Timothy Lautz
35 statements · 1 topic
Featured statements
You wanna stay far enough posterior, but you also want to stay off of the sympathetic chains so you can visualize this very clearly.
quote ·
Pectus Excavatum
We get a retractor in and hold the skin away because there's not a lot of chest wall musculature and you could get some skin freeze.
quote ·
Pectus Excavatum
Nothing matches these filters — clear the search or widen the filters.
Timothy's statements about Pectus Excavatum 35 statements
Open the Pectus Excavatum collection →
Update Course Rewind: Part 1 Non-Pectus Uses of Cryoanalgesia 2024
Quotation
We're gonna talk about some of the basics, some of the benefits in thoracotomy, and the novel uses, especially if you start to use percutaneous applications of cryo.
Open
Quotation
You wanna stay far enough posterior, but you also want to stay off of the sympathetic chains so you can visualize this very clearly.
Open
Quotation
You're getting axonal degeneration by the freeze, but at the same time, the epineurium is staying intact.
Open
Quotation
Epidurals are wonderful, but it is an invasive procedure that takes time, and you may or may not be leaving it fully.
Open
Quotation
We're doing a muscle sparing thoracotomy and then an open direct application of the cryoprobe.
Open
Statement
Dr. Lotz's group has performed 300 thoracotomy cases with cryoanalgesia and seen great results
Open
Statement
For thoracotomies, cryoprobe should be applied 1 to 2 levels above and below the thoracotomy
Open
Quotation
We also do temporary intercostal nerve blocks to help for those 1st 8 hours before it sets in.
Open
Statement
Temporary intercostal nerve blocks are used to help for the first 8 hours before cryoanalgesia sets in
Open
Statement
In smaller children, a retractor must hold skin away because limited chest wall musculature could result in skin freeze
Open
Quotation
We get a retractor in and hold the skin away because there's not a lot of chest wall musculature and you could get some skin freeze.
Open
Quotation
So the benefits is there's no epidural, there's no Foley, they're getting up and moving right away.
Open
Statement
With cryoanalgesia, patients do not need epidural or Foley catheter and can get up and move right away
Open
Quotation
We did a comparison in our group and we saw a 2 to 3-fold reduction in narcotic use during the hospitalization.
Open
Statement
Dr. Lotz's group saw a 2 to 3-fold reduction in narcotic use during hospitalization with cryoanalgesia
Open
Quotation
We compared what their results were compared to all of the routine group, which was just IV pain med only, but also compared to those that had regional block.
Open
Quotation
So 137 versus 533, we're using a lot less opioid, other than our neonatal thoracotomies, and we've gone to using this all the time.
Open