Radiofrequency Ablation of Lung Tumours with the Patient Under Thoracic Epidural Anaesthesia

Pouliquen, C.; Kabbani, Youssef; Saignac, Pierre; Gékière, Jean-Pierre; Palussière, Jean

doi:10.1007/s00270-010-9843-9

Cited by 14 publications

(10 citation statements)

References 16 publications

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“…According to the patient's condition, general anesthesia or local anesthesia can be used for the procedure, while ensuring compliance with aseptic techniques …”

Section: Procedures Preparationmentioning

confidence: 99%

Chinese expert consensus workshop report: Guidelines for thermal ablation of primary and metastatic lung tumors

Fan

Chen³

et al. 2015

Thoracic Cancer

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Although surgical resection is the primary means of curing both primary and metastatic lung cancers, about 80% of lung cancers cannot be removed by surgery. As most patients with unresectable lung cancer receive only limited benefits from traditional radiotherapy and chemotherapy, many new local treatment methods have emerged, including local ablation therapy. The Minimally Invasive and Comprehensive Treatment of Lung Cancer Branch, Professional Committee of Minimally Invasive Treatment of Cancer of the Chinese Anti-Cancer Association has organized multidisciplinary experts to develop guidelines for this treatment modality. These guidelines aim at standardizing thermal ablation procedures and criteria for selecting treatment candidates and assessing outcomes; and for preventing and managing post-ablation complications.

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“…According to the patient's condition, general anesthesia or local anesthesia can be used for the procedure, while ensuring compliance with aseptic techniques …”

Section: Procedures Preparationmentioning

confidence: 99%

Chinese expert consensus workshop report: Guidelines for thermal ablation of primary and metastatic lung tumors

Fan

Chen³

et al. 2015

Thoracic Cancer

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“…Since the advent of ablation surgery for the treatment of lung tumors, the optimal anesthesia has been controversial, with some anesthetists preferring GA (14), others preferring LA combined with sedation, and still others choosing epidural analgesia (EPI) (15). For the majority of patients undergoing ablation surgery, LA with opioid sedation is preferred (16), or opioids combined with benzodiazepines and propofol (17).…”

Section: Discussionmentioning

confidence: 99%

The analgesic efficacy of ultrasound-guided thoracic paravertebral block in pulmonary tumor ablation surgery: a prospective single-arm study

Cheng¹,

Jiang²,

Zhou³

et al. 2022

Ann Palliat Med

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Background: Local thermal ablation is a rapidly developing minimally invasive treatment for lung tumors. This technique has the advantages of less trauma, ease and convenience of the operation, fast recovery, and fewer complications. Thoracic paravertebral block (TPVB) has been demonstrated can provide sufficient pain relief with high safety. This study aimed to evaluate the efficacy of TPVB for anesthesia management during the ablation surgery of lung tumors.Methods: In our study, a total of 30 patients undergoing Local thermal ablation surgery were enrolled.All patients received TPVB anesthesia before CT positioning starting. Analgesics and rescue drugs were used according to the patient's condition during operation. The main observation and assessment outcome were intraoperative and postoperative Visual Analog Scale (VAS) score. Other outcomes were total dose of analgesics and rescue drugs, incidences of adverse events, and the patients' and surgeons' satisfaction degrees.Results: All patients successfully received ablation surgery under TPVB anesthesia. None of the patients were switched to general anesthesia. There were no statistically differences were found between the preoperative VAS score (0.54±1.12) and the intraoperative VAS score (0.58±1.15) (P>0.05). No adverse events occurred and no rescue drugs were used during operation. The satisfaction scale of both patients and surgeons was 3 points or above, and all patients were discharged from the hospital.Conclusions: TPVB is an effective and safe anesthesia management technique which can provided adequate pain relief in local thermal ablation therapy for lung tumors. This discovery could provide a better anesthesia protocol for anesthetists in lung tumors ablation surgery, especially when patients have a poor cardiopulmonary function and combined with serious underlying diseases.

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“…Such a location should be another indication for RFA if the nodules present favorable characteristics. In addition, it has been previously demonstrated [6] that RFA did not change lung function parameters and is possible even in patients with respiratory dysfunction [5].…”

Section: Complications and Hospitalization Length After Surgery Or Rfamentioning

confidence: 96%

“…Ablation often is proposed as a locoregional treatment, because it has minimal impact on the lung. This is particularly indicated for patients who are not candidates for surgery due to limited pulmonary reserve [5].…”

Section: Introductionmentioning

confidence: 99%

Single-Session Radiofrequency Ablation of Bilateral Lung Metastases

Palussière

Gómez

Cannella

et al. 2011

Cardiovasc Intervent Radiol

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Radiofrequency Ablation of Lung Tumours with the Patient Under Thoracic Epidural Anaesthesia

Cited by 14 publications

References 16 publications

Chinese expert consensus workshop report: Guidelines for thermal ablation of primary and metastatic lung tumors

Chinese expert consensus workshop report: Guidelines for thermal ablation of primary and metastatic lung tumors

The analgesic efficacy of ultrasound-guided thoracic paravertebral block in pulmonary tumor ablation surgery: a prospective single-arm study

Single-Session Radiofrequency Ablation of Bilateral Lung Metastases

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