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CC BY-NC-ND 4.0 · J Neuroanaesth Crit Care 2021; 08(01): 066-068
DOI: 10.1055/s-0039-1685247
Technical Note

Thermal Injuries during Intraoperative Magnetic Resonance Imaging: Mechanisms and Prevention

Nitin Manohar
1   Department of Neuroanesthesia, Yashoda Hospitals, Secunderabad, Telangana, India
,
Astha Palan
1   Department of Neuroanesthesia, Yashoda Hospitals, Secunderabad, Telangana, India
,
Harsh Deora
2   Department of Neurosurgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
,
Boyina J. Rajesh
3   Department of Neurosurgery, Yashoda Hospitals, Secunderabad, Telangana, India
,
Anand Balasubramanium
3   Department of Neurosurgery, Yashoda Hospitals, Secunderabad, Telangana, India
,
Kambaduru Pradeep
1   Department of Neuroanesthesia, Yashoda Hospitals, Secunderabad, Telangana, India
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Abstract

Background Thermal injuries in a patient undergoing magnetic resonance imaging (MRI) are rare; more so, when the patient in question is being operated upon. We attempt to elucidate the various factors that may predispose to such an unfortunate circumstance, through a series of four cases.

Materials and Methods We conducted a retrospective review of our experience with intraoperative MRI and found four cases of burns attributed to MRI. Factors leading to possible injury were examined after other causes were ruled out.

Results Collection of moisture between the leads and the patient's skin was the most common factor for the burns. There were no instances of closed loop formation or injury due to direct contact of cables to the skin.

Conclusion Awareness of the causative factor can lead to prevention. Proper education of all concerned personnel involved in the conduction of the intraoperative MRI is paramount to prevention of the same.

Keywords

intraoperative magnetic resonance imaging - neurosurgery - thermal burns


Publication History

Article published online:
02 May 2019

© 2020. Indian Society of Neuroanaesthesiology and Critical Care. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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