Anesthésie générale en radiothérapie pédiatrique

Vigneron, C.; Schwartz, Emanuel E.; Trojé, C.; Niederst, C.; Meyer, P.; Lutz, Patrick; Werlé, N. Entz; Noël, Georges

doi:10.1016/j.canrad.2013.06.036

Cited by 5 publications

(2 citation statements)

References 22 publications

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“…In particular, the oldest patient in the group who received anaesthesia was 7 years old, while the youngest patient in the group that did not receive anaesthesia was 3 years old. Vigneron et al 10 reported that children under 4 years of age required general anaesthesia during radiation therapy. On the other hand, McMullen et al 11 reported the need for general anaesthesia in almost all children under 3 years old, in about half of 7-8 years old, and in about 10% of 12 years or older.…”

Section: Discussionmentioning

confidence: 99%

“…However, since it is necessary to perform this procedure several times every day, it is important to properly select subjects considering the risks. While several researchers have reported on the safety and efficacy of general anaesthesia during PBT, there is a lack of evidence on the safety of repeated anaesthesia and sedation during PBT in children 10 – 12 . The reports lacked information on equipment standards used for safe general anaesthesia management, and there was limited information on how treatment choices were made at each facility.…”

Section: Introductionmentioning

confidence: 99%

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Age as a decisive factor in general anaesthesia use in paediatric proton beam therapy

Shimazu

Otsuki

Murakami

et al. 2020

Sci Rep

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Proton therapy for paediatric cancer patients is an effective treatment; however, young children have may have difficulties staying still during irradiation. This study investigated the indication of general anaesthesia in paediatric proton therapy. Background information and anaesthesia/treatment protocols were retrospectively extracted from the medical records of cancer patients under 15 years who underwent proton therapy at Southern TOHOKU General Hospital, Fukushima, Japan between April 2016 and December 2018. The anaesthesia and non-anaesthesia groups were compared to evaluate factors determining the need for general anaesthesia. Thirty-two patients who received 285 irradiations were analysed. The median age was 5 years old (range: 1–15), and 13 patients (40.6%) were female. Twelve (37.5%) patients received general anaesthesia. In the general anaesthesia group, airway management using a laryngeal mask was performed in 11 patients (91.6%). Patient age was significantly lower in the general anaesthesia group than in the non-anaesthetised group (p < 0.001). Considering all background factors, only age was strongly associated with anaesthesia in the univariate logistic regression model (odds ratio 0.55 [95% confidence interval 0.35–0.86]; P < 0.01). Thus, age is one of the most important factors determining the need for general anaesthesia during proton therapy in children.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%