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.
Study Type
OBSERVATIONAL
Enrollment
32
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.
Nationwide Children's Hospital
Columbus, Ohio, United States
Total morphine dose
Total morphine dose will be evaluated in mg/kg/24 hour period, beginning with post-op day 0 until discharge from the hospital.
Time frame: Participants will be followed for the duration of hospital stay, an expected average of 3 days
Pain score
Pain scores obtained from the visual analog scale.
Time frame: Participants will be followed for the duration of hospital stay, an expected average of 3 days
Length of hospitalization
Determine if there is a difference in length of hospitalization, and time to discharge.
Time frame: Within the first week after surgery.
Nausea and vomiting
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.
Time frame: 0-48 hrs. post-op
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