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John R. Fischer, Senior Reporter | November 06, 2018
“For the longest time, there weren't significant concerns about anesthesia or its complications,” he said. “Because we largely excluded emergent and trauma cases, ICU patients and post-surgical patients at those times, we weren't really doing anything to our patients other than imaging them. We developed a sense that people simply couldn't get hurt from MR imaging and felt we didn't need support infrastructure, or ACLS-credentialed people,” he told HCB news. “In ways small and large, we have failed to prepare for risks even though MR has grown increasingly stronger, and our patients have increased in acuity and the degree of intervention that we subject them to.”
He adds that while it is not yet known if MR played any role in the tragedy, providers should still take note and work to ensure patient care and scan efficiency are safely planned out long in advance, with protocols and resources in place for any type of emergency situation.
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“What are your current most precarious patients that will be accepted for MR? If these same patients were to undergo an examination anywhere else in the hospital, what would your minimum expectations for their care be? Are the elements of care that you'd expect to be minimum to this patient's care elsewhere, in MR? Do you have trained and qualified individuals responsible for overseeing processes for emergent patient care in the MR suite? This event should focus our minds to the question of 'could something similar happen here?'”
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Mohammed Boudria
re: Teenager dies tragically during general anesthetic for MR exam
November 07, 2018 08:21
Does this tragic incident have anything to do with MR safety as stated in this news release ?
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John R. Fischer
re: re: Teenager dies tragically during general anesthetic for MR exam
November 08, 2018 09:57
Hello Mohammed,
Thanks for the comment. The story pertains to MR safety in terms of making sure a patient is properly vetted for any possible risks before undergoing an MR exam. The patient suffered from a number of conditions, including a cardiomyopath condition, which put her at a higher risk for suffering cardiac events, as she did here. In addition, undergoing an MR exam or even just being in the bore of the machine has been shown to raise anxiety and can set off such events in high-risk patients like Alice.
In this article, MR safety expert Tobias Gilk points out that the history of imaging relatively healthy patients has made many providers and radiologists unaware of and unprepared for catering to the needs of those who are not as healthy. The story is meant to raise awareness about the need for better resources and preparation concerning such patients.
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Mohammed Boudria
re: re: re: Teenager dies tragically during general anesthetic for MR exam
November 09, 2018 08:53
As Alice was under general anesthesic, anxiety is nor concerned in this case.
Anyway this unfortunate incident could have happened in any other procedure (not specially in MR) since Alice seems to have sufferred from
a cardiopath desease. Such a case should have bean dealt with , with high medical caution whatever the exam performed.
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