Pediatric surgery international
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Pediatr. Surg. Int. · Jan 2021
Enhanced recovery after surgery and anesthetic outcomes in pediatric reconstructive urologic surgery.
Enhanced recovery after surgery (ERAS) is a perioperative management strategy to hasten postoperative recovery. We examined the effects of a pilot implementation of ERAS for pediatric patients on anesthetic outcomes. ⋯ The implementation of an ERAS protocol appears to decrease postoperative pain, opioid usage, and positively impact other anesthetic outcomes in children undergoing urologic reconstructive surgery utilizing a bowel anastomosis.
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Pediatr. Surg. Int. · Jan 2021
Use of cryoanalgesia as a postoperative pain management for open pectus carinatum repair.
Cryoanalgesia has shown to have safety and efficacy as an adjunct post-operative pain management for Nuss procedure. One retrospective study reported its efficacy for analgesia with the Ravitch procedure, with improved pain scores and decreased length of stay versus thoracic epidural. We describe our initial experience with the use of cryoanalgesia for an open repair of pectus carinatum. ⋯ Cryoanalgesia is a safe and effective pain management strategy for pediatric patients undergoing open pectus carinatum repair.