Pediatric Sedation, Radiotherapy, Inhalation Anesthesia
Conditions
Keywords
insufflation sedation, intravenous sedation, radiotherapy anesthesia, pediatric sedation
Brief summary
aim of this cross-over study is to compare sedation with insufflated sevoflurane and intravenous sedation for pediatric radiotherapy patients
Detailed description
aim of this cross-over study is to compare sedation with insufflated sevoflurane and intravenous sedation for pediatric radiotherapy(RT) patients in terms of success of the procedure (continuous completion of the RT session by providing inactivity) and complications such as desaturation, hypoventilation, airway spasm, bradycardia, tachycardia In addition, we aimed to investigate the incidence of anesthesia complications in RT patients and possible related factors with complications.
Interventions
Induction with %8sevoflurane after adequate sedation reducing %3
midazolam +ketamine + atropine
Sponsors
Study design
Intervention model description
Sevoflurane insufflation and intravenous sedation will be applied to the patients by changing them sequentially during each radiotherapy session.
Eligibility
Inclusion criteria
* undergoing radiotherapy session
Exclusion criteria
* family refusal * chronic nausea and vomiting * apnea history, pneumonia, asthma, bronchiolitis etc. respiratory tract infection or diseases * cardiac disease * kidney failure * liver failure * anticipated difficult airway * metabolic diseases * neurological or muscular diseases.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| number of the successful radiotherapy sessions | during radiotherapy session | succesful: radiotherapy session without interruption unsuccesful: radiotherapy session with any interruption |
| number of interruptions | during radiotherapy session | number of interruptions related to inadequate sedation and patient's movement in radiotherapy session |
| PSSS | during radiotherapy session | 5:Patient is moving 4: gentle immobilization for positioning. 3: do not require restraint to stop movement during the procedure. 2: Quiet (asleep or awake), not moving during procedure 1: Deeply asleep with normal vital signs, but requiring airway intervention 0: Sedation associated with abnormal physiologic parameters that require acute intervention |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| sPO2 | during radiotherapy session | peripheral oxygen saturation |
| HR | during radiotherapy session | Heart Rate |
Countries
Turkey (Türkiye)