Cargando…
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...
Autores principales: | , , , , , , , |
---|---|
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 |
_version_ | 1783477323451858944 |
---|---|
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. |
format | Online Article Text |
id | pubmed-6900282 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Dove |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT piccionifederico anesthesiaforpercutaneousradiofrequencytumorablationprfaareviewofcurrentpracticeandtechniques AT poliandrea anesthesiaforpercutaneousradiofrequencytumorablationprfaareviewofcurrentpracticeandtechniques AT templetonleahcarol anesthesiaforpercutaneousradiofrequencytumorablationprfaareviewofcurrentpracticeandtechniques AT templetontwesley anesthesiaforpercutaneousradiofrequencytumorablationprfaareviewofcurrentpracticeandtechniques AT rispolimarco anesthesiaforpercutaneousradiofrequencytumorablationprfaareviewofcurrentpracticeandtechniques AT vetrugnoluigi anesthesiaforpercutaneousradiofrequencytumorablationprfaareviewofcurrentpracticeandtechniques AT santonastasodomenico anesthesiaforpercutaneousradiofrequencytumorablationprfaareviewofcurrentpracticeandtechniques AT valenzafranco anesthesiaforpercutaneousradiofrequencytumorablationprfaareviewofcurrentpracticeandtechniques |