# BOB Ped Surg 2023 - Brittany Hegde, PAPS - Presentation — GCMD Library

Watch Brittany Hegde, MD, present her presentation on "Impact of cryoanalgesia use for pain control in minimally invasive pectus excavatum repair on hospital days and costs."

Type: video · posted 2023-02-06 Canonical: https://library.globalcastmd.com/watch/bob-ped-surg-2023-brittany-hegde-paps-presentation-6359 ## Chapters - [0:00](https://library.globalcastmd.com/watch/bob-ped-surg-2023-brittany-hegde-paps-presentation-6359?t=0) Introduction and Background - [1:00](https://library.globalcastmd.com/watch/bob-ped-surg-2023-brittany-hegde-paps-presentation-6359?t=60) Cryoablation Technique and Study Rationale - [3:00](https://library.globalcastmd.com/watch/bob-ped-surg-2023-brittany-hegde-paps-presentation-6359?t=180) Methods and Patient Demographics - [5:00](https://library.globalcastmd.com/watch/bob-ped-surg-2023-brittany-hegde-paps-presentation-6359?t=300) Results and Conclusions ## Statements - "Minimally invasive repair of pectus excavatum is used to correct the most common thoracic anomaly in pediatric patients" — Britney Hegdy (clinical) [0:00](https://library.globalcastmd.com/watch/bob-ped-surg-2023-brittany-hegde-paps-presentation-6359?t=0) - "Minimally invasive approach has been associated with decreased operative time, less blood loss and a quicker return to baseline compared to previous open approaches" — Britney Hegdy (clinical) [0:00](https://library.globalcastmd.com/watch/bob-ped-surg-2023-brittany-hegde-paps-presentation-6359?t=0) - "MIRPE remains a painful procedure that historically required multiple adjuncts and a large amount of narcotics to achieve pain relief" — Britney Hegdy (clinical) [0:00](https://library.globalcastmd.com/watch/bob-ped-surg-2023-brittany-hegde-paps-presentation-6359?t=0) - "A previous study at the institution found the use of cryo during minimally invasive repair lowered post-operative opioid use and hospital length of stay without increasing complications" — Britney Hegdy (clinical) [0:00](https://library.globalcastmd.com/watch/bob-ped-surg-2023-brittany-hegde-paps-presentation-6359?t=0) - "Cryoablation is performed thoracoscopically using cryo nerve block probes under direct visualization" — Britney Hegdy (clinical) [1:00](https://library.globalcastmd.com/watch/bob-ped-surg-2023-brittany-hegde-paps-presentation-6359?t=60) - "Probes are inserted via thoracoscopic port sites and activated at the site of intercostal nerves, usually bilaterally and within intercostal spaces three through seven" — Britney Hegdy (clinical) [1:00](https://library.globalcastmd.com/watch/bob-ped-surg-2023-brittany-hegde-paps-presentation-6359?t=60) - "Cryo ablation subjects the intercostal nerves to extreme cold and is estimated to allow for pain control lasting weeks to months post ablation" — Britney Hegdy (clinical) [1:00](https://library.globalcastmd.com/watch/bob-ped-surg-2023-brittany-hegde-paps-presentation-6359?t=60) - "Study included pediatric patients less than 18 from January 2011 to December 2021 who underwent minimally invasive repair" — Britney Hegdy (epidemiological) [3:00](https://library.globalcastmd.com/watch/bob-ped-surg-2023-brittany-hegde-paps-presentation-6359?t=180) - "Cryo was introduced at the institution in November 2016 and every patient treated after this date received it" — Britney Hegdy (clinical) [3:00](https://library.globalcastmd.com/watch/bob-ped-surg-2023-brittany-hegde-paps-presentation-6359?t=180) - "Of the 44 patients included, 29 (65.9%) received cryo during minimally invasive repair" — Britney Hegdy (epidemiological) [4:00](https://library.globalcastmd.com/watch/bob-ped-surg-2023-brittany-hegde-paps-presentation-6359?t=240) - "A greater percentage in both treatment groups were male" — Britney Hegdy (epidemiological) [4:00](https://library.globalcastmd.com/watch/bob-ped-surg-2023-brittany-hegde-paps-presentation-6359?t=240) - "Both treatment groups were similar regarding age, height, weight, insurance status, race, symptoms at presentation and Haller index" — Britney Hegdy (epidemiological) [4:00](https://library.globalcastmd.com/watch/bob-ped-surg-2023-brittany-hegde-paps-presentation-6359?t=240) - "Bayesian models were used to analyze the impact of cryo on various outcomes utilizing a neutral prior assuming no treatment effect" — Britney Hegdy (clinical) [5:00](https://library.globalcastmd.com/watch/bob-ped-surg-2023-brittany-hegde-paps-presentation-6359?t=300) - "Cryo use was associated with an 89% probability of total hospital cost reduction compared to no cryo use with a difference in total cost of $880" — Britney Hegdy (clinical) [5:00](https://library.globalcastmd.com/watch/bob-ped-surg-2023-brittany-hegde-paps-presentation-6359?t=300) - "The decrease in total cost is likely attributable to the impact of cryo use on hospital days" — Britney Hegdy (opinion) [5:00](https://library.globalcastmd.com/watch/bob-ped-surg-2023-brittany-hegde-paps-presentation-6359?t=300) - "Cryo use was associated with a 100% probability of reduction in index hospital days compared to no cryo use" — Britney Hegdy (clinical) [5:00](https://library.globalcastmd.com/watch/bob-ped-surg-2023-brittany-hegde-paps-presentation-6359?t=300) - "When comparing total hospital days including readmissions during 90 days, there was a 99% probability of total hospital days reduction with the use of cryo" — Britney Hegdy (clinical) [5:00](https://library.globalcastmd.com/watch/bob-ped-surg-2023-brittany-hegde-paps-presentation-6359?t=300) - "The incidence of post-operative complications did not differ between treatment groups" — Britney Hegdy (clinical) [6:00](https://library.globalcastmd.com/watch/bob-ped-surg-2023-brittany-hegde-paps-presentation-6359?t=360) - "Cryo use was associated with a 70% probability of reduction in post-operative complications compared to no cryo use" — Britney Hegdy (clinical) [6:00](https://library.globalcastmd.com/watch/bob-ped-surg-2023-brittany-hegde-paps-presentation-6359?t=360) - "Total hospital cost data was adjusted for inflation by the consumer price index for medical services" — Britney Hegdy (clinical) [3:00](https://library.globalcastmd.com/watch/bob-ped-surg-2023-brittany-hegde-paps-presentation-6359?t=180) --- Not medical advice · citation policy: https://library.globalcastmd.com/ai