and CT scans were analyzed. MRI test confirmed 13 (+) and 9 (−) results while CT test showed 17 (+) and 5 (−) results. The sensitivity and false-negative rate of MRI were, respectively, 59.1% (95% confidence interval [CI] = 36.7% to 78.5%) and 40.9% (95% CI = 21.5% to 63.3%). Furthermore, the sensitivity and false-negative rate of CT scan were 77.3% (95% CI = 54.2% to 91.3%) and 22.7% (95% CI = 0.09% to 45.8%). Our results indicated that CT scan is a more accurate imaging modality to diagnose spondylolysis compared with MRI in young athletes.


2009 ◽  
Vol 56 (3) ◽  
pp. 39-44
Author(s):  
R.M. Maksimovic ◽  
B.A. Banko ◽  
J.P. Milovanovic

Computed tomography (CT) and magnetic resonance imaging (MRI) are enabling more precise diagnosis and treatment planning in patients with diseases of the larynx. The aim of this article is to describe the role of these methods in assessment of the laringeal diseases and key local anatomic characteristics important for spread of the disease. CT and MRI have a valuable contribution to the staging of the tumors due to the possibility to show the relationship to the ventricular complex, involvement of the subumucosal spaces, defining craniocaudal and anterposterior extension, laringeal cartilage invasion, as well as regional lymph node metastases.


1996 ◽  
Vol 75 (3) ◽  
pp. 161-168 ◽  
Author(s):  
Reinhardt J. Heuer ◽  
Robert Thayer Sataloff ◽  
Steven Mandel ◽  
Nancy Travers

Cases of neurogenic stuttering have been reported in the literature throughout the past century. Site(s) of lesion(s) have been documented usually by association of symptoms, EEG studies and occasionally by computed tomography (CT). The authors present three cases in which the site(s) of lesion(s) are documented by CT, magnetic resonance imaging (MRI) and SPECT. This study supports previous findings of neurogenic stuttering following either bilateral diffuse lesions or a unilateral lesion. In at least one case, the actual site of the lesion would have been missed without the use of SPECT testing. EEG studies were not helpful in identifying the site of the lesion.


Sign in / Sign up

Export Citation Format

Share Document