Mismo día de Alta para Pectus Excavatum ¿Es posible?
Topic overview
Prospective study evaluating same-day discharge feasibility for pectus excavatum repair using Nuss procedure with intercostal cryoablation and nerve blocks. Two-thirds of patients discharged on operative day with adequate pain control and minimal complications, supporting safety of outpatient approach.
Key takeaways
- Same-day discharge after Nuss procedure for pectus excavatum is safe when using intercostal cryoablation and nerve blocks
- 66.7% of patients achieved POD 0 discharge; no patient stayed hospitalized due to pain with this protocol
- Intercostal cryoablation with nerve blocks provides adequate pain control without significant complications
- Most common reasons for delayed discharge were urinary retention, somnolence, vomiting, and anxiety—not pain
- Two-thirds of patients required no opioids after discharge using this enhanced recovery protocol
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