Conscious analgosedation for radiofrequency ablation of lung neoplasm.

Autor:	Volpe ML; Department of Surgical, Anesthesiological Intenstive Care and Emergency Sciences, Federico II University, Naples, Italy., Piazza O, Palumbo D, Griffo S, Romano M, Servillo G, De Robertis E, Tufano R
Jazyk:	English; Italian
Zdroj:	Minerva anestesiologica [Minerva Anestesiol] 2006 Mar; Vol. 72 (3), pp. 111-5.
Abstrakt:	Aim: Radiofrequency ablation (RFA) is a minimally invasive therapy for pulmonary malignant cancers in patients with medical co-morbidities or refusal of surgery. The aim of this study was to evaluate a conscious analgosedation protocol for RFA of lung neoplasm. Methods: Ten RFAs were performed. Following analgesic premedication patients underwent local anesthesia (lidocaine 2%) and propofol infusion. Results: The procedures were always uneventful. Postoperative severe pain was not reported; a deep sedation was required to allow the quick and safe management of RFA. Conclusions: Spontaneous breathing sedation is safe in monitored and well-oxygenated patients and may limit the incidence of tension pneumothorax. Postoperative period needs a proper pain control for the first 24 h. Data on the long-term efficacy of lung tumor RFA are not yet available.
Databáze:	MEDLINE
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