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- W2034346199 abstract "The minimally invasive approach to repair pectus excavatum (Nuss procedure) results in a smaller scar, but significant pain. This retrospective study compares the post-operative pain management outcomes of adolescents who self-selected to receive self-hypnosis training prior to Nuss Procedure with those who did not receive training. In 2011, 8 of 22 patients who underwent Nuss procedure received self-hypnosis training. Post-operatively, patients received epidural analgesia with local anesthetic, intravenous (IV) patient-controlled opioid analgesia (PCA), IV NSAIDs and transitioned to oral opioids and NSAIDs. Patients who received pre-surgical self-hypnosis training used fewer milligrams per hour of morphine equivalents (p=0.012) and reported lower mean pain intensity over the first five days of their hospital stay (p=0.041). There was no difference in length of stay or maximum self-reported pain scores. Despite the opioid-sparing effect of self-hypnosis training, nausea, vomiting, and hypoventilation were significant adverse effects experienced by patients in both groups. The results of this retrospective study suggest hypnosis provides an opioid-sparing effect for managing moderate to severe pediatric post-operative pain after Nuss procedure. A randomized clinical trial is needed to validate the effectiveness of hypnosis for symptom management after painful pediatric surgical procedures. The minimally invasive approach to repair pectus excavatum (Nuss procedure) results in a smaller scar, but significant pain. This retrospective study compares the post-operative pain management outcomes of adolescents who self-selected to receive self-hypnosis training prior to Nuss Procedure with those who did not receive training. In 2011, 8 of 22 patients who underwent Nuss procedure received self-hypnosis training. Post-operatively, patients received epidural analgesia with local anesthetic, intravenous (IV) patient-controlled opioid analgesia (PCA), IV NSAIDs and transitioned to oral opioids and NSAIDs. Patients who received pre-surgical self-hypnosis training used fewer milligrams per hour of morphine equivalents (p=0.012) and reported lower mean pain intensity over the first five days of their hospital stay (p=0.041). There was no difference in length of stay or maximum self-reported pain scores. Despite the opioid-sparing effect of self-hypnosis training, nausea, vomiting, and hypoventilation were significant adverse effects experienced by patients in both groups. The results of this retrospective study suggest hypnosis provides an opioid-sparing effect for managing moderate to severe pediatric post-operative pain after Nuss procedure. A randomized clinical trial is needed to validate the effectiveness of hypnosis for symptom management after painful pediatric surgical procedures." @default.
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- W2034346199 date "2014-04-01" @default.
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- W2034346199 title "(569) Effectiveness of hypnosis for post-operative pain management of minimally invasive thorascopic approach to repair pectus excavatum: retrospective analysis" @default.
- W2034346199 doi "https://doi.org/10.1016/j.jpain.2014.01.482" @default.
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