Pectus Excavatum
Conditions
Brief summary
A retrospective chart review study analyzing the benefits of patient controlled analgesia, thoracic epidural analgesia, and paravertebral nerve block catheters in patients having surgical repair of pectus excavatum using the Nuss procedure.
Interventions
A programable electronically controlled infusion pump that delivers an amount of intravenous analgesic when the patient presses a button.
Continuous thoracic epidural infusions (TE) involves continuous infusion of drugs through a catheter placed into the epidural space, resulting in a loss of sensation-including the sensation of pain-by blocking the transmission of signals through nerve fibers in or near the spinal cord.
Continuous paravertebral blockade (PVB) is the technique of injecting local anesthetic adjacent to the thoracic vertebra that anesthetizes the spinal nerve roots after they exit the spinal canal.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients undergoing the NUSS procedure since the beginning of 2011 to Sept. 30th, 2013.
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Total morphine dose | Participants will be followed for the duration of hospital stay, an expected average of 3 days | Total morphine dose will be evaluated in mg/kg/24 hour period, beginning with post-op day 0 until discharge from the hospital. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain score | Participants will be followed for the duration of hospital stay, an expected average of 3 days | Pain scores obtained from the visual analog scale. |
| Length of hospitalization | Within the first week after surgery. | Determine if there is a difference in length of hospitalization, and time to discharge. |
| Nausea and vomiting | 0-48 hrs. post-op | Determine the incidence of nausea and vomiting measured by the postoperative ondansetron dosing, beginning with arrival to floor and up to the first 48 hrs of hospitalization. |
Countries
United States