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A Journal on Anesthesiology, Resuscitation, Analgesia and Intensive Care

Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
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Minerva Anestesiologica 2006 March;72(3):111-5

language: English, Italian

Conscious analgosedation for radiofrequency ablation of lung neoplasm

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.

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