Abstract Radiation therapy is an effective treatment for pediatric cancers, yet requires immobilization and often anesthesia for precision treatment. Patients with Down syndrome are at increased risk for anesthesia-associated complications.… Click to show full abstract
Abstract Radiation therapy is an effective treatment for pediatric cancers, yet requires immobilization and often anesthesia for precision treatment. Patients with Down syndrome are at increased risk for anesthesia-associated complications. We have implemented an audiovisual system (AVATAR) that enables patients to watch videos during daily radiation therapy. We report a unique experience eliminating the need for anesthesia during radiation in a child with Down syndrome who previously required sedation in order to tolerate chemotherapy. AVATAR is a feasible alternative to daily anesthesia and may be useful for patients with special difficulty tolerating treatment.
               
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