Comprehensive Study of Post-surgical Pain After Pectus or Spine Surgery
Pain, Postoperative, Excavatum, Pectus, Scoliosis Idiopathic
About this trial
This is an interventional supportive care trial for Pain, Postoperative focused on measuring Meditation, Pectus Excavatum, Scoliosis
Eligibility Criteria
Inclusion Criteria:
- Children aged 8 years of age through adulthood
- Diagnosis of pectus excavatum or adolescent idiopathic scoliosis
- Scheduled for endoscopic pectus excavatum repair or spine fusion
Exclusion Criteria:
- History of or active renal or liver disease
- Major surgery requiring opioids in the last 5 years
- Severe respiratory problems (such as obstructive sleep apnea, cystic fibrosis, pulmonary fibrosis, or pneumonia within the last month)
- Cardiac conditions including, but not limited to, cyanotic heart disease, hypoplastic left ventricle, arrhythmia, hypertension with ongoing treatment, Kawasaki disease, or cardiomyopathies. Participants with asymptomatic valvular lesions or defects may be included
- History of seizures currently treated on medication (participants off medication and seizure free for greater than one year may be included)
- Taking no more than two concomitant medications known to induce or inhibit CYP2D6 activity, including paroxetine, fluoxetine, cimetidine, and duloxetine
- Needing postoperative ventilation or intraoperative cardiac bypass standby
- BMI >35
- Pregnant or breastfeeding females
- Non-English speaking
- Definite developmental delay
Sites / Locations
- Cincinnati Childrens Hospital Medical Center
Arms of the Study
Arm 1
Arm 2
No Intervention
Experimental
Control
Meditation
Participants in the control group will receive present standard of care, which includes an assessment of participant/family needs by integrative care after surgery, as well as standard holistic health care by a licensed/certified holistic health specialist. They will not receive the MUSETM focused-attention meditation training or intervention protocol.
Participants randomized to receive focused-attention meditation training will attend a preoperative training session, provided by a licensed/certified Holistic Health Specialist. The content will include an age appropriate explanation of focused-attention meditation, using breath as the focus; set-up and utilization of the MUSETM headband; and experiential practices. The goal of the intervention is to increase mindfulness (i.e., moment-to-moment, non-judgmental and non-reactive awareness of sensations, emotions, and thoughts), provide self-regulation strategies, and promote healthy and adaptive responses to stress.