WFSA-JSPA2023 webinar：
Anesthesia and Cancer Care in Pediatrics
Abstract
Pediatric cancer patients are individuals diagnosed with cancer before reaching adulthood. Although a rare condition, it significantly impacts young patients and their families. The most common types of pediatric cancers include leukemia, brain and central nervous system tumors, and lymphoma. Fortunately, pediatric cancer survival rates have improved significantly over the past few decades, with more than 80% of children diagnosed with cancer expected to survive for five years or more. However, pediatric cancer treatment can be complex, often requiring multiple treatment rounds over several years, which can greatly affect the child's and their family's quality of life.
Anesthesia is a crucial component of pediatric cancer care, ensuring patient comfort and safety during surgical procedures and imaging tests. Moreover, anesthesia plays a vital role in pain management, especially for patients experiencing pain related to cancer or its treatment. Anesthesia providers collaborate closely with the treatment team to guarantee safe and effective care during chemotherapy and radiation therapy, particularly important for younger patients who may struggle to remain still during these procedures. During radiation therapy, patients may need repeated anesthesia and sedation within short periods, making iterative anesthesia a challenging aspect of pediatric anesthesia that is not widely known, with protocols varying among centers worldwide.
The webinar aims to discuss the role of anesthesia in pediatric cancer care, focusing on its use during surgical procedures, imaging tests, and pain management. Furthermore, the webinar will address the challenging activity of iterative anesthesia in pediatric anesthesia and explore methods for ensuring its safe and effective implementation. The goal is to enhance the understanding of anesthesia's importance in pediatric cancer care and to improve the skills and knowledge of anesthesia providers in this field.
Schedule
October 7th at 1 PM (UTC), 10PM (JST), 100 min.
Webinar link
(The video recording is also accessible after the live webinar.)
Webinar program
- Moderators
-
Z Serpil Ustalar Ozgen (Turkey),
Norifumi Kuratani (Japan)
1. Opening Remarks
- Wayne Morriss
-
President, WFSA
Christchurch, New Zealand
2. Anesthesia Consideration for Pediatric Oncology Patients: Case Presentation
- Saeedah Asaf
-
Associate Professor, Department of Anesthesia, Arkansas Children's Hospital & University of Arkansas Medical Sciences, Little Rock, AR, USA
Professor & Lead, Department of Anesthesia, The Children's Hospital & University of Child Health Sciences
Lahore, Pakistan.
Learning Objectives
- Describe preoperative concerns in children with cancer.
- Describe implications of common problems encountered in children with cancer for an anesthesiologist.
- Describe strategies to manage pain and psychosocial distress in children with cancer.
- Case discussion and Q&A session.
3. Pain Management for Pediatric Oncology Patients in Low Resource Settings
- Maria Alejandra Echeto
-
Paediatric Anaesthesia Staff Specialist in San Pedro Sula, Honduras at Hospital del Valle, Hospital Bendaña and Quirúrgica Integral, Pediatric Anesthesia Consultant at Hospital Mario Catarino Rivas and Social Security Institute in San Pedro Sula.
Honduras
Learning Objectives
- Briefly describe pain management/pediatric oncology services offered in a low resource setting.
- Outline the many challenges in pediatric pain management in LMIC/LIC.
- Delineate strategies on how can we improve by harnessing availables resources.
4. Procedural Sedation for Imaging and Radiation Therapy
- Z Serpil Ustalar Ozgen
-
Dept of Anesth and Reanim, Uni of MAA Acıbadem, Istanbul Turkey
President-Elect of ASPA
Learning objectives
- Define procedural sedation and its indications for imaging and radiation therapy procedures.
- Identify the different levels of sedation and their respective goals for imaging and radiation therapy procedures.
- Describe the medications used for procedural sedation, their pharmacokinetics, and their adverse effects.
- Explain the pre-procedure patient evaluation, monitoring, and documentation requirements for procedural sedation in imaging and radiation therapy procedures.
- Analyze the potential complications of procedural sedation and their prevention and management strategies.
5. Iterative Anesthesia
- Lucas Opitz
-
Head of Pediatric Anesthesia, Centre Antoine Lacassagne
Neonatologist, University Hospital Nice,
Nice France
Learning Objectives
- Safe pediatric anesthesia in remote settings: minimal infrastructures, equipment and expertise
- Standards for non-invasive, repeated anesthesia in RT centres
- The human aspects in RT centres
6.Round Table Discussion
- Moderators
-
Z Serpil Ustalar Ozgen (Turkey),
Norifumi Kuratani (Japan) - Commentator
- Zolzaya Chinzorig (Mongolia)