TY - JOUR
T1 - Clinical Outcomes of Cryo Nerve Ablation Technique for Pain Management
T2 - An Exploratory Study in Patients Undergoing Left Thoracotomy Coronary Artery Bypass Grafting
AU - Dokollari, Aleksander
AU - Sicouri, Serge
AU - Erten, Ozgun
AU - Ramlawi, Basel
AU - Cameli, Matteo
AU - Mandoli, Giulia Elena
AU - Bacchi, Beatrice
AU - Cabrucci, Francesco
AU - Sutter, Francis P.
AU - Kjelstrom, Stephanie
AU - Montone, Georgia
AU - Sicouri, Noah
AU - Hosseinian, Leila
AU - Bonacchi, Massimo
AU - Torregrossa, Gianluca
N1 - Publisher Copyright:
Copyright: © 2023 The Author(s).
PY - 2023/6
Y1 - 2023/6
N2 - Background: To investigate the impact of Cryo Nerve Block with cryoICE™ device utilization, on post-operative pain in patients undergoing isolated coronary artery bypass grafting (CABG) through left thoracotomy. Methods: All consecutive patients undergoing isolated CABG through left thoracotomy between July 2021 and July 2022 from a single surgeon were included in the study. Patients using the cryoICE™ device for nerve block were compared for baseline demographics and pre-operative characteristics with those that did not use the cryoICE™ device. A propensity-adjusted analysis was used to compare the two groups. The primary outcome was degree of incisional pain and numbness. Results: A total of 103 patients underwent isolated CABG through left thoracotomy. After matching, the cryoICE™ device was used for nerve block in 60 patients while the control group included 43 patients. Mean follow-up was 5.7 months. The cryoICE™ device group had a mean value of incisional pain at hospital discharge was 1.5 (scale 0–10) while at follow-up was 0.69 (scale 0–10). Mean values of skin numbness at hospital discharge were 1 (scale 0–10) and 0.57 (scale 0–10) at follow-up. After univariate analysis comparison of cryoICE™ device group (60 patients) versus non-cryoICE™ device group (43 patients), the total in-hospital morphine use was 49% lower in the cryoICE™ versus the non-cryoICE™ cohort (73.8 + 79.37 mg vs 144.1 + 118.99 mg). Conclusions: Good clinical outcomes were observed in patients undergoing isolated left thoracotomy CABG with cryoICE™ utilization, including a very low incidence of post-operative pain, numbness, and hypersensitivity for all comers.
AB - Background: To investigate the impact of Cryo Nerve Block with cryoICE™ device utilization, on post-operative pain in patients undergoing isolated coronary artery bypass grafting (CABG) through left thoracotomy. Methods: All consecutive patients undergoing isolated CABG through left thoracotomy between July 2021 and July 2022 from a single surgeon were included in the study. Patients using the cryoICE™ device for nerve block were compared for baseline demographics and pre-operative characteristics with those that did not use the cryoICE™ device. A propensity-adjusted analysis was used to compare the two groups. The primary outcome was degree of incisional pain and numbness. Results: A total of 103 patients underwent isolated CABG through left thoracotomy. After matching, the cryoICE™ device was used for nerve block in 60 patients while the control group included 43 patients. Mean follow-up was 5.7 months. The cryoICE™ device group had a mean value of incisional pain at hospital discharge was 1.5 (scale 0–10) while at follow-up was 0.69 (scale 0–10). Mean values of skin numbness at hospital discharge were 1 (scale 0–10) and 0.57 (scale 0–10) at follow-up. After univariate analysis comparison of cryoICE™ device group (60 patients) versus non-cryoICE™ device group (43 patients), the total in-hospital morphine use was 49% lower in the cryoICE™ versus the non-cryoICE™ cohort (73.8 + 79.37 mg vs 144.1 + 118.99 mg). Conclusions: Good clinical outcomes were observed in patients undergoing isolated left thoracotomy CABG with cryoICE™ utilization, including a very low incidence of post-operative pain, numbness, and hypersensitivity for all comers.
KW - Cryo Nerve Block
KW - cryoICE™
KW - numbness
KW - opioids
KW - pain
KW - sensitivity
UR - http://www.scopus.com/inward/record.url?scp=85164013612&partnerID=8YFLogxK
U2 - 10.31083/j.rcm2406182
DO - 10.31083/j.rcm2406182
M3 - Article
AN - SCOPUS:85164013612
SN - 1530-6550
VL - 24
JO - Reviews in Cardiovascular Medicine
JF - Reviews in Cardiovascular Medicine
IS - 6
M1 - rcm2406182
ER -