• Pain management · Jan 2018

    Subcutaneous local anesthetic infusion could eliminate use of epidural analgesia after the Nuss procedure.

    • Sandra K Kabagambe, Laura F Goodman, Y Julia Chen, Benjamin A Keller, James C Becker, Gary W Raff, Rebecca A Stark, Jacob T Stephenson, Amy Rahm, Diana L Farmer, and Shinjiro Hirose.
    • Department of Surgery, University of California Davis, Sacramento, CA 95817, USA.
    • Pain Manag. 2018 Jan 1; 8 (1): 9-13.

    AimTo compare outcomes of continuous subcutaneous infusion of local anesthetic and epidural analgesia following the Nuss procedure.Patients & MethodsA retrospective chart review compared patients managed with subcutaneous local anesthetic infusion (n = 12) versus thoracic epidural (n = 19) following the Nuss procedure from March 2013 to June 2015.ResultsThere was no difference in hospital length of stay or days on intravenous narcotics. Epidural catheter placement prolonged operating room time (146.58 ± 28.30 vs 121.42 ± 21.98 min, p = 0.01). Average pain scores were slightly higher in the subcutaneous infusion group (3.72 ± 1.62 vs 2.35 ± 0.95, p = 0.02), but of negligible clinical significance.ConclusionContinuous subcutaneous infusion of local anesthetic could eliminate the need for thoracic epidural for pain management after the Nuss procedure.

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