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An increasing number of children undergo Magnetic Resonance Imaging (MRI). In MRI, radio waves and magnetism are used to form images of the body's interior, to diagnose and monitoring diseases in children. Many children are sedated to be able to collaborate with the MRI procedure. Sedation and general anesthesia cause the child to some extent to lose the ability to regulate his or her own bodytemperature. MRI rooms are most often cold due to the function of the magnet, leading to a risk of hypothermia in young children. Conversely, the MRI scanner generates radio frequencies that are absorbed by the body and converted to heat, which especially in small children due to their large surface area can potentially result in an increase in bodytemperature. In this study we therefore want to investigate changes in bodytemperature in children who are undergoing MRI- scanning within the Neuroanesthesiology Clinic. Furthermore, we want to define possible risk factors for possible temperature changes. Our hypothesis: Children undergoing MRI scanning increase in bodytemperature.
Ear temperature is measured as we are primarily interested in describing temperature changes in the individual child and because this method is less invasive than the alternatives.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Braun thermoscan /, IRT 6520 | Device | The temperature will be measured in both ears with an ear thermometer. Practically, we will measure the temperature twice when generel anaesthsia is established, and immidiately before and after the MRI scan. |
| Measure | Description | Time Frame |
|---|---|---|
| Delta temperature ∆Tp = post-temperature - pre-temperature. Delta temperature is defined as the average temperature difference between pre-scan and post scan temperature measurement in right and left ear canal of the child before and after MRI scan. | The average of the temperature measured in the two ear canals is used if the difference is less than 0.5 degrees. If the temperature difference between the two ear canals exceeds 0.5 degrees, it is assumed that the lowest temperature is an error measurement e.g. due to physical block of the ear canal. In that case, the highest temperature measured in one of the two ear canals is used. | Ear temperature scan within 5 minuts before and after MRI right outside the MRI suite. |
| Measure | Description | Time Frame |
|---|---|---|
| Childrens body surface area and temperature increase during MRI | Influence on body surface area calculated by weight in kilograms, height in centimeters. For calculation the Du Bois formula is used. | 20 minutes - 3 hours |
| Confounders influence on intervention and temperature outcome |
| Measure | Description | Time Frame |
|---|---|---|
| Anesthesia type and influence on body temperature | Generel anesthesia using propofol infusion or sevoflurane. Sedation or awake during MRI. ASA group 1-4 | 20 minutes - 3 hours. |
Inclusion Criteria:
Exclusion Criteria:
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Children 12 weeks to 12 years of age undergoing MRI procedure with the assistance of anesthesiologists from the Neuroanesthesiology Clinic may be included. Oral and written consent from the parent or relatives of the child will be obtained in accordance with science ethical rules.
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| Name | Affiliation | Role |
|---|---|---|
| Thurid W Madsen, RN | Rigshospitalet, Denmark | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rigshospitalet, Blegdamsvej 9 | Copenhagen | 2100 | Denmark |
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| ID | Term |
|---|---|
| D001832 | Body Temperature Changes |
| ID | Term |
|---|---|
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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Age ( years), height (centimeters ) BMI (kg/m^2) < 18.5 underweight, 18.5 -25 normal weight, > 25 overweight. |
| 20 minutes |
| MRI | Influence of MRI protocol: cerebrum, neuro axis, abdominal, heart and others. MRI duration (minutes) and MRI type (Tesla 1,5 or 3,0) | 20 minutes to 3 hours |
| Influence on body temperature | Underlying diseases, infection, fever and use contrast. , use of contrast. | 5 minutes |
| Medication | Use of paracetamol (acetaminophen) same day of MRI-scanning | 5 minutes |
| External use of cover during MRI | Use of blankets to prevent heat loss in babies and children undergoing MRI-scan. | 20 minutes - 3 hours |