Limits...
Sedation and anesthesia options for pediatric patients in the radiation oncology suite.

Harris EA - Int J Pediatr (2010)

Bottom Line: We will then examine several currently used regimens for the provision of pediatric sedation in the XRT suite as well as a discussion of when and how general anesthesia should be performed if deemed necessary.Standards of care with respect to patient monitoring will be addressed.We will conclude with a survey of the developing field of radiation-based therapy administered outside of the XRT suite.

View Article: PubMed Central - PubMed

Affiliation: Department of Anesthesiology, Perioperative Medicine, and Pain Management, Miller School of Medicine, University of Miami, 2574 Mayfair Lane, Weston, FL 33327-1506, USA.

ABSTRACT
External beam radiation therapy (XRT) has become one of the cornerstones in the management of pediatric oncology cases. While the procedure itself is painless, the anxiety it causes may necessitate the provision of sedation or anesthesia for the patient. This review paper will briefly review the XRT procedure itself so that the anesthesia provider has an understanding of what is occurring during the simulation and treatment phases. We will then examine several currently used regimens for the provision of pediatric sedation in the XRT suite as well as a discussion of when and how general anesthesia should be performed if deemed necessary. Standards of care with respect to patient monitoring will be addressed. We will conclude with a survey of the developing field of radiation-based therapy administered outside of the XRT suite.

No MeSH data available.


Related in: MedlinePlus

A remote monitor bank.
© Copyright Policy - open-access
Related In: Results  -  Collection


getmorefigures.php?uid=PMC2871531&req=5

fig7: A remote monitor bank.

Mentions: Remote monitoring of the patient receiving XRT therapy has progressed to the point where it is on par with technology found in the operating room. The days of rigging together makeshift monitoring devices [51] have been supplanted by the use of crystal clear closed circuit monitoring. The typical configuration (Figure 7) uses two cameras to provide visual monitoring. Each camera is controlled by switches next to the television screens, allowing individual control of zoom and focus [52]. One camera is directed at the patient to observe for consistent breathing and the absence of other movements. The other camera is focused upon the monitors, which typically include (at minimum) the ASA standards of EKG, NIBP, and pulse oximetry and qualitative end-tidal CO2. If the patient is receiving general anesthesia, the field of vision can be widened to include the ventilator and anesthesia machine as well. A microphone is also present to transmit the pulse oximeter tone. Remote audio monitoring of an esophageal stethoscope has been reported [53] but is not widely practiced. Documentation, either electronic or manual, should be completed from the initiation of sedation until the patient is transferred to a postanesthesia care provider.


Sedation and anesthesia options for pediatric patients in the radiation oncology suite.

Harris EA - Int J Pediatr (2010)

A remote monitor bank.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2871531&req=5

fig7: A remote monitor bank.
Mentions: Remote monitoring of the patient receiving XRT therapy has progressed to the point where it is on par with technology found in the operating room. The days of rigging together makeshift monitoring devices [51] have been supplanted by the use of crystal clear closed circuit monitoring. The typical configuration (Figure 7) uses two cameras to provide visual monitoring. Each camera is controlled by switches next to the television screens, allowing individual control of zoom and focus [52]. One camera is directed at the patient to observe for consistent breathing and the absence of other movements. The other camera is focused upon the monitors, which typically include (at minimum) the ASA standards of EKG, NIBP, and pulse oximetry and qualitative end-tidal CO2. If the patient is receiving general anesthesia, the field of vision can be widened to include the ventilator and anesthesia machine as well. A microphone is also present to transmit the pulse oximeter tone. Remote audio monitoring of an esophageal stethoscope has been reported [53] but is not widely practiced. Documentation, either electronic or manual, should be completed from the initiation of sedation until the patient is transferred to a postanesthesia care provider.

Bottom Line: We will then examine several currently used regimens for the provision of pediatric sedation in the XRT suite as well as a discussion of when and how general anesthesia should be performed if deemed necessary.Standards of care with respect to patient monitoring will be addressed.We will conclude with a survey of the developing field of radiation-based therapy administered outside of the XRT suite.

View Article: PubMed Central - PubMed

Affiliation: Department of Anesthesiology, Perioperative Medicine, and Pain Management, Miller School of Medicine, University of Miami, 2574 Mayfair Lane, Weston, FL 33327-1506, USA.

ABSTRACT
External beam radiation therapy (XRT) has become one of the cornerstones in the management of pediatric oncology cases. While the procedure itself is painless, the anxiety it causes may necessitate the provision of sedation or anesthesia for the patient. This review paper will briefly review the XRT procedure itself so that the anesthesia provider has an understanding of what is occurring during the simulation and treatment phases. We will then examine several currently used regimens for the provision of pediatric sedation in the XRT suite as well as a discussion of when and how general anesthesia should be performed if deemed necessary. Standards of care with respect to patient monitoring will be addressed. We will conclude with a survey of the developing field of radiation-based therapy administered outside of the XRT suite.

No MeSH data available.


Related in: MedlinePlus