Format

Send to

Choose Destination
Korean J Anesthesiol. 2019 Sep 2. doi: 10.4097/kja.19332. [Epub ahead of print]

Ultrasound-guided percutaneous intercostal cryoanalgesia for multiple weeks of analgesia following mastectomy: a case series.

Author information

1
Department of Anesthesiology, Division of Regional Anesthesia and Acute Pain, University of California, San Diego, La Jolla, CA, USA.
2
Department of Medicine, Division of Biomedical Informatics, University of California, San Diego, La Jolla, CA, USA.
3
Department of Surgery, University of California, San Diego, La Jolla, CA, USA.
4
Pain and Headache Center, Eagle River, Alaska, USA.

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 3 cases in which preoperative ultrasound-guided percutaneous intercostal nerve cryoneurolysis was performed to treat pain following mastectomy. Across all postoperative days and all 3 patients, the mean pain score on the numeric rating scale (NRS) 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 controls.

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.

KEYWORDS:

Acute pain; Cryoanalgesia; Cryoneurolysis; Mastectomy; Regional anesthesia

PMID:
31475505
DOI:
10.4097/kja.19332
Free full text

Supplemental Content

Full text links

Icon for Publishing M2Community
Loading ...
Support Center