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Chapter 48 - Pectus Excavatum

The Nuss Procedure

Published online by Cambridge University Press:  30 November 2019

By
Adam C. Adler
Edited by
Adam C. Adler ,
Arvind Chandrakantan  and
Ronald S. Litman
Adam C. Adler
Affiliation:
Texas Children's Hospital
Arvind Chandrakantan
Affiliation:
Texas Children's Hospital
Ronald S. Litman
Affiliation:
The Children's Hospital of Philadelphia
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Summary

In this chapter, pectus excavatum is discussed with regard to diagnosis, surgical indications, evaluation of severity and surgical approaches.The author reviews the anesthesia implications for the minimally invasive thoracoscopic approach (currently the standard technique) as well as a multimodal approach to pain management including regional and medical management options.

Keywords

Pectus excavatumNuss barHaller indexright ventriclecompressionanalgesia
Type
Chapter
Information
Case Studies in Pediatric Anesthesia , pp. 208 - 210
Publisher: Cambridge University Press
Print publication year: 2019

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References

Suggested Reading

Keller, BA, Kabagambe, SK, Becker, JC, et al. Intercostal nerve cryoablation versus thoracic epidural catheters for postoperative analgesia following pectus excavatum repair: Preliminary outcomes in twenty-six cryoablation patients. J Pediatr Surg. 2016;51(12):2033–8. PMID: 27745867.CrossRefGoogle ScholarPubMed
Loftus, PD, Elder, CT, Russell, KW, et al. Paravertebral regional blocks decrease length of stay following surgery for pectus excavatum in children. J Pediatr Surg. 2016;51(1):149–53. PMID: 26577910.CrossRefGoogle ScholarPubMed
Nuss, D, Obermeyer, RJ, Kelly, RE. Nuss bar procedure: past, present and future. Ann Cardiothorac Surg. 2016;5(5):422–33. PMID: 27747175.CrossRefGoogle ScholarPubMed

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