Use of ventilation bag for the respiratory support during magnetic resonance imaging in Arnold-Chiari ventilated patients, a case report

Claudia Enrichi, Cristiano Zanetti, Rosaria Stabile, Carla Carollo, Luca Ghezzo, Francesco Piccione

Research output: Contribution to journalArticle

Abstract

Context: Magnetic Resonance Imaging (MRI) is an essential diagnostic tool for neuroimaging tissues such as the spinal cord. Unfortunately, the use of MRI may be limited in ventilated patients, who cannot maintain the supine position in spontaneous breathing for the whole duration of the exam (i.e. neuro-muscular patients with diaphragm involvement). The use of MRI-compatible ventilator during MRI could be a solution but they are not universally available. Furthermore, their performances are not up to those of the conventional ones and they are not always compatible with Non Invasive Ventilation (NIV). Findings: This case report describes an easy and low-cost solution to ventilate a patient non-invasively during the MRI procedure. The patient in this case was a 45-yr-old man, wheelchair-dependent and chronically ventilated in NIV with a forced vital capacity in supine position of 370 ml (10% of predicted normal), affected by Arnold-Chiari Syndrome, and in need of a MRI diagnostic control. Conclusion: The technique proposed, that does not affect the MRI images quality, consists in ventilating the patient using a simple nonmetallic Ventilation Bag, operated by a Respiratory Therapist. This has been proven a useful and economical solution for ventilatory support during MRI for a respiratory-dependent patient with Arnold-Chiari Syndrome.

Original languageEnglish
JournalJournal of Spinal Cord Medicine
DOIs
Publication statusAccepted/In press - Jan 1 2018

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Ventilation
Magnetic Resonance Imaging
Arnold-Chiari Malformation
Noninvasive Ventilation
Supine Position
Wheelchairs
Vital Capacity
Mechanical Ventilators
Diaphragm
Neuroimaging
Spinal Cord
Respiration
Costs and Cost Analysis

Keywords

  • Arnold-Chiari malformation"[Mesh]
  • Magnetic resonance imaging [MeSH]
  • Noninvasive ventilation [MeSH]
  • Respiratory insufficiency [MeSH]
  • Ventilation bag

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Use of ventilation bag for the respiratory support during magnetic resonance imaging in Arnold-Chiari ventilated patients, a case report. / Enrichi, Claudia; Zanetti, Cristiano; Stabile, Rosaria; Carollo, Carla; Ghezzo, Luca; Piccione, Francesco.

In: Journal of Spinal Cord Medicine, 01.01.2018.

Research output: Contribution to journalArticle

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AU - Ghezzo, Luca

AU - Piccione, Francesco

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AB - Context: Magnetic Resonance Imaging (MRI) is an essential diagnostic tool for neuroimaging tissues such as the spinal cord. Unfortunately, the use of MRI may be limited in ventilated patients, who cannot maintain the supine position in spontaneous breathing for the whole duration of the exam (i.e. neuro-muscular patients with diaphragm involvement). The use of MRI-compatible ventilator during MRI could be a solution but they are not universally available. Furthermore, their performances are not up to those of the conventional ones and they are not always compatible with Non Invasive Ventilation (NIV). Findings: This case report describes an easy and low-cost solution to ventilate a patient non-invasively during the MRI procedure. The patient in this case was a 45-yr-old man, wheelchair-dependent and chronically ventilated in NIV with a forced vital capacity in supine position of 370 ml (10% of predicted normal), affected by Arnold-Chiari Syndrome, and in need of a MRI diagnostic control. Conclusion: The technique proposed, that does not affect the MRI images quality, consists in ventilating the patient using a simple nonmetallic Ventilation Bag, operated by a Respiratory Therapist. This has been proven a useful and economical solution for ventilatory support during MRI for a respiratory-dependent patient with Arnold-Chiari Syndrome.

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