Intercostal nerve cryoanalgesia has become a popular method for managing postoperative pain after Nuss procedure, showing greater effectiveness compared to epidural anesthesia and patient-controlled analgesia. However, the optimal duration of cryoanalgesia remains unknown. Most protocols use a two-minute cryoablation, although histological studies show similar changes with both one-minute and two-minute applications. This is a pilot, single-center, randomized, double-blind study comparing the effectiveness of one-minute versus two-minute cryoanalgesia in treating pain in patients undergoing correction of pectus excavatum using the Nuss procedure. The aim of the project is to evaluate the validity of the research procedure and determine the sample size for the main study. Preliminary data on postoperative pain intensity, opioid consumption, duration of surgery, length of hospital stay, and complications will be analyzed.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
40
One-minute cryoanalgesia will be applied bilaterally to each of the intercostal nerves from Th3 to Th7
Two-minutes cryoanalgesia will be applied bilaterally to each of the intercostal nerves from Th3 to Th7
The Children's Memorial Health Institute
Warsaw, Wybierz Województwo, Poland
RECRUITINGPostoperative pain level according to Numerical Rating Scale (NRS)
Time frame: 1 week
Opioid consumption
Time frame: 1 week
Duration of the surgery
Time frame: 1 day
Length of postoperative hospital stay
Time frame: 1 week
Occurence of early complications
Time frame: 30 days from the surgery
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