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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patient controlled analgesia | Use of patient controlled analgesia (PCA) for the management of postoperative pain after the Nuss procedure. |
| |
| Continuous thoracic epidural infusion | Continuous thoracic epidural infusions (TE) for the management of postoperative pain after the Nuss procedure. |
| |
| Continuous paravertebral blockade | Continuous paravertebral blockade (PVB) for the management of postoperative pain after the Nuss procedure. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Patient controlled analgesia | Device | A programable electronically controlled infusion pump that delivers an amount of intravenous analgesic when the patient presses a button. |
|
| Measure | Description | Time Frame |
|---|---|---|
| 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. | Participants will be followed for the duration of hospital stay, an expected average of 3 days |
| Measure | Description | Time Frame |
|---|---|---|
| Pain score | Pain scores obtained from the visual analog scale. | 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. |
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Inclusion Criteria:
Exclusion Criteria:
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Patients undergoing the Nuss procedure to correct pectus excavatum at Nationwide Children's Hospital.
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| Name | Affiliation | Role |
|---|---|---|
| Beltran Ralph, MD | Nationwide Children's Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nationwide Children's Hospital | Columbus | Ohio | 43205 | United States |
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| ID | Term |
|---|---|
| D005660 | Funnel Chest |
| ID | Term |
|---|---|
| D001848 | Bone Diseases, Developmental |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D009139 | Musculoskeletal Abnormalities |
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| ID | Term |
|---|---|
| D016058 | Analgesia, Patient-Controlled |
| ID | Term |
|---|---|
| D000698 | Analgesia |
| D000760 | Anesthesia and Analgesia |
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| Continuous thoracic epidural infusions | Procedure | 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 | Procedure | 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. |
|
| 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. | 0-48 hrs. post-op |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |