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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

The gamma knife machine (courtesy of Elekta).
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Related In: Results  -  Collection


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fig8: The gamma knife machine (courtesy of Elekta).

Mentions: Stereotactic radiosurgery is another radiation therapy venue where anesthesiology services may be necessary. This procedure is used to treat conditions as diverse as malignancies, arteriovenous malformations, acoustic neuromas, and trigeminal neuralgia. The most widely used device, the Gamma Knife (Elekta Instruments Inc., Stockholm, Sweden), focuses 201 beams of gamma radiation (derived from cobalt-60) upon the lesion [57] (Figure 8). In contrast to XRT derived from a linear accelerator, only a single session of radiotherapy is needed to treat the disease. However, the patient may require several doses administered consecutively, each targeted to a different surface of the lesion.


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

Harris EA - Int J Pediatr (2010)

The gamma knife machine (courtesy of Elekta).
© Copyright Policy - open-access
Related In: Results  -  Collection

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

fig8: The gamma knife machine (courtesy of Elekta).
Mentions: Stereotactic radiosurgery is another radiation therapy venue where anesthesiology services may be necessary. This procedure is used to treat conditions as diverse as malignancies, arteriovenous malformations, acoustic neuromas, and trigeminal neuralgia. The most widely used device, the Gamma Knife (Elekta Instruments Inc., Stockholm, Sweden), focuses 201 beams of gamma radiation (derived from cobalt-60) upon the lesion [57] (Figure 8). In contrast to XRT derived from a linear accelerator, only a single session of radiotherapy is needed to treat the disease. However, the patient may require several doses administered consecutively, each targeted to a different surface of the lesion.

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