Cryoanalgesia enhances recovery from minimally invasive repair of pectus excavatum resulting in reduced length of stay: A case-matched analysis of NSQIP-Pediatric patients.

摘要: PURPOSE Pain control is challenging after minimally invasive repair of pectus excavatum (MIRPE). Cryoanalgesia, which temporarily ablates peripheral nerves, improves pain and may accelerate post-operative recovery. We hypothesized that cryoanalgesia would be associated with shorter length stay (LOS) in children undergoing MIRPE. METHODS A matched cohort study was conducted (<18 years) who underwent MIRPE 2016-2018, using the National Surgical Quality Improvement Program-Pediatric database. Each patient received during to four controls (no cryoanalgesia). Univariate multilevel regression analyses were performed. RESULTS Thirty-five patients 140 controls. Patients had a LOS reduction similar secondary outcomes (operative time, rates complication, reoperation, readmission). On adjusted for groups, 1.3-day (95% CI -1.8 -0.8, p < 0.001). sensitivity analysis excluding complications, remained reduction. CONCLUSIONS Cryoanalgesia promising adjunct care pediatric Utilization without an increase operative time or complications. should considered inclusion enhanced recovery strategies