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Anesthesia for stereotactic radiosurgery in children
M A Stokes1, S G Soriano, N J Tarbell
1Department of Anesthesia, Children's Hospital, Boston, MA 02115, USA.
Journal of Neurosurgical Anesthesiology
|April 1, 1995
Summary
Pediatric stereotactic radiosurgery requires careful anesthetic management. This study reviews anesthetic approaches and complications in children undergoing this precise intracranial lesion treatment.
Area of Science:
- Neurosurgery
- Anesthesiology
- Pediatric Oncology
Background:
- Stereotactic radiosurgery offers precise radiation delivery for intracranial lesions.
- Pediatric patients often require general anesthesia for stereotactic radiosurgery, unlike adults who may use local anesthesia.
Purpose of the Study:
- To describe the anesthetic management and outcomes of pediatric patients undergoing stereotactic radiosurgery.
- To identify potential anesthesia-related complications in this patient population.
Main Methods:
- Retrospective review of anesthetic management for pediatric patients (1986-1993).
- Categorization of anesthetic techniques: local anesthesia, local anesthesia with sedation, and general anesthesia.
- Analysis of anesthesia duration and reported complications.
Main Results:
- 68 procedures were performed in 65 pediatric patients.
- 44 patients received general anesthesia, 22 received local anesthesia, and 2 received local anesthesia with sedation.
- Four potentially serious anesthesia-related events occurred, including airway obstruction and lobar collapse.
Conclusions:
- Anesthetic management for pediatric stereotactic radiosurgery is complex.
- Potential complications necessitate vigilant monitoring and preparedness during these procedures.