What anesthesia is used in the surgical repair of pectus excavatum?

Updated: Oct 30, 2018
  • Author: Andre Hebra, MD; Chief Editor: Girish D Sharma, MD, FCCP, FAAP  more...
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Answer

The combination of general endotracheal anesthesia and a thoracic epidural is considered ideal. The epidural catheter is left in place for up to 3 days following the operation, providing excellent adjuvant therapy to pain management techniques. Patients and families must understand that, although the technique is considered minimally invasive, postoperative pain and discomfort can be significant because of the forceful bending of the sternum and cartilages. An indwelling Foley catheter is placed because urinary retention is common with thoracic epidurals. Orogastric tube decompression of the stomach is recommended only during the operation. Hemodynamic monitoring by the anesthesiologist does not necessitate central venous or arterial lines.


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