Next day discharge after the Nuss procedure using intercostal nerve cryoablation, intercostal nerve blocks, and a perioperative ERAS pain protocol

John W. DiFiore,Jason O. Robertson, Surendrasingh Chhabada,Anthony L. DeRoss,Mir S. Hossain, Lorena Rincon-Cruz, Wai Sung

Journal of Pediatric Surgery(2022)

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摘要
•Intercostal nerve (ICN) cryoablation, ICN bupivacaine nerve blocks and a well-defined perioperative analgesia regimen was successful in discharging patients one day after the Nuss procedure.•Pain control is exceptional with an average pain score of 2/10.•Total inpatient narcotic intake was equivalent to just two 5 mg oxycodone tabs.•No patients experienced neuropathic pain.
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关键词
Pectus excavatum,Nuss bar procedure,Intercostal nerve cryoablation,Intercostal nerve blocks,Enhanced recovery after surgery (ERAS)
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