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Case Reports
Decreased Cerebral Perfusion Under Anesthesia During Radiation Treatment: A Case Report.
- Gaurav P Patel, Billynda McAdoo, Bree Eaton, Michelle Romej, Kathryn Stack, and Francis Wolf.
- From the Departments of Anesthesiology.
- A A Pract. 2022 Apr 11; 16 (4): e01580.
AbstractRadiation therapy allows patients to receive focused radiation to a tumor. Some patients require anesthesia for their daily treatments. For head and neck tumors, a thermoplastic mask is created to minimize movement. We describe a case where a patient's neck circumference increased during the course of treatment. Given that the patient was under anesthesia for each treatment, he was not able to relay the tightness of the mask. This led to cerebral hypoxia. Cerebral oximetry confirmed this diagnosis, and the patient's mask was refitted-remaining anesthetics were uneventful. Mask fitness should be reassessed during the treatment series.Copyright © 2022 International Anesthesia Research Society.
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