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10.1016/j.brachy.2020.08.002 http://scihub22266oqcxt.onion/10.1016/j.brachy.2020.08.002 32891569!7413110!32891569     free     free     free Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Brachytherapy 2021 ; 20 (1): 284-289 Nephropedia Template TP {{tp|p=32891569|t=2021. Paracervical blocks facilitate timely brachytherapy amidst COVID-19 |pdf=|usr=}}{{32891569}} gab.com Text Paracervical blocks facilitate timely brachytherapy amidst COVID-19 JO: Brachytherapy http://www.kidney.de/pget.php?&tw=1&pmid=32891569 #FOAvip PURPOSE: The COVID-19 pandemic presents serious challenges for brachytherapists, and in the time-sensitive case of locally advanced cervical cancer, the need for curative brachytherapy (BT) is critical for survival. Given the high-volume of locally advanced cervical cancer in our safety-net hospital, we developed a strategy in close collaboration with our gynecology oncology and anesthesia colleagues to allow for completely clinic-based intracavitary brachytherapy (ICBT). METHODS AND MATERIALS: This technical report will highlight our experience with the use of paracervical blocks (PCBs) and oral multimodal analgesia (MMA) for appropriately selected cervical ICBT cases, allowing for completely clinic-based treatment. RESULTS: 18 of 19 (95%) screened patients were eligible for in-clinic ICBT. The excluded patient had significant vaginal fibrosis. 38 of 39 intracavitary implants were successfully transitioned for entirely in-clinic treatment utilizing PCBs and oral MMA (97% success rate). One case was aborted due to inadequate analgesia secondary to a significantly delayed case start time (PO medication effect diminished). 95% of patients reported no pain at the conclusion of the procedure. The median (IQR) D(2cc) for rectum and bladder were 64.8 (58.6-70.2) Gy and 84.1 (70.9-89.4) Gy, respectively. Median (IQR) CTV high-risk D(90) was 88.0 (85.6-89.8) Gy. CONCLUSIONS: In a multidisciplinary effort, we have successfully transitioned many ICBT cases to the clinic with the use of PCB local anesthesia and oral multimodality therapy in direct response to the current pandemic, thereby mitigating exposure risk to patients and staff as well as reducing overall health care burden. Twit Text FOAVip Paracervical blocks facilitate timely brachytherapy amidst COVID-19 ????Brachytherapy http://www.kidney.de/pget.php?&tw=1&pmid=32891569 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32891569 #FOAvip English Wikipedia <ref>{{Cite pmid|32891569}}</ref> Paracervical blocks facilitate timely brachytherapy amidst COVID-19 #MMPMID32891569 Brunnhoelzl D; Hanania AN; Echeverria A; Sunde J; Tran C; Ludwig M Brachytherapy 2021[Jan]; 20 (1): 284-289 PMID32891569show ga PURPOSE: The COVID-19 pandemic presents serious challenges for brachytherapists, and in the time-sensitive case of locally advanced cervical cancer, the need for curative brachytherapy (BT) is critical for survival. Given the high-volume of locally advanced cervical cancer in our safety-net hospital, we developed a strategy in close collaboration with our gynecology oncology and anesthesia colleagues to allow for completely clinic-based intracavitary brachytherapy (ICBT). METHODS AND MATERIALS: This technical report will highlight our experience with the use of paracervical blocks (PCBs) and oral multimodal analgesia (MMA) for appropriately selected cervical ICBT cases, allowing for completely clinic-based treatment. RESULTS: 18 of 19 (95%) screened patients were eligible for in-clinic ICBT. The excluded patient had significant vaginal fibrosis. 38 of 39 intracavitary implants were successfully transitioned for entirely in-clinic treatment utilizing PCBs and oral MMA (97% success rate). One case was aborted due to inadequate analgesia secondary to a significantly delayed case start time (PO medication effect diminished). 95% of patients reported no pain at the conclusion of the procedure. The median (IQR) D(2cc) for rectum and bladder were 64.8 (58.6-70.2) Gy and 84.1 (70.9-89.4) Gy, respectively. Median (IQR) CTV high-risk D(90) was 88.0 (85.6-89.8) Gy. CONCLUSIONS: In a multidisciplinary effort, we have successfully transitioned many ICBT cases to the clinic with the use of PCB local anesthesia and oral multimodality therapy in direct response to the current pandemic, thereby mitigating exposure risk to patients and staff as well as reducing overall health care burden. |Ambulatory Surgical Procedures/*methods[MESH] |Analgesics/*therapeutic use[MESH] |Anesthesia, Local/*methods[MESH] |Anesthesia, Obstetrical/*methods[MESH] |Anti-Anxiety Agents/therapeutic use[MESH] |Antiemetics/therapeutic use[MESH] |Brachytherapy/*methods[MESH] |COVID-19[MESH] |Female[MESH] |Gabapentin/therapeutic use[MESH] |Humans[MESH] |Hydromorphone/therapeutic use[MESH] |Ibuprofen/therapeutic use[MESH] |Lorazepam/therapeutic use[MESH] |Organs at Risk[MESH] |Pain, Procedural/drug therapy/*prevention & control[MESH] |Pandemics[MESH] |Promethazine/therapeutic use[MESH] |Radiotherapy Dosage[MESH] |Rectum[MESH] |SARS-CoV-2[MESH] |Urinary Bladder[MESH]Paracervical blocks facilitate timely brachytherapy amidst COVID-19 (epmc).pdf DeepDyve Pubget Overpricing