期刊论文详细信息
Korean Journal of Anesthesiology
Ultrasound-guided percutaneous intercostal cryoanalgesia for multiple weeks of analgesia following mastectomy: a case series
John J. Finneran1  Matthew W. Swisher1  Brian M. Ilfeld1  Rodney A. Gabriel1  Engy T. Said1  Jacklynn F. Sztain1  Bahareh Khatibi1  Anne M. Wallace2  Ava Hosseini2  Andrea M. Trescot3 
[1] Department of Anesthesiology, Division of Regional Anesthesia and Acute Pain, University of California, San Diego, La Jolla, CA, USA;Department of Surgery, University of California, San Diego, La Jolla, CA, USA;Pain and Headache Center, Eagle River, AK, USA;
关键词: acute pain;    cryoanalgesia;    cryoneurolysis;    mastectomy;    regional anesthesia;   
DOI  :  10.4097/kja.19332
来源: DOAJ
【 摘 要 】

Background Acute post-mastectomy pain is frequently challenging to adequately treat with local anesthetic-based regional anesthesia techniques due to its relatively long duration measured in multiple weeks. Case We report three cases in which preoperative ultrasound-guided percutaneous intercostal nerve cryoneurolysis was performed to treat pain following mastectomy. Across all postoperative days and all three patients, the mean pain score on the numeric rating scale was 0 for each day. Similarly, no patient required any supplemental opioid analgesics during the entire postoperative period; and, no patient reported insomnia or awakenings due to pain at any time point. This was a significant improvement over historic cohorts. Conclusions Ultrasound-guided percutaneous cryoanalgesia is a potential novel analgesic modality for acute pain management which has a duration that better-matches mastectomy than other currently-described techniques. Appropriately powered randomized, controlled clinical trials are required to demonstrate and quantify both potential benefits and risks.

【 授权许可】

Unknown   

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