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Korean J Anesthesiol. 2019 Nov 5. doi: 10.4097/kja.19395. [Epub ahead of print]

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

Author information

1
Assistant Clinical Professor of Anesthesiology, University of California, San Diego, California, USA.
2
Assistant Clinical Professor of Surgery, University of California, San Diego, California, USA.
3
Associate Clinical Professor of Surgery, University of California, San Diego, California, USA.
4
Professor of Anesthesiology, University of California, San Diego, California, USA.

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 Reports:

This case series describes 5 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.

KEYWORDS:

Cryoablation; Nerve block; Rib fracture; Ultrasound

PMID:
31684715
DOI:
10.4097/kja.19395
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