Safety and performance of TCI pumps in a magnetic resonance imaging environment
- PMID: 21972913
- DOI: 10.1111/j.1365-2044.2011.06917.x
Safety and performance of TCI pumps in a magnetic resonance imaging environment
Abstract
Target controlled infusion (TCI) devices can be associated with significant safety concerns when used during magnetic resonance imaging (MRI). We tested the safety and compatibility of newer TCI systems in a 3-Tesla MRI environment. Two Asena PK and two Agilia TCI pumps were used to administer TCI propofol (at target blood concentrations of 0.5 and 6.0 μg.ml⁻¹) using the Marsh model under magnetic fields of up to 50 G with a T2-weighted sequence. We assessed the devices for projectile risk, accuracy of drug delivery, alarm function and effects on MR image quality. Both devices did not demonstrate any significant deflection at the tested field strengths, and performed within acceptable limits (cumulative error in total delivered volume < 3%; maximum 10-min interval error < 10%). The Asena pump caused minor artefacts on MR images. The TCI pumps tested perform well and safely implement pharmacokinetic software in a high magnetic field.
Anaesthesia © 2011 The Association of Anaesthetists of Great Britain and Ireland.
References
-
- Davis MH, Coleman MR, Absalom AR, et al. Dissociating speech perception and comprehension at reduced levels of awareness. Proceedings of the National Academy of Sciences USA 2007; 104: 16032-7.
-
- Newson C, Joshi GP, Victory R, White PF. Comparison of propofol administration techniques for sedation during monitored anesthesia care. Anesthesia and Analgesia 1995; 81: 486-91.
-
- Eikaas H, Raeder J. Total intravenous anaesthesia techniques for ambulatory surgery. Current Opinion in Anesthesiology 2009; 22: 725-9.
-
- Williams EJ, Tam YC, Kendal IV, Carpenter TA, Menon DK. Infusion pump performance in an MR environment. European Journal of Anaesthesiology 1999; 16: 468-72.
-
- Bradley PG, Harding SG, Reape-Moore K, Abeygunaratne R, Menon DK. Evaluation of infusion pump performance in a magnetic resonance environment. European Journal of Anaesthesiology 2004; 21: 729-33.
Publication types
MeSH terms
Substances
Grants and funding
LinkOut - more resources
Full Text Sources
Medical
