Repetitive inhalation endotracheal anaesthesia for cobalt radiotherapy in a child

Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie
K M LeDezW Snedden

Abstract

Provision of general anaesthesia in areas remote from the operating room creates many difficult challenges especially if required for repeated radiotherapy in the prone position. This case illustrates these problems and some innovative solutions. A nine-year-old girl with medulloblastoma became extremely distressed whenever cobalt radiotherapy was attempted. Sedation with midazolam and high dose propofol infusion failed to achieve satisfactory conditions and caused concerns regarding airway management. The patient received a total of 37 endotracheal anaesthetics in the prone position using isoflurane in oxygen. Activated charcoal was used to scavenge anaesthetic vapors and adequate gas supplies were assured by connecting an "H' size tank to the oxygen pipeline inlet of the anaesthesia machine. Measurement of isoflurane in exhaust gases using gas chromatography confirmed the effectiveness of scavenging. No serious complications occurred related to repeated anaesthesia. The methods and equipment described permitted safe delivery of repeated inhalation general anaesthesia for radiotherapy. The same methods could be applied to anaesthesia in other remote locations.

References

Jun 1, 1979·Anesthesiology·R A SmithE I Eger
Jul 1, 1978·American Industrial Hygiene Association Journal·M L Woebkenberg, L J Doemeny
Jan 1, 1976·Anaesthesia·F A Maggs, M E Smith
Nov 1, 1992·Anesthesia and Analgesia·Y J Kao, R G Norton
Nov 1, 1992·Anesthesia and Analgesia·M A Setlock, B W Palmisano
Oct 1, 1992·Anaesthesia·M J Herrick, D J Kennedy
Apr 1, 1991·International Journal of Radiation Oncology, Biology, Physics·W J Murray, M J Murray
Apr 1, 1991·International Journal of Radiation Oncology, Biology, Physics·C Ferguson, P Kirkbride
Apr 1, 1991·International Journal of Radiation Oncology, Biology, Physics·J A BelliD Kennamer
Oct 1, 1990·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·J E Morrison, R H Friesen
Mar 1, 1990·Anesthesiology·C R GrebenikA White
Mar 1, 1990·International Journal of Radiation Oncology, Biology, Physics·L MenacheJ A Belli
Aug 1, 1990·Anaesthesia·D H Taylor, C S Child
Oct 1, 1980·Anesthesiology·A L QuashaJ H Tinker
Jan 1, 1995·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Y Ding, P F White
Sep 1, 1993·The British Journal of Radiology·S Attard-MontaltoO B Eden
Jul 1, 1993·British Journal of Anaesthesia·S L Moylan, M A Luce

❮ Previous
Next ❯

Citations

Aug 1, 1996·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·W L Roy
Nov 29, 2005·Annales Françaises D'anesthèsie Et De Rèanimation·C Lejus

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Hereditary Sensory Autonomic Neuropathy

Hereditary Sensory Autonomic Neuropathies are a group of inherited neurodegenerative disorders characterized clinically by loss of sensation and autonomic dysfunction. Here is the latest research on these neuropathies.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Landau-Kleffner Syndrome

Landau Kleffner syndrome (LKS), also called infantile acquired aphasia, acquired epileptic aphasia, or aphasia with convulsive disorder, is a rare childhood neurological syndrome characterized by the sudden or gradual development of aphasia (the inability to understand or express language) and an abnormal electroencephalogram. Discover the latest research on LKS here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Regulation of Vocal-Motor Plasticity

Dopaminergic projections to the basal ganglia and nucleus accumbens shape the learning and plasticity of motivated behaviors across species including the regulation of vocal-motor plasticity and performance in songbirds. Discover the latest research on the regulation of vocal-motor plasticity here.