Pain, Postoperative, Pectus Excavatum
Conditions
Brief summary
Investigators hypothesize that Erector spinae catheter pain management protocol would allow patients to have earlier and more effective rehabilitation with decreased length of hospital stay. The aims are to compare LOS between the two groups (epidural and ES groups). Secondary aims are to compare recovery outcomes (mobilization time), time required to do the blocks, pain scores and opioid use during hospitalization and on follow up after discharge until Pain clinic visit, side effects, family satisfaction and readmissions among the two groups. In addition, in-hospital and post-discharge outcomes in subjects who received ESP protocol will be studied.
Detailed description
Retrospective study - Electronic medical records of consecutive patients who underwent pectus surgery between January and December of 2019 (epidural protocol) and those who underwent same procedure between June 2020 to May 2021, will be evaluated. Covariates and outcomes described in sections below will be recorded from EMR. The data included records from flowsheets, pain team notes based on follow up questionnaires administered by phone after discharge until after ESP catheters were removed, as well as pain clinic notes.
Interventions
OTHERMultimodal Erector spinae catheter protocol
Patients either received multimodal epidural or ESP protocol
Sponsors
Children's Hospital Medical Center, Cincinnati
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
8 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age\>8 years * Diagnosis of pectus excavatum who underwent Nuss procedure * Pain regimen included either epidural catheter or ES catheters
Exclusion criteria
* Developmental delay * prior pectus repair * concomitant procedures
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Length of stay | Upto 10 days after surgery | Date of surgery to hospital discharge |
| Mobilization | After surgery in-hospital, phone calls until POD6, pain clinic and surgery clinic postop visit (within 4 weeks after surgery) | Meeting PT goals |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain measures | After surgery in-hospital, phone calls until POD6, pain clinic and surgery clinic postop visit (within 4 weeks after surgery) | Pain scores postoperative and opioid/benzodiazepine use |
| Side effects | After surgery in-hospital, phone calls until POD6, pain clinic and surgery clinic postop visit (within 4 weeks after surgery) | ED visit, readmission, numbness, infection, LA toxicity etc. |
Countries
United States
Outcome results
None listed