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GENERAL ARTICLES

Lung Isolation, One-Lung Ventilation, and Continuous Positive Airway Pressure with Air for Radiofrequency Ablation of Neoplastic Pulmonary Lesions

Beth A. Elliott, MD^*, Timothy B. Curry, MD, PhD^*, Thomas D. Atwell, MD, Michael J. Brown, MD^*, and Steven H. Rose, MD^*

From the Departments of *Anesthesiology and Radiology, Mayo Clinic College of Medicine, Rochester, Minnesota.

Address correspondence and reprint requests to Beth A. Elliott, MD, Mayo Clinic, 200 First Street SW, Rochester, MN 55905. Address e-mail to elliott.beth{at}mayo.edu.

Radiofrequency ablation (RFA) is an emerging therapy that is increasingly being used for the treatment of many different types of tumors. RFA uses percutaneously placed image-guided probes to destroy tissues through localized heating. Injury to adjacent tissues with significant morbidity during RFA has been reported in the literature. We discuss our anesthetic management of patients undergoing RFA of lung tumors. Lung isolation, one-lung ventilation, and nondependent lung continuous positive airway pressure with air can be used to minimize damage to the heart and other important structures.

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