Głęboka sedacja do radioterapii u dzieci

Ewa Wojcieszek, Elżbieta Wojarska-Tręda

Summary
Background. Radiation therapy requires immobilisation which may be difficult in small children, especially if it requires the use of individually designed and/or modified plastic moulds. In children, anaesthesia or deep sedation is necessary to prevent movement during the therapy. Methods. This study was designed to assess the efficacy of thiopentone or ketamine in 179 cases of deep sedation for radiotherapy of various tumours. Sedated children were alone in the radiation room under video surveillance. Monitored parameters included heart and respiratory rates, pulse oximetry, and non– invasive arterial blood pressure. Results. All cases were uneventful. In three children sedation was not deep enough and additional doses of sedatives had to be used. Conclusion. We regard deep thiopentone or ketamine-based sedation as a safe and effective technique. It can also be recommended for repeated procedures.

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