TY - JOUR
T1 - A multi-institutional pilot survey of anesthesia practices during proton radiation therapy
AU - Owusu-Agyemang, Pascal
AU - Popovich, Shannon M.
AU - Zavala, Acsa M.
AU - Grosshans, David R.
AU - Van Meter, Antoinette
AU - Williams, Uduak U.
AU - Holmes, Allen A.
AU - Arunkumar, Radha
AU - Rebello, Elizabeth
AU - McAleer, Mary Frances
AU - Porche, Vivian
AU - Mahajan, Anita
N1 - Publisher Copyright:
© 2016 American Society for Radiation Oncology.
PY - 2016/5/1
Y1 - 2016/5/1
N2 - Background and purpose: Physicians responsible for anesthesia and/or sedation (A/S) at emerging proton radiation therapy centers (PTCs) seek information about practices at established centers. We conducted a survey of A/S practices at established PTCs to provide this information for physicians at new PTCs. Methods and materials: A web-based survey was sent to physicians responsible for A/S at 37 established PTCs. Questions were based on practice patterns and the preferred method of A/S delivery during proton-radiation therapy. One representative per institution was surveyed. Results: A response rate of 38%, with a combined case load of more than 15,000 anesthetics per year was obtained. Children younger than 4 years old often (72%) required A/S. The most favored A/S techniques involved total intravenous anesthesia with propofol and an unprotected airway (57%) or general anesthesia with sevoflurane and a laryngeal mask airway (36%). It was notable that 21% of facilities did not have dedicated recovery rooms. Also, anesthesia gas evacuation outlets were absent at 43% of treatment rooms. Conclusions: A/S is commonly delivered to patients undergoing proton radiation therapy, most often with total intravenous anesthesia. To avert potential obstacles to the safe delivery of care, anesthesiologists at emerging centers are encouraged to participate throughout the design and planning phases of new PTCs.
AB - Background and purpose: Physicians responsible for anesthesia and/or sedation (A/S) at emerging proton radiation therapy centers (PTCs) seek information about practices at established centers. We conducted a survey of A/S practices at established PTCs to provide this information for physicians at new PTCs. Methods and materials: A web-based survey was sent to physicians responsible for A/S at 37 established PTCs. Questions were based on practice patterns and the preferred method of A/S delivery during proton-radiation therapy. One representative per institution was surveyed. Results: A response rate of 38%, with a combined case load of more than 15,000 anesthetics per year was obtained. Children younger than 4 years old often (72%) required A/S. The most favored A/S techniques involved total intravenous anesthesia with propofol and an unprotected airway (57%) or general anesthesia with sevoflurane and a laryngeal mask airway (36%). It was notable that 21% of facilities did not have dedicated recovery rooms. Also, anesthesia gas evacuation outlets were absent at 43% of treatment rooms. Conclusions: A/S is commonly delivered to patients undergoing proton radiation therapy, most often with total intravenous anesthesia. To avert potential obstacles to the safe delivery of care, anesthesiologists at emerging centers are encouraged to participate throughout the design and planning phases of new PTCs.
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U2 - 10.1016/j.prro.2015.10.020
DO - 10.1016/j.prro.2015.10.020
M3 - Article
C2 - 26725965
AN - SCOPUS:84951161190
SN - 1879-8500
VL - 6
SP - 155
EP - 159
JO - Practical radiation oncology
JF - Practical radiation oncology
IS - 3
ER -