Techniques and Complications of Anesthesia in Pediatric Radiotherapy: A Retrospective Cohort Study.

Journal

Journal of pediatric hematology/oncology

ISSN: 1536-3678

Titre abrégé: J Pediatr Hematol Oncol

Pays: United States

ID NLM: 9505928

Informations de publication

Date de publication:
01 Oct 2023

Historique:

received: 21 11 2022

accepted: 15 05 2023

pubmed: 1 8 2023

medline: 1 8 2023

entrez: 1 8 2023

Statut: ppublish

Résumé

Anesthesia during pediatric external beam radiation therapy poses a challenge, as radiotherapy rooms are not designed for the administration of anesthesia. We conducted a retrospective cohort study of children who underwent radiation therapy to describe the anesthetic approach and assess anesthetic-related complications. Data of all, who underwent radiation therapy under general anesthesia between November 2019 and January 2021, were recorded. Data were obtained from medical records, including demographic characteristics and information, regarding the anesthetic procedure and its associated complications. We describe our protocols for preoperative assessment, anesthetic procedures, and postanesthetic discharge evaluation. Over the reporting period, 739 sessions of general anesthesia were performed. The mean number of radiation therapy rounds per patient was 23.5 sessions. Anesthetic induction was accomplished by sevoflurane inhalation in 639 sessions (86.4%) and intravenous propofol in the remaining 13.6%. General anesthesia was maintained with sevoflurane in all cases. Anesthesia-related complications occurred in 118 sessions (15.7%). The most frequent was nausea in 48 (6.4%) cases, followed by hypotension in 38 (5.1%). Airway-related complications occurred at a low frequency (2.3%), and all were resolved successfully with positive pressure ventilation. No patient hospitalizations were required because of any anesthetic complications. Inhalation anesthesia is reliable and safe for pediatric patients undergoing radiation therapy.

Sections du résumé

BACKGROUND BACKGROUND

Anesthesia during pediatric external beam radiation therapy poses a challenge, as radiotherapy rooms are not designed for the administration of anesthesia.

AIMS OBJECTIVE

We conducted a retrospective cohort study of children who underwent radiation therapy to describe the anesthetic approach and assess anesthetic-related complications.

MATERIALS AND METHODS METHODS

Data of all, who underwent radiation therapy under general anesthesia between November 2019 and January 2021, were recorded. Data were obtained from medical records, including demographic characteristics and information, regarding the anesthetic procedure and its associated complications. We describe our protocols for preoperative assessment, anesthetic procedures, and postanesthetic discharge evaluation.

RESULTS RESULTS

Over the reporting period, 739 sessions of general anesthesia were performed. The mean number of radiation therapy rounds per patient was 23.5 sessions. Anesthetic induction was accomplished by sevoflurane inhalation in 639 sessions (86.4%) and intravenous propofol in the remaining 13.6%. General anesthesia was maintained with sevoflurane in all cases. Anesthesia-related complications occurred in 118 sessions (15.7%). The most frequent was nausea in 48 (6.4%) cases, followed by hypotension in 38 (5.1%). Airway-related complications occurred at a low frequency (2.3%), and all were resolved successfully with positive pressure ventilation. No patient hospitalizations were required because of any anesthetic complications.

CONCLUSIONS CONCLUSIONS

Inhalation anesthesia is reliable and safe for pediatric patients undergoing radiation therapy.

Identifiants

DOI: 10.1097/MPH.0000000000002706 PMID: 37526351

pubmed: 37526351

doi: 10.1097/MPH.0000000000002706

pii: 00043426-990000000-00264

doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

Pagination

377-382

Informations de copyright

Déclaration de conflit d'intérêts

The authors declare no conflict of interest.

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