Repetitive Pediatric Anesthesia in a Non-Hospital Setting

Buchsbaum, Jeffrey C.; McMullen, Kevin P.; Douglas, James; Jackson, Jeffrey L.; Simoneaux, R. Victor; Hines, Matthew; Bratton, Jennifer; Kerstiens, John; Johnstone, Peter A.S.

doi:10.1016/j.ijrobp.2012.10.006

Cited by 34 publications

(28 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…As discussed in our previous reviews of our pediatric practice [1,2], the location of IUHPTC over 50 miles away from Riley Children’s Hospital and 3 miles from IU Health Bloomington Hospital mandates that structured teamwork and training be continuously practiced. The addition of A/S to an already-challenging pediatric RT treatment course adds marked complexity.…”

Section: Discussionmentioning

confidence: 99%

“…Subjects who underwent daily A/S during any portion of their RT were identified and classified by gender and age. Particulars of the children receiving GA have been published previously [1]. …”

Section: Methodsmentioning

confidence: 99%

“…We have previously reported that repetitive daily anesthesia/sedation (A/S) may be provided safely to these children treated at free standing centers remote from hospital support, with low risk of complication or hospitalization [1]. We have also reported on the typical venous access devices and complication rates of each associated with their use in this milieu [2].…”

Section: Introductionmentioning

confidence: 99%

“…Indiana University Health Proton Therapy Center (IUHPTC) has established expertise in treating pediatric patients in the outpatient setting [1]. In center, pediatric patients are assessed for A/S by the attending radiation oncologist after evaluation and consultation with the patient and caregiver(s).…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Parameters of anesthesia/sedation in children receiving radiotherapy

et al. 2015

Self Cite

View full text Add to dashboard Cite

BackgroundPrevious reports establish low risk of complications in pediatric treatments under anesthesia/sedation (A/S) in the outpatient setting. Here, we present our institutional experience with A/S by age and gender in children receiving daily proton RT.MethodsAfter Institutional Review Board approval, we reviewed our center’s records between 9/9/2004 and 6/30/2013 with respect to age and gender of A/S requirement in our pediatric patients (defined as patients ≤18 years of age).ResultsOf 390 patients treated in this era, 182 were girls. Children aged ≤3 invariably required A/S; and by age 7–8, approximately half of patients do not. For pediatric patients ≥ 12 years of age, approximately 10% may require A/S for different reasons. There was no difference by gender.ConclusionsBeyond age 3, the requirement for A/S decreases in an age-dependent fashion, with a small cadre of older children having difficulty enough with sustained immobilization that A/S is necessary. In our experience, there is no difference in A/S requirement by gender.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Parameters of anesthesia/sedation in children receiving radiotherapy

et al. 2015

Self Cite

View full text Add to dashboard Cite

show abstract

“…In addition, it is critical that anesthetic and emergency equipment suitable for all ages of children is available in the RT suite. 41 A dedicated and experienced member of staff should be allocated to bond with the patient. This could be a nurse, an RTT, or even an experienced student.…”

Section: (I) the Planning Protocolsmentioning

confidence: 99%

Recommendations for the treatment of children with radiotherapy in low‐ and middle‐income countries (LMIC): A position paper from the Pediatric Radiation Oncology Society (PROS‐LMIC) and Pediatric Oncology in Developing Countries (PODC) working groups of the International Society of Pediatric Oncology (SIOP)

Parkes

Hess

Burger

et al. 2017

Pediatric Blood & Cancer

View full text Add to dashboard Cite

Pediatric radiotherapy is a critical part of pediatric oncology protocols and the quality of the radiotherapy may determine the future quality of life for long-term survivors. Multidisciplinary team decision making provides the basis for high-quality care. However, delivery of highquality radiotherapy is dependent on resources. This article provides guidelines for delivery of good quality radiation therapy in resource-limited countries based on rational procurement and maintenance planning, protocol development, three-dimensional planning, quality assurance, and adequate staff numbers and training. K E Y W O R D Sadapted treatment regimen, low and middle income countries, LMIC, Pediatric radiotherapy, PODC, PROS

show abstract