Use of cryoanalgesia as a postoperative pain management for open pectus carinatum repair
link.springer.com shows its articles on its own site.
Read the article on link.springer.com ↗Article · Oct 2020 · 1 min read
In brief
In brief
This retrospective study evaluates cryoanalgesia as a postoperative pain control method for open pectus carinatum repair in five pediatric patients. Results showed minimal pain scores, short hospital stays (1-2 days), and no neuralgia complications at one-year follow-up, supporting cryoanalgesia as a safe and effective alternative to traditional pain management approaches.
Written by the GCMD Library team from the article.
Abstract
Purpose
Cryoanalgesia has shown to have safety and efficacy as an adjunct post-operative pain management for Nuss procedure. One retrospective study reported its efficacy for analgesia with the Ravitch procedure, with improved pain scores and decreased length of stay versus thoracic epidural. We describe our initial experience with the use of cryoanalgesia for an open repair of pectus carinatum.
Methods
We retrospectively reviewed the medical records of all patients who received cryoanalgesia during an open repair of pectus carinatum from 2016 to 2019 at our institution. We recorded pain scores at immediate post-operative and at 1-week follow up after hospital discharge. Length of stay and mean follow up time were also recorded.
Results
Five pediatric patients underwent open repair of pectus carinatum with cryoanalgesia. The median postoperative length of stay (LOS) was 1 (range 1–2) day. Only one patient reported a non-zero pain score during their hospitalization, and this was a 3 out of 10 in the post-analgesia care unit. At 1-week postoperative visit, all patients had a pain score of 0. Median follow up was 1 (0.5–2) year. No patients developed neuralgia.
Conclusion
Cryoanalgesia is a safe and effective pain management strategy for pediatric patients undergoing open pectus carinatum repair.