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Online ISSN 1827-1596
Volpe M. L. 1, Piazza O. 1, Palumbo D. 1, Griffo S. 1, Romano M. 2, Servillo G. 1, De Robertis E. 1, Tufano R. 1
1 Department of Surgical, Anesthesiological Intenstive Care and Emergency Sciences Federico II University, Naples, Italy
2 Department of Radiology and Imaging Federico II University, Naples, Italy
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.
Conclusion. 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.
language: English, Italian