Skip to main content
SpringerLink
Log in

Pain After Surgical Correction of Congenital Chest Wall Deformities

  • Chapter
Book cover Perioperative Medicine in Pediatric Anesthesia

  • 1475 Accesses

Abstract

Chest wall reconstruction for congenital deformities has undergone several technical modifications through the adoption of minimally invasive principles. Nonetheless, postoperative pain remains a key consideration in the management of these patients. This chapter reviews emerging evidence supporting analgesic techniques for the control of early and late postoperative pain after the surgical repair of pectus excavatum (PE) and pectus carinatum (PC).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 159.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Kelly RE (2008) Pectus excavatum: historical background, clinical picture, preoperative evaluation and criteria for operation. Semin Pediatr Surg 17(3):p181–p193

    Article  Google Scholar 

  2. Nuss D et al (1998) A 10-year review of a minimally invasive technique for the correction of pectus excavatum. J Pediatr Surg 33(4):545–552

    Article  CAS  PubMed  Google Scholar 

  3. Kelly RE et al (2010) Twenty-one years of experience with minimally invasive repair of pectus excavatum by the Nuss procedure in 1215 patients. Ann Surg 252(6):1072–1081

    Article  PubMed  Google Scholar 

  4. Fonkalsrud EW, Dunn JC, Atkinson JB (2000) Repair of pectus excavatum deformities: 30 years of experience with 375 patients. Ann Surg 231(3):443

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  5. Fonkalsrud EW et al (2002) Comparison of minimally invasive and modified Ravitch pectus excavatum repair. J Pediatr Surg 37(3):413–417

    Article  PubMed  Google Scholar 

  6. Molik KA et al (2001) Pectus excavatum repair: experience with standard and minimal invasive techniques. J Pediatr Surg 36(2):324–328

    Article  CAS  PubMed  Google Scholar 

  7. Papic JC et al (2014) Postoperative opioid analgesic use after Nuss versus Ravitch pectus excavatum repair. J Pediatr Surg 49(6):919–923

    Article  PubMed  Google Scholar 

  8. Nasr A, Fecteau A, Wales PW (2010) Comparison of the Nuss and the Ravitch procedure for pectus excavatum repair: a meta-analysis. J Pediatr Surg 45(5):880–886

    Article  PubMed  Google Scholar 

  9. Kelly RE et al (2007) Prospective multicenter study of surgical correction of pectus excavatum: design, perioperative complications, pain, and baseline pulmonary function facilitated by internet-based data collection. J Am Coll Surg 205(2):205–216

    Article  PubMed  Google Scholar 

  10. Kelly RE et al (2008) Surgical repair of pectus excavatum markedly improves body image and perceived ability for physical activity: multicenter study. Pediatrics 122(6):1218–1222

    Article  PubMed  Google Scholar 

  11. Muhly WT, Maxwell LG, Cravero JP (2014) Pain management following the Nuss procedure: a survey of practice and review. Acta Anaesthesiol Scand 58(9):1134–1139

    Article  CAS  PubMed  Google Scholar 

  12. Skouen JS, Wainapel SF, Willock MM (1985) Paraplegia following epidural anesthesia. Acta Neurol Scand 72(4):437–443

    Article  CAS  PubMed  Google Scholar 

  13. Walaszczyk M et al (2011) Epidural and opioid analgesia following the Nuss procedure. Med Sci Monit 17(11):PH81–PH86

    Article  PubMed Central  PubMed  Google Scholar 

  14. Butkovic D et al (2007) Postoperative analgesia with intravenous fentanyl PCA vs epidural block after thoracoscopic pectus excavatum repair in children. Br J Anaesth 98(5):677–681

    Article  CAS  PubMed  Google Scholar 

  15. Peter S, Shawn D et al (2008) Is epidural anesthesia truly the best pain management strategy after minimally invasive pectus excavatum repair? J Pediatr Surg 43(1):79–82

    Article  Google Scholar 

  16. Bogert JN et al (2013) Patient-controlled analgesia-based pain control strategy for minimally-invasive pectus excavatum repair. Surg Pract 17(3):101–104

    Article  Google Scholar 

  17. St Peter SD et al (2012) Epidural vs patient-controlled analgesia for postoperative pain after pectus excavatum repair: a prospective, randomized trial. J Pediatr Surg 47(1):148–153

    Article  Google Scholar 

  18. Stroud AM et al (2014) Epidural analgesia versus intravenous patient-controlled analgesia following minimally invasive pectus excavatum repair: a systematic review and meta-analysis. J Pediatr Surg 49(5):798–806

    Article  PubMed  Google Scholar 

  19. Qi J, Du B, Gurnaney H, Lu P, Zuo Y. (2014) A prospective randomized observer-blinded study to assess postoperative analgesia provided by an ultrasound-guided bilateral thoracic paravertebral block for children undergoing the Nuss procedure. Reg Anesth Pain Med. 39(3):208–13

    Google Scholar 

  20. Pontarelli EM et al (2013) On-Q® pain pump versus epidural for postoperative analgesia in children. Pediatr Surg Int 29(12):1267–1271

    Article  PubMed  Google Scholar 

  21. Hall Burton DM, Boretsky KR (2014) A comparison of paravertebral nerve block catheters and thoracic epidural catheters for postoperative analgesia following the Nuss procedure for pectus excavatum repair. Paediatr Anaesth 24(5):516–520

    Article  PubMed  Google Scholar 

  22. Westphal FL, Lima LC, Lima Neto JC et al (2009) Prevalence of pectus carinatum and pectus excavatum in students in the city of Manaus, Brazil. J Bras Pneumol 35(3):221–226

    Article  PubMed  Google Scholar 

  23. Martinez-Ferro M, Fraire C, Bernard S (2008) Dynamic compression system for the correction of pectus carinatum. Semin Pediatr Surg 17(3):194–200

    Article  PubMed  Google Scholar 

  24. Emil S et al (2012) Pectus carinatum treatment in Canada: current practices. J Pediatr Surg 47(5):862–866

    Article  PubMed  Google Scholar 

  25. Ravitch MM (1949) The operative treatment of pectus excavatum. Ann Surg 129(4):429

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  26. Abramson H, D’Agostino J, Wuscovi S (2009) A 5-year experience with a minimally invasive technique for pectus carinatum repair. J Pediatr Surg 44(1):118–124

    Article  PubMed  Google Scholar 

  27. Fonkalsrud EW, Anselmo DM (2004) Less extensive techniques for repair of pectus carinatum: the undertreated chest deformity. J Am Coll Surg 198(6):898–905

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Pediatric Surgery, MUHC, Montreal Children’s Hospital, McGill University, Montreal, QC, Canada

    Robert Baird MDCM, MSc, FRCSC, FACS

  2. Department of Anesthesia, Montreal Children’s Hospital, MUHC, McGill University, Montreal, QC, Canada

    Pablo M. Ingelmo

Authors
  1. Robert Baird MDCM, MSc, FRCSC, FACS
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Pablo M. Ingelmo
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Robert Baird MDCM, MSc, FRCSC, FACS .

Editor information

Editors and Affiliations

  1. UCO di Anestesia e Rianimazione, AO-U Policlinico di Catania, Catania, Italy

    Marinella Astuto

  2. MUHC Montreal Children’s Hosp, McGill Un, Department of Anesthesia, Montreal, Canada

    Pablo M Ingelmo

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Baird, R., Ingelmo, P.M. (2016). Pain After Surgical Correction of Congenital Chest Wall Deformities. In: Astuto, M., Ingelmo, P. (eds) Perioperative Medicine in Pediatric Anesthesia. Anesthesia, Intensive Care and Pain in Neonates and Children. Springer, Cham. https://doi.org/10.1007/978-3-319-21960-8_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-21960-8_9

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-21959-2

  • Online ISBN: 978-3-319-21960-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation