The most common obstacle is delay, either because the remote location does not begin on time or because the previous case is delayed. When a significant delay is expected, the anesthesiologist must decide whether to move on to the following scheduled case or wait and delay the entire schedule. The solution to this problem is to develop a working relationship with the staff in each remote location and help them to understand the economic pressures. From their standpoint, the most important ingredient for success is consistency. With experience, the anesthesiologist will become familiar with the remote location's surroundings and staff and will develop a consistent procedure for taking care of his or her patients.
Many children require higher doses to assure immobility throughout the procedure.
Video monitors are observed outside the radiation treatment room. There are fewer anesthetic implications for the child who needs anesthesia for a CT scan. Regular anesthesia machines and monitoring devices are used in close proximity to the child. The anesthesiologist wears lead protection and may remain near the child during the scan, which typically lasts less than 20 minutes. There are two important issues when children undergo CT scan with sedation or general anesthesia.