About: Novel Use of Biphasic Cuirass Ventilation During Definitive Radiotherapy: A Technical Report

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About: Novel Use of Biphasic Cuirass Ventilation During Definitive Radiotherapy: A Technical Report Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Novel Use of Biphasic Cuirass Ventilation During Definitive Radiotherapy: A Technical Report
Creator	Schwartz, David Williams, Megan Sharma, Ankur Andrews, Patty Clinkscales, William Gleysteen, John Hayes, Neil Hermsdorfer, Anna Izaguirre, Enrique Jones, Sherrenique Jones, Tonia Middleton, Kelly Moore, Carey Rhea, Isaac Risquez, Cristobal Sappington, Julie Spence, Matthew Wakefield, Daniel Walker, Darla Wiseman, Amy
Source	Elsevier; Medline; PMC
abstract	Unstructured Abstract The use of biphasic cuirass ventilator supported radiotherapy has never been documented. We present the first technical report here. A 57-year-old man with obstructive sleep apnea presented with a T0N1M0 right sided, human papillomavirus related head and neck cancer diagnosed with excisional lymph node biopsy. On further work-up, the cancer was found to originate in the right tonsil and was staged as T1N1. The patient started definitive treatment with concurrent chemo-radiotherapy, but after 5 treatments, was no longer able to lay in a supine position for treatment. Diagnostic imaging work-up eventually revealed an idiopathic right sided hemi-diaphragm eventration. After consultation with cardiology, pulmonology and head and neck surgery, recommendation was made for tracheostomy in order to tolerate supine radiotherapy position, but the patient refused. Instead, CT simulation for radiotherapy re-planning was performed using a combination of biphasic cuirass ventilation, home continuous positive airway pressure and oxygen. The patient then tolerated definitive treatment to a dose of 69.96 Gray in 33 fractions with concurrent chemotherapy, with no unexpected side effects. Although complex, daily treatment set-up was consistent. Daily onboard imaging was precise and accurate. The patient continues to follow-up with radiation oncology, medical oncology and pulmonology. This is the first use of biphasic cuirass ventilator supported radiotherapy reported in the scientific literature. Although daily treatment set-up is complex, its use could be considered in patients unable to tolerate radiotherapy treatment positioning as an alternative to tracheostomy.
has issue date	2020-08-20(xsd:dateTime)
bibo:doi	10.1016/j.prro.2020.08.003
bibo:pmid	32828918
has license	els-covid
sha1sum (hex)	5849e9946a9e0a09a7a73e00b9e067f62c0dcf8a
schema:url	https://doi.org/10.1016/j.prro.2020.08.003
resource representing a document's title	Novel Use of Biphasic Cuirass Ventilation During Definitive Radiotherapy: A Technical Report
has PubMed Central identifier	PMC7439987
has PubMed identifier	32828918
schema:publication	Pract Radiat Oncol
resource representing a document's body	covid:5849e9946a9e0a09a7a73e00b9e067f62c0dcf8a#body_text
is schema:about of	named entity 'Ventilation' named entity 'SET' named entity 'DAILY' named entity 'UPS' covid:arg/5849e9946a9e0a09a7a73e00b9e067f62c0dcf8a named entity 'dedicated' named entity 'Use' named entity 'Technical Report' named entity 'Biphasic Cuirass Ventilation' named entity 'Technical Report' named entity 'Radiotherapy' named entity 'asymptomatic' named entity 'BCV' named entity 'atelectasis' named entity 'respiratory compromise' named entity 'tumor board' named entity 'cuirass' named entity 'prone position' named entity '1, 2' named entity 'acute respiratory failure' named entity 'coronavirus' named entity 'IMRT' named entity 'CPAP' named entity 'BCV' named entity 'scar' named entity 'etiology' named entity 'cuirass' named entity 'oxygen' named entity 'head and neck' named entity 'CPAP' named entity 'intubated' named entity 'oropharynx' named entity 'air leakage' named entity 'radiotherapy' named entity 'supine' named entity 'BCV' named entity 'surgical treatment' named entity 'green arrow' named entity 'SCCa' named entity 'CBCT' named entity 'BCV' named entity 'excisional biopsy' named entity 'maximum inspiratory pressure' named entity 'central obesity' named entity 'CPAP' named entity 'pharyngeal' named entity 'standing position' named entity 'obstructive sleep apnea' named entity 'pulmonology' named entity 'CPAP machine' named entity 'multimodal therapy' named entity 'supine position' named entity 'Radiation Oncology' named entity 'SCCa' named entity 'comorbid' named entity 'tumor' named entity 'malignancies' named entity 'functional residual capacity' named entity 'lymph node' named entity 'hemidiaphragm' named entity 'eventration' named entity 'Pathology'

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