Related Experiment Video

Updated: Jun 12, 2026

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
04:38

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy

Published on: April 19, 2024

[Characteristics of postoperative period in children with funnel chest deformity after thoracoplasty]

T P Mishina, P A Isalabdulaeva, A D Magomedov

    Anesteziologiia I Reanimatologiia
    |June 23, 2010
    PubMed

    Insights

    Epidural bupivacaine provided effective postoperative pain relief in children undergoing funnel chest surgery. Opioid analgesics did not impair breathing during recovery, showing good pain management strategies.

    Area of Science:

    • Pediatric Surgery
    • Anesthesiology
    • Pain Management

    Background:

    • Postoperative pain management is crucial for pediatric patients after major surgery.
    • Funnel chest deformity (pectus excavatum) repair often involves significant postoperative pain.
    • Optimizing analgesia while minimizing respiratory complications is a key challenge.

    Purpose of the Study:

    • To evaluate the efficacy of epidural bupivacaine infusion for postoperative analgesia in children after plasty thoracoplasty.
    • To compare the effects of epidural bupivacaine with opioid analgesics on pain scores and respiratory parameters.

    Main Methods:

    • A study involving 42 children receiving epidural bupivacaine (0.2 mg/kg/hr) and 17 children receiving opioid analgesics (1 mg/year of life) after plasty thoracoplasty.
    • Monitoring of hemodynamic and external respiratory parameters.
    • Assessment of visual pain scores.

    Main Results:

    • Epidural bupivacaine infusion demonstrated high postoperative analgesic efficiency.
    • Opioid analgesics, despite causing respiratory depression, did not worsen alveolar ventilation during active postoperative management.
    • Both methods provided pain relief, with epidural bupivacaine showing superior efficiency.

    Conclusions:

    • Epidural bupivacaine infusion is a highly effective method for postoperative pain management in children following plasty thoracoplasty.
    • Opioid analgesics can be used safely in the postoperative period without compromising alveolar ventilation with appropriate management.
    • These findings support the use of multimodal analgesia strategies in pediatric thoracic surgery.

    Related Concept Videos

    Pneumothorax-II01:27

    Pneumothorax-II

    Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
    Clinical Manifestations:
    Flail Chest-II01:26

    Flail Chest-II

    Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
    Assessment:
    1. Clinical Evaluation:
    History:
    Endoscopic Studies II: Thoracocentesis01:26

    Endoscopic Studies II: Thoracocentesis

    Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
    Description
    Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
    Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

    Cardiomyopathy VII: Pre and Post Operative Nursing Management

    Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
    Chest Physiotherapy01:24

    Chest Physiotherapy

    Chest Physiotherapy (CPT) is a therapeutic technique used in respiratory care to improve ventilation, clear bronchial secretions, and enhance the efficiency of respiratory muscles. This therapy includes three primary procedures: postural drainage, percussion, and vibration. It can be performed on spontaneously breathing patients and those who are intubated and mechanically ventilated.
    Purpose
    CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
    Pulmonary Cycle: Exhalation01:17

    Pulmonary Cycle: Exhalation

    In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...