Ultrasound-Guided Percutaneous Cryoneurolysis for Acute Pain Management: A Case Report.

Rodney A Gabriel, John J Finneran, Deepa Asokan, Andrea M Trescot, NavParkash S Sandhu, Brian M Ilfeld
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引用次数: 24

Abstract

We report 3 different cases in which ultrasound-guided percutaneous cryoneurolysis was performed to treat acute pain: 1 patient with refractory incisional pain after percutaneous nephrolithotomy; 1 patient with burns to the foot; and 1 patient with pain from iliac crest grafting. Acute pain associated with surgery or injury is a challenge to treat with local anesthetic-based regional anesthesia techniques when the anticipated pain duration exceeds a few days. Cryoneurolysis is an alternative analgesic method that utilizes extremely cold temperatures to reversibly ablate peripheral nerves and is potentially a novel method for acute pain management.

超声引导下经皮冷冻神经溶解治疗急性疼痛1例报告。
我们报告了3例超声引导下经皮肾碎石术治疗急性疼痛的病例:1例经皮肾碎石术后出现难治性切口疼痛;足部烧伤1例;髂嵴移植术后疼痛1例。当预期的疼痛持续时间超过几天时,手术或损伤引起的急性疼痛是采用局部麻醉为基础的区域麻醉技术治疗的一个挑战。冷冻神经溶解是一种替代的镇痛方法,利用极冷的温度可逆地消融周围神经,是一种潜在的急性疼痛管理的新方法。
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