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Brachytherapy implant insertion in head-and-neck cancer: Results of anaesthetic technique at a tertiary care hospital

Recent technologic advances have enabled high-dose rate and pulsed-dose rate brachytherapy techniques to minimise radiation exposure hazards while offering the physical and biological advantages of brachytherapy.[1] Brachytherapy implant insertion procedures present the anaesthesiologist with numerous challenges since patients are often elderly with coincidental diseases. Second, the implant insertion procedures are extremely painful and require both analgesia and immobilisation. Third, the patients presenting for these procedures for head-and-neck cancers have a very high incidence of difficult airways. This study intends to review the anaesthesia records of 32 procedures of brachytherapy for head-and-neck cancer over a period of 2 years and report the experience at the author's institution.