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Ultrasound-Guided Percutaneous Cryoneurolysis for Acute Pain Management: A Case Report.

  • Author(s): Gabriel, Rodney A
  • Finneran, John J
  • Asokan, Deepa
  • Trescot, Andrea M
  • Sandhu, NavParkash S
  • Ilfeld, Brian M
  • et al.
Abstract

We report 3 different cases in which ultrasound-guided percutaneous cryoneurolysis was performed to treat acute pain: 1 patient with refractory incisional pain after percutaneous nephrolithotomy; 1 patient with burns to the foot; and 1 patient with pain from iliac crest grafting. Acute pain associated with surgery or injury is a challenge to treat with local anesthetic-based regional anesthesia techniques when the anticipated pain duration exceeds a few days. Cryoneurolysis is an alternative analgesic method that utilizes extremely cold temperatures to reversibly ablate peripheral nerves and is potentially a novel method for acute pain management.

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