Particle Therapy 2017

Anaesthesia at WPE

Conditions: •Central iv line

•Highly experienced teams (2 teams always in parallel; always the same 5 anaesthesiologists and 6 specialized nurses) – in 2016 > 2500 sedations/a •Ambulatory seeting •Deep iv propofol (solo) sedation •Exception: Intubation/laryngeal mask & relaxation only in eye treatments •Appropriate soberness guidance •Good infection management before/during PT (weekly pediatric visits) •Avoiding severe bone marrow depression before/during PT (caveat CTX) Pitfalls: •Bronchopulmonary infection!!! •Technical interruptions (timing -> soberness, duration of sedation!) •Inappropriate immobilization (reclination of head!) •Obstruction of airways during PT (due to tumor, infection -> Guedel tube?) •Increase in nosocomial infections (->timing, cleaning, isolation…) 0