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Related Concept Videos

Chest Physiotherapy01:24

Chest Physiotherapy

672
Chest Physiotherapy (CPT) is a therapeutic technique used in respiratory care to improve ventilation, clear bronchial secretions, and enhance the efficiency of respiratory muscles. This therapy includes three primary procedures: postural drainage, percussion, and vibration. It can be performed on spontaneously breathing patients and those who are intubated and mechanically ventilated.
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
672
Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

477
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
477
Flail Chest-II01:26

Flail Chest-II

231
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
231
Acute Respiratory Failure-II01:21

Acute Respiratory Failure-II

341
Type I Respiratory Failure, or hypoxemic respiratory failure, occurs when the partial pressure of oxygen (PaO2) in arterial blood falls below 60 mmHg while breathing room air without a corresponding increase in arterial carbon dioxide levels (PaCO2). This condition highlights a significant impairment in the lungs' capacity to oxygenate the blood.
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
341
Acute Respiratory Failure-III01:30

Acute Respiratory Failure-III

309
Hypercapnic respiratory failure, also known as Type 2 or ventilatory respiratory failure, is a severe condition characterized by the body's inability to effectively remove carbon dioxide (CO2) from the bloodstream. It leads to an arterial CO2 pressure (PaCO2) exceeding 45 mmHg and a blood pH above 7.35. This situation indicates that the body's ventilatory demand, or the ventilation needed to maintain normal PaCO2 levels, surpasses its supply or the maximum gas flow achievable without...
309
Pneumothorax-II01:27

Pneumothorax-II

330
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
330

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Intercostal Cryoneurolysis.

Junjian Huang1, Kevin Delijani2, Husamuddin El Khudari1

  • 1Department of Radiology, University of Alabama at Birmingham, Birmingham, Alabama.

Seminars in Interventional Radiology
|July 5, 2022
PubMed
Summary
This summary is machine-generated.

Intercostal cryoneurolysis offers an alternative for managing intractable chest wall pain when medications fail. This technique uses extreme cold to target intercostal nerves, providing relief for persistent pain.

Keywords:
intercostal cryoneurolysisinterventional radiologynerve ablationpain management

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Area of Science:

  • Pain Management
  • Interventional Pulmonology
  • Neurology

Background:

  • Chest wall pain is a common and difficult-to-manage condition post-surgery, trauma, or due to malignancy.
  • Conventional pharmacologic agents are often insufficient for severe or intractable chest pain.
  • Intercostal ablation presents a viable alternative treatment modality.

Purpose of the Study:

  • To review the application of intercostal cryoneurolysis for intractable chest pain.
  • To outline patient selection criteria for the procedure.
  • To detail the technique and potential complications of intercostal neurolysis.

Main Methods:

  • Intercostal cryoneurolysis utilizes extreme cold to induce Wallerian degeneration of the intercostal nerve.
  • Review of patient selection, procedural technique, and complication profiles.
  • Focus on treatment of intractable chest pain.

Main Results:

  • Cryoneurolysis provides an alternative to pharmacologic management for chest wall pain.
  • The procedure targets specific intercostal nerves causing pain.
  • Effective management of intractable chest pain is achievable.

Conclusions:

  • Intercostal cryoneurolysis is an effective treatment for intractable chest pain.
  • Careful patient selection and technique are crucial for successful outcomes.
  • Understanding potential complications is essential for safe utilization.