Subcutaneous local anesthetic infusion could eliminate use of epidural analgesia after the Nuss procedure

Sandra K. Kabagambe, Laura F. Goodman, Y. Julia Chen, Benjamin A. Keller, James C. Becker, Gary W Raff, Rebecca Stark, Jacob T. Stephenson, Amy Rahm, Diana L Farmer, Shinjiro Hirose

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


AIM: To compare outcomes of continuous subcutaneous infusion of local anesthetic and epidural analgesia following the Nuss procedure.

PATIENTS & METHODS: A retrospective chart review compared patients managed with subcutaneous local anesthetic infusion (n = 12) versus thoracic epidural (n = 19) following the Nuss procedure from March 2013 to June 2015.

RESULTS: There was no difference in hospital length of stay or days on intravenous narcotics. Epidural catheter placement prolonged operating room time (146.58 ± 28.30 vs 121.42 ± 21.98 min, p = 0.01). Average pain scores were slightly higher in the subcutaneous infusion group (3.72 ± 1.62 vs 2.35 ± 0.95, p = 0.02), but of negligible clinical significance.

CONCLUSION: Continuous subcutaneous infusion of local anesthetic could eliminate the need for thoracic epidural for pain management after the Nuss procedure.

Original languageEnglish (US)
Pages (from-to)9-13
Number of pages5
JournalPain Management
Issue number1
StatePublished - Jan 1 2018


  • epidural
  • Nuss procedure
  • pain management
  • pectus excavatum
  • regional anesthesia
  • subcutaneous infusion

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine


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