Pediatric anesthesia & critical care

Earlier preoperative percutaneous intercostal cryoanalgesia improves recovery after pectus excavatum surgery

Reg Anesth Pain MedPublished Retrospective cohort study

Authors' conclusion

This exploratory observational study suggests that the timing of cryoanalgesia may play a crucial role in its efficacy, with earlier placement being associated with improvements in pain, opioid utilization, and length of stay.

Study context

Population
Paediatric patients undergoing minimally invasive pectus excavatum repair, single paediatric institution; all received rescue systemic analgesiaconsecutive patients
Participants
18 / 11 / 13
Exposure
Group 3 vs Group 1
  • Group 1n = 18reference
  • Group 2n = 11
  • Group 3n = 13
Outcome
Pain
Methodological detailssingle-centre, consecutive patients, exploratory observational
  • Single-centre
  • Consecutive patients
  • Exploratory observational

Main finding

As reported in the abstract

P < 0.05

Observational data: associations, not effects.

Further findings

mg/kg

OutcomeGroup 1Group 2P value
Ropivacaine epidural cumulative doseGroup 2 vs Group 1 · decreased in Group 2 vs Group 127 (IQR 22–35)16 (IQR 12–23)P < 0.01
Cumulative oral morphine equivalent doseDecreased among groupsP < 0.001
LOSDecreased among Groups 1-3P < 0.001

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Earlier preoperative percutaneous intercostal cryoanalgesia improves recovery after pectus excavatum surgery. Reg Anesth Pain Med. Published 7 November 2024. doi:10.1136/rapm-2024-105960

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