Evidence map›Paper›PMID 39185271›Full record

ArticleTrauma surgery & acute care open2024

Bedside percutaneous cryoneurolysis technique for management of acute rib fracture pain in adult trauma patients.

Cynthia I Villalta, Rabiya K Mian, Heather M Grossman Verner, Dana Farsakh, Timothy C Browne, Zachary S Goldstein, Conner McDaniel

Abstract read
In one paragraph

Article in Trauma surgery & acute care open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Cynthia I VillaltaClinical Research Institute, Methodist Health System, Dallas, Texas, USA.
Rabiya K MianClinical Research Institute, Methodist Health System, Dallas, Texas, USA.
Heather M Grossman VernerClinical Research Institute, Methodist Health System, Dallas, Texas, USA.ORCID 0000-0002-6658-311X
Dana FarsakhClinical Research Institute, Methodist Health System, Dallas, Texas, USA.
Timothy C BrowneDepartment of Surgery, Methodist Dallas Medical Center, Dallas, Texas, USA.
Zachary S GoldsteinClinical Research Institute, Methodist Health System, Dallas, Texas, USA.
Conner McDanielDepartment of Surgery, Methodist Dallas Medical Center, Dallas, Texas, USA.ORCID 0009-0003-1522-2415

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Acute pain due to rib fractures causes significant in-hospital morbidity and impacts patients' quality of life after discharge. Intraoperative transthoracic cryoneurolysis of the intercostal nerves can improve postoperative pain; however, non-surgical patients are provided limited analgesia options. Here, we describe our experience with a bedside cryoanalgesia technique for management of acute rib fracture pain. Methods: Five patients at a single level I trauma center completed bedside intercostal nerve cryoneurolysis (INC) using a handheld cryotherapy device and ultrasound guidance. Relative pain ratings (scale 0-10/10) and maximal incentive spirometry (IS Results: Our patients were 29-88 years old and had one to five single-sided rib fractures. At baseline, they had high pre-procedure pain ratings (7-10/10) and IS Conclusions: Our study demonstrates patients with rib fractures may experience improved pain ratings and IS Level of evidence: Level V, case series.

Indexed as

pain managementrib fractures

Identifiers

PMID39185271
PMCPMC11344524

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.