👶Pediatric Imaging – Quality and Safety with Bill Faulkner and Nancy Hill Beluk скачать в хорошем качестве

👶Pediatric Imaging – Quality and Safety with Bill Faulkner and Nancy Hill Beluk

In this episode of the Zone 3 Podcast, MRI experts Bill Faulkner and Nancy Hill Beluk sit down with Robert and Reggie to speak about pediatric imaging. They discuss the key considerations and differences between pediatric and adult imaging, such as tailored protocols, scan acceleration techniques, age considerations, and patient preparation. They emphasize the importance of noise reduction, motion reduction, and patient safety. The video also covers hearing protection solutions specifically designed for pediatric patients, including the Dreamies device from NEATCap Medical. The experts share their extensive experience and insights on various aspects of pediatric imaging, including sedation, immobilization, and communication with families. Highlights 00:00 - Episode Start 00:00:25 - Introduction and Background The video begins with Bill and Nancy's introductions. Nancy shares her background as an MRI technologist for over 40 years, currently working in pediatric imaging at the University of Pittsburgh. Bill introduces himself as an MRI expert from Chattanooga, Tennessee, who started one of the first imaging centers with MRI in 1985. They discuss their long-standing professional relationship and shared experiences in the field. 00:05:30 - Importance of Tailored Protocol and Time Constraints, Motion Reduction, Speed, Effectiveness 00:05:59 - Differences Between Pediatric and Adult Imaging The experts discuss the key differences between pediatric and adult imaging. Bill emphasizes the need for tailored protocols in pediatrics to answer the clinical question efficiently. He highlights the importance of scan acceleration techniques, motion reduction techniques, and coil selection. Nancy adds that pediatric protocols should consider the age range, from birth to late teens, and account for factors like premature birth and tissue differences in young children. 00:13:02 - Patient Preparation and Sedation The discussion covers various aspects of patient preparation and sedation in pediatric imaging. They discuss techniques like feed and bundle, where the child is fed and swaddled before the scan. Nancy shares insights on communicating with families, playing MRI sounds for the child beforehand, and considering the child's routine. The experts also discuss sedation options, including propofol and general anesthesia, emphasizing the importance of having a dedicated team and controlling the environment. 00:28:50 - Feed-and-Swaddle 00:31:00 - Importance of Pre-MRI preparation of infants including hearing protection 00:42:00 - Hearing Protection 00:43:55 - Unique Hearing Protection Solutions A significant portion of the discussion focuses on hearing protection solutions for pediatric patients. The experts highlight the limitations of traditional earplugs, earmuffs, and headphones, which were not designed specifically for MRI or pediatric use. They introduce the DREAMIES T-M device from NEATCap Medical, a specialized solution designed for pediatric MRI and transport environments. The experts share their experiences and insights on the effectiveness and proper usage of the DREAMIES T-M device. 00:48:00 - Anesthesia Effect on Hearing 00:50:30 - Hearing Protection is required, even if patients are under sedation or general anesthesia 00:52:05 - Adding multiple layers of hearing protection doesn’t do what you think When two hearing protection devices A and B are used together, the noise reduction (NR) of combined A and B is not equal to NR of (A) plus NR of (B). The total noise reduction is less than the sum of the individual noise reductions. 00:57:40 – Introduction to DREAMIES T-M 01:06:50 - Nancy’s recommendation about DREAMIES T-M 01:09:30 - Hearing-related injuries related to MRI exams 01:12:19 - Sequence Selection and Considerations Towards the end of the discussion, the experts delve into sequence selection and considerations for pediatric imaging. Bill recommends using 3D sequences like MP-RAGE or Bravo for T1-weighted brain imaging, as they provide better gray-white differentiation and allow reformatting. They also discuss the use of diffusion-weighted imaging and contrast administration, emphasizing the importance of tailoring protocols based on the clinical question and patient age. 📎Links- NEATCap Medical Website - https://www.neatcapmedical.com/ How to Properly Use Foam Ear Plugs -    • How to use FOAM Hearing Protection and Ear...