Pectus Excavatum Pathway
With Dr. Rebecca L. Brown · StayCurrentMD
Part of
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.
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Update Course Rewind: Cryoanalgesia in Pectus Cases 2024
7 min · Published Apr 2025
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Criteria for Pectus Repair: Update Course 2015
55 s · Published Nov 2015
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Vacuum Bell Therapy for Pectus Excavatum: Long-term Experience at a Single Center
58 s · Published Apr 2025
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Novel index to estimate the cephalocaudal extent of the excavation in pectus excavatum - JPS article
1 min · Published May 2023
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Novedoso indice para estimar la extensión cefalocaudal del hundimiento esternal en el pectus excavatum: El Índice Titanic
Published May 2023
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Cardiopulmonary Impact of the Minimally Invasive Repair of Pectus Excavatum in Pediatric Patients: A Prospective Pilot Study
55 s · Published Apr 2025
Only a few other public items share this expert — go deeper there →
Video
Pediatric Surgical Oncology Research Collaborative (PSORC): Studying Rare Pediatric Tumors
56 s · Published May 2026
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Update Course Rewind 2025: Hirschsprung + ARM: Rare but Real
1 min · Published May 2026
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Update Course Rewind 2025: Hirschsprung + ARM: Rare but Real
1 min · Published May 2026
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Pooling Patients to Study Rare Pediatric Tumors: An Introduction to PSORC
56 s · Published May 2026
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The fetal frontier: A review of current and emerging fetal therapies for genetic diseases
44 s · Published May 2026
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Indocyanine green assists with sentinel lymph node mapping in pediatric and adolescent patients
1 min · Published May 2026
What the experts said
The clinical care pathway has five major components: pain management, mobility, lung recruitment, daily intake, and daily output
Preoperative antibiotic prophylaxis is ANF or vancomycin if the patient is MRSA positive
Preoperative washes of Dynahex or Hibiclens scrub are applied to prevent infection after surgery
Patients are given clear liquids and advanced as tolerated to a full regular diet on postoperative day 0
Incentive spirometry is performed 10 times per hour throughout the postoperative course
Postoperative antibiotics are ANF times 3 doses, or clindamycin if MRSA positive
Epidural analgesia is routinely used and supplemented with Valium, Robaxin, Toradol, IV Tylenol, methadone times 1, and scheduled Zofran
Patients are encouraged to chew gum 5 separate times a day for 20 minutes if fully awake postoperatively
Bowel management includes Senna and MiraLax twice a day as well as Movantik
The Foley catheter is removed on postoperative day 1 to encourage ambulation
Oral oxycodone is started on postoperative day 1 once patients are tolerating a diet
Maintenance IV fluids are continued until the patient is drinking well and urinates after Foley removal
Zofran is changed from scheduled every 8 hours to as needed on postoperative day 1
The epidural catheter is stopped at 6 AM on postoperative day 2
The epidural is removed when the pain team rounds later in the morning of postoperative day 2
Patients are transitioned to all oral pain medications on postoperative day 2, including oxycodone, Valium, Robaxin, Motrin, and Tylenol
A two view chest X-ray is obtained on postoperative day 2 to evaluate bar location and to rule out pleural effusion or pneumothorax
Dressings are removed and the chest is washed daily starting on postoperative day 2
Patients are encouraged to ambulate at least 3 times in the halls starting postoperative day 2
PT and OT work with the patient on postoperative day 3 to help them walk up and down stairs, and sign off once able
Patients are discharged home on postoperative day 3 if pain is well controlled and they are tolerating oral intake
Since institution of the clinical care pathway 2 to 3 years ago, length of stay has been reduced from 4.5 days to 3 days
Patient satisfaction has increased since institution of the clinical care pathway