However, despite an excellent operation, the post-operative period has been plagued by pain and subsequentus, and that's resulted in a significant morbidity and an increased length of stay.
So while our study utilized a five-point s protocol for patients undergoing pectus repair, our underlying message is that surgery remains a team sport.
BOB Ped Surg 2023 - Joshua Ramjist, CAPS - Presentation
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clinicalPectus excavatum affects patients at a vulnerable time in their lives in the childhood and adolescent years↗
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opinionThe Nuss procedure has been revolutionary in correcting pectus excavatum deformity↗
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quoteHowever, despite an excellent operation, the post-operative period has been plagued by pain and subsequentus, and that's resulted in a significant morbidity and an increased length of stay.↗
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quoteThis is a real problem for our patients, as it affects them at a vulnerable time in their lives in the childhood and adolescent years.↗
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clinicalDespite an excellent operation, the post-operative period has been plagued by pain which has resulted in significant morbidity and increased length of stay↗
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epidemiologicalPectus excavatum is the most common congenital chest deformity↗
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epidemiologicalPectus excavatum affects one in 400 births↗
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clinicalThe protocol includes perioperative education and counseling to establish reasonable expectations using educational materials and a boarding pass↗
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clinicalThe transitional pain service facilitates both pharmacologic and non-pharmacologic interventions to manage patient pain↗
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clinicalMultimodal analgesia intraoperatively includes serratus anterior block and cryoablation at the time of procedure↗
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clinicalA perioperative bowel regimen was included in the protocol↗
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clinicalThe boarding pass was a primary instrument to facilitate shared decision making and establish a therapeutic relationship between the team and patients↗
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quoteAnd finally, no general surgery project is complete without thinking about the bowel.↗
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clinicalThe five-point ERAS protocol spans the entirety of the patient's perioperative experience↗
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clinical92% of patients expressed satisfaction with their overall experience↗
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clinicalAll patients were approximately 15 years of age at the time of repair↗
clinicalThis is a single institution study at the Hospital for Sick Children with retrospective data for the pre-ERAS cohort and prospective data after implementation↗
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clinical53 patients were recruited from August 2015 to December 2021↗
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quoteTo put this in real terms, the majority of our patients were leaving on post-operative day one.↗
▶Ep 27 · 4:00
clinicalThere was a significant decrease in length of stay by 50%, from 4 days to just under 2 days↗
quoteSo while our study utilized a five-point s protocol for patients undergoing pectus repair, our underlying message is that surgery remains a team sport.↗
