ESTRO 2021 Abstract Book

S95

ESTRO 2021

Patients were introduced to the safety equipment and the ventilator with the trainer demonstrating the equipment on themselves first. This gave patients the confidence they needed that the procedure and equipment were completely safe. The next step was for the patient to be connected to the ventilator but to remain in total control over their breathing; again this is an important step in gaining patient confidence. Once the patient is comfortable the ventilator is switched to take over and regularise the patient’s breathing. This is an easy step (it takes only a few seconds) in the process and requires little patient training. We then adjust to mechanical hyperventilation at 16 breaths per minute (bpm) in 60% O2 with an increased inflation volume. This induces hypocapnia in preparation for the >5 min breath-hold. Table 1 shows a typical patient regime highlighting the order in which RTT’s are trained. Critically, the pathway is not fixed and is adapted to each patient’s ability and comfort.

Table 1: Order of training /typical patient pathway

CONCLUSION: Our research was the first of its kind to successfully demonstrate breast cancer patients can be trained to regularise their breathing and maintain breath holds of >5 minutes. We have gone on to successfully train 4 RTT’s in all aspects of mechanical ventilation and produced an in-depth training manual to support the role out of these techniques to the wider team in the future. The combination of training and practice on the job are key to RTT’s learning effectively and efficiently.

Joint symposium: ESTRO-ESGO - State of the Art: Updated ESGO-ESTRO-ESP guidelines in endometrial cancer

SP-0153 Introduction to the ESGO-ESTRO-ESP guidelines and methodology N. Concin Austria

Abstract not available