Commentary: The Zurich Checklist for Safety in the Intraoperative Magnetic Resonance Imaging Suite: Technical Note

2018 ◽  
Vol 16 (6) ◽  
pp. E163-E164
Author(s):  
Charles J Prestigiacomo
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Technical Note ◽  
Resonance Imaging ◽  
Intraoperative Magnetic Resonance Imaging

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2016 ◽  
Vol 7 (41) ◽  
pp. 1021 ◽  
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PauloHenrique Pires de Aguiar ◽  
EvandroPinto da Luz Oliveira ◽  
SilviaMazzali Verst ◽  
Vinícius Vieira ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Technical Note ◽  
Awake Craniotomy ◽  
Resonance Imaging ◽  
Intraoperative Magnetic Resonance Imaging

scholarly journals Wax pile method for glioma surgery utilizing intraoperative magnetic resonance imaging: a technical note

2013 ◽  
Vol 1 (1) ◽  
pp. 6
Author(s):  
Toshihide Tanaka ◽  
Takuya Ishii ◽  
Naoki Kato ◽  
Takao Arai ◽  
Yasuharu Akasaki ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Technical Note ◽  
Resonance Imaging ◽  
Glioma Surgery ◽  
Intraoperative Magnetic Resonance Imaging

scholarly journals The Zurich Checklist for Safety in the Intraoperative Magnetic Resonance Imaging Suite: Technical Note

2018 ◽  
Vol 16 (6) ◽  
pp. 756-765 ◽  
Author(s):  
Martin N Stienen ◽  
Jorn Fierstra ◽  
Athina Pangalu ◽  
Luca Regli ◽  
Oliver Bozinov
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Field ◽  
Magnetic Resonance ◽  
High Strength ◽  
Technical Note ◽  
Patient Transfer ◽  
Resonance Imaging ◽  
Intraoperative Magnetic Resonance Imaging ◽  
Surgical Checklist ◽  
The Magnetic Field

Abstract BACKGROUND Recently, the use of intraoperative magnetic resonance imaging (ioMRI) has evolved in neurosurgery. Challenges related to ioMRI-augmented procedures are significant, since the magnetic field creates a potentially hazardous environment. Strict safety guidelines in the operating room (OR) are necessary. Checklists can minimize errors while increasing efficiency and improving workflow. OBJECTIVE To describe the Zurich checklists for safety in the ioMRI environment. METHODS We summarize the checklist protocol and the experience gained from over 300 surgical procedures performed over a 4-yr period using this new system for transcranial or transsphenoidal surgery in a 2-room high-field 3 Tesla ioMRI suite. RESULTS Particularities of the 2-room setting used at our institution can be summarized as (1) patient transfer from a sterile to a nonsterile environment and (2) patient transfer from a zone without to a zone with a high-strength magnetic field. Steps on the checklist have been introduced for reasons of efficient workflow, safety pertaining to the strength of the magnetic field, or sterility concerns. Each step in the checklist corresponds to a specific phase and particular actions taken during the workflow in the ioMRI suite. Most steps are relevant to any 2-room ioMRI-OR suite. CONCLUSION The use of an ioMRI-checklist promotes a zero-tolerance attitude for errors, can lower complications, and can help create an environment that is both efficient and safe for the patient and the OR personnel. We highly recommend the use of a surgical checklist when applying ioMRI.

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