Cryoanalgesia and Post-thoracotomy Pain in Minimally Invasive Cardiothoracic Surgery
NCT05255146 · Status: WITHDRAWN · Phase: NA · Type: INTERVENTIONAL
Last updated 2026-05-08
Summary
Minimally invasive cardiothoracic surgery is often associated with chronic pain syndrome, out of keeping with the extent of surgical dissection. This is thought to be because of damage to the intercostal nerves by compression and traction by the surgical equipment. Cryoanalgesia is long-standing technique that freezes nerves locally to temporarily block pain sensation, which is currently used to treat acute post-operative pain in lung dissections and the Nuss procedure. We intend to perform a trial to assess whether using cryoanalgesia on intercostal nerves intraoperatively, reduces post-operative pain following minimally invasive cardiothoracic surgery.
Conditions
- Cryotherapy Effect
- Post Operative Pain
Interventions
- DEVICE
-
Atricure Inc. Nitrous oxide Cryoprobe
Cryoanalgesia will be given by applying a nitrous oxide-cooled probe (AtriCure, Inc. 2000) locally to intercostal nerves in the 4th, 5th, and 6th rib spaces after completion of the surgical repair and before surgical closure. The probe will be cooled to -60°C and held on each location for 60 sec.
Sponsors & Collaborators
-
University of Alberta
lead OTHER
Principal Investigators
-
Abeline R Watkins, BSc · UofA Research/Department of Cardiac Surgery
-
Andrew O'Connell, MD · UofA Department of Cardiac Surgery
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-09-30
- Primary Completion
- 2026-05-04
- Completion
- 2026-05-04
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