Effect of cryoablation in Nuss bar placement on opioid utilization and length of stay
Topic overview
This retrospective study compared intercostal nerve cryoablation to paravertebral blocks for pain control after minimally invasive pectus excavatum repair in 255 pediatric patients. Cryoablation reduced inpatient opioid use by half, discharge prescriptions by 75%, and hospital stay by one day, despite adding 25 minutes to operative time.
Key takeaways
- Intercostal nerve cryoablation reduced inpatient opioid use by >50% compared to paravertebral blocks after pectus excavatum repair.
- Cryoablation decreased length of stay by 1 day (3 vs 4 days) without increasing complication rates.
- Opioid prescriptions at discharge were 4-fold lower with cryoablation (90 MME vs 390 MME).
- Cryoablation added 25 minutes to operative time but provided superior postoperative pain control.
- Transition from nerve blocks to cryoablation offers a safer opioid-sparing strategy for pediatric thoracic surgery.
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How to cite: GlobalCastMD. Effect of cryoablation in Nuss bar placement on opioid utilization and length of stay. GlobalCastMD Medical Library. 2024-10-03. https://dev.library.globalcastmd.com/article/9244?via_space=staycurrentmd
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