Tải xuống
Tóm tắt
ABSTRACT
Objective: Immobilization of pediatric patients undergoing radiotherapy (RT) often requires anaesthesia. The aim of this study is to evaluate the safety and sufficiency of a propofol injection for repeated prolonged deep sedation in pediatric patients for RT.
Patients and methods: Patients who underwent anesthesia for RT between March 2014 and June 2016 were included in the study. Sedation was introduced with a repeated small boluses of intravenous propofol 0.045 mg.kg-1 until unconsciousness and inactivity occurred. When unwanted movement was observed, an additional dose of propofol was administered. We assessed the patient characteristics, oncologic diagnosis, duration of sedation, sedation scores and complications related to sedation.
Results: Total 136 sedative anaesthetics performed in 9 consecutive paediatric oncology patients, mean age 38.6 (8.0) months (range 30-54). A loading dose of 3.3 (0,4) mg.kg-1 propofol was administered for induction. Patients breathed spontaneously and do not have unwanted movements during the radiation procedure. Mean duration of sedation was 6.9 (0.7) mins. Mean awakening time was 8,1 (2,0) mins and could be discharged about 30 mins later. There was no clinical important complication of involving respiration, circulation or neurology during and after sedation.
Conclusion: Deep sedation with propofol seems to be an excellent method to immobilize paediatric patients during RT procedures.
Tài liệu tham khảo
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| Đã xuất bản | 24-01-2025 | |
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| Số tạp chí | Số 56 (2019) | |
| Phân mục | Nghiên cứu | |
| DOI | ||
| Từ khóa | Keywords: Sedation, pediatric, radiotherapy, propofol. |
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