title: Initial experience with the use of remote control monitoring and general anesthesia during radiosurgery for pediatric patients.
abstract: The demand for general anesthesia in pediatric radiosurgery has been increasing, but the issues involved are not highlighted well in the medical literature. We developed remotely controlled monitoring and anesthesia techniques, and applied our system to three pediatric patients who underwent Gamma Knife radiosurgery with automated settings. Based on the perioperative safety management, the following issues are of considerable concern: to avoid emotional trauma associated with the treatment, to secure airway patency in a variety of head positions, and to apply all standard monitors. In this report, we describe the details of our project with a comprehensive literature review.
authors.affiliation: Department of Anesthesiology, Tokyo Women's Medical University, Tokyo Women's Medical University, Tokyo, Japan. macaroon@nifty.com
authors.forename: Kotoe
authors.initials: K
authors.lastname: Kamata
authors.forename: Motohiro
authors.initials: M
authors.lastname: Hayashi
authors.forename: Osamu
authors.initials: O
authors.lastname: Nagata
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Muragaki
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Iseki
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Okada
authors.forename: Makoto
authors.initials: M
authors.lastname: Ozaki
mesh_terms: D000768:Anesthesia, General / Q000295:instrumentation / Q000379:methods* / Q000706:statistics & numerical data; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D016343:Monitoring, Intraoperative / Q000295:instrumentation / Q000379:methods* / Q000706:statistics & numerical data; D016634:Radiosurgery / Q000295:instrumentation / Q000379:methods* / Q000706:statistics & numerical data; D012371:Robotics / Q000295:instrumentation / Q000379:methods* / Q000706:statistics & numerical data