冷冻神经阻滞在全胸骨切开术患者中的病例报告:心脏手术中控制疼痛的新方法。

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A&A Practice Pub Date : 2023-02-02 eCollection Date: 2023-02-01 DOI:10.1213/XAA.0000000000001654

David J Caparrelli

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引用次数: 0

摘要

我们报告一位65岁的男性患者，通过全胸骨切开进行心内直视手术，并使用双侧肋间冷冻神经阻滞(cryoNB)作为术后镇痛的辅助治疗。CryoNB先前已被证明在开胸手术中以及在双侧接受Nuss手术的青少年漏斗胸患者中安全有效地控制疼痛。在本文中，我们首次描述了在接受全胸骨切开术的患者中，cryoNB手术的术后疼痛管理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Case Report of Cryo Nerve Block in a Patient Undergoing Full Sternotomy: A Novel Approach to Pain Control in Cardiac Surgery.

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Case Report of Cryo Nerve Block in a Patient Undergoing Full Sternotomy: A Novel Approach to Pain Control in Cardiac Surgery.

We present the case of a 65-year-old man undergoing open-heart surgery through a full sternotomy with the use of bilateral intercostal cryo nerve block (cryoNB) as adjunctive therapy for postoperative analgesia. CryoNB has been previously demonstrated as safe and effective for pain control in thoracotomy procedures as well as bilaterally in adolescent patients with pectus excavatum undergoing Nuss procedure. Herein, we describe for the first time, the cryoNB procedure for postoperative pain management in a patient undergoing full sternotomy.

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来源期刊

A&A Practice ANESTHESIOLOGY-

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期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.