Reply To: MIBG Sedation

  • Janet DeJean

    Member
    August 16, 2021 at 12:51 pm

    Hi Carie,
    I apologize for not getting this to out to you sooner!  The MIBG room is also on our Hem/Onc unit and it can be challenging with what you can/can’t give.  We have always used versed for our patients and really had no issues until a couple of months ago.  We had a very young patient who versed didn’t touch and we had an MIBG disconnect causing a lot of issues.  We then proceeded to get permission to use precedex on the acute care floor (it is only approved for the ICU level at our institution). Now, if needed we can utilize precedex if needed for MIBG infusion.  Please let me know if you need any more information.

    Thanks!
    Janet

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    Janet DeJean, MSN, RN, CPON
    Clinical Specialist
    Texas Children’s Cancer and Hematology Centers
    Houston, Texas 77030
    832-822-4870
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    Original Message:
    Sent: 06-25-2021 11:58 AM
    From: Carie Murphy
    Subject: MIBG Sedation

    ​​Good afternoon!  Our facility is currently moving toward going live with our MIBG program.  We have had several conversations regarding light/moderate sedation of MIBG patients.  We are currently discussing the use of a precedex drip to help with sedation of our patients.  I am wondering what other institutions do for their younger MIBG patients that need sedation during their MIBG and how you staff and educated for this patient population?  We do not have the MIBG room set up in our PICU.  It is set up on our hem/onc unit.  Thank you for any insight.  Please feel free to email me directly if that is more appropriate.

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    Carie Murphy, CPON,MSN,RN
    Assistant Nurse Manager
    Jacksonville, FL
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