Pain medicine case reports · 2022
Ultrasound-Guided Radiofrequency Ablation of the Intercostal Nerve for Traumatic Rib Fracture Pain: A Case Report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Ramya Ravi, Loganathan Nivan, Kiat Ryan Tan Choon, San Cindy Lee Mei
Аннотация
BACKGROUND: Pain arising from traumatic rib fracture contributes to significant patient morbidity and mortality.
CASE REPORT: A 68-year-old man with multiple comorbidities presented to the emergency department with a left-sided multiple rib fracture (ribs 6-8) and altered mental status after an unwitnessed fall. The patient was started on a standard of care oral analgesic regime, but continued to deteriorate because of inadequate pain relief in his pulmonary function. Given his altered mental status and insufficient pain control, to facilitate pulmonary physiotherapy, we performed an early (day 5) thermal radiofrequency ablation (RFA) of intercostal nerves at 80 ºC for 90 seconds each level. Significant pain relief was noted on the same day of the procedure (pain score - 1/10).
CONCLUSIONS: This case report demonstrates the feasibility and efficacy of early thermal RFA of intercostal nerves in a frail elderly patient with multiple rib fractures and delirium in the acute pain setting.
CASE REPORT: A 68-year-old man with multiple comorbidities presented to the emergency department with a left-sided multiple rib fracture (ribs 6-8) and altered mental status after an unwitnessed fall. The patient was started on a standard of care oral analgesic regime, but continued to deteriorate because of inadequate pain relief in his pulmonary function. Given his altered mental status and insufficient pain control, to facilitate pulmonary physiotherapy, we performed an early (day 5) thermal radiofrequency ablation (RFA) of intercostal nerves at 80 ºC for 90 seconds each level. Significant pain relief was noted on the same day of the procedure (pain score - 1/10).
CONCLUSIONS: This case report demonstrates the feasibility and efficacy of early thermal RFA of intercostal nerves in a frail elderly patient with multiple rib fractures and delirium in the acute pain setting.