Identification of Best Postoperative Analgesia Method Following a Minimally Invasive Repair of Pectus Excavatum ((MIRPE))
Pectus Excavatum, Pain, Postoperative
About this trial
This is an interventional treatment trial for Pectus Excavatum
Eligibility Criteria
Inclusion Criteria:
- All patients with a pectus excavatum deformity that will undergo a MIRPE procedure will be included in the study.
Exclusion Criteria:
- < 13 years old
- > 18 years old
- chronic narcotic preoperative use
- previous repair of pectus excavatum deformity
- previous thoracic surgery
- pregnancy
Sites / Locations
- Children's Hospital ColoradoRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Experimental
Patient Controlled Analgesia
Erector Spinae Block
Intercostal Nerve Cryoablation
This technique involves connecting a patient controlled analgesia pump to the intravenous line. The patient has the ability to push a button to obtain a predetermined dose of an intravenous opioid with a set lockout time period to minimize the potential for over sedation. PCA pumps will be connected to the intravenous line of the patient at the end of the MIRPE operation. anesthesiologists with experience in regional anesthesia.
This method consists of the anesthesiologist placing two catheters on each side of the vertebrae which then delivers pain medicine continuously via pumps for 2-3 days post-surgery.
The INC technique relies on multilevel freezing of the intercostal neurovascular bundle intraoperatively to block sensation and pain for approximately 2 months postoperatively. Trained pediatric surgeons will perform the INC at the time of a MIRPE procedure.