2020年COVID-19大流行期间儿童放疗麻醉服务:来自东印度尼西亚的经验

A. Veterini, Herdiani Sulistyo Putri, U. Pasaribu
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摘要

背景:全球COVID-19大流行给医疗保健部门造成了严重压力,世界各地受影响国家的卫生服务不堪重负。尽管需要维持重要的肿瘤治疗,特别是对儿童,但放射治疗从业人员不确定在大流行期间如何治疗。与此同时,一些麻醉程序可能会越来越多地使麻醉提供者暴露于COVID-19。在COVID-19大流行期间,Soetomo医生医院处理儿童肿瘤病例的挑战性服务可以通过各种调整正常开展。目的:本研究的目的是描述东印度尼西亚放射治疗中心如何应对这一大流行时代的挑战。方法:在2020年期间,我们通过使用管理数据集收集有关患者数量、提供的麻醉服务类型和放疗室不良事件的信息。我们使用描述性统计来描述数据中发生的情况。结果:接受放疗的患者共12例,188次,不配合的患儿在放疗过程中给予咪达唑仑和异丙酚。结果表明,2020年没有发生意外事故。结论:为儿童放射治疗提供了相对安全的镇静服务。
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Anesthesia Services for Children's Radiotherapy During Pandemic COVID-19 in 2020: Experience from East Indonesia
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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