Use of Cryoanalgesia for Pain Management for the Modified Ravitch Procedure in Children

Abstract Background Intercostal cryoablation(IC) for pain management in children undergoing Nuss Procedure has been previously described. We evaluated postoperative outcomes following Modified Ravitch procedure for pectus disorders comparing IC to thoracic epidural(TE). Materials and methods Single-center retrospective review of pediatric patients (age  Results Patient characteristics were similar. LOS was shorter with IC compared to TE (4 days versus 6; p  Conclusions IC during the Modified Ravitch reduced LOS compared to TE with improved pain control starting on POD 2, with similar narcotic utilization and complication rates. Level of Evidence Treatment Study, Level III (Retrospective comparative study).