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.
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.
Study Type
OBSERVATIONAL
Enrollment
220
Patients either received multimodal epidural or ESP protocol
Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, United States
Length of stay
Date of surgery to hospital discharge
Time frame: Upto 10 days after surgery
Mobilization
Meeting PT goals
Time frame: After surgery in-hospital, phone calls until POD6, pain clinic and surgery clinic postop visit (within 4 weeks after surgery)
Pain measures
Pain scores postoperative and opioid/benzodiazepine use
Time frame: After surgery in-hospital, phone calls until POD6, pain clinic and surgery clinic postop visit (within 4 weeks after surgery)
Side effects
ED visit, readmission, numbness, infection, LA toxicity etc.
Time frame: After surgery in-hospital, phone calls until POD6, pain clinic and surgery clinic postop visit (within 4 weeks after surgery)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.