Treatment of Adult Traumatic Rib Fractures With Percutaneous Cryoneurolysis
Rib Fractures
About this trial
This is an interventional treatment trial for Rib Fractures
Eligibility Criteria
Inclusion Criteria:
- Patients 18 to 64 years with any acute rib fracture
- Pain score equal to or greater than 5 with deep inspiration.
- Any acute rib fracture between rib 3 and rib 9
- Presenting and admitted to Stanford Emergency Department
Exclusion Criteria:
- Radiographic evidence of metastasis to ribs
- Glasgow Coma Scale (GCS)score <13
- Patients undergoing SSRF (Surgical stabilization of rib fractures)
- Rib fractures located < 3cm from spinous process
- Coagulopathy (INR >1.5, Pat < 100)
- Other factors precluding cryoablation at IR attending's discretion
- If only ribs broken are 1,2 or 10,11, 12
Sites / Locations
- Stanford Hospital and ClinicsRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Ultrasound-guided Cryoneurolysis: Group A
Standard-of-Care : Group B
Patients who are admitted to the Emergency Department after a traumatic injury. Patients will have rib fractures in any of ribs 3-9. Patients will be 18-64 years of age and will be randomized (1:1) to the ultrasound-guided cryoneurolysis group within 72 hours of admission to the ED. Intervention is ultrasound-guided cryoneurolysis of intercostal nerves creating lost lasting pain relief. Device used for cryoneurolysis is Iovera Smart tip 190
Patients who are admitted to the Emergency Department after a traumatic injury. Patients will have rib fractures in any of ribs 3-9. Patients will be 18-64 years of age and will be randomized (1:1) to Standard of Care which typically includes multi-modal pain therapy and pulmonary toilet.