CT-Guided Cryoneurolysis Effective for Rib Fracture Pain in Older Adults: JAMA
USA: A study published on August 7 in JAMA Surgery finds that CT-guided cryoneurolysis, a technique involving the freezing of nerves to relieve pain, is both safe and effective for older adults with rib fractures.
Rib fractures are frequently encountered in older adults and can lead to severe complications if pain is not managed effectively. Evidence suggests that implementing evidence-based approaches, such as neuraxial blockade and surgical stabilization of rib fractures (SSRF), can reduce both morbidity and mortality in patients aged 65 and older. However, these methods come with certain limitations.
Against the above background, Simeng Wang, Division of General Surgery, Department of Surgery, Stanford University, Stanford, California, and colleagues conducted a recent case series in which a minimally invasive procedure was performed on older adults with rib fractures who were not candidates for standard surgical stabilization due to their comorbidities.
The study, which focused on participants over 65 years and was conducted within 72 hours of their hospital admission, evaluated the effectiveness of CT-guided cryoneurolysis targeting intercostal nerves.
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