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Papers of the Week

2020 Oct

Eur J Pediatr Surg



Epidural versus PCA Pain Management after Pectus Excavatum Repair: A Multi-Institutional Prospective Randomized Trial.


Sujka JA, Dekonenko C, Millspaugh DL, Doyle NM, Walker BJ, Leys CM, Ostlie DJ, Aguayo P, Fraser JD, Alemayehu H, Peter S SD
Eur J Pediatr Surg. 2020 Oct; 30(5):465-471.
PMID: 31600804.


 Postoperative pain control remains the primary reason for inpatient stay after minimally invasive repair of pectus excavatum. In a previous study, our group reported that early pain control was better in patients managed with a thoracic epidural, while late pain control was better in patients managed with patient-controlled analgesia (PCA). After revising our epidural transition and modifying the PCA protocol, we conducted a multi-institutional prospective randomized trial to evaluate these two pain control strategies.