Abstract

Pectus excavatum (PE), a congenital deformity characterized by anterior chest wall concavity, is common in pediatric surgery with a prevalence of 6.3 to 12 per 1000 children and a 6:1 partiality for males. The standard technique for PE correction is the minimally invasive Nuss approach that involves placement of a contoured bar to create an outward force on the concaved sternum. The severe, acute surgical pain can be managed through various techniques including thoracic epidural and cryoablation. In Nuss bar patients, does cryoablation therapy result in less opioid administration in the 72-hour postoperative period and shorter hospitalization than thoracic epidural?

Recent studies suggest intercostal cryoablation may be preferred over thoracic epidural due to the lack of sensory and motor impairment, reduced side effects, decreased opioid requirements, and shortened hospitalization. Evidence supports safe and successful use of intercostal cryoablation as an analgesic technique in Nuss bar patients. Multi-modal analgesic strategies involving intercostal cryoablation are promising advancements in anesthetic management of Nuss bar patients.

Carlie Copeland

Author Details

Carlie Copeland, MSN

Sigma Membership

Theta Tau

Lead Author Affiliation

Samford University, Birmingham, Alabama, USA

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Case Study/Series

Research Approach

Translational Research/Evidence-based Practice

Keywords:

Pectus Excavatum, Nuss Bar Procedure, Cryoablation, Thoracic Epidural

Advisor

Fort, David

Degree

Doctoral-Other

Degree Grantor

Samford University

Degree Year

2023

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Self-submission

Date of Issue

2023-01-31

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