Pediatric anesthesia & critical care
Safety and efficacy of high thoracic epidural analgesia for chest wall surgery in young adolescents: A retrospective cohort analysis and a new standardised definition for success rate
Authors' conclusion
Thoracic epidural analgesia is an extremely effective pain control technique, with a surprisingly high number of minor adverse events but safe with regard to serious adverse events.
Study context
- Population
- Adolescents aged 12 to 19 years undergoing chest wall reconstruction for pectus excavatum at a high-volume academic tertiary centre, March 1993 to December 2017532 analysed
- Participants
- 1,117 adolescents
- Outcome
- Safety of epidural analgesia (incidence of acute adverse events)
Methodological detailsobservational, single-centre
- Observational
- Single-centre
Main finding
As reported in the abstract
Acute adverse events
Patients with ≥1 adverse event
More than 60%
Observational data: associations, not effects.
Secondary outcomes
Block success rate (thoracic epidural placement)
- Success rate of thoracic epidural placement
- 81%
Postoperative pain scores
- Low postoperative pain scores observed
Safety
- No serious or long-term adverse events detected; all events minor and without consequences
Original publication
Safety and efficacy of high thoracic epidural analgesia for chest wall surgery in young adolescents: A retrospective cohort analysis and a new standardised definition for success rate. Eur J Anaesthesiol. Published 3 October 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →