Patients scheduled for brachytherapy are often elderly with comorbid diseases that may preclude major surgery and pose a high risk for

perioperative complications. Intracavitary and interstitial brachytherapy procedures are extremely painful and require both profound analgesia and

immobilization. Furthermore, these patients have to be shifted through radiology treatment planning and internal radiotherapy while still fully

sedated and immobile.

Total intravenous anesthesia (TIVA) is an ideal technique for brachytherapy as it is safe under monitored care and permits quick turnover of

patients. TIVA is easy to administer, permits early return of patients to their homes and is considerably less embarrassing to the female patient group

when compared to neuraxial techniques.