A Comparison Trial Between PCA and Epidural Analgesia for Pectus Excavatum Repair
Pectus Excavatum
About this trial
This is an interventional treatment trial for Pectus Excavatum
Eligibility Criteria
Inclusion Criteria:
- Patients age 8- 18 years 2) Patients undergoing minimally invasive pectus excavatum repair via Nuss procedure 3) American Society of Anesthesiology Status I-III
Exclusion Criteria:
- 1) Refusal of epidural catheter 2) Pregnancy 3) Bleeding History 4) Inability to understand how to use the PCA device 5) Medication interfering with blood coagulation 6) Patients allergic to local anesthetics 7) Patient refusal to participate in study 8) Developmental delay
Sites / Locations
- Texas Children't Hospital
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
Patient Controlled Analgesia
epidural Catheter
One group will have a patient controlled device connected to an intravenous patient controlled analgesia (IV PCA). This device runs a basal infusion of pain medicine (morphine) intravenously with additional allowable patient controlled doses every 10 minutes.
The other group will have an epidural catheter inserted under sterile conditions in the thoracic epidural space after anesthesia has been induced. This will be connected to a patient controlled epidural analgesia (PCEA) device for postoperative pain control that works in a similar manner except the medication (a combination of local anesthetics and hydromorphone) will be administered in the thoracic epidural space.