Anesthetic and analgesic methods for gynecologic brachytherapy: A meta-analysis and systematic review.
Brachytherapy
; 19(3): 328-336, 2020.
Article
em En
| MEDLINE
| ID: mdl-32122807
ABSTRACT
Gynecologic brachytherapy procedures require targeted procedural and anesthetic needs including optimization of intra- and post-procedure analgesia, low rate of complications, and appropriate and timely transitions of care. It is uncertain whether neuraxial or general anesthesia is superior for these and other anesthetic outcomes. After a targeted search of the recent literature for anesthesia and analgesia studies for gynecologic brachytherapy, twenty studies were identified and appraised for potential review. Meta-analysis showed a decreased frequency in rescue analgesic administration in patients who underwent neuraxial anesthesia compared with general anesthesia for the procedure and literature review showed a comparable rate of anesthesia-related complications. Neuraxial anesthesia may be considered for gynecologic brachytherapy because of improved pain control, decreased opioid consumption, and similar rate of anesthesia complications.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Dor
/
Braquiterapia
/
Neoplasias dos Genitais Femininos
/
Analgésicos
/
Anestesia
Tipo de estudo:
Etiology_studies
/
Systematic_reviews
Limite:
Female
/
Humans
Idioma:
En
Revista:
Brachytherapy
Assunto da revista:
RADIOTERAPIA
Ano de publicação:
2020
Tipo de documento:
Article