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Chirurgia 2008 August;21(4):243-5

Copyright © 2008 EDIZIONI MINERVA MEDICA

language: English

Continuous thoracic epidural analgesia for the repair of pectus excavatum in a child

Geze S., Cekic B., Ulusoy H., Erturk E.

Department of Anesthesiology and Critical Care Karadeniz Technical University Faculty of Medicine, Trabzon, Turkey


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Pectus excavatum is an anomaly characterized by depression of the sternum and lower-level costal cartilage towards the thorax. Surgery leads to intense postoperative pain and necessitates several days of bed-rest. In post-operative pain management thoracal epidural opioid and local anesthetic infusion is effective and assists a more rapid return to daily life. Effective pain management following thoracic surgery has been shown to reduce the risk of complication, particularly in the pediatric patient group. Thoracic epidural analgesia may be a reliable and effective alternative to the use of intravenous opioids in such patients.

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