What are the pain management options following 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

During the patient's hospital stay following corrective surgery for pectus excavatum, the author strongly recommends consultation with the anesthesia pain team. With intravenous narcotics and epidural analgesia, the pain that follows surgery can be controlled fairly well.

Typically, the thoracic epidural is removed 3-4 days after surgery, and most patients are discharged after 5-7 days. At the time of discharge, pain should be controlled with oral narcotics. NSAIDs, such as ibuprofen or ketorolac tromethamine (Toradol), are frequently added to the postoperative drug regimen. When using NSAIDs, consider adding histamine 2 (H2) blockers to prevent ulcer-related complications.


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