麻醉经皮射频肿瘤消融(PRFA):当前实践和技术的回顾。

IF 1.5 Q3 ANESTHESIOLOGY Local and Regional Anesthesia Pub Date : 2019-12-04 eCollection Date: 2019-01-01 DOI:10.2147/LRA.S185765
Federico Piccioni, Andrea Poli, Leah Carol Templeton, T Wesley Templeton, Marco Rispoli, Luigi Vetrugno, Domenico Santonastaso, Franco Valenza
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引用次数: 22

摘要

实体瘤经皮射频消融(PRFA)是一种微创手术,用于治疗原发性或转移性癌症病变,通过针靶向热能转移。使用PRFA治疗的一些最常见的肿瘤病变包括肝、肺和肾内的肿瘤病变。此外,骨骼、甲状腺和乳房病变也可以治疗。在大多数情况下,这个过程是在手术室外的一个专门的放射套件中进行的。因此,在许多情况下,临床医生必须适应在手术室外提供麻醉的特定环境问题,包括在某些情况下缺乏麻醉机,并且经常缺乏足够的清除和其他专门的监测和设备。此时,PRFA的常规做法和麻醉处方可能差异很大,从单独接受局部麻醉到监测麻醉护理,再到区域麻醉,再到区域和全身联合麻醉。麻醉技术的选择取决于肿瘤的位置和医生的经验。这篇综述的目的是总结目前的状态,在麻醉技术方面,为患者接受实体瘤PRFA。
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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. 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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来源期刊
CiteScore
6.30
自引率
0.00%
发文量
12
审稿时长
16 weeks
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