title: Radiation treatment for the right naris in a pediatric anesthesia patient using an adaptive oral airway technique.
abstract: Radiation therapy for pediatric patients often includes the use of intravenous anesthesia with supplemental oxygen delivered via the nasal cannula. Here, we describe the use of an adaptive anesthesia technique for electron irradiation of the right naris in a preschool-aged patient treated under anesthesia. The need for an intranasal bolus plug precluded the use of standard oxygen supplementation. This novel technique required the multidisciplinary expertise of anesthesiologists, radiation therapists, medical dosimetrists, medical physicists, and radiation oncologists to ensure a safe and reproducible treatment course.
authors.affiliation: Department of Radiation Oncology, University of Washington, Seattle, WA. Electronic address: sponselp@uw.edu.
authors.forename: Patricia
authors.initials: P
authors.lastname: Sponseller
authors.affiliation: Department of Radiation Oncology, University of Washington, Seattle, WA.
authors.forename: Nicole
authors.initials: N
authors.lastname: Pelly
authors.affiliation: Department of Radiation Oncology, University of Washington, Seattle, WA.
authors.forename: Andrew
authors.initials: A
authors.lastname: Trister
authors.affiliation: Department of Radiation Oncology, University of Washington, Seattle, WA.
authors.forename: Eric
authors.initials: E
authors.lastname: Ford
authors.affiliation: Department of Radiation Oncology, University of Washington, Seattle, WA.
authors.forename: Ralph
authors.initials: R
authors.lastname: Ermoian
mesh_terms: D058109:Airway Management / Q000295:instrumentation*; D000769:Anesthesia, Inhalation / Q000295:instrumentation*; D002675:Child, Preschool; D004867:Equipment Design; D019544:Equipment Failure Analysis; D006801:Humans; D017214:Laryngeal Masks; D008297:Male; D009296:Nasal Cavity / Q000528:radiation effects*; D009669:Nose Neoplasms / Q000532:radiotherapy*; D011835:Radiation Protection / Q000295:instrumentation; D020266:Radiotherapy, Conformal / Q000379:methods*; D016896:Treatment Outcome
keywords: Aquaplast; Bolus; Electrons; Nasal cannula; Oral airway; Pediatric anesthesia; Rhabdomyosarcoma