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Martins, M., Melin, S., Engström, J., Tisell, A., Tobieson, L., Zsigmond, P. & Gunnarsson, T. (2025). Close-to-Bedside Magnetic Resonance Imaging in the Neurocritical Care Unit. Critical Care Nursing Quarterly, 48(3), 257-266
Open this publication in new window or tab >>Close-to-Bedside Magnetic Resonance Imaging in the Neurocritical Care Unit
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2025 (English)In: Critical Care Nursing Quarterly, ISSN 0887-9303, E-ISSN 1550-5111, Vol. 48, no 3, p. 257-266Article in journal (Refereed) Published
Abstract [en]

Unstable patients in the neurocritical care unit (NCCU) need repeated diagnostic imaging. Intrahospital transports of such patients is hazardous where even small changes in physiology may lead to secondary brain injury. In this study we describe the workflow, safety aspects and reflect on our initial experience of close-to-bedside magnetic resonance (MR) imaging in the NCCU. A descriptive observational study was conducted to assess the safety of the transportation method and potential physiological changes associated with it. Eligible patients referred for MR imaging while in critical care at the NCCU between December 2021 and April 2022 were included. Physiological variables, including mean arterial pressure, heart rate, oxygen saturation, and fraction of inspired oxygen, were documented by critical care nurses before patient transfer, midway through MR scanning, and upon return to the NCCU bed. The suite's setup, including equipment and staffing, is detailed. Patient preparation and transportation procedures are described, emphasizing safety protocols. No main detrimental physiological changes occurred in patients undergoing close-to-bedside MR scanning included in our study (n = 45). No hazardous safety incidents occurred during the conduction of this study using this transportation approach. The concept of close-to-bedside MR imaging in the NCCU appears safe and minimizes numerous risks associated with intrahospital transports of unstable patients in neurocritical care. Safe access to repeated MR scanning of NCCU patients enables us to further advance the field of neurocritical care.

Place, publisher, year, edition, pages
LIPPINCOTT WILLIAMS & WILKINS, 2025
Keywords
critical care nursing; magnetic resonance imaging; patient positioning; patient safety; patient transfer
National Category
Nursing
Identifiers
urn:nbn:se:liu:diva-214434 (URN)10.1097/CNQ.0000000000000557 (DOI)001500929100006 ()40423383 (PubMedID)2-s2.0-105006949886 (Scopus ID)
Available from: 2025-06-10 Created: 2025-06-10 Last updated: 2025-10-16
El-Saadi, W., Engvall, J., Alfredsson, J., Karlsson, J.-E., Martins, M., Sederholm Lawesson, S., . . . Kihlberg, J. (2023). Correction: A head-to-head comparison of myocardial strain by fast-strain encoding and feature tracking imaging in acute myocardial infarction (vol 9, 949440, 2022). Frontiers in Cardiovascular Medicine, 10, Article ID 1140214.
Open this publication in new window or tab >>Correction: A head-to-head comparison of myocardial strain by fast-strain encoding and feature tracking imaging in acute myocardial infarction (vol 9, 949440, 2022)
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2023 (English)In: Frontiers in Cardiovascular Medicine, E-ISSN 2297-055X, Vol. 10, article id 1140214Article in journal (Other academic) Published
Place, publisher, year, edition, pages
FRONTIERS MEDIA SA, 2023
Keywords
cine magnetic resonance imaging; myocardial ischemia; ST elevation myocardial infarction; myocardial stunning; left ventricular dysfunction; left ventricular remodeling
Identifiers
urn:nbn:se:liu:diva-192516 (URN)10.3389/fcvm.2023.1140214 (DOI)000937337700001 ()36818344 (PubMedID)
Available from: 2023-03-22 Created: 2023-03-22 Last updated: 2024-05-03
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-9928-4207

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