eComment. Cryoanalgesia in post-thoracotomy pain: Efficiency and pain measurement methods

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Post Thoracotomy Pain Syndrome

Post-thoracotomy pain is one of the most severe and long lasting complications after surgery (1-4) which acutely contributes to limit normal respiratory activity impairing the sputum clearance and reducing ventilatory function (5). Along with limb amputation, thoracotomy is the surgical procedure with the highest risk of severe and long lasting acute postoperative pain (6). Moreover, a chronic ...

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Role of cryoanalgesia in the control of pain after thoracotomy.

Thoracotomy causes severe postoperative pain, which is difficult to manage since the use of systemic analgesics often causes respiratory depression. Cryoanalgesia of the intercostal nerves has been advocated as an effective means of local analgesia without serious side effects. A prospective randomised blind trial to investigate the efficacy of the technique was carried out. A total of 53 patie...

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Cryoanalgesia in the management of pain after thoracotomy.

The demand for postoperative analgesia was compared between 29 patients treated with cryoanalgesia to the relevant intercostal nerves during thoracotomy and a control group who did not have cryoanalgesia. The cryoanalgesia group required significantly less (p < 0.005) postoperative analgesia than did the control group.

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Post Thoracotomy Pain Management

Introduction The pathway of a pain impulse starts with the primary afferent nerve fibers (C and Aδ) whose axons end in the dorsal horn of the spinal cord. Nociceptive information is passed to the contralateral side of the spinal cord and, after synapsing, ascends in the anterolateral system as spinothalamic tracts. The primary areas of the brain that respond to pain stimuli are the somatosensor...

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Pain Relief Methods after Thoracotomy

Background: Thoracotomy is one of the surgical operations which causes severe pain. In fact, this pain is one of the most excruciating pains caused by surgical operations. Different procedures are performed to decrease this pain which is associated with significant physiologic, mental and pathologic complications. Each of these procedures has its own advantage and disadvantages. In many centers...

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ژورنال

عنوان ژورنال: Interactive CardioVascular and Thoracic Surgery

سال: 2014

ISSN: 1569-9293,1569-9285

DOI: 10.1093/icvts/ivt529