Dr. Daniel Ostlie · Epidural versus PCA Pain Management after Pectus Excavatum Repair: A Multi-Institutional Prospective Randomized Trial.
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Article1 min read·Published Oct 2026

Epidural versus PCA Pain Management after Pectus Excavatum Repair: A Multi-Institutional Prospective Randomized Trial.

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Article · Oct 2026 · 1 min read

In brief

In brief

This multi-institutional randomized trial compares thoracic epidural versus patient-controlled analgesia for pain management following minimally invasive pectus excavatum repair. The study builds on prior findings showing epidurals provide superior early pain control while PCA offers better late-phase management, with protocol modifications aimed at optimizing the epidural transition period.

Written by the GCMD Library team from the article.

Daniel Ostlie

Postoperative pain control remains the primary reason for inpatient stay after minimally invasive repair of pectus excavatum. In a previous study, our group reported that early pain control was better in patients managed with a thoracic epidural, while late pain control was better in patients managed with patient-controlled analgesia (PCA). After revising our epidural transition and modifying the …

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