{"id":"https://openalex.org/W7204048669","doi":"https://doi.org/10.1016/j.atssr.2026.08.002","title":"Intraoperative Intercostal Nerve Cryoablation in Thoracotomy Patients: A Technique to Expedite Recovery","display_name":"Intraoperative Intercostal Nerve Cryoablation in Thoracotomy Patients: A Technique to Expedite Recovery","publication_year":2026,"publication_date":"2026-08-01","ids":{"openalex":"https://openalex.org/W7204048669","doi":"https://doi.org/10.1016/j.atssr.2026.08.002"},"language":"en","primary_location":{"id":"doi:10.1016/j.atssr.2026.08.002","doi":"https://doi.org/10.1016/j.atssr.2026.08.002","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.atssr.2026.08.002","pdf_url":null,"source":{"id":"https://openalex.org/S4220651533","display_name":"Annals of Thoracic Surgery Short Reports","issn_l":"2772-9931","issn":["2772-9931"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","norway-1"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Thoracic Surgery Short Reports","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1016/j.atssr.2026.08.002","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5147884651","display_name":"Micayla Barnett","orcid":"https://orcid.org/0009-0003-3137-5219","observed_orcids":["https://orcid.org/0009-0003-3137-5219"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Micayla Barnett","raw_affiliation_strings":["Department of Surgery, University of Tennessee Health Science Center College of Medicine, Knoxville, TN"],"raw_orcid":"https://orcid.org/0009-0003-3137-5219","affiliations":[{"raw_affiliation_string":"Department of Surgery, University of Tennessee Health Science Center College of Medicine, Knoxville, TN","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5007201080","display_name":"Kaylan N. Gee","orcid":"https://orcid.org/0009-0005-3888-1039","observed_orcids":["https://orcid.org/0009-0005-3888-1039"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Kaylan Gee","raw_affiliation_strings":["Department of Surgery, University of Tennessee Health Science Center College of Medicine, Knoxville, TN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, University of Tennessee Health Science Center College of Medicine, Knoxville, TN","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5158229635","display_name":"Christian Probst","orcid":"https://orcid.org/0009-0008-4475-8565","observed_orcids":["https://orcid.org/0009-0008-4475-8565"]},"institutions":[{"id":"https://openalex.org/I160606119","display_name":"University of Tennessee Health Science Center","ror":"https://ror.org/0011qv509","country_code":"US","type":"education","lineage":["https://openalex.org/I160606119"]},{"id":"https://openalex.org/I2802076678","display_name":"University of Tennessee Medical Center","ror":"https://ror.org/0277n1841","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2802076678"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Christian Probst","raw_affiliation_strings":["Department of Surgery, Division of Thoracic Surgery, University of Tennessee Health Science Center College of Medicine, Knoxville, TN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Division of Thoracic Surgery, University of Tennessee Health Science Center College of Medicine, Knoxville, TN","institution_ids":["https://openalex.org/I160606119","https://openalex.org/I2802076678"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5147879570","display_name":"Christina Glenn","orcid":"https://orcid.org/0009-0002-3866-0293","observed_orcids":["https://orcid.org/0009-0002-3866-0293"]},"institutions":[{"id":"https://openalex.org/I160606119","display_name":"University of Tennessee Health Science Center","ror":"https://ror.org/0011qv509","country_code":"US","type":"education","lineage":["https://openalex.org/I160606119"]},{"id":"https://openalex.org/I2802076678","display_name":"University of Tennessee Medical Center","ror":"https://ror.org/0277n1841","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2802076678"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Christina Glenn","raw_affiliation_strings":["Department of Surgery, Division of Thoracic Surgery, University of Tennessee Health Science Center College of Medicine, Knoxville, TN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Division of Thoracic Surgery, University of Tennessee Health Science Center College of Medicine, Knoxville, TN","institution_ids":["https://openalex.org/I160606119","https://openalex.org/I2802076678"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5091521489","display_name":"Patricia N. E. Roberson","orcid":"https://orcid.org/0000-0001-7746-0548","observed_orcids":["https://orcid.org/0000-0001-7746-0548"]},"institutions":[{"id":"https://openalex.org/I75027704","display_name":"University of Tennessee at Knoxville","ror":"https://ror.org/020f3ap87","country_code":"US","type":"education","lineage":["https://openalex.org/I75027704"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Patricia N.E. Roberson","raw_affiliation_strings":["College of Nursing, University of Tennessee, Knoxville, TN","Department of Surgery, University of Tennessee Health Science Center College of Medicine, Knoxville, TN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"College of Nursing, University of Tennessee, Knoxville, TN","institution_ids":["https://openalex.org/I75027704"]},{"raw_affiliation_string":"Department of Surgery, University of Tennessee Health Science Center College of Medicine, Knoxville, TN","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5014258013","display_name":"Sean A. Jordan","orcid":"https://orcid.org/0000-0002-5423-7199","observed_orcids":["https://orcid.org/0000-0002-5423-7199"]},"institutions":[{"id":"https://openalex.org/I160606119","display_name":"University of Tennessee Health Science Center","ror":"https://ror.org/0011qv509","country_code":"US","type":"education","lineage":["https://openalex.org/I160606119"]},{"id":"https://openalex.org/I2802076678","display_name":"University of Tennessee Medical Center","ror":"https://ror.org/0277n1841","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2802076678"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Sean Jordan","raw_affiliation_strings":["Department of Surgery, Division of Thoracic Surgery, University of Tennessee Health Science Center College of Medicine, Knoxville, TN"],"raw_orcid":"https://orcid.org/0000-0002-5423-7199","affiliations":[{"raw_affiliation_string":"Department of Surgery, Division of Thoracic Surgery, University of Tennessee Health Science Center College of Medicine, Knoxville, TN","institution_ids":["https://openalex.org/I160606119","https://openalex.org/I2802076678"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5014258013"],"corresponding_institution_ids":["https://openalex.org/I160606119","https://openalex.org/I2802076678"],"apc_list":{"value":975,"currency":"USD","value_usd":975},"apc_paid":{"value":975,"currency":"USD","value_usd":975},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.65414785,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10189","display_name":"Anesthesia and Pain Management","score":0.9810000061988831,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10189","display_name":"Anesthesia and Pain Management","score":0.9810000061988831,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12020","display_name":"Enhanced Recovery After Surgery","score":0.0020000000949949026,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11199","display_name":"Pain Management and Opioid Use","score":0.0015999999595806003,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/intercostal-nerve-cryoablation","display_name":"intercostal nerve cryoablation","score":0.9940000176429749},{"id":"https://openalex.org/keywords/thoracotomy","display_name":"thoracotomy","score":0.9679999947547913},{"id":"https://openalex.org/keywords/postoperative-pain","display_name":"postoperative pain","score":0.9739999771118164},{"id":"https://openalex.org/keywords/multimodal-analgesia","display_name":"multimodal analgesia","score":0.8809999823570251},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.8410000205039978},{"id":"https://openalex.org/keywords/reintubation","display_name":"reintubation","score":0.8600000143051147},{"id":"https://openalex.org/keywords/opioid-consumption","display_name":"opioid consumption","score":0.8830000162124634},{"id":"https://openalex.org/keywords/neuropathic-pain-medications","display_name":"neuropathic pain medications","score":0.9049999713897705},{"id":"https://openalex.org/keywords/icu-length-of-stay","display_name":"ICU length of stay","score":0.7049999833106995},{"id":"https://openalex.org/keywords/postoperative-recovery","display_name":"postoperative recovery","score":0.7540000081062317}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9718000292778015},{"id":"https://openalex.org/C2778847313","wikidata":"https://www.wikidata.org/wiki/Q1340337","display_name":"Thoracotomy","level":2,"score":0.6690000295639038},{"id":"https://openalex.org/C2776376669","wikidata":"https://www.wikidata.org/wiki/Q5094647","display_name":"Intensive care unit","level":2,"score":0.6262999773025513},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.6055999994277954},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4666000008583069},{"id":"https://openalex.org/C2777628079","wikidata":"https://www.wikidata.org/wiki/Q202448","display_name":"Cryoablation","level":3,"score":0.42719998955726624},{"id":"https://openalex.org/C2778151025","wikidata":"https://www.wikidata.org/wiki/Q760111","display_name":"Post-anesthesia care unit","level":3,"score":0.38940000534057617},{"id":"https://openalex.org/C2781063702","wikidata":"https://www.wikidata.org/wiki/Q427523","display_name":"Opioid","level":3,"score":0.37940001487731934},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.37380000948905945},{"id":"https://openalex.org/C2777107010","wikidata":"https://www.wikidata.org/wiki/Q2798704","display_name":"Neuropathic pain","level":2,"score":0.37040001153945923},{"id":"https://openalex.org/C2994102832","wikidata":"https://www.wikidata.org/wiki/Q81938","display_name":"Postoperative pain","level":2,"score":0.3628000020980835},{"id":"https://openalex.org/C2777389121","wikidata":"https://www.wikidata.org/wiki/Q81225","display_name":"Morphine","level":2,"score":0.2962999939918518},{"id":"https://openalex.org/C160022790","wikidata":"https://www.wikidata.org/wiki/Q2964004","display_name":"Cardiothoracic surgery","level":2,"score":0.28060001134872437},{"id":"https://openalex.org/C2779297532","wikidata":"https://www.wikidata.org/wiki/Q1515961","display_name":"Intercostal nerves","level":2,"score":0.27149999141693115},{"id":"https://openalex.org/C2991742891","wikidata":"https://www.wikidata.org/wiki/Q621261","display_name":"Pain control","level":2,"score":0.2694000005722046},{"id":"https://openalex.org/C2778074680","wikidata":"https://www.wikidata.org/wiki/Q2125439","display_name":"Cannula","level":2,"score":0.2685999870300293},{"id":"https://openalex.org/C2987404301","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care","level":2,"score":0.2606000006198883}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1016/j.atssr.2026.08.002","doi":"https://doi.org/10.1016/j.atssr.2026.08.002","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.atssr.2026.08.002","pdf_url":null,"source":{"id":"https://openalex.org/S4220651533","display_name":"Annals of Thoracic Surgery Short Reports","issn_l":"2772-9931","issn":["2772-9931"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","norway-1"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Thoracic Surgery Short Reports","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1016/j.atssr.2026.08.002","doi":"https://doi.org/10.1016/j.atssr.2026.08.002","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.atssr.2026.08.002","pdf_url":null,"source":{"id":"https://openalex.org/S4220651533","display_name":"Annals of Thoracic Surgery Short Reports","issn_l":"2772-9931","issn":["2772-9931"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","norway-1"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Thoracic Surgery Short Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":10,"referenced_works":["https://openalex.org/W2055248254","https://openalex.org/W3127656697","https://openalex.org/W3199372441","https://openalex.org/W4213061637","https://openalex.org/W4307105586","https://openalex.org/W4310060395","https://openalex.org/W4376109918","https://openalex.org/W4404197333","https://openalex.org/W4405463100","https://openalex.org/W4416754739"],"related_works":["https://openalex.org/W7171365651","https://openalex.org/W7162322367","https://openalex.org/W4417177524","https://openalex.org/W4391867860","https://openalex.org/W7154628693","https://openalex.org/W4309598584","https://openalex.org/W2232221982","https://openalex.org/W4404197333","https://openalex.org/W2368379931","https://openalex.org/W4213061637"],"abstract_inverted_index":{"BACKGROUND":[0],"Severe":[1],"postoperative":[2,48,237],"thoracotomy":[3,56],"pain":[4,222],"is":[5,187,228],"common,":[6],"and":[7,85,95,114,135,175,195,198,212,220,240],"studies":[8],"on":[9,26,236],"intercostal":[10],"nerve":[11],"cryoablation":[12],"(INC)":[13],"have":[14],"shown":[15],"mixed":[16],"results.":[17],"This":[18,51],"research":[19,227],"evaluates":[20],"the":[21,232],"effects":[22],"of":[23,88,163,172,182,202,234],"intraoperative":[24],"INC":[25,42,68,104,155,164,186,204,235],"recovery":[27],"metrics":[28],"at":[29,224],"a":[30,199],"single":[31],"institution":[32],"versus":[33,170,180],"historical":[34,73],"controls":[35,74,173,183],"without":[36],"INC.":[37,246],"We":[38],"hypothesize":[39],"that":[40],"combining":[41],"alongside":[43],"multimodal":[44],"analgesia":[45],"will":[46],"improve":[47],"outcomes.":[49,98],"METHODS":[50],"retrospective":[52],"study":[53],"reviewed":[54],"155":[55],"patients":[57,101,165,214,242],"from":[58,245],"2019-2024,":[59],"with":[60,103,154,189],"125":[61],"eligible":[62],"(IRB":[63],"#5309).":[64],"Patients":[65],"who":[66],"received":[67],"(n=26)":[69],"were":[70,105,147,166,177,215],"compared":[71],"to":[72,117,230],"(n=99)":[75],"before":[76],"its":[77],"routine":[78],"use.":[79],"Outcomes":[80],"included":[81],"intensive":[82,136,192],"care":[83,137,193],"unit":[84,138,194],"hospital":[86,127,196],"length":[87],"stay":[89],"(LOS),":[90],"reintubation":[91],"rates,":[92],"30-day":[93],"mortality,":[94],"other":[96],"pain-related":[97],"RESULTS":[99],"Twenty-six":[100],"(20.8%)":[102],"older":[106],"(mean":[107],"age":[108],"66.3":[109],"vs":[110,123],"59.5":[111],"years,":[112],"p=.031)":[113],"more":[115,216],"likely":[116],"take":[118],"pain-modulating":[119],"medication":[120],"preoperatively":[121],"(61.5%":[122],"38.4%,":[124],"p=.034).":[125],"Their":[126],"(7.7":[128],"vs.":[129,141,157],"11.7":[130],"days,":[131,143],"p=.048,":[132],"34.2%":[133],"reduction)":[134,146],"LOS":[139,197],"(1.7":[140],"4.8":[142],"p=.008,":[144],"64.6%":[145],"both":[148],"significantly":[149,190,210],"shorter.":[150],"No":[151],"reintubations":[152],"occurred":[153],"(0%":[156],"11.1%,":[158],"p<.001).":[159],"At":[160],"discharge,":[161],"88.5%":[162],"prescribed":[167,178,218],"neuropathic":[168,221],"medications":[169,223],"66.7%":[171],"(p=.030),":[174],"76.9%":[176],"opioids":[179,219],"50.5%":[181],"(p=.015).":[184],"CONCLUSIONS":[185],"associated":[188],"shorter":[191],"decreased":[200],"rate":[201],"reintubation.":[203],"inpatient":[205],"opioid":[206,238],"consumption":[207,239],"was":[208],"not":[209],"decreased,":[211],"these":[213],"frequently":[217],"discharge.":[225],"Further":[226],"needed":[229],"determine":[231],"effect":[233],"which":[241],"benefit":[243],"most":[244]},"counts_by_year":[],"updated_date":"2026-10-22T18:32:59.640997","created_date":"2026-08-24T00:00:00"}
