2026-04-14T07:26:21Zhttps://recercat.cat/oai/request

oai:recercat.cat:11351/126202025-10-24T10:35:54Zcom_2072_378070com_2072_378040col_2072_378092

00925njm 22002777a 4500 dc Zacha, Sławomir author López Paredes, Manuel author Bilas, Jarosław author Skonieczna-Żydecka, Karolina author Miegoń, Jakub author Biernawska, Jowita author 2025-02-18T11:24:57Z 2025-02-18T11:24:57Z 2024-08-18 Nuss surgery; Acute pain; Cryoanalgesia Cirugía de Nuss; Dolor agudo; Crioanalgesia Cirurgia de Nuss; Dolor agut; Crioanalgèsia An inherent defect of the sternum and ribs results in the formation of a funnel-shaped anterior chest wall. The gold standard of surgical correction is the minimally invasive Nuss procedure, which might cause severe pain and carries the risk of sensory disturbances and chronic discomfort. Integrating cryoanalgesia with standard multimodal analgesia improves the outcomes of this procedure. Based on histological results, it was hypothesised that the time of cryo-application can be reduced from the current standard period of two minutes. The goal of this study was to evaluate the efficacy of a one-minute application compared with the routine two-minute method in the same patient, considering the subjective perception of pain and sensory disturbances. A total of 33 patients were included in this prospective study. The results show that the assessment of pain severity and sensory disturbances did not differ significantly in terms of the time of cryo-application during first 14 days after the surgical procedure. The one-minute cryo-application time for intraoperative intercostal nerve cryoablation prior to the Nuss procedure seems to be as safe and effective as the routinely used two-minute application time in regards to pain severity, sensory disturbances, and the risk of chronic pain development. Intercostal nerve cryoanalgesia is an essential element of multimodal analgesia. http://hdl.handle.net/11351/12620 Tòrax - Cirurgia Avaluació de resultats (Assistència sanitària) Tòrax - Malformacions Analgèsia Fred - Ús terapèutic Dolor postoperatori - Prevenció Infants ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Anesthesia and Analgesia::Analgesia ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Surgical Procedures, Operative::Thoracic Surgical Procedures::Thoracotomy ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Therapeutics::Cryotherapy ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::Prognosis::Treatment Outcome DISEASES::Musculoskeletal Diseases::Musculoskeletal Diseases::Musculoskeletal Abnormalities::Funnel Chest DISEASES::Pathological Conditions, Signs and Symptoms::Pathologic Processes::Postoperative Complications::Pain, Postoperative NAMED GROUPS::Persons::Age Groups::Child TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::anestesia y analgesia::analgesia TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::intervenciones quirúrgicas::procedimientos quirúrgicos torácicos::toracotomía TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::terapéutica::crioterapia TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::pronóstico::resultado del tratamiento ENFERMEDADES::enfermedades musculoesqueléticas::enfermedades musculoesqueléticas::anormalidades musculoesqueléticas::tórax en embudo ENFERMEDADES::afecciones patológicas, signos y síntomas::procesos patológicos::complicaciones posoperatorias::dolor posoperatorio nino One- versus Two-Minute Intercostal Nerve Cryoanalgesia in Children Undergoing Surgery for Funnel Chest Deformity