Erschienen in:
07.06.2018 | Letter to the Editor
Letter to the Editor: Early Consequences of Pectus Excavatum Surgery on Self-Esteem and General Quality of Life
verfasst von:
Curtis Darling, Stephanie Chao, Radhamangalm Ramamurthi, Ban Tsui
Erschienen in:
World Journal of Surgery
|
Ausgabe 3/2019
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Excerpt
We read with great interest the excellent report regarding self-esteem and general quality of life (QoL) in patients undergoing the Nuss procedure by Zuidema et al. We agree that successful pain management is necessary to prevent the pain cascade and the ill effects of pain on general health and emotional limitations in the first weeks postoperatively [
1]. Opiate patient-controlled analgesia (PCA) and epidural analgesic techniques are predominantly utilized despite limitations including sedation, respiratory depression, urinary retention, headache, and delayed discharge, among others [
2,
3]. Patients are frequently discharged on postoperative day (POD) 4 or 5 in order to achieve adequate pain control and transition effectively to oral analgesics. The erector spinae plane block (ESPB) is a recently described peripheral regional block with a wide variety of surgical applications successfully implemented at our institution [
4,
5]. With patient assent and parental consent, we would like to share our experience of an adolescent boy with excellent postoperative pain control after Nuss bar placement. …
