Cost and outcomes of intercostal nerve cryoablation versus thoracic epidural following the Nuss procedure
hosted by Dr. Alex Halpern · StayCurrentMD
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Pectus Excavatum 58 items
Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
Video
Six Years of Quality Improvement in Pectus Excavatum Repair: Implementation of Intercostal Nerve Cryoablation and ERAS Protocols for Patients Undergoing Nuss Procedure
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What the experts said
Thoracic epidural and intercostal nerve cryoablation are two options for pain control in patients undergoing a Nuss procedure for pectus excavatum
Dr. Tsai and his team from Penn State conducted a retrospective chart review looking at kids who underwent a Nuss procedure between 2002 and 2020
The intercostal nerve cryoablation group had lower rates of PCA use compared to thoracic epidural
The intercostal nerve cryoablation group had lower total morphine milligram equivalent requirement compared to thoracic epidural
The intercostal nerve cryoablation group had shorter length of stay in the hospital compared to thoracic epidural
The intercostal nerve cryoablation group had longer operative times compared to thoracic epidural
The intercostal nerve cryoablation group had higher total hospitalization cost than the thoracic epidural group
Both intercostal nerve cryoablation and thoracic epidural have pros and cons for pain control following Nuss procedure