TITLE:
Anesthesia Management for Pulmonary Cryoablation
AUTHORS:
Zvi C. Jacob, Stephanie Rashewsky, Ruth A. Reinsel, Thomas V. Bilfinger, William Moore
KEYWORDS:
Anesthesia Care; Percutaneous Cryoablation Treatment; Lung Cancer; Pulmonary Complications; Pneumothorax; Hemoptysis
JOURNAL NAME:
Open Journal of Anesthesiology,
Vol.3 No.4,
June
28,
2013
ABSTRACT: Lung tumors represent a
major health impact globally. Pulmonary cryoablation treatment as a palliative
measure for patients with non-operable pulmonary lesions has gained popularity
over the last decade. With increasing case load and patients medical status
becoming more complex, preparation for pulmonary cryoablation requires the
implementation of an enhanced perioperative anesthetic plan. Current literature
as well as our institutional experience shows that this patient population
presents with multiple comorbidities raising the challenge of providing
anesthetic care. These procedures are done under challenging conditions with
limited resources and in remote locations in the hospital. A team approach by
the anesthesiologist, thoracic surgeon, and interventional radiologist is
critical to the success of this treatment. The present review examines our
institution’s anesthetic management of percutaneous cryoablation treatment
(PCT) in the treatment of non-operable lung cancer and metastases. The
objective of this article is to review the current literature guidelines and to
discuss our retrospective institutional experience in anesthesia management of
PCT procedures.