Inpatient Outcomes of Intercostal Nerve Cryoablation With Surgical Rib Fixation

Rib fractures are associated with significant pain and morbidity. Intercostal nerve cryoablation (INCA) offers targeted, prolonged pain relief for these patients. Over the last decade, more patients have undergone surgical stabilization of rib fractures (SSRF) after injury. However, data on INCA use...

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Bibliographic Details
Published in:The Journal of surgical research 2024-11, Vol.303, p.105-110
Main Authors: Aryan, Negaar, Nahmias, Jeffry, Grigorian, Areg, Swentek, Lourdes, Doben, Andrew R., Bauman, Zachary M., Gross, Ronald I., Warriner, Zachary, Schubl, Sebastian
Format: Article
Language:English
Subjects:
Adult
Aged
Cryosurgery - adverse effects
Cryosurgery - methods
Female
Flail Chest - etiology
Flail Chest - surgery
Humans
INCA
Intercostal nerve cryoablation
Intercostal Nerves
Length of Stay - statistics & numerical data
Male
Middle Aged
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Postoperative Complications - prevention & control
Regional analgesia
Retrospective Studies
Rib Fractures - surgery
SSRF
Surgical stabilization of rib fractures
Treatment Outcome
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Summary:Rib fractures are associated with significant pain and morbidity. Intercostal nerve cryoablation (INCA) offers targeted, prolonged pain relief for these patients. Over the last decade, more patients have undergone surgical stabilization of rib fractures (SSRF) after injury. However, data on INCA use in SSRF patients are limited. This study aimed to identify the relationship of INCA in blunt trauma patients (BTPs) undergoing SSRF, hypothesizing INCA coupled with SSRF would decrease hospital length of stay (LOS). The Trauma Quality Improvement Program database (2017-2021) was queried for BTPs ≥18 y old who underwent SSRF. Patients who received INCA ((+)INCA) were compared to patients who did not ((−)INCA). The primary outcome was LOS. Secondary outcomes included intensive care unit (ICU) LOS and in-hospital complications. A subgroup analysis of only flail chest patients was performed. From 15,784 BTPs, 750 (4.8%) received INCA. Hospital LOS was similar between groups (12 versus 12 d, P = 0.10); however, the (+)INCA patients had decreased ICU LOS (6 versus 7 d, P 
ISSN:0022-4804
1095-8673
1095-8673
DOI:10.1016/j.jss.2024.08.022