This is a single institution, prospective, randomized clinical
trial comparing pain management strategies for patients who undergo
the minimally invasive repair of a pectus excavatum deformity (Nuss
One-hundred ten patients will be randomized in this definitive
study. One group will undergo an attempt at epidural
regional analgesia (epidural) for postoperative pain control. The
other group will receive patient-controlled intravenous systemic
analgesia (PCA) with continuous infusion and on-demand boluses.
Our retrospective data (J Pediatr Surg 43:79-82, 2008)
suggest that each method holds potential advantages. Thus,
this trial will define which method is more efficacious to apply to
this population. The primary endpoint is length of postoperative
hospitalization following the Nuss operation.