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Ultrasound-guided percutaneous intercostal nerve cryoneurolysis for analgesia following traumatic rib fracture -a case series-

대한마취과학회지 2020년 73권 5호 p.455 ~ 459
Finneran John J. IV, Gabriel Rodney A., Swisher Matthew W., Berndtson Allison E., Godat Laura N., Costantini Todd W., Ilfeld Brian M.,
소속 상세정보
 ( Finneran John J. IV ) - University of California San Diego Department of Anesthesiology
 ( Gabriel Rodney A. ) - University of California San Diego Department of Anesthesiology
 ( Swisher Matthew W. ) - University of California San Diego Department of Anesthesiology
 ( Berndtson Allison E. ) - University of California San Diego Department of Surgery
 ( Godat Laura N. ) - University of California San Diego Department of Surgery
 ( Costantini Todd W. ) - University of California San Diego Department of Surgery
 ( Ilfeld Brian M. ) - University of California San Diego Department of Anesthesiology

Abstract


Background: Rib fractures are a common injury in trauma patients and account for significant morbidity and mortality within this population. Local anesthetic-based nerve blocks have been demonstrated to provide significant pain relief and reduce complications. However, the analgesia provided by these blocks is limited to hours for single injection blocks or days for continuous infusions, while the duration of this pain often lasts weeks.

Case: This case series describes five patients with rib fractures whose pain was successfully treated with cryoneurolysis.

Conclusions: Ultrasound-guided percutaneous cryoneurolysis is a modality that has the potential to provide analgesia matching the duration of pain following rib fractures.

키워드

Analgesia; Cryoablation; Nerve block; Rib fracture; Trauma; Ultrasound

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