DOI: https://doi.org/10.14710/jai.v0i0.41926

Anesthesia Services for Children's Radiotherapy During Pandemic COVID-19 in 2020: Experience from East Indonesia

Department of Anesthesiology and Reanimation, Faculty of Medicine, Universitas Airlangga/ Dr. Soetomo General Academic Hospital Surabaya, Indonesia

Published: 31 Jul 2022.

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Abstract

Background: The global COVID-19 pandemic has significantly strained the healthcare sector, with overwhelmed health services in affected countries worldwide. Despite the need to sustain vital oncology treatments, particularly for children, radiotherapy practitioners are unsure how to treat during the pandemic. At the same time, several anesthesia procedures may increasingly expose anesthesia providers to COVID-19. The challenging services for handling oncology cases in children at Dr. Soetomo Hospital during the COVID-19 pandemic can be carried out properly with various adjustments. Objective: The purpose of this study was to describe how the radiotherapy center in East Indonesia responds to the challenge in this pandemic era.

Method: During 2020, we gathered information by using administrative datasets on the number of patients, the types of anesthesia services provided, and undesired events in the radiotherapy room. We use descriptive statistics to describe what is going on in our data.

Result: The total number of patients who underwent radiotherapy was 12, with 188 sessions, and uncooperative children received midazolam and propofol during the procedure. The result showed that there was no untoward incident in 2020.

Conclusion: Therefore, it indicates that we provided relatively safe sedation services for children's radiotherapy.

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Keywords: COVID-19 pandemic; pediatric; propofol; radiation therapy; sedation
Funding: Dr. Soetomo General Academic Hospital

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Section: Original Articles
Language : EN
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  1. Liu Z, Xue XB, Zhi Z. Epidemiology Working Group for NCIP Epidemic Response, Chinese Center for Disease Control and Prevention. [The epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (COVID-19) in China]. Chinese Cent Dis Control Prev. 2020;41(2):145–51
  2. Li Q, Guan X, Wu P, Wang X, et al. Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia. N Engl J Med 2020. http:// dx.doi.org/10.1056/NEJMoa2001316
  3. WHO. Coronavirus disease 2019 (COVID-19) Situation Report–43; 2020, https://www.who.int/docs/default-source/coronaviruse/situation-reports/ 20200303-sitrep-43-covid-19.pdf?sfvrsn=d03e7a3a
  4. Morand A, Fabre A, Minodier P, Boutin A, Vanel N, Bosdure E, et al. COVID-19 virus and children: What do we know? Arch Pediatr [Internet]. 2020;27(3):117–8. Available from: https://doi.org/10.1016/j.arcped.2020.03.001
  5. Steliarova-Foucher E, Colombet M, Ries LAG, Moreno F, Dolya A, Bray F, et al. International incidence of childhood cancer, 2001–10: a population-based registry study. Lancet Oncol. 2017;18(6):719–31
  6. Menache L, Eifel PJ, Kennamer DL, et al. Twice-daily anesthesia in infants receiving hyperfractionated irradia- tion. Int J Radiat Oncol Biol Phys 1990;18:625–9
  7. Anghelescu DL, Burgoyne LL, Liu W, Hankins GM, Cheng C, Beckham PA, et al. Safe Anesthesia for Radiotherapy in Pediatric Oncology: St. Jude Children’s Research Hospital Experience, 2004-2006. Int J Radiat Oncol Biol Phys. 2008;71(2):491–7
  8. Fortney JT, Halperin EC, Hertz CM, et al. Anesthesia for pediatric external beam radiation therapy. Int J Radiat Oncol Biol Phys 1999;44:587–91
  9. Setiawati Y, Wahyuhadi J, Joestandari F, Maramis MM, Atika A. Anxiety and resilience of healthcare workers during COVID-19 pandemic in Indonesia. J Multidiscip Healthc. 2021;14:1–8
  10. Handoko, Permata TBM, Giselvania A, Nuryadi E, Octavianus S, Jayalie VF, et al. Ensuring safety and sustainability of radiotherapy services during the COVID-19 pandemic in resources constrain country: An Indonesian experience. Vol. 150, Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology. 2020. p. 57–60
  11. Khifzhon Azwar M, Setiati S. COVID-19 and Indonesia. Acta Med Indones [Internet]. 2020;52(1):84–9. Availablefrom: https://www.researchgate.net/publication/340645813
  12. Rashid H, Ridda I, King C, Begun M, Tekin H, Wood JG, Booy R. Evidence compendium and advice on social distancing and other related measures for response to an influenza pandemic. Paediatr Respir Rev. 2015;16(2):119-26. doi: 10.1016/j.prrv.2014.01.003
  13. Anderson RM, Heesterbeek H, Klinkenberg D, Hollingsworth TD. How will country-based mitigation measures influence the course of the COVID-19 epidemic?. Lancet. 2020;395(10228):P931-934. doi: 10.1016/S0140-6736(20)30567-5
  14. Harris EA. Sedation and Anesthesia Options for Pediatric Patients in the Radiation Oncology Suite. Int J Pediatr. 2010;2010:1–9
  15. Weiss M, Frei M, Buehrer S, Feurer R, Goitein G, Timmermann B. Deep propofol sedation for vacuum-assisted bite-block immobilization in children undergoing proton radiation therapy of cranial tumors. Paediatr Anaesth. 2007;17(9):867–73
  16. Scheiber G, Ribeiro FC, Karpienski H, Strehl K. Deep sedation with propofol in preschool children undergoing radiation therapy. Paediatr Anaesth. 1996;6(3):209–13
  17. Buehrer S, Immoos S, Frei M, Timmermann B, Weiss M. Evaluation of propofol for repeated prolonged deep sedation in children undergoing proton radiation therapy. Br J Anaesth [Internet]. 2007;99(4):556–60. Available from: http://dx.doi.org/10.1093/bja/aem207
  18. Setlock MA, Palmisano BW, Berens RJ, Rosner DR, Troshynski TJ, Murray KJ. Tolerance to propofol generally does not develop in pediatric patients undergoing radiation therapy. Vol. 85, Anesthesiology. 1996. p. 207–9
  19. Seiler G, De Vol E, Khafaga Y, Gregory B, Al-Shabanah M, Valmores A, et al. Evaluation of the safety and efficacy of repeated sedations for the radiotherapy of young children with cancer: A prospective study of 1033 consecutive sedations. Int J Radiat Oncol Biol Phys. 2001;49(3):771–83
  20. Kang RA, Shin BS, Shin YH, Gil NS, Oh YN, Jeong JS. Incidence of tolerance in children undergoing repeated administration of propofol for proton radiation therapy: A retrospective study. BMC Anesthesiol. 2018;18(1):1–7

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