Anesthesia and analgesia for pectus excavatum surgery.
The technique of choice for surgical correction of pectus excavatum is the Nuss procedure, a minimally invasive technique in which rigid metal bars are placed transthoracically beneath the sternum and costal cartilages until permanent remodeling of the chest wall has occurred. Intraoperatively, anesthesia focuses on three areas: the potential for catastrophic blood loss caused by perforation of large capacitance vessels and the heart, the potential for malignant arrhythmias, and the consequences of bilateral iatrogenic pneumothoraces. Postoperatively, analgesia is institutionally dependent and controversial, based on usage and type of regional anesthesia. The necessity of multimodal analgesic techniques creates a common ground across different hospital systems.
Department of Anesthesia, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA.
Jagroop
J
Mavi
Department of Anesthesia, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA. Electronic address: david.moore@cchmc.org.
David L
DL
Moore
D000698:Analgesia / Q000379:methods*; D000758:Anesthesia / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D005660:Funnel Chest / Q000150:complications / Q000453:epidemiology / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn
Chest wall deformities; Haller index; Multimodal analgesics; Nuss procedure; Pectus excavatum; Thoracic epidural