Anesthetic challenges for a pediatric leukemia patient undergoing total body irradiation (TBI): A case report

Authors

Moshin Nazir, Aga Khan UniversityFollow
shamim Nazia, Aga Khan UniversityFollow
Asma Faraz, Aga Khan University

Document Type

Case Report

Department

Anaesthesia

Abstract

Radiotherapy of the whole body is called total body irradiation (TBI). It is a well-established component of conditioning regimens before stem cell transplantation in juvenile leukemia. The patient was a three-year-old child with a diagnosis of B-cell acute lymphoblastic leukemia and planned for stem cell transplantation. He was given TBI under anesthesia for three consecutive days prior to the bone marrow transplantation under general anesthesia. The important concerns were related to neutropenia/immune suppression, parental consent for repeated anesthesia, nothing per oral guidelines for the TBI treatment, the possibility of high-grade fever, high chance of respiratory tract infections with repeated anesthesia exposure, etc. Proper preparation, teamwork, and collaborative efforts and the child's parents made this treatment possible with intended success.

Comments

volume, Issue and pagination are not provided by author/publisher

Publication (Name of Journal)

Cureus

DOI

10.7759/cureus.53535

Recommended Citation

Nazir, M., Nazia, s., Faraz, A. (2024). Anesthetic challenges for a pediatric leukemia patient undergoing total body irradiation (TBI): A case report. Cureus.
Available at: https://ecommons.aku.edu/pakistan_fhs_mc_anaesth/550