Can pediatric Gamma Knife radiosurgery be managed under monitored anesthesia care? A case presentation and proposal from anesthesiologists

Haruko Hasegawa, Kotoe Kamata, Motohiro Hayashi, Noriaki Komayama, Takakazu Kawamata, Makoto Ozaki

Research output: Contribution to journalArticlepeer-review

Abstract

Gamma Knife radiosurgery is generally performed under procedural sedation and analgesia. However, there are some risks regarding the patient’s respiratory function and the specifics of its management, since the presence of a stereotactic frame may impede access to the patient’s airway and interfere with direct visual observation by medical personnel. Monitored anesthesia care, which is a specific anesthesia service for diagnostic or therapeutic procedures that involve various levels of sedation, analgesia and anxiolysis, is recognized as producing less physiologic disturbance while allowing a more rapid recovery than general anesthesia. The selection of suitable candidates and medications, as well as the early detection of respiratory deterioration are considered to be essential for patient safety.

Original languageEnglish
Pages (from-to)235-239
Number of pages5
JournalJournal of Radiosurgery and SBRT
Volume6
Issue number3
Publication statusPublished - 2019 Jan 1
Externally publishedYes

Keywords

  • Analgesia
  • Gamma Knife radiosurgery
  • Monitored anesthesia care
  • Procedural sedation

ASJC Scopus subject areas

  • Surgery
  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging

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