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Intercostal nerve cryoablation for control of traumatic rib fracture pain: A case report

Pain from traumatic rib fractures presents a source of major morbidity and mortality. Prior studies have reported 59% of patients continue to have persistent pain at 2 months post injury. Most modern analgesia modalities have short duration of effect (<72 h) and require repeated doses to achieve...

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Detalles Bibliográficos
Autores principales: Vossler, John D., Zhao, Frank Z.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6676040/
https://www.ncbi.nlm.nih.gov/pubmed/31388539
http://dx.doi.org/10.1016/j.tcr.2019.100229
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author Vossler, John D.
Zhao, Frank Z.
author_facet Vossler, John D.
Zhao, Frank Z.
author_sort Vossler, John D.
collection PubMed
description Pain from traumatic rib fractures presents a source of major morbidity and mortality. Prior studies have reported 59% of patients continue to have persistent pain at 2 months post injury. Most modern analgesia modalities have short duration of effect (<72 h) and require repeated doses to achieve adequate effect. There are few studies that address long-term analgesia treatment for these injuries. Intercostal cryoneurolysis (IC) is a technique of long-term chest wall analgesia previously studied in thoracic surgery and pediatric chest wall reconstruction. This technique may also be an effective treatment for rib fracture pain. Presented is a case of successful control of rib fracture pain with IC used as an adjunct to surgical stabilization of rib fractures (SSRF). This is followed by a discussion of IC's role in the treatment of traumatic rib fracture pain.
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spelling pubmed-66760402019-08-06 Intercostal nerve cryoablation for control of traumatic rib fracture pain: A case report Vossler, John D. Zhao, Frank Z. Trauma Case Rep Article Pain from traumatic rib fractures presents a source of major morbidity and mortality. Prior studies have reported 59% of patients continue to have persistent pain at 2 months post injury. Most modern analgesia modalities have short duration of effect (<72 h) and require repeated doses to achieve adequate effect. There are few studies that address long-term analgesia treatment for these injuries. Intercostal cryoneurolysis (IC) is a technique of long-term chest wall analgesia previously studied in thoracic surgery and pediatric chest wall reconstruction. This technique may also be an effective treatment for rib fracture pain. Presented is a case of successful control of rib fracture pain with IC used as an adjunct to surgical stabilization of rib fractures (SSRF). This is followed by a discussion of IC's role in the treatment of traumatic rib fracture pain. Elsevier 2019-07-31 /pmc/articles/PMC6676040/ /pubmed/31388539 http://dx.doi.org/10.1016/j.tcr.2019.100229 Text en © 2019 Published by Elsevier Ltd. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Vossler, John D.
Zhao, Frank Z.
Intercostal nerve cryoablation for control of traumatic rib fracture pain: A case report
title Intercostal nerve cryoablation for control of traumatic rib fracture pain: A case report
title_full Intercostal nerve cryoablation for control of traumatic rib fracture pain: A case report
title_fullStr Intercostal nerve cryoablation for control of traumatic rib fracture pain: A case report
title_full_unstemmed Intercostal nerve cryoablation for control of traumatic rib fracture pain: A case report
title_short Intercostal nerve cryoablation for control of traumatic rib fracture pain: A case report
title_sort intercostal nerve cryoablation for control of traumatic rib fracture pain: a case report
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6676040/
https://www.ncbi.nlm.nih.gov/pubmed/31388539
http://dx.doi.org/10.1016/j.tcr.2019.100229
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