This document discusses the importance of proper sedation and hydration protocols for nuclear medicine studies, especially in pediatric patients. Anesthesia is needed to minimize movement artifacts during scans and ensure diagnostic image quality. Guidelines recommend establishing intravenous access and giving oral or intravenous sedatives. Hydration protocols specify giving infants and children normal saline infusions before and after radiotracer injection to promote renal diuresis and allow accurate measurement of glomerular filtration rate. Following standardized protocols leads to benefits like avoiding repeat scans and making conclusive diagnoses.

1. NUCLEAR MEDICINE WEEK-2005

2. NUCLEAR MEDICINE &
ANAESTHESIA
• INTERACTION - WHY ? HOW
• WHAT IT REQUIRES
• WHAT IT OFFERS

3. ACKNOWLEDGEMENT
• WE SINCERELY THANK
• PUTTING I.V. LINE FOR
• INFANTS & UNCOOPERATIVE
CHILDREN - RENAL SCANS

4. ESSENTIAL
• FOR BOLUS INJECTION
• GFR CALCULATION BASED ON
BOLUS ONLY
• CLARITY OF DIAGNOSTIC IMAGES

5. BENEFITS
• NO EXTRAVSATION
• NO REPEAT STUDIES
• NO INCONCLUSIVE STUDIES
• NO WASTAGE OF RESOURCES

6. WHAT WE REQUIRE ?
• MOVEMENT ARTEFACTS
• INSPITE OF FORCIBLE RESTRAINT
• INCESSANT CRYING

14. SEDATION
• NO NEED FOR G.A
• ORAL SEDATION POLICY
• INTRAVENOUS PROTOCOL
• CRISIS MANAGEMENT

15. S.N.M Guidelines
• SUITABLE PROTOCOL
• STEPWISE INSTRUCTIONS
• FOLLOW UP EVALUATION

16. HYDRATION PROTOCOL
• ESTABLISHING AND MAITAINING
• PROPER AND ADEQUATE
HYDRATION
• POST-NATAL , INFANTS & PAEDIATRIC
• POPULATION

17. HYDRATION PROTOCOL
• NORMAL SALINE INFUSION
• 15 ml/Kg FOR 30 min Start 15 min
before tracer injection
• Maintainance infusion at 200 ml/Kg/24Hr
• Till the completion of study

18. SNM GIDELINES
• 500 ml WATER GIVEN 30 min before
• INFANTS & CHILDREN
• WELL TEMPERED RENAL DIURESIS