Anesthesia at Linac-stereotactic radiosurgery children with vascular malformations of the brain

Authors

  • Yuriy Orlov Romodanov Neurosurgery Institute, Kiev, Ukraine
  • Andrey Gryazov Romodanov Neurosurgery Institute, Kiev, Ukraine
  • Olga Kamenska Romodanov Neurosurgery Institute, Kiev, Ukraine https://orcid.org/0000-0003-0406-2121
  • Iryna Kruchok Romodanov Neurosurgery Institute, Kiev, Ukraine

DOI:

https://doi.org/10.25305/unj.55961

Keywords:

intracranial tumors, children, stereotactic radiosurgery, anesthesia

Abstract

Objective: To determine the optimal management of anesthesia during stereotactic surgery of vascular malformations of the brain in children older than 3 years.

Materials and Methods: The stereotactic radiosurgery was carried out for two pediatric patients with vascular malformations of brain on linear accelerator «Trilogy» and Brain Lab stereotactic system with anesthesia.

Results and Conclusions: The method of stereotactic radiosurgery can be used for the treatment of vascular malformations of the brain in children older than 3 years requiring anesthesia. Anesthesia with spontaneous breathing with using the local anesthesia as necessary, can be used for stereotactic radiosurgery in children older than 3 years. Propofol is optimal agent for the anesthesia on radiosurgery, considering minimally invasive procedure, variety of the pain loading during procedure and repeated transporting.

Author Biographies

Yuriy Orlov, Romodanov Neurosurgery Institute, Kiev

Department of Pediatric Neurosurgery

Andrey Gryazov, Romodanov Neurosurgery Institute, Kiev

Department of Neuroradiology and Radioneurosurgery

Olga Kamenska, Romodanov Neurosurgery Institute, Kiev

Department of Neuroradiology and Radioneurosurgery

Iryna Kruchok, Romodanov Neurosurgery Institute, Kiev

Department of Neuroradiology and Radioneurosurgery

References

1. Stokes MA, Soriano SG, Tarbell NJ, Loeffler JS, Alexander E 3rd, Black PM, Rockoff MA. Anesthesia for stereotactic radiosurgery in children. J Neurosurg Anesthesiol. 1995;7(2):100-8. [PubMed]

2. Bauman GS, Brett CM, Ciricillo SF, Larson DA, Sneed P, Staplers LJ, Edwards M, Wara WM. Anesthesia for pediatric stereotactic radiosurgery. Anesthesiology. 1998;89(1):255-7. [PubMed]

3. Newstead B. Premedication drugs useful for children [Internet]. Update in Anesthesia. 2005;19:6-7. Available at: http://www.wfsahq.org/images/wfsa-documents/updates_in_english/Update_19_2004.pdf

4. Slavik VC, Zed PJ. Combination ketamine and propofol for procedural sedation and analgesia. Pharmacotherapy. 2007;27(11):1588-1598. [CrossRef] [PubMed]

5. Sethi D, Gupta M, Subramanian S. A randomized trial evaluating low doses of propofol infusion after intravenous ketamine for ambulatory pediatric magnetic resonance imaging. Saudi J Anaesthesiol. 2014;8(4):510-6. [CrossRef] [PubMed]

6. Tarkkila P, Viitanen H, Mennander S, Annila P. Comparison of remifentanil versus ketamine for pediatric day case adenoidectomy. Acta Anaesthesiol Belg. 2003;54(3):217-22. [PubMed]

7. van Beek EJ, Leroy PL. Safe and effective procedural sedation for gastrointestinal endoscopy in children. J Pediatr Gastroenterol Nutr. 2012;54(2):171-85. [CrossRef] [PubMed]

8. Cartwright DP, Kvalsvik O, Cassuto J, Jansen JP, Wall C, Remy B, Knape JT, Noronha D, Upadhyaya BK. A randomized, blind comparison of remifentanil and alfentanil during anesthesia for outpatient surgery. Anesth Analg. 1997;85(5):1014-9. [CrossRef] [PubMed]

9. Chai J, Wu XY, Han N, Wang LY, Chen WM. A retrospective study of anesthesia during rigid bronchoscopy for airway foreign body removal in children: propofol and sevoflurane with spontaneous ventilation. Paediatr Anaesth. 2014;24(10):1031-6. [CrossRef] [PubMed]

10. Kulikov AS, Sorokin VS, Lubnin AYu. Anesteziologicheskoe obespechenie radiohirurgicheskih vmeshatel`stv u detej [Anaesthetic providing of radiosurgical interferences for children]. Vestnik intensivnoy terapii. 2007;4:56-63. Russian.

Downloads

Published

2015-12-13

How to Cite

Orlov, Y., Gryazov, A., Kamenska, O., & Kruchok, I. (2015). Anesthesia at Linac-stereotactic radiosurgery children with vascular malformations of the brain. Ukrainian Neurosurgical Journal, (4), 46–50. https://doi.org/10.25305/unj.55961

Issue

No. 4 (2015)

Section

Original articles

License

Copyright (c) 2015 Yuriy Orlov, Andrey Gryazov, Olga Kamenska, Iryna Kruchok

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Ukrainian Neurosurgical Journal abides by the  CREATIVE COMMONS copyright rights and permissions for open access journals.

Authors, who are published in this Journal, agree to the following conditions:

1. The authors reserve the right to authorship of the work and pass the first publication right of this work to the Journal under the terms of Creative Commons Attribution License, which allows others to freely distribute the published research with the obligatory reference to the authors of the original work and the first publication of the work in this Journal.

2. The authors have the right to conclude separate supplement agreements that relate to non-exclusive work distribution in the form of which it has been published by the Journal (for example, to upload the work to the online storage of the Journal or publish it as part of a monograph), provided that the reference to the first publication of the work in this Journal is included.