|
KMID : 0356920200730020163
|
|
Korean Journal of Anesthesiology
2020 Volume.73 No. 2 p.163 ~ p.168
|
|
|
Ultrasound-guided percutaneous intercostal cryoanalgesia for multiple weeks of analgesia following mastectomy: a case series
|
|
Gabriel Rodney A.
Finneran John J.
Swisher Matthew W.
Said Engy T.
Sztain Jacklynn F.
Khatibi Bahareh
Wallace Anne M.
Hosseini Ava
Trescot Andrea M.
Ilfeld Brian M.
|
|
|
Abstract
|
|
|
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.
|
|
|
KEYWORD
|
|
|
Acute pain, Cryoanalgesia, Cryoneurolysis, Mastectomy, Regional anesthesia
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
   
|