PURPOSE: Management of postoperative @entity158 following repair of @entity1408 has traditionally included @entity1337 , narcotics, and @entity1245 . We hypothesized that the use of intercostal or paravertebral regional blocks could result in decreased inpatient length of stay (LOS). METHODS: We conducted a retrospective cohort study of 137 @entity1 (118 Nuss and 19 Ravitch - Nuss and Ravitch @entity1 were analyzed separately) who underwent surgical repair of @entity1408 with @entity158 management via epidural, intercostal, or paravertebral analgesia from January 2009-December 2012. Measured outcomes included LOS, @entity158 scores, @entity1245 /narcotic requirements, emesis, professional fees, hospital cost, and total cost. RESULTS: In the Nuss @entity1 , LOS was significantly reduced in the paravertebral group (p<0.005) and the intercostal group (p<0.005) compared to the epidural group, but was @entity2121 countered by a nonsignificant increase in total cost (p=0.09). While @entity1245 doses/day was not increased in the paravertebral group (p=0.08), an increase was seen in narcotic use (p<0.005). Despite increased narcotic use, no differences were seen in emesis between epidural and paravertebral use. Compared to epidural, @entity158 scores were higher for both intercostal and paravertebral on day one (p<0.005), but equivalent for paravertebral on day three (p=0.62). The Ravitch group was too small for detailed independent statistical analysis but followed the same overall trend seen in the Nuss @entity1 . CONCLUSION: Our use of paravertebral continuous infusion @entity158 catheters for @entity1408 repair was an effective alternative to epidural analgesia resulting in shorter LOS but not a decrease in overall cost.

Paravertebral regional blocks decrease length of stay following surgery for XXXX in @entity1 .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1337 :: ('MESH:D000699', 'Disease') :: ['thoracic epidural analgesia'] @entity2121 :: ('MESH:D019320', 'Disease') :: ['paradoxically'] @entity1245 :: ('MESH:D001569', 'Chemical') :: ['benzodiazepine', 'benzodiazepines'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity1408 :: ('MESH:D005660', 'Disease') :: ['pectus excavatum']
@entity1408 :: (MESH:D005660,Disease) :: ['pectus excavatum']
