Smiley Alison, McGuire Jason
was a master of science in nursing (MSN) nurse anesthesia student at Florida Gulf Coast University in Fort Myers, Florida, at the time she submitted this manuscript. This manuscript was the culmination of the capstone project for the MSN Nurse Anesthesia Program.
is an associate professor and the Southwest Florida Endowed Chair of Nursing at Florida Gulf Coast University. He is an expert nurse anesthesia clinician and an experienced researcher and author in the field of emergence delirium and obstructive sleep apnea. He is a passionate educator of nursing, anesthesia, research, and evidencebased practice.
AANA J. 2018 Dec;86(6):495-503.
Acute and chronic pain account for high costs both societally and economically, estimated in the United States to be $635 billion. Untreated or undertreated acute pain is associated with substantial morbidity and may become chronic pain. Surgical patients are at an increased risk of long-term opioid use or addiction. Overdose from drugs of abuse, including opioids, is the leading cause of death due to injury in the United States. Traditional pain management strategies for acute and chronic pain have focused on opioid medications, which are often associated with severe side effects. Cryoneurolysis is a minimally invasive, nonsurgical, nonpharmacologic pain management technique that uses cold temperatures to ablate the sensory nerves that cause pain. Because of its safe and reversible nature, cryoneurolysis should be considered as part of a multimodal pain management plan in patients experiencing pain originating from sensory nerves.
急性和慢性疼痛在社会和经济方面都造成了高昂的成本，在美国估计高达6350亿美元。未治疗或治疗不足的急性疼痛会导致大量发病，并可能演变成慢性疼痛。手术患者长期使用阿片类药物或成瘾的风险增加。包括阿片类药物在内的滥用药物过量是美国因伤害导致死亡的主要原因。针对急性和慢性疼痛的传统疼痛管理策略主要集中在阿片类药物上，而这些药物往往伴有严重的副作用。冷冻神经溶解术是一种微创、非手术、非药物的疼痛管理技术，它利用低温来消融引起疼痛的感觉神经。由于其安全且可逆的特性，冷冻神经溶解术应被视为经历源自感觉神经疼痛的患者多模式疼痛管理计划的一部分。
