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Examples of surgeries during which cryoanalgesia of intercostal nerves can be performed in children (12+ years) and adults:

Thoracic Surgery:

VATS – Video-Assisted Thoracic Surgery


Thoracotomy

RATS – Robotic-Assisted Thoracic Surgery

Lung Transplant

Cardiac Surgery:

VATS, Thoracotomy, Minimally Invasive Cardiac Surger

Sternotomy (open-sternal surgery)

Additional:

Surgical stabilization of rib fractures

Chest deformity repair (NUSS)

Benefits of cryoanalgesia

Pain reduction:

Cryoanalgesia can significantly reduce postoperative pain, enabling earlier mobilization and improved rehabilitation
Possibility of accelerated recovery:
Cryoanalgesia can be an important component of pain management strategies within ERAS protocols, contributing to optimized analgesia and shortening of hospitalization
Alternative to epidural analgesia:

Cryoanalgesia can be an alternative to epidural analgesia in pain management after thoracotomy, providing comparable pain relief with a lower risk of complications.
An additional advantage is the maintenance of pain reduction during the longer postoperative recovery period
Lower opioid consumption:
Thanks to effective pain relief, cryoanalgesia can help minimize the need for opioid pain medications, reducing the risk of opioid-related side effects

Cryoanalgesia protocol recommendation

The freezing site for VATS, RATS and thoracotomy includes:
3–5 intercostal nerves between the Th4 and Th10 intercostal space, on the side of the thoracic entry. The active freezing part of the probe placed in the extrapleural space, under the lower edge of the rib, approximately 2 cm lateral to the ends of the transverse processes of the vertebral body.
Freezing time:
1–2 minutes of freezing per intercostal nerve – depending on the surgical access.

Creating the future of medicine together

Our medical technologies and solutions help shape modern healthcare, improving the effectiveness of therapy and the comfort of patients.
METRUM CRYOFLEX Spółka Akcyjna 
Zielna 29
05-082 Blizne Łaszczyńskiego near Warsaw, Poland

KRS: 0001213415 / NIP: 5272320862
Rejestracja: Sąd Rejonowy dla m. st. Warszawy XIV Wydział Gospodarczy
Kapitał zakładowy: 8.000.000,00 zł
Office
+48 22 33 13 750 biuro@metrum.com.pl
Service
+48 515 734 502 serwis@metrum.com.pl
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