การพยาบาลผู้ป่วยที่ได้รับการระงับความรู้สึกแบบทั่วร่างกายเพื่อผ่าตัดมะเร็งไตในเด็ก

Panicha  Urachuen

Authors

Panicha Urachuen Ratchaburi Hospital, Ratchaburi Province

Keywords:

Wilms’ Tumor, General anesthesia, Pediatric anesthesia

Abstract

The treatment of childhood kidney cancer (Wilms’ tumor) is currently being extensively studied, and there are internationally standardized treatment protocols. Treatment requires a combination of methods, starting with surgical removal of the tumor and chemotherapy after surgery. If the disease has metastasized to nearby organs or has a high risk of invasion, radiation therapy may be added. However, this type of cancer responds very well to such treatments, with a cure rate of 80-90% in patients diagnosed in the early stages.

Objective: To provide safe and complication-free nursing care for pediatric patients undergoing general anesthesia for kidney cancer surgery.

Study Design: This is a case study analysis of one patient, conducted according to academic principles, and the results will be applied to nursing care for pediatric kidney cancer surgery patients using general anesthesia.

Results: The anesthesia nurse was well-prepared with necessary medications and specialized equipment, ensuring patient safety and preventing complications. No critical conditions such as blood loss, hypothermia, nerve compression, or endotracheal tube positioning were observed. The patient's general condition was stable, they were safe, recovered quickly, and received appropriate care. And they can return to their normal lives.

Summary: Nursing care for pediatric kidney cancer surgery patients receiving general anesthesia focuses on providing nurse anesthesiologists with guidelines for patient care to reduce the risk of life-threatening complications both during and after anesthesia. This includes pre-operative preparation, in-anesthesia care, and appropriate post-operative rehabilitation.

References

จิราภรณ์ โกรานา. (2560). Pediatric pre-operative, intra-operative and post-operative care. ภาควิชาศัลยศาสตร์ คณะแพทยศาสตร์ มหาวิทยาลัยเชียงใหม่.http://www.med.cmu.ac.th/dept/surgery/2017

อังกาบ ปราการรัตน์, ประดิษฐ์ ประทีปะวณิช, และวรรณา สมบูรณ์วิบูลย์. (2556). ตำราวิสัญญีวิทยา. เอพลัส พริ้น.

Kostadinov, I., Slavov, S., Stankova, T., & Dinev, D. (2015). Anesthesia management of a 20-month-old patient with giant unilateral Wilms tumor. Case Reports in Anesthesiology, 2015, 406358. https://doi.org/10.1155/2015/406358

Matinyan, N., Saltanov, A., Martynov, L., & Kazantsev, A. (2015). Anesthesia management of a 20-month-old patient with giant unilateral Wilms tumor. Case Reports in Anesthesiology, 2015, Article 487219. https://doi.org/10.1155/2015/487219 PubMed

National Cancer Institute. (2025). Wilms tumor and other childhood kidney tumors treatment (PDQ®)–Health professional version.

PDQ Pediatric Treatment Editorial Board. (2025). Wilms tumor and other childhood kidney tumors treatment (PDQ®): Health professional version. National Cancer Institute.

Phothong, C., et al. (2025). Predictors of surgical complications and survival in pediatric Wilms’ tumor: A 20-year retrospective study from two Thai centers. Cancers.