A randomized study comparing the postoperative requirements of narcotics of three groups of patients (Group I: no analgesia; Group II: internal intercostal nerve block; Group III: cryoanalgesia) was conducted. This study was performed in order to assess the efficiency of cryoanalgesia versus internal intercostal nerve block to obtain pain relief after thoracotomy. Regarding post-operative narcotic requirements (Piritramide-Dipidolor), there was no significant difference between Group I and Group II patients, but patients from Group III required a significantly lower amount of narcotics during the first 36 postoperative hours (p less than 0.01). We conclude that, although cryoanalgesia does not provide complete post-thoracotomy pain relief, it is however an easy and safe method and is more efficient than internal intercostal nerve block for pain relief after thoracotomy.
Joucken, K., Michel, L., Schoevaerdts, J.-C., Mayné, A., & Randour, P. (1987). Cryoanalgesia for post-thoracotomy pain relief. Acta Anaesthesiologica Belgica, 38(2), 179-183. https://hdl.handle.net/2078.5/53278 (Original work published 1987)