PMCCPMCCPMCC

Search tips
Search criteria 

Advanced

 
Logo of jrsocmedLink to Publisher's site
 
J R Soc Med. 1986 August; 79(8): 454–456.
PMCID: PMC1290414

Anaesthesia and monitoring for paediatric radiotherapy.

Abstract

Four hundred and sixty-nine anaesthetics were given to 27 children between the ages of 18 months and 5 years so that they could receive radiotherapy. When ketamine was used as the sole anaesthetic agent, the induction of anaesthesia was frequently stressful and traumatic, with problems and difficulties being encountered during 24% of anaesthetics. A change to an entirely gaseous method of inducing and maintaining anaesthesia resulted in a much more acceptable service being offered to the children and the incidence of complications fell to only 4%. The problems of monitoring children whilst they receive radiotherapy under general anaesthesia are discussed, the merits of different methods are reviewed and the use of the capnograph is commended.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (685K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Bennett JA, Bullimore JA. The use of ketamine hydrochloride anaesthesia for radiotherapy in young children. Br J Anaesth. 1973 Feb;45(2):197–201. [PubMed]
  • Saarnivaara L, Kautto UM, Iisalo E, Pihlajamäki K. Comparison of pharmacokinetic and pharmacodynamic parameters following oral or intramuscular atropine in children. Atropine overdose in two small children. Acta Anaesthesiol Scand. 1985 Jul;29(5):529–536. [PubMed]
  • Edge WG, Morgan M. Ketamine and paediatric radiotherapy. Anaesth Intensive Care. 1977 May;5(2):153–156. [PubMed]
  • Maltby JR, Watkins DM. Repeat ketamine anaesthesia of a child for radiotherapy in the prone position. Can Anaesth Soc J. 1983 Sep;30(5):526–530. [PubMed]
  • Stevens RW, Hain WR. Tolerance to rectal ketamine in paediatric anaesthesia. Anaesthesia. 1981 Dec;36(12):1089–1093. [PubMed]
  • Byer DE, Gould AB., Jr Development of tolerance to ketamine in an infant undergoing repeated anesthesia. Anesthesiology. 1981 Mar;54(3):255–256. [PubMed]
  • Meyers EF, Charles P. Prolonged adverse reactions to ketamine in children. Anesthesiology. 1978 Jul;49(1):39–40. [PubMed]
  • Lindgren L. Comparison of halothane and enflurane anaesthesia for otolaryngological surgery in children. Br J Anaesth. 1981 May;53(5):537–544. [PubMed]
  • Fisher DM, Robinson S, Brett CM, Perin G, Gregory GA. Comparison of enflurane, halothane, and isoflurane for diagnostic and therapeutic procedures in children with malignancies. Anesthesiology. 1985 Dec;63(6):647–650. [PubMed]
  • Hain WR, Tomlinson JH, Barbor PR. Anaesthesia for minor procedures in children with malignant disease. J R Soc Med. 1985 Sep;78(9):715–720. [PMC free article] [PubMed]
  • Glaser R, Fisher DM. Respiratory monitoring for children undergoing radiation therapy. Anesthesiology. 1985 Jul;63(1):123–124. [PubMed]
  • Whitwam JG, Morgan M, Owen JR, Goolden AW, Spiers AS, Goldman JM, Gordon-Smith EC. General anaesthesia for high-dose total-body irradiation. Lancet. 1978 Jan 21;1(8056):128–129. [PubMed]
  • Cronin MM, Bousfield JD, Hewett EB, McLellan I, Boulton TB. Ketamine anaesthesia for radiotherapy in small children. Anaesthesia. 1972 Apr;27(2):135–142. [PubMed]
  • Feingold A, Lowe HJ, Holaday DA, Griem ML. Inhalation anesthesia and remote monitoring during radiotherapy for children. Anesth Analg. 1970 Jul-Aug;49(4):656–659. [PubMed]
  • Kneeshaw ID. A pulsemeter hazard. Anaesthesia. 1983 Dec;38(12):1231–1232. [PubMed]

Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press