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

Gabriel, Rodney A.; Finneran, John J.; Swisher, Matthew W; Said, Engy T.; Sztain, Jacklynn F.; Khatibi, Bahareh; Wallace, Anne M.; Hosseini, Ava; Trescot, Andrea M.

doi:10.4097/kja.19332

Cited by 25 publications

(18 citation statements)

References 15 publications

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“…37 38 In its percutaneous modality, the most recent review reports three cases of mastectomy with very good results. 39 This is why we encourage the search for or broadening of the field of use of PCr in other pediatric surgical procedures associated with marked postoperative pain.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Cryoanalgesia: A New Strategy for Pain Management in Pectus Excavatum Surgery

et al. 2021

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Introduction In recent years, pain protocols for pectus excavatum (PE) have incorporated cryoanalgesia through thoracoscopic approach. Since 2019, ultrasound-guided percutaneous cryoanalgesia (PCr) has been applied at our institution, either on the same day as the Nuss procedure or 48 hours before surgery. We carried out a preliminary retrospective review of patients with PE in whom PCr prior to surgery was performed at our institution between 2019 and 2021. Materials and Methods Two groups were evaluated: PCr on the same day (PCrSD) and PCr 48 hours before surgery (PCr48). Despite PCr, patients were treated with “patient-controlled analgesia” (PCA) with opioids for at least 24 hours, switching to conventional intravenous analgesia and oral analgesia in the following days. Demographic, clinical-radiological variables, PCA opioid use, pain grade according to the visual analog scale (VAS), and length of stay (LOS) were compared between the groups. A total of 20 patients were included (12 with PCrSD and 8 with PCr48), without significant differences in demographics or clinical-radiological variables. The overall median time of PCr was 65 minutes (55–127), with no differences between the groups. Results PCr48 group presented with significantly lower median number of hours of continuous PCA (24 vs. 32 hours; p = 0.031), lower median number of rescue boluses (11 vs. 18; p = 0.042), lower median VAS in the early postoperative hours (2 vs. 5.5; p = 0.043), and lower median LOS (3.5 vs. 5 days). Conclusion PCr performed 48 hours prior to surgery is more effective in terms of PCA requirements, VAS, and LOS when compared with cryoanalgesia on the same day.

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Section: Discussionmentioning

confidence: 99%

Percutaneous Cryoanalgesia: A New Strategy for Pain Management in Pectus Excavatum Surgery

et al. 2021

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“…52,53 Three patients who received cryoneurolysis of the second to fifth intercostal nerves before uni-or bilateral mastectomy reported a near-painless postoperative course without any opioid requirements or sleep disturbances, a significant improvement over historic controls. 54 Ultrasound-guided percutaneous cryoneurolysis may also be used in the extremities, such as to provide analgesia *This retrospective study reported a dramatic difference between the treatment (cryoneurolysis) and control groups, but due to a very small sample size (n = 6), statistics were not applied to the data. after limb or digit amputation of either the upper or lower extremity.…”

Section: Percutaneous Application To Acute Painmentioning

confidence: 99%

“…In general, even probes with trocar tips require a sharper introducer such as an intravenous angiocatheter to enable passage through the skin and muscle to the target nerve; so, it is unclear how beneficial hemispherical/blunt tips are in practice. [54][55][56]92 Ice balls are easiest to visualize with high-frequency linear transducers, but power Doppler may improve imaging with low-frequency linear-array transducers used for deeper structures. 109 Because of the hyperechoic border of the ice ball resulting from the higher acoustic impedance at the border between frozen and unfrozen tissues, [110][111][112] acoustic shadowing can limit visualization when the nerve is deeper than the ice ball.…”

Section: Equipmentmentioning

confidence: 99%

Cryoneurolysis and Percutaneous Peripheral Nerve Stimulation to Treat Acute Pain

Ilfeld¹,

Finneran²

2020

Anesthesiology

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Two regional analgesic modalities currently cleared by the U.S. Food and Drug Administration hold promise to provide postoperative analgesia free of many of the limitations of both opioids and local anesthetic-based techniques. Cryoneurolysis uses exceptionally low temperature to reversibly ablate a peripheral nerve, resulting in temporary analgesia. Where applicable, it offers a unique option given its extended duration of action measured in weeks to months after a single application. Percutaneous peripheral nerve stimulation involves inserting an insulated lead through a needle to lie adjacent to a peripheral nerve. Analgesia is produced by introducing electrical current with an external pulse generator. It is a unique regional analgesic in that it does not induce sensory, motor, or proprioception deficits and is cleared for up to 60 days of use. However, both modalities have limited validation when applied to acute pain, and randomized, controlled trials are required to define both benefits and risks.

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“…Last year, most journals mass produced COVID-19 related literature, and the citation of such studies has also increased. The next two most cited studies were two reports of ultrasound-guided regional blocks [ 4 , 5 ]. The surge in the interest in multimodal analgesia is thought to have had a synergistic effect on interest in the literature on various regional blocks.…”

Section: Bibliometric Analysismentioning

confidence: 99%

Annual report of the productivity and bibliometrics of the Korean Journal of Anesthesiology

Lee

2021

Korean J Anesthesiol

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A journal article is a comprehensive account of a theoretical argument or proof of reproducible experimental results and statistical analyses conducted in accordance with the appropriate procedure and form. However, no matter how well written the article is, its value cannot be gauged without a reader (who peruses it), and other subsequent researchers who cite it (to maintain and protract its lifespan).Journal editors should solicit papers of excellent quality to improve the academic level, enhance national and international recognition, and maintain the reputation of their journals by increasing the frequency of citations. Moreover, they should endeavor to publish high-quality journals through thorough management of all processes related to thesis publication. It is important to establish a framework to facilitate the submission of excellent papers by frequently managing objective indicators to evaluate the quality of journals and notifying readers. We would like to periodically disseminate the production and citation indicators of this journal to achieve this goal. Productivity review of KJAKorean Journal of Anesthesiology (KJA) was founded in 1968 as an official journal of the Korean Society of Anesthesiologists. It was published monthly until 2014 and bimonthly since 2015. KJA aims to publish high-quality clinical and scientific reports of all aspects of anesthesiology, critical care, and pain medicine.In 2020, KJA received 690 articles (all types of submissions). Since 2018, the number of submissions has increased by 37% annually. KJA has published a total of 99 articles, which consisted of 8 editorials, 14 reviews, 4 statistical rounds, 26 clinical research articles, 4 experimental research articles, 13 case reports, 25 letters to the editor, and 5 articles belonging to other categories.KJA has adopted a rapid review system since 2014, which ensures that the editorial team provides their final decision within 7 days. In the previous year, 65% of all submissions were rapidly rejected by this system. Finally, the acceptance rate was 12.1%, and the rejection rate was 86.2%. The 4-year (2017-2020) average acceptance rate was 15.0% and the rejection rate was 83.5%. The average duration between the date of receiving the manuscript and the first decision was 13.4 days. This statistic is an indication of the duration required for key activities in the process. We are immensely proud of our rapid review system and relatively fast decision time, since it gives authors more choices. Bibliometric analysisBibliometric analyses were performed using the Bibliometrix (ver 3.0, an R-tool for comprehensive science mapping analysis) package program [1]. For production analysis,

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

Cited by 25 publications

References 15 publications

Percutaneous Cryoanalgesia: A New Strategy for Pain Management in Pectus Excavatum Surgery

Percutaneous Cryoanalgesia: A New Strategy for Pain Management in Pectus Excavatum Surgery

Cryoneurolysis and Percutaneous Peripheral Nerve Stimulation to Treat Acute Pain

Annual report of the productivity and bibliometrics of the Korean Journal of Anesthesiology

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