NEXT DAY DISCHARGE AFTER THE NUSS PROCEDURE USING INTERCOSTAL NERVE CRYOABLATION, INTERCOSTAL NERVE BLOCKS, AND A PERIOPERATIVE ERAS PAIN PROTOCOL

2021 ◽  
Author(s):  
John W. DiFiore ◽  
Jason O. Robertson ◽  
Surendrasingh Chhabada ◽  
Anthony L. DeRoss ◽  
Mir S. Hossain ◽  
...  
Keyword(s):  
Intercostal Nerve ◽  
Nuss Procedure ◽  
Nerve Blocks

Blunt chest wall trauma: an overview

2019 ◽  
Vol 80 (12) ◽  
pp. 711-715
Author(s):  
Jonathan B Simon ◽  
Alex J Wickham
Keyword(s):  
Chest Wall ◽  
Management Strategies ◽  
Anaesthetic Techniques ◽  
Intercostal Nerve ◽  
Pulmonary Complications ◽  
Nerve Blocks ◽  
Chest Wall Mechanics ◽  
Rib Fixation ◽  
Chest Wall Trauma ◽  
Oral Analgesia

Trauma affecting the chest wall, even in isolation, can carry a significant morbidity and mortality and thus appropriate management is vital. Consequences of chest wall trauma may include significant pain, altered chest wall mechanics, hypoventilation, infection and respiratory failure. In order to best determine the appropriate management, risk stratification tools have been developed to identify patients at highest risk of complications who would most benefit from more invasive management strategies. Early optimization of analgesia is vital both for patient experience and to reduce the risk of pulmonary complications. The analgesic options range from multimodal oral analgesia to invasive regional anaesthetic techniques such as thoracic epidurals, paravertebral catheters, intercostal nerve blocks and fascial plane blocks. Other important considerations include provision of appropriate oxygen therapy, ventilation support and physiotherapy. For a selected group of patients with the most significant injuries, surgical rib fixation may be appropriate if chest wall mechanics are sufficiently impaired.

scholarly journals Extradural, paravertebral and intercostal nerve blocks for post-thoracotomy pain

1995 ◽  
Vol 75 (5) ◽  
pp. 541-547 ◽  
Author(s):  
K Perttunen ◽  
E Nilsson ◽  
J Heinonen ◽  
E L Hirvisalo ◽  
J A Salo ◽  
...  
Keyword(s):  
Intercostal Nerve ◽  
Nerve Blocks

Comparing outcomes with thoracic epidural and intercostal nerve cryoablation after Nuss procedure

2018 ◽  
Vol 231 ◽  
pp. 217-223 ◽  
Author(s):  
Calista M. Harbaugh ◽  
Kevin N. Johnson ◽  
Courtney E. Kein ◽  
Marcus D. Jarboe ◽  
Ronald B. Hirschl ◽  
...  
Keyword(s):  
Intercostal Nerve ◽  
Nuss Procedure ◽  
Thoracic Epidural

Thoracoscopic intercostal nerve blocks

1995 ◽  
Vol 59 (3) ◽  
pp. 787-788 ◽  
Author(s):  
R. Thomas Temes ◽  
Rose S. Wong ◽  
Randolph M. Kessler ◽  
Jorge A. Wernly
Keyword(s):  
Intercostal Nerve ◽  
Nerve Blocks

Intercostal Nerve Cryoablation Decreases Opioid Usage and Hospital Cost in Patients Undergoing Nuss Procedure

2020 ◽  
Vol 231 (4) ◽  
pp. S202-S203
Author(s):  
Christopher C. Stahl ◽  
Taylor Aiken ◽  
Deborah Lemaster ◽  
Peter F. Nichol ◽  
Charles M. Leys ◽  
...  
Keyword(s):  
Hospital Cost ◽  
Intercostal Nerve ◽  
Nuss Procedure
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