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Pectus ESC Outcomes and Comparative Effectiveness Study (PectusESC)

Cincinnati Children's Hospital Medical Center logo

Cincinnati Children's Hospital Medical Center

Status

Active, not recruiting

Conditions

Pain, Postoperative
Pectus Excavatum

Treatments

Other: Multimodal Erector spinae catheter protocol

Study type

Observational

Funder types

Other

Identifiers

NCT05063695
2021-0374

Details and patient eligibility

About

Investigators hypothesize that Erector spinae catheter pain management protocol would allow patients to have earlier and more effective rehabilitation with decreased length of hospital stay. The aims are to compare LOS between the two groups (epidural and ES groups). Secondary aims are to compare recovery outcomes (mobilization time), time required to do the blocks, pain scores and opioid use during hospitalization and on follow up after discharge until Pain clinic visit, side effects, family satisfaction and readmissions among the two groups. In addition, in-hospital and post-discharge outcomes in subjects who received ESP protocol will be studied.

Full description

Retrospective study - Electronic medical records of consecutive patients who underwent pectus surgery between January and December of 2019 (epidural protocol) and those who underwent same procedure between June 2020 to May 2021, will be evaluated. Covariates and outcomes described in sections below will be recorded from EMR. The data included records from flowsheets, pain team notes based on follow up questionnaires administered by phone after discharge until after ESP catheters were removed, as well as pain clinic notes.

Enrollment

220 estimated patients

Sex

All

Ages

8+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Age>8 years
  • Diagnosis of pectus excavatum who underwent Nuss procedure
  • Pain regimen included either epidural catheter or ES catheters

Exclusion criteria

  • Developmental delay
  • prior pectus repair
  • concomitant procedures

Trial design

220 participants in 2 patient groups

Epidural
Description:
Patients who underwent Nuss procedure under epidural protocol (between January and December of 2019)
ESP
Description:
Patients who underwent Nuss procedure using ESP catheter protocol (June 2020 to April 2021)
Treatment:
Other: Multimodal Erector spinae catheter protocol

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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