Back to Search
Start Over
Ultrasound-guided percutaneous intercostal cryoanalgesia for multiple weeks of analgesia following mastectomy: a case series.
- Source :
-
Korean Journal of Anesthesiology . Apr2020, Vol. 73 Issue 2, p163-168. 6p. - Publication Year :
- 2020
-
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. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 20056419
- Volume :
- 73
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- Korean Journal of Anesthesiology
- Publication Type :
- Academic Journal
- Accession number :
- 142739025
- Full Text :
- https://doi.org/10.4097/kja.19332