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全胸骨切开术后行冷冻神经阻滞的病例报告：心脏手术中疼痛控制的新方法。

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

机构信息

From the Division of Cardiovascular and Thoracic Surgery, The New England Heart and Vascular Institute, Manchester, New Hampshire.

出版信息

A A Pract. 2023 Feb 2;17(2):e01654. doi: 10.1213/XAA.0000000000001654. eCollection 2023 Feb 1.

DOI:10.1213/XAA.0000000000001654
PMID:36735851
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9951789/
Abstract

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.

摘要

我们报告了一例 65 岁男性患者，该患者接受了全胸骨切开术的心脏直视手术，并使用双侧肋间冷冻神经阻滞（cryoNB）作为辅助术后镇痛治疗。 cryoNB 此前已被证明在开胸手术以及双侧青少年漏斗胸患者接受 Nuss 手术时是安全有效的镇痛方法。 在此，我们首次描述了 cryoNB 程序在接受全胸骨切开术的患者中的术后疼痛管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/796e/9951789/a48751d53c4d/acc-17-e01654-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/796e/9951789/964ce4e4f47e/acc-17-e01654-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/796e/9951789/023b47c9e644/acc-17-e01654-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/796e/9951789/a48751d53c4d/acc-17-e01654-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/796e/9951789/964ce4e4f47e/acc-17-e01654-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/796e/9951789/023b47c9e644/acc-17-e01654-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/796e/9951789/a48751d53c4d/acc-17-e01654-g003.jpg

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