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 journalArticle

3 Citations (Scopus)

Abstract

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
Volume8
Issue number1
DOIs
StatePublished - Jan 1 2018

Fingerprint

Subcutaneous Infusions
Epidural Analgesia
Local Anesthetics
Length of Stay
Narcotics
Operating Rooms
Pain Management
Chest Pain
Thorax
Catheters
Pain

Keywords

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

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Subcutaneous local anesthetic infusion could eliminate use of epidural analgesia after the Nuss procedure. / Kabagambe, Sandra K.; Goodman, Laura F.; Chen, Y. Julia; Keller, Benjamin A.; Becker, James C.; Raff, Gary W; Stark, Rebecca; Stephenson, Jacob T.; Rahm, Amy; Farmer, Diana L; Hirose, Shinjiro.

In: Pain Management, Vol. 8, No. 1, 01.01.2018, p. 9-13.

Research output: Contribution to journalArticle

Kabagambe, Sandra K. ; Goodman, Laura F. ; Chen, Y. Julia ; Keller, Benjamin A. ; Becker, James C. ; Raff, Gary W ; Stark, Rebecca ; Stephenson, Jacob T. ; Rahm, Amy ; Farmer, Diana L ; Hirose, Shinjiro. / Subcutaneous local anesthetic infusion could eliminate use of epidural analgesia after the Nuss procedure. In: Pain Management. 2018 ; Vol. 8, No. 1. pp. 9-13.
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AU - Raff, Gary W

AU - Stark, Rebecca

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