General Anesthesia and Remote Monitoring during Intraoperative Rsdiation Therapy .
10.4097/kjae.1987.20.1.94
- Author:
Wyun Kon PARK
1
;
Soon Ho NAM
;
Hung Kun OH
Author Information
1. Department of Anesthesiology, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- MeSH:
Anesthesia;
Anesthesia, General*;
Heart Rate;
Humans;
Neoplasm, Residual;
Nitrous Oxide;
Oxygen;
Particle Accelerators;
Stomach;
Tidal Volume
- From:Korean Journal of Anesthesiology
1987;20(1):94-99
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Intraoperative Radiation Therapy(I.0.R.T.) is a cancer modality in which resectable mass or organs are removed surgically and residual cancer cells are sterilized by irradiat-ion with a single massive dose. With the theoretical advantages as compared to conventi-onal external irradiation. 10RT can improve the therapeutic ratio of tumor control to normal tissue irljury. IORT was performed in 11 patients with stomach cancer( 10 patients ) and pancreatic Cancel(1 Patient) by using NEC 18 MeV Linear Accelerator during surgery and anesthesia in the radiation treatment room in Yonsei Cancer Center. Unde the general anesthesia with N2O-O2-Enflurane, we monitored the patient via T.V. in the control room under the monitoring of E.K.G., Pulse rate, temperature, tidal volume with a respirometer, oxygen analrfer and the flow rate of oxygen and nitrous oxide br way of T.V. calnera(with foom lens) already established in the treatment room. Pulse rate signal also could be audible through an amplifier in the control room. The duration of treatment was 2 to 3minutes. There were no problems during and after 10RT until disc-harge from the surgical department.
