Unit:
Κατεύθυνση Επεμβατική ΑκτινολογίαLibrary of the School of Health Sciences
Supervisors info:
Μιλτιάδης Κροκίδης, Επίκουρος Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Αχιλλέας Χατζηιωάννου, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Δημήτρης Φιλιππιάδης, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Συσχέτιση της διαδερμικής μεθόδου θερμικής κατάλυσης της ανάγκης παροχής υποστηρικτικής αναισθησίας
Translated title:
Correlation of the percutaneous thermal catalysis method with the need to provide supportive anesthesia
Summary:
Primary or metastatic solid cancer lesions can be approached and treated percutaneously via different types of thermal ablation (RFA, MWA, CA) which is a minimal invasive procedure. Lesions in liver, bone, lung, kidney and breast are some of the most common sites in which thermal ablation can be useful. Percutaneous thermal ablation, is being performed outside of the surgery room, by a medical doctor who is specialized in interventional radiology. Therefore, the procedure is performed in a specialized radiology room (CT, MRI, DSA, U/S room), without the full advantages of an anesthesiology support i.e lack of anesthesiology machine, monitoring and other specialized equipment. Thermal ablation can be performed with local anesthetic, MAC, regional anesthesia and general anesthesia or a combination of them, depending on the patient’s tolerance (medical history) and of course the experience of the interventional radiologist. Each IRs, plans carefully the procedure, and with the help of the anesthesiology decide the best painless technique of anesthesia. The collaboration of the doctors is too important, and both of them need to know the steps of the procedure. This paper aims to present the need for supportive anesthesiology care during thermal ablation of solid tumors in order to achieve best medical outcomes.
Main subject category:
Health Sciences
Keywords:
Thermal, Ablation, Interventional, Radiology, Supportive anesthesia, Tumors
File:
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