From the Division of Cardiovascular and Thoracic Surgery, The New England Heart and Vascular Institute, Manchester, New Hampshire.
A A Pract. 2023 Feb 2;17(2):e01654. doi: 10.1213/XAA.0000000000001654. eCollection 2023 Feb 1.
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.
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。