Perioperative anesthesia management for brachytherapy in cancer patients: A retrospective observational study
Background and Aims: Anesthetic management for brachytherapy require repeated exposure to anesthesia in elderly patients with comorbidities. The varying locations provide an anesthesiologist with further challenges. Material and Methods: We studied retrospectively anesthesia type, details of anesthe...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2021-01-01
|
| Series: | Journal of Anaesthesiology Clinical Pharmacology |
| Subjects: | |
| Online Access: | http://www.joacp.org/article.asp?issn=0970-9185;year=2021;volume=37;issue=4;spage=598;epage=603;aulast=Kumar |
| _version_ | 1818279253865660416 |
|---|---|
| author | Vinod Kumar Abhity Gulia Rakesh Garg Nishkarsh Gupta Sachidanand J Bharati Seema Mishra Sushma Bhatnagar |
| author_facet | Vinod Kumar Abhity Gulia Rakesh Garg Nishkarsh Gupta Sachidanand J Bharati Seema Mishra Sushma Bhatnagar |
| author_sort | Vinod Kumar |
| collection | DOAJ |
| description | Background and Aims: Anesthetic management for brachytherapy require repeated exposure to anesthesia in elderly patients with comorbidities. The varying locations provide an anesthesiologist with further challenges.
Material and Methods: We studied retrospectively anesthesia type, details of anesthetic techniques and complications that occurred in patients having received anesthesia for brachytherapy in our institute in the last 6 years. Categorical variables were described as frequency and percentage, and continuous variables described as median and interquartile range. For continuous variables, mean values compared using two sample t tests for independent samples.
Results: The majority of patients were females who received brachytherapy for carcinoma cervix. A higher percentage of carcinoma breast and male genitourinary malignancies had comorbidities. Predominant side effects included 22 (1.85%) had hypotension, 19 (1.59%) had difficulty in putting spinal, 13 (1.09%) patients had tachycardia and 11 (0.92%) had headache in the postoperative period.
Conclusion: Neuraxial block as anesthetic technique in pelvic brachytherapy using fentanyl as additive helped reduce the dose of local anesthetic and avoided the complications of high spinal. The choice of anesthesia can vary depending on the duration and site of brachytherapy keeping in consideration the patient's factors. |
| first_indexed | 2024-12-12T23:30:24Z |
| format | Article |
| id | doaj.art-055d27125ec540f098ca069e42ff4605 |
| institution | Directory Open Access Journal |
| issn | 0970-9185 |
| language | English |
| last_indexed | 2024-12-12T23:30:24Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Anaesthesiology Clinical Pharmacology |
| spelling | doaj.art-055d27125ec540f098ca069e42ff46052022-12-22T00:07:47ZengWolters Kluwer Medknow PublicationsJournal of Anaesthesiology Clinical Pharmacology0970-91852021-01-0137459860310.4103/joacp.JOACP_63_20Perioperative anesthesia management for brachytherapy in cancer patients: A retrospective observational studyVinod KumarAbhity GuliaRakesh GargNishkarsh GuptaSachidanand J BharatiSeema MishraSushma BhatnagarBackground and Aims: Anesthetic management for brachytherapy require repeated exposure to anesthesia in elderly patients with comorbidities. The varying locations provide an anesthesiologist with further challenges. Material and Methods: We studied retrospectively anesthesia type, details of anesthetic techniques and complications that occurred in patients having received anesthesia for brachytherapy in our institute in the last 6 years. Categorical variables were described as frequency and percentage, and continuous variables described as median and interquartile range. For continuous variables, mean values compared using two sample t tests for independent samples. Results: The majority of patients were females who received brachytherapy for carcinoma cervix. A higher percentage of carcinoma breast and male genitourinary malignancies had comorbidities. Predominant side effects included 22 (1.85%) had hypotension, 19 (1.59%) had difficulty in putting spinal, 13 (1.09%) patients had tachycardia and 11 (0.92%) had headache in the postoperative period. Conclusion: Neuraxial block as anesthetic technique in pelvic brachytherapy using fentanyl as additive helped reduce the dose of local anesthetic and avoided the complications of high spinal. The choice of anesthesia can vary depending on the duration and site of brachytherapy keeping in consideration the patient's factors.http://www.joacp.org/article.asp?issn=0970-9185;year=2021;volume=37;issue=4;spage=598;epage=603;aulast=Kumaranesthesiaanalysisbrachytherapycomplicationsepiduralgeneralretrospectivespinal |
| spellingShingle | Vinod Kumar Abhity Gulia Rakesh Garg Nishkarsh Gupta Sachidanand J Bharati Seema Mishra Sushma Bhatnagar Perioperative anesthesia management for brachytherapy in cancer patients: A retrospective observational study Journal of Anaesthesiology Clinical Pharmacology anesthesia analysis brachytherapy complications epidural general retrospective spinal |
| title | Perioperative anesthesia management for brachytherapy in cancer patients: A retrospective observational study |
| title_full | Perioperative anesthesia management for brachytherapy in cancer patients: A retrospective observational study |
| title_fullStr | Perioperative anesthesia management for brachytherapy in cancer patients: A retrospective observational study |
| title_full_unstemmed | Perioperative anesthesia management for brachytherapy in cancer patients: A retrospective observational study |
| title_short | Perioperative anesthesia management for brachytherapy in cancer patients: A retrospective observational study |
| title_sort | perioperative anesthesia management for brachytherapy in cancer patients a retrospective observational study |
| topic | anesthesia analysis brachytherapy complications epidural general retrospective spinal |
| url | http://www.joacp.org/article.asp?issn=0970-9185;year=2021;volume=37;issue=4;spage=598;epage=603;aulast=Kumar |
| work_keys_str_mv | AT vinodkumar perioperativeanesthesiamanagementforbrachytherapyincancerpatientsaretrospectiveobservationalstudy AT abhitygulia perioperativeanesthesiamanagementforbrachytherapyincancerpatientsaretrospectiveobservationalstudy AT rakeshgarg perioperativeanesthesiamanagementforbrachytherapyincancerpatientsaretrospectiveobservationalstudy AT nishkarshgupta perioperativeanesthesiamanagementforbrachytherapyincancerpatientsaretrospectiveobservationalstudy AT sachidanandjbharati perioperativeanesthesiamanagementforbrachytherapyincancerpatientsaretrospectiveobservationalstudy AT seemamishra perioperativeanesthesiamanagementforbrachytherapyincancerpatientsaretrospectiveobservationalstudy AT sushmabhatnagar perioperativeanesthesiamanagementforbrachytherapyincancerpatientsaretrospectiveobservationalstudy |