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Anesthesia for MRI

Over the past two decades, recent advances in technological innovation have led to an increased demand for pediatric noninvasive procedures. This clinical demand has resulted in tremendous growth in pediatric sedation in non-operating room anesthesia (NORA) locations. Providing anesthesia in these locations challenges anesthesia providers to gain familiarity with the procedures, tailor an anesthesia plan to the procedure and location, and plan for the management of life-threatening situations in these challenging locations. Anesthesiologists are the final arbiter of whether the child is optimized for the procedure or not in NORA location with potentially limited access to backup help. This chapter explores the current and important safety issues for anesthetic administration in magnetic resonance imaging (MRI) suite, the available anesthetic techniques for MRI anesthesia/sedation and finally discuss some specialty-specific considerations for children with history of obstructive sleep apnea and difficult airway.