Abstract
Adolescents undergoing pectus deformity repairs typically have significant postoperative pain. Management following repair consists of opioids, non-opioid adjuvants with either a thoracic epidural or paravertebral catheter.1,2 Enhanced Recovery After Surgery (ERAS) protocols have been established in the adult population and are now becoming more common in pediatrics and adolescents.2,3 A standardized Pectus Pain Management Clinical Pathway (PPMCP) was established in 2017 at our institution by the anesthesiology team. Later a multidisciplinary clinical care guideline (CCG) was established in May 2019 through collaboration with the surgery, anesthesia, physical therapy and nursing teams. The acute pain team at Lurie Children's Hospital of Chicago have observed improvement in the postoperative course of these patients since the establishment of both the PPMCP and then the CCG. Therefore, a retrospective study was done to evaluate the effects of standardization of care for patients undergoing pectus excavatum repair.
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