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Ann Thorac Surg 1989;48:15-18
© 1989 The Society of Thoracic Surgeons


Articles

Intraoperative cryoanalgesia for postthoracotomy pain relief

L.Ch. Müller, MD*,a,b, G.M. Salzer, MDa,b, G. Ransmayr, MDa,b, A. Neiss, PhDa,b

a Department of Thoracic Surgery of the Second University Surgical Clinic, University Neurological Clinic Innsbruck, Austria
b Department of Biostatistics, Innsbruck University, Innsbruck, Austria

Accepted for publication December 23, 1988.

* Address reprint requests to Dr Müller, Second University Surgical Clinic, Anichstr 35, 6020 Innsbruck, Austria.

In a randomized study, 63 patients were investigated for the benefits of cryoanalgesia after thoracotomy. Analgesia and its dependent effects such as enhancement of mobility, respiratory function, and reduced need of narcotics were evaluated. No significant differences in these variables were observed between the cryoanalgesia group and the control group. However, moderate to severe neuralgia was found in a number of patients in the cryoanalgesia group in the late postoperative period. Cryoanalgesia for pain relief after thoracotomy is not recommended.




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