From
StayCurrentMD
Cost and outcomes of intercostal nerve cryoablation versus thoracic epidural following the Nuss procedure
hosted by Dr. Alex Halpern
Part of
Pectus Excavatum 58 items
Chapter 1 of 1 · Evidence & Research
Comparison of Intercostal Nerve Cryoablation vs Thoracic Epidural for Nuss Procedure Pain Control
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Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
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What the experts said
Thoracic epidural and intercostal nerve cryoablation are two options for pain control in patients undergoing a Nuss procedure for pectus excavatum
Dr. Tsai and his team from Penn State conducted a retrospective chart review looking at kids who underwent a Nuss procedure between 2002 and 2020
The intercostal nerve cryoablation group had lower rates of PCA use compared to thoracic epidural
The intercostal nerve cryoablation group had lower total morphine milligram equivalent requirement compared to thoracic epidural
The intercostal nerve cryoablation group had shorter length of stay in the hospital compared to thoracic epidural
The intercostal nerve cryoablation group had longer operative times compared to thoracic epidural
The intercostal nerve cryoablation group had higher total hospitalization cost than the thoracic epidural group
Both intercostal nerve cryoablation and thoracic epidural have pros and cons for pain control following Nuss procedure
