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Paediatric Anaesthesia

Tutorial 423

Anaesthesia for Paediatric Radiotherapy

Dr Sara Mistry1†, Dr Lauren Oswald2

1ST7 Anaesthetic Registrar, The Christie NHS Foundation Trust, Manchester, UK

2Consultant Anaesthetist, The Christie NHS Foundation Trust, Manchester, UK

Edited by: Dr Faye Evans, Senior Associate in Perioperative Anaesthesia, BostonChildren’s Hospital, Boston, Massachusetts, USA

Corresponding author email: sara.mistry@nhs.net

Published 28 April 2020

Abstract

Over the last 25 years there has been much improvement in cancer care for children. Advances in radiation therapy techniques (such as 3-dimensional conformal therapy, intensity-modulated radiation therapy, and proton beam therapy) and improved availability of radiotherapy centres have meant that an increasing number of paediatric cancer patients are able to access increasingly safe and effective radiotherapy treatment.

Paediatric radiotherapy is an area of practice that possesses its own unique challenges. An understanding of the types of radiotherapy, planning and treatment regimens, environmental considerations required for its safe delivery, and associated distinctive anaesthetic challenges are essential for delivery of safe anaesthesia.