title: Clinical trial of fundoscopy under general anesthesia for pediatric outpatients with retinoblastoma.
abstract: Retinoblastoma brings suffering, particularly to children. Formerly management during fundoscopy for children in Japan saw children's movements restricted with a blanket held by their parents or by nurses. This situation was sad, and the performance of the fundoscopy was limited because the children were crying and moving during the examination. After we received letters from the families of such children, we decided to introduce day-care general anesthesia for fundoscopy. After we investigated the current status of the treatment of retinoblastoma in leading countries, we carried out a trial of day-care general anesthesia for fundoscopy in 70 pediatric patients with retinoblastoma. We have now finished this first trial of day-care anesthesia, and we expect that discharge from hospital to places a longer distance away will be feasible.
authors.affiliation: Second Department of Anatomy, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8602, Japan. toshis@nms.ac.jp
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Saito
authors.forename: Masahiro
authors.initials: M
authors.lastname: Endo
authors.forename: Kazuaki
authors.initials: K
authors.lastname: Hiraga
authors.forename: Akihiro
authors.initials: A
authors.lastname: Kaneko
mesh_terms: D000768:Anesthesia, General / Q000639:trends; D002648:Child; D002669:Child Welfare; D002675:Child, Preschool; D002986:Clinical Trials as Topic; D005060:Europe / Q000453:epidemiology; D005654:Fundus Oculi; D006801:Humans; D007223:Infant; D007229:Infant Welfare; D007564:Japan / Q000453:epidemiology; D009887:Ophthalmoscopy / Q000639:trends; D019572:Retinal Neoplasms / Q000175:diagnosis* / Q000453:epidemiology; D012175:Retinoblastoma / Q000175:diagnosis* / Q000453:epidemiology; D014481:United States / Q000453:epidemiology