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首页> 外文期刊>Current opinion in anaesthesiology >Anaesthesia for brachytherapy.
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Anaesthesia for brachytherapy.

机译：近距离麻醉。

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PURPOSE OF REVIEW: The demand for anaesthesia in brachytherapy is increasing. Patients often present with high-risk factors and multiple comorbidities. To achieve a stable position of the implants, immobility is often mandatory. Duration of brachytherapy varies greatly and may exceed the duration of single-shot regional anaesthesia. Transportation of anaesthetized patients is a typical challenge. This review gives information about anaesthesia techniques in brachytherapy on the basis of the literature and the authors' experiences. RECENT FINDINGS: The choice of anaesthesia technique depends on the body region, the type of brachytherapy and the local infrastructure. Topical or local anaesthesia is used by radiotherapists. For brachytherapy of the lower body, regional anaesthesia provides effective and safe conditions. Catheter techniques are used for longer procedures and for high-risk patients, allowing excellent ongoing epidural patient-controlled analgesia. General anaesthesia is safely utilized for brachytherapy of the upper body or as an alternative to regional techniques. However, the effort under the typical conditions of the brachytherapy setting may be higher. Sedation is regarded as an alternative to general anaesthesia in less painful and short procedures. SUMMARY: In conclusion, anaesthesiologists play a key role in the ongoing challenge to provide safe and pain-free conditions for an optimum brachytherapy treatment effect.
机译：审查目的：近距离放射疗法中麻醉的需求正在增加。患者经常表现出高风险因素和多种合并症。为了实现植入物的稳定位置，固定通常是必须的。近距离放射治疗的时间差异很大，可能超过单次区域麻醉的时间。麻醉患者的运输是一个典型的挑战。这篇综述根据文献和作者的经验提供了近距离放射治疗中麻醉技术的信息。最近的发现：麻醉技术的选择取决于身体部位，近距离治疗的类型和当地的基础设施。放射治疗师使用局部或局部麻醉。对于下半身的近距离治疗，区域麻醉可提供有效和安全的条件。导管技术用于较长的手术过程和高危患者，可以进行硬膜外硬膜外自控镇痛。全麻可安全地用于上身的近距离放射治疗或作为局部技术的替代方法。然而，在近距离放射治疗的典型条件下的努力可能更高。镇静被认为可以减轻痛苦和缩短手术时间，替代全身麻醉。总结：总之，麻醉师在不断挑战中发挥着关键作用，以提供安全无痛的条件以实现最佳的近距离放射治疗效果。

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