The Korean Journal of Pain

  • 제25권4호
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  • Pages.267-271
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  • 2012
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  • 2005-9159(pISSN)
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  • 2093-0569(eISSN)
대한통증학회 (The Korean Pain Society)
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Pain and Anxiety Management in Minimally Invasive Repair of Pectus Excavatum

  • 투고 : 2012.06.11
  • 심사 : 2012.06.29
  • 발행 : 2012.10.01
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초록

The Nuss procedure for the correction of Pectus Excavatum (PE) is associated with intense postoperative pain. Our strategy to control early postoperative pain is to combine epidural with intravenous analgesia. Our aim was to analyse our pain control strategy by reviewing all the PE cases treated at our institution. Sixty consecutive patients, aged between 12 and 26 years old, received the PE operation at our institution from January, 2007 to September, 2010. The median age was 16 (12-27) with a male/female ratio of about 7/1. An epidural catheter was employed in all the cases, with 38 patients (63%) requiring additional drugs to control pain, which remained in place for 74 hours (72-96). The pain score was higher in male patients, but lower in those younger than 16 years old. Moreover, patients that consumed benzodiazepines had a significant decrease in cumulative opioid intake (P = 0.0408). Both gender and age had an impact on pain control, while we noticed a synergistic effect between opiates and tranquillizers.

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참고문헌

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피인용 문헌

  1. Pain management following the Nuss procedure: a survey of practice and review vol.58, pp.9, 2014, https://doi.org/10.1111/aas.12376
  2. Intraoperative intercostal nerve cryoablation During the Nuss procedure reduces length of stay and opioid requirement: A randomized clinical trial vol.54, pp.11, 2012, https://doi.org/10.1016/j.jpedsurg.2019.02.057
  3. The incidence of neuropathic pain after intercostal cryoablation during the Nuss procedure vol.36, pp.3, 2012, https://doi.org/10.1007/s00383-019-04602-1
  4. Anaesthesia for the surgical correction of chest wall deformities vol.20, pp.8, 2020, https://doi.org/10.1016/j.bjae.2020.04.003