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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…)
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