Cryoanalgesia for pain management after pectus excavatum repair. COPPER study (CryoanalgesiafOr Pain management after Pectus Excavatum Repair): a randomized controlled trial. Determine if, in patients more than 12 years of age having cryoanalgesia for pectus excavatum repair analgesia improves the standard of care (epidural analgesia) in term of pain relief and return to normal life 2 weeks after surgery. Randomized active controlled, parallel group, single-centre, trial (category IIb medical device). 88 patients aged more than 12 years of age scheduled for pectus excavatum repair. After randomization, patients will receive intraoperative cryo-analgesia or standard of care (epidural-analgesia). PedsQLscale (23 items) two weeks after surgery. Patients will be followed for 6 months after surgery to determine time until return to normal life and occurrence of any complication related to the use of cryo-analgesia. Numeric Rating Scale (NRS), CALI9, YAPFAQ will be measured at fixed times to determine pain intensity and limitations due to pain. Risk factors for prolonged pain and time needed until achieving discharge criteria from hospital will be reported.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
88
Cryoanalgesia will be applied during surgery on 6 intercostal nerves each side
Istituto Giannina Gaslini
Genova, Italy
Quality of Life by PedsQL 23 items
Quality of life after surgery
Time frame: Two weeks after surgery
YAPFAQ (Youth Acute Pain Functional Ability Questionnaire)
A scale for assessment of activity limitations in children and adolescents. Range fro 0 to 100
Time frame: One week after surgery
Pain by VAS
Numeric pain score 0-10
Time frame: 1-14 days after surgery
Thoracic hypo-aesthesia
Cold test assessment (Yes/No)
Time frame: Six months after surgery
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