Brachytherapy - Revision history

Oliviamsutton at 00:22, 5 April 2022

2022-04-05T00:22:30Z

← Older revision		Revision as of 17:22, 4 April 2022
Line 1:		Line 1:
	Brachytherapy is a form of radiation therapy that delivers concentrated radiation to target tissue while trying to preserve normal surrounding tissue via implanted radioactive seeds.		Brachytherapy is a form of radiation therapy that delivers concentrated radiation to target tissue while trying to preserve normal surrounding tissue via implanted radioactive seeds.

			There are two major types, HDR (high dose rate) which are temporary high dose implants, and LDR (low dose rate), which is generally permanent low dose implants

	{{Infobox surgical procedure		{{Infobox surgical procedure
	\| anesthesia_type =		\| anesthesia_type = HDR: usually spinal with sedation vs. ETT with complete paralysis
	\| airway =		LDR: usually ETT, less commonly spinal
	\| lines_access =		\| airway = ETT
	\| monitors =		\| lines_access = PIV x1
			\| monitors = Standard
	\| considerations_preoperative =		\| considerations_preoperative =
	\| considerations_intraoperative =		\| considerations_intraoperative =
	\| considerations_postoperative =		\| considerations_postoperative = Bleeding, seeds migrating elsewhere
	}}		}}

Chris.Rishel: Text replacement - "|Respiratory" to "|Pulmonary"

2022-02-22T05:45:57Z

Text replacement - "|Respiratory" to "|Pulmonary"

← Older revision		Revision as of 22:45, 21 February 2022
Line 25:		Line 25:
	\|		\|
	\|-		\|-
	\|~~Respiratory~~		\|Pulmonary
	\|		\|
	\|-		\|-

Kevin.Youssefzadeh at 19:44, 1 September 2021

2021-09-01T19:44:50Z

← Older revision		Revision as of 12:44, 1 September 2021
Line 53:		Line 53:

	=== Regional and neuraxial techniques<!-- Describe any potential regional and/or neuraxial techniques which may be used for this case. If none, this section may be removed. --> ===		=== Regional and neuraxial techniques<!-- Describe any potential regional and/or neuraxial techniques which may be used for this case. If none, this section may be removed. --> ===
	~~For pelvic brachytherapy placement should~~ consider neuraxial anesthesia for all patients specially those with adverse risk factor profile for deep MAC anesthesia		Should consider neuraxial anesthesia for all patients specially those with adverse risk factor profile for deep MAC anesthesia. Patients may have multiple treatments in one day will benefit from CSE.

	== Intraoperative management ==		== Intraoperative management ==

Kevin.Youssefzadeh: basic information regarding brachytherapy

2021-09-01T19:43:26Z

basic information regarding brachytherapy

← Older revision		Revision as of 12:43, 1 September 2021
Line 1:		Line 1:
	.		Brachytherapy is a form of radiation therapy that delivers concentrated radiation to target tissue while trying to preserve normal surrounding tissue via implanted radioactive seeds.

			{{Infobox surgical procedure
			\| anesthesia_type =
			\| airway =
			\| lines_access =
			\| monitors =
			\| considerations_preoperative =
			\| considerations_intraoperative =
			\| considerations_postoperative =
			}}

			== Preoperative management ==

			=== Patient evaluation<!-- Describe the unique and important aspects of preoperative evaluation. Add or remove rows from the systems table as needed. --> ===
			{\| class="wikitable"
			\|+
			!System
			!Considerations
			\|-
			\|Neurologic
			\|
			\|-
			\|Cardiovascular
			\|
			\|-
			\|Respiratory
			\|
			\|-
			\|Gastrointestinal
			\|
			\|-
			\|Hematologic
			\|
			\|-
			\|Renal
			\|
			\|-
			\|Endocrine
			\|
			\|-
			\|Other
			\|
			\|}

			=== Labs and studies<!-- Describe any important labs or studies. Include reasoning to justify the study and/or interpretation of results in the context of this procedure. If none, this section may be removed. --> ===
			Special consideration for regional anesthesia including coag's and platelets

			=== Operating room setup<!-- Describe any unique aspects of operating room preparation. Avoid excessively granular information. Use drug classes instead of specific drugs when appropriate. If none, this section may be removed. --> ===

			=== Patient preparation and premedication<!-- Describe any unique considerations for patient preparation and premedication. If none, this section may be removed. --> ===
			Consider anxiolysis prior to neuroaxial

			=== Regional and neuraxial techniques<!-- Describe any potential regional and/or neuraxial techniques which may be used for this case. If none, this section may be removed. --> ===
			For pelvic brachytherapy placement should consider neuraxial anesthesia for all patients specially those with adverse risk factor profile for deep MAC anesthesia

			== Intraoperative management ==

			=== Monitoring and access<!-- List and/or describe monitors and access typically needed for this case. Please describe rationale for any special monitors or access. --> ===
			Standard ASA monitors. Most patients will not require invasive hemodynamic monitoring.

			Minimal expected blood loss or volume shifts, Peripheral IV access is sufficient

			=== Induction and airway management<!-- Describe the important considerations and general approach to the induction of anesthesia and how the airway is typically managed for this case. --> ===

			=== Positioning<!-- Describe any unique positioning considerations, including potential intraoperative position changes. If none, this section may be removed. --> ===
			For pelvic brachytherapy placement patient will be in lithotomy position

			=== Maintenance and surgical considerations<!-- Describe the important considerations and general approach to the maintenance of anesthesia, including potential complications. Be sure to include any steps to the surgical procedure that have anesthetic implications. --> ===
			Placement of radioactive seeds can be stimulating without neuroaxial anesthesia. Surgeon can provide local anesthetic block, but likely will not be sufficient.

			=== Emergence<!-- List and/or describe any important considerations related to the emergence from anesthesia for this case. --> ===

			== Postoperative management ==

			=== Disposition<!-- List and/or describe the postoperative disposition and any special considerations for transport of patients for this case. --> ===

			=== Pain management<!-- Describe the expected level of postoperative pain and approaches to pain management for this case. --> ===
			Patients will have some postoperative pain from placement and long acting opioid is reasonable

			=== Potential complications<!-- List and/or describe any potential postoperative complications for this case. --> ===

			== Procedure variants<!-- This section should only be used for cases with multiple approaches (e.g. Laparoscopic vs. open appendectomy). Otherwise, remove this section. Use this table to very briefly compare and contrast various aspects between approaches. Add or remove rows as needed to maximize relevance. Consider using symbols rather than words when possible (e.g. +, –, additional symbols such as ↑ and ↓ are available using the "Ω" tool in the editor). --> ==

			{\| class="wikitable wikitable-horizontal-scroll"
			\|+
			!
			!Variant 1
			!Variant 2
			\|-
			\|Unique considerations
			\|
			\|
			\|-
			\|Position
			\|
			\|
			\|-
			\|Surgical time
			\|
			\|
			\|-
			\|EBL
			\|
			\|
			\|-
			\|Postoperative disposition
			\|
			\|
			\|-
			\|Pain management
			\|
			\|
			\|-
			\|Potential complications
			\|
			\|
			\|}

			== References ==

			[[Category:Surgical procedures]]

Tony.Wang: Page creation

2021-05-10T16:49:26Z

Page creation

New page