Experience with a “Feed and Swaddle” program in infants up to six months of age

• Published in: Acta anaesthesiologica Scandinavica 2020-01, Vol.64 (1), p.63-68
• Main Authors: Templeton, Leah B., Norton, Michael J., Goenaga‐Díaz, Eduardo J., McLaughlin, Douglas H., Zapadka, Michael E., Templeton, T. Wesley
• Format: Article
• Language: English
• Subjects: Age Factors; Anesthesia; Bedding and Linens; Bradycardia; Brain; Brain - diagnostic imaging; Complications; Demographics; Diagnostic systems; Feeding Behavior - physiology; Feeds; Female; general anesthesia; Humans; Hypotension; Hypothermia; Hypoxemia; Infant; Infant Formula; Infant, Newborn; Infants; Magnetic resonance imaging; Magnetic Resonance Imaging - methods; Male; Medical imaging; Milk, Human; Neuroimaging; NMR; Nuclear magnetic resonance; pediatrics; premature infant; radiology; Restraint, Physical - methods; Retrospective Studies; Sleep - physiology; Success
• ISSN: 0001-5172; 1399-6576
• DOI: 10.1111/aas.13471

Background Feed and swaddle is a technique in which an infant is fed and allowed to fall asleep to facilitate diagnostic imaging. This study reviews our experience and diagnostic success in premature and term infants up to 6 months old undergoing brain magnetic resonance imaging (MRI) using a feed and swaddle technique and with comparable patients imaged under anesthesia. Methods We reviewed the charts of all infants ≤6 months who underwent brain MRI at our institution between 1 January 2013 and 31 March 2016. We recorded and analyzed demographic information, scan indication, scan length, prematurity status, anesthetic technique if used, complications, and diagnostic success or failure. Results One hundred and sixty‐four term infants underwent brain MRI using a feed and swaddle technique. The success rate in term infants