Which approach is recommended for pediatric patients when immobilization is necessary?

Using positioning sponges is the recommended approach for immobilizing pediatric patients when necessary because it provides a safe, effective, and non-invasive way to support the child in the required position without causing distress. Positioning sponges are designed to provide comfort and stability, minimizing movement during imaging procedures, which helps reduce the need for repeated exposures and therefore lower radiation dose.

This method is particularly advantageous in pediatric care since children can be anxious or uncooperative in clinical settings. Positioning sponges enable healthcare professionals to secure the child safely while allowing them to remain calm, which is crucial for obtaining high-quality imaging. Additionally, this method respects the principle of as low as reasonably achievable (ALARA), focusing on minimizing radiation exposure by ensuring that the imaging is as efficient as possible without causing the child discomfort or fear.

In contrast, methods such as restraining by healthcare teams or family members can increase anxiety and may not be as effective in maintaining the necessary position, potentially leading to movement that can compromise the quality of images. Chemical sedation introduces additional risks and is often not the first choice due to the need for monitoring and potential side effects, making positioning sponges a far more favorable option in these scenarios.