Ultrasound-Guided Cryoablation for Chronic & Acute Pain Management - Dr Michał But

Dr Michał But, pain physician and specialist in anesthesiology and intensive care, presents a practical clinical overview of ultrasound-guided cryoablation for chronic and acute pain management. The session covers the principles behind cryoablation, how it compares with thermal ablation and neurolytic techniques, the importance of diagnostic blocks and patient selection, and practical factors that influence procedural effectiveness. Topics include: • Mechanism of action and ice ball formation • Cryoablation vs thermal ablation and neurolytic blocks • Ultrasound guidance, fluoroscopy and nerve stimulation • Probe selection and tissue considerations • Freeze cycles, thaw time and procedural settings • Acute pain indications, including intercostal nerve cryoablation • Chronic pain indications, including sacroiliac joint, medial branch, genicular, hip sensory, occipital and peripheral nerve targets • Clinical examples and live Q&A This recording is intended for healthcare professionals with an interest in interventional pain management, anesthesiology, regional anesthesia, orthopaedics, neurosurgery, interventional radiology and related fields. Read more: https://ipmaustralia.com.au/ Subscribe for more insights on interventional pain and emerging technologies. 00:00 Introduction 02:00 Overview of ultrasound-guided cryoablation 04:00 Intercostal nerve cryoablation 06:15 Personalised pain management approach 08:00 Cryoablation vs thermal ablation vs neurolytic blocks 13:00 Mechanism of action 18:00 Improving procedural effectiveness 23:30 Freeze cycles and thaw time 25:30 Ultrasound, fluoroscopy and nerve stimulation 28:00 Equipment and probe options 33:30 Acute pain indications 35:30 Chronic pain indications 37:00 Clinical examples and treatment targets 40:07 Q&A begins 42:00 Freezing time, neuritis and nerve regeneration 44:00 Neuromas and phantom limb pain 47:00 Probe orientation and genicular nerve technique 49:00 Motor function and nerve targeting 51:00 Cryoablation before or after surgery 53:00 Thoracic, palliative and phantom pain cases 55:00 Safety, Doppler and neurovascular considerations 57:00 Tissue hydration, local anaesthetic and glucose 58:30 Spasticity, CRPS and stellate ganglion discussion 59:30 Final technical questions and closing comments