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Thermal Injuries during Intraoperative Magnetic Resonance Imaging: Mechanisms and Prevention
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.
02 May 2019 (online)
© 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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