Cryoablation is associated with shorter length-of-stay and reduced opioid use after the Ravitch procedure
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Read the article on jpedsurg.org ↗Article · Mar 2022 · 1 min read
In brief
In brief
Retrospective study comparing intercostal nerve cryoablation to thoracic epidural analgesia in modified Ravitch pectus repair. Cryoablation group demonstrated significantly shorter hospital stay (2.8 vs 6 days) and reduced opioid requirements, suggesting improved pain control and faster recovery with this nerve ablation technique.
Written by the GCMD Library team from the article.
Purpose
The use of intercostal nerve cryoablation (INC) is becoming increasingly common in patients undergoing pectus repair. This study sought to evaluate the use of INC compared to traditional use of thoracic epidural (TE) in patients undergoing the modified Ravitch procedure.
Methods
A retrospective review of 37 patients undergoing the modified Ravitch repair with either INC or TE from March 2009 to July 2021 was conducted. The operations were performed by four surgeons who worked together at four different hospitals and have the same standardized practice. The primary outcome measure was hospital length of stay (LOS). Secondary variables included surgical time, total operating room time, operating room time cost, total hospital cost, inpatient opioid use, long term opioid use after discharge, and post-operative complications.
Results
LOS decreased to 2.8 days in the INC group compared to 6 days in the TE group (p