An anaesthetic case report of children undergoing stereotactic radiosurgery is presented, with a review of the inherent unique anaesthetic challenges. Twelve stereotactic radiosurgery procedures performed at The Prince of Wales Hospital, Sydney, were retrospectively reviewed. Despite differences in approach by individual anaesthetists to managing these children, an overall safe sequence may be evolved.
The use of stereotactic radiosurgery for paediatric neuropathology is reviewed. The potential anaesthetic problems related to the paediatric patient and the peculiarities of the procedure are discussed and related to our series.
PollockB.E., FlickingerJ.C., LunsfordL.D., BissonetteD.J., KondziolkaD.Haemorrhage risk after stereotactic radiosurgery of cerebral arteriovenous malformations.Neurosurgery1996; 38: 652–661.
14.
LoefflerJ.S., SiddonR.I., WenP.Y., AlexanderE3rd. Stereotactic radiosurgery using a standard linear accelerator: A study of early and late effects.Radio Ther Oncol1990; 17: 311–321.
15.
MortonN.S., JohnstonG., WhiteM., MarshB.J.Propofol in paediatric anaesthesia.Paediatr Anaesth1992; 2: 89–97.
16.
SmithI., WhiteP.F., NathansonM., GouldsonR.Propofol: An update on its clinical use.Anesthesiology1994; 81: 1005–1043.
17.
BorgeatA., Wilder-SmithO.H.G., SuterP.M.The nonhypnotic therapeutic applications of propofol.Anesthesiology1994; 80: 642–656.
18.
MartinT.M., NicolsonS.C., BargasM.S.Propofol anaesthesia reduces emesis and airways obstruction in paediatric outpatients.Anesth Analg1992; 76: 144–148.
19.
ParkeT.J., StevensJ.E., RiceA.S.. Metabolic acidosis and fatal myocardial failure after propofol infusion in children; five case reports.Br med J1992; 305: 613–616.
20.
MeakinG.Role of propofol in paediatric anaesthetic practice.Paediatr Anaesth1995; 5: 147–149.
21.
GempelerF., ElstonA.C., ThompsonS.P., ParkG.R.Propofol and intralipid cause creaming of serum from critically ill patients.Anaesthesia1994; 49: 17–20.
