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Anesthesia for Percutaneous Radiofrequency Tumor Ablation (PRFA): A Review of Current Practice and Techniques

Percutaneous radiofrequency ablation (PRFA) of solid tumors is a minimally invasive procedure used to treat primary or metastatic cancer lesions via needle targeted thermal energy transfer. Some of the most common tumor lesions treated using PRFA include those within the liver, lungs and kidneys. Ad...

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Autores principales: Piccioni, Federico, Poli, Andrea, Templeton, Leah Carol, Templeton, T Wesley, Rispoli, Marco, Vetrugno, Luigi, Santonastaso, Domenico, Valenza, Franco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6900282/
https://www.ncbi.nlm.nih.gov/pubmed/31824190
http://dx.doi.org/10.2147/LRA.S185765
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author Piccioni, Federico
Poli, Andrea
Templeton, Leah Carol
Templeton, T Wesley
Rispoli, Marco
Vetrugno, Luigi
Santonastaso, Domenico
Valenza, Franco
author_facet Piccioni, Federico
Poli, Andrea
Templeton, Leah Carol
Templeton, T Wesley
Rispoli, Marco
Vetrugno, Luigi
Santonastaso, Domenico
Valenza, Franco
author_sort Piccioni, Federico
collection PubMed
description Percutaneous radiofrequency ablation (PRFA) of solid tumors is a minimally invasive procedure used to treat primary or metastatic cancer lesions via needle targeted thermal energy transfer. Some of the most common tumor lesions treated using PRFA include those within the liver, lungs and kidneys. Additionally, bone, thyroid, and breast lesions can also be treated. In most cases, this procedure is performed outside of the operating room in a specialized radiology suite. As a result, the clinician must adapt in many cases to the specific environmental issues attendant to providing anesthesia outside the operating room, including the lack of availability of an anesthesia machine in some cases, and frequently a lack of adequate scavenging and other specialized monitoring and equipment. At this time, routine practice and anesthetic prescriptions for PRFA can vary widely, ranging from patients receiving local anesthesia alone, to monitored anesthesia care, to regional anesthesia, to combined regional and general anesthesia. The choice of anesthetic technique will depend on tumor location and practitioner experience. This review aims to summarize the current state of the art in terms of anesthetic techniques for patients undergoing PRFA of solid tumors.
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spelling pubmed-69002822019-12-10 Anesthesia for Percutaneous Radiofrequency Tumor Ablation (PRFA): A Review of Current Practice and Techniques Piccioni, Federico Poli, Andrea Templeton, Leah Carol Templeton, T Wesley Rispoli, Marco Vetrugno, Luigi Santonastaso, Domenico Valenza, Franco Local Reg Anesth Review Percutaneous radiofrequency ablation (PRFA) of solid tumors is a minimally invasive procedure used to treat primary or metastatic cancer lesions via needle targeted thermal energy transfer. Some of the most common tumor lesions treated using PRFA include those within the liver, lungs and kidneys. Additionally, bone, thyroid, and breast lesions can also be treated. In most cases, this procedure is performed outside of the operating room in a specialized radiology suite. As a result, the clinician must adapt in many cases to the specific environmental issues attendant to providing anesthesia outside the operating room, including the lack of availability of an anesthesia machine in some cases, and frequently a lack of adequate scavenging and other specialized monitoring and equipment. At this time, routine practice and anesthetic prescriptions for PRFA can vary widely, ranging from patients receiving local anesthesia alone, to monitored anesthesia care, to regional anesthesia, to combined regional and general anesthesia. The choice of anesthetic technique will depend on tumor location and practitioner experience. This review aims to summarize the current state of the art in terms of anesthetic techniques for patients undergoing PRFA of solid tumors. Dove 2019-12-04 /pmc/articles/PMC6900282/ /pubmed/31824190 http://dx.doi.org/10.2147/LRA.S185765 Text en © 2019 Piccioni et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Review
Piccioni, Federico
Poli, Andrea
Templeton, Leah Carol
Templeton, T Wesley
Rispoli, Marco
Vetrugno, Luigi
Santonastaso, Domenico
Valenza, Franco
Anesthesia for Percutaneous Radiofrequency Tumor Ablation (PRFA): A Review of Current Practice and Techniques
title Anesthesia for Percutaneous Radiofrequency Tumor Ablation (PRFA): A Review of Current Practice and Techniques
title_full Anesthesia for Percutaneous Radiofrequency Tumor Ablation (PRFA): A Review of Current Practice and Techniques
title_fullStr Anesthesia for Percutaneous Radiofrequency Tumor Ablation (PRFA): A Review of Current Practice and Techniques
title_full_unstemmed Anesthesia for Percutaneous Radiofrequency Tumor Ablation (PRFA): A Review of Current Practice and Techniques
title_short Anesthesia for Percutaneous Radiofrequency Tumor Ablation (PRFA): A Review of Current Practice and Techniques
title_sort anesthesia for percutaneous radiofrequency tumor ablation (prfa): a review of current practice and techniques
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6900282/
https://www.ncbi.nlm.nih.gov/pubmed/31824190
http://dx.doi.org/10.2147/LRA.S185765
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