General anesthesia (TIVA) during brachytherapy for cervical cancer patients: A retrospective study
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 3
Abstract
Brachytherapy for cervical cancers presents the anesthetist with numerous challenges, which differ radically from those during routine surgery. Patients scheduled for brachytherapy are often elderly with comorbid diseases that may preclude major surgery and pose a high risk for perioperative complications. Intracavitary and interstitial brachytherapy procedures are extremely painful and require both profound analgesia and immobilization. Furthermore, these patients have to be shifted through radiology treatment planning and internal radiotherapy while still fully sedated and immobile.Total intravenous anesthesia (TIVA) is an ideal technique for brachytherapy as it is safe under monitored care and permits quick turnover of patients. TIVA is easy to administer, permits early return of patients to their homes and is considerably less embarrassing to the female patient group when compared to neuraxial techniques.
Authors and Affiliations
Dr K C Sekhar, Dr Vijayalakshmi Chandrasekhar
Keywords
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- EP ID EP369655
- DOI 10.9790/0853-1703108081.
- Views 69
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