sedation and anesthesia options for pediatric patients in the radiation oncology suite镇静和麻醉选择儿科患者的放射肿瘤学套件.pdfVIP

Hindawi Publishing Corporation International Journal of Pediatrics Volume 2010, Article ID 870921, 9 pages doi:10.1155/2010/870921 Review Article Sedation and Anesthesia Options for Pediatric Patients in the Radiation Oncology Suite Eric A. Harris Department of Anesthesiology, Perioperative Medicine, and Pain Management, Miller School of Medicine, University of Miami, 2574 Mayfair Lane, Weston, FL 33327-1506, USA Correspondence should be addressed to Eric A. Harris, eharris2@ Received 29 November 2009; Accepted 21 February 2010 Academic Editor: Keira Mason Copyright © 2010 Eric A. Harris. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. External beam radiation therapy (XRT) has become one of the cornerstones in the management of pediatric oncology cases. While the procedure itself is painless, the anxiety it causes may necessitate the provision of sedation or anesthesia for the patient. This review paper will briefly review the XRT procedure itself so that the anesthesia provider has an understanding of what is occurring during the simulation and treatment phases. We will then examine several currently used regimens for the provision of pediatric sedation in the XRT suite as well as a discussion of when and how general anesthesia should be performed if deemed necessary. Standards of care with respect to patient monitoring will be addressed. We will conclude with a survey of the developing field of radiation-based therapy administered outside of the XRT suite. 1. Introduction and younger toddlers are not receptive to such enticement,