Update Course Rewind: Cryoanalgesia in Pectus Cases 2024

In this 2024 Update Course Rewind, pediatric surgeon Dr. John DiFiore shares new insights into the growing use of cryoanalgesia for pectus excavatum repairs. Classified as a “Blue Square” practice—indicating a promising newer technique—this approach provides targeted nerve pain relief with less opioid use, better precision, and shorter hospital stays.

Host: Lizzy Lee, PA-C

Key Highlights:

What is Cryoanalgesia? A minimally invasive nerve freezing technique used to reduce chest wall pain during pectus repair.

Technique Deep Dive: From double-lumen tubes to improved cryoprobes, learn how to perform blocks from T3–T8 with precision.

Time-Saving Tools: New cryoprobes offer faster freeze cycles and better insulation, cutting procedure time nearly in half.

Clinical Outcomes: Lower pain scores, next-day discharges, and potential to further improve outcomes with dual freeze points.

Barriers & Workarounds: Addressing the main challenges of cost, equipment access, and proper training.

Whether you’re currently using cryo or just considering it, this session is packed with pearls for improving postoperative pain control in pediatric patients.

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