Funnel chest
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Age 12 - 18 years • Scheduled for primary pectus excavatum repair • Surgery according to the Nuss-procedure • Repair with either one or multiple bars • General anaesthesia during surgery • Placement of thoracic epidural or both thoracic epidural and patient controlled analgesia system • Good knowledge of Dutch or English language by patient and parents • Written informed consent
Exclusion criteria
Exclusion criteria: • Hearing impairments • Secondary pectus excavatum surgery • Other prior thoracic surgery • No thoracic epidural • Severe mental or psychiatric disorder • Impaired communication with patient and parents • Missing informed consent • Presence of chronic pain syndrome (defined as ongoing pain lasting longer than 3 months or ongoing pain lasting longer than the reasonable expected healing time for the involved tissues)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain, measured by VAS (Visual Analogue Scale) | — |
Secondary
| Measure | Time frame |
|---|---|
| Anxiety Use of opoids and other analgesics Epidural blockade Physiological parameters such as heartrate, respitory rate, blood presure and saturation Postoperative minor complications (ileus, nausea, vomiting) Length of hospital stay Pain after 3 months Quality of life Cost-effectiviteness | — |
Countries
Netherlands