{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T19:29:34Z","timestamp":1792006174706,"version":"4.4.0"},"reference-count":37,"publisher":"Elsevier BV","issue":"10","license":[{"start":{"date-parts":[[2019,10,1]],"date-time":"2019-10-01T00:00:00Z","timestamp":1569888000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,10,1]],"date-time":"2019-10-01T00:00:00Z","timestamp":1569888000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jpedsurg.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pediatric Surgery"],"published-print":{"date-parts":[[2019,10]]},"DOI":"10.1016\/j.jpedsurg.2019.02.007","type":"journal-article","created":{"date-parts":[[2019,3,1]],"date-time":"2019-03-01T22:00:46Z","timestamp":1551477646000},"page":"1976-1983","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":20,"title":["Opioid use and length of stay following minimally invasive pectus excavatum repair in 436 patients \u2013 Benefits of an enhanced recovery pathway"],"prefix":"10.1016","volume":"54","author":[{"given":"David M.","family":"Holmes","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie F.","family":"Polites","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Penny L.","family":"Roskos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher R.","family":"Moir","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jpedsurg.2019.02.007_bb0005","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1016\/j.suc.2012.03.001","article-title":"Chest wall deformities in pediatric surgery","volume":"92","author":"Obermeyer","year":"2012","journal-title":"Surg Clin North Am"},{"key":"10.1016\/j.jpedsurg.2019.02.007_bb0010","doi-asserted-by":"crossref","first-page":"870","DOI":"10.1378\/chest.124.3.870","article-title":"Ventilatory and cardiovascular responses to exercise in patients with pectus excavatum","volume":"124","author":"Malek","year":"2003","journal-title":"Chest"},{"key":"10.1016\/j.jpedsurg.2019.02.007_bb0015","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1016\/j.jamcollsurg.2015.11.020","article-title":"Minimally invasive repairs of pectus excavatum: surgical outcomes, quality of life, and predictors of reoperation","volume":"222","author":"Gibreel","year":"2016","journal-title":"J Am Coll Surg"},{"key":"10.1016\/j.jpedsurg.2019.02.007_bb0020","doi-asserted-by":"crossref","first-page":"409","DOI":"10.21037\/acs.2016.08.06","article-title":"Ravitch versus Nuss procedure for pectus excavatum: systematic review and meta-analysis","volume":"5","author":"Kanagaratnam","year":"2016","journal-title":"Ann Cardiothorac Surg"},{"key":"10.1016\/j.jpedsurg.2019.02.007_bb0025","doi-asserted-by":"crossref","first-page":"1545","DOI":"10.1016\/j.jpedsurg.2017.05.028","article-title":"Comparison of the Nuss versus Ravitch procedure for pectus excavatum repair: an updated meta-analysis","volume":"52","author":"Mao","year":"2017","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.jpedsurg.2019.02.007_bb0030","doi-asserted-by":"crossref","first-page":"919","DOI":"10.1016\/j.jpedsurg.2014.01.025","article-title":"Postoperative opioid analgesic use after Nuss versus Ravitch pectus excavatum repair","volume":"49","author":"Papic","year":"2014","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.jpedsurg.2019.02.007_bb0035","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1016\/j.jpedsurg.2011.10.040","article-title":"Weesner KA, Weissend EE et al epidural vs patient-controlled analgesia for postoperative pain after pectus excavatum repair: a prospective, randomized trial","volume":"47","author":"St. Peter","year":"2012","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.jpedsurg.2019.02.007_bb0040","doi-asserted-by":"crossref","unstructured":"Adamina M, Kehlet H, Tomlinson GA, Senagore AJ, Delaney CP.Enhanced recovery pathways optimize health outcomes and resource utilization: a meta-analysis of randomized controlled trials in colorectal surgery. Surgery 201; 149:830\u2013840","DOI":"10.1016\/j.surg.2010.11.003"},{"key":"10.1016\/j.jpedsurg.2019.02.007_bb0045","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1016\/j.clnu.2010.01.004","article-title":"The enhanced recovery after surgery (ERAS) pathway for patients undergoing major elective open colorectal surgery: a meta-analysis of randomized controlled trials","volume":"29","author":"Varadhan","year":"2010","journal-title":"Clin Nutr"},{"key":"10.1016\/j.jpedsurg.2019.02.007_bb0050","first-page":"114","article-title":"An orthopaedic enhanced recovery pathway","volume":"21","author":"Wainwright","year":"2010","journal-title":"Current Anaesthesia & Critical Care"},{"key":"10.1016\/j.jpedsurg.2019.02.007_bb0055","doi-asserted-by":"crossref","first-page":"1123","DOI":"10.1007\/s00383-017-4148-6","article-title":"Enhancing recovery after minimally invasive repair of pectus excavatum","volume":"33","author":"Litz","year":"2017","journal-title":"Pediatr Surg Int"},{"key":"10.1016\/j.jpedsurg.2019.02.007_bb0060","doi-asserted-by":"crossref","first-page":"2126","DOI":"10.1016\/j.jpedsurg.2016.08.029","article-title":"Preparing enhanced recovery after surgery for implementation in pediatric populations","volume":"51","author":"Leeds","year":"2016","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.jpedsurg.2019.02.007_bb0065","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1016\/j.jpedsurg.2013.09.038","article-title":"Fast-track management is safe and effective after bowel resection in children with Crohn's disease","volume":"49","author":"Vrecenak","year":"2014","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.jpedsurg.2019.02.007_bb0070","doi-asserted-by":"crossref","first-page":"1924","DOI":"10.1016\/j.jpedsurg.2013.02.063","article-title":"Potential benefits of fast-track concepts in pediatric colorectal surgery","volume":"48","author":"West","year":"2013","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.jpedsurg.2019.02.007_bb0075","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1007\/s00423-008-0440-1","article-title":"Fast-track concepts in routine pediatric surgery: a prospective study in 436 infants and children","volume":"394","author":"Reismann","year":"2009","journal-title":"Langenbecks Arch Surg"},{"key":"10.1016\/j.jpedsurg.2019.02.007_bb0080","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1016\/j.jpedsurg.2006.09.022","article-title":"Fast-track surgery in infants and children","volume":"42","author":"Reismann","year":"2007","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.jpedsurg.2019.02.007_bb0085","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1089\/lap.2008.0121.supp","article-title":"Fast-track surgery of the colon in children","volume":"19","author":"Mattioli","year":"2009","journal-title":"J Laparoendosc Adv Surg Tech"},{"key":"10.1016\/j.jpedsurg.2019.02.007_bb0090","first-page":"419","article-title":"Implementation of fast-track pediatric surgery in a German nonacademic institution without previous fast-track experience","volume":"24","author":"Schukfeh","year":"2014","journal-title":"Eur J Pediatr Surg"},{"key":"10.1016\/j.jpedsurg.2019.02.007_bb0095","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1097\/JPS.0000000000000090","article-title":"Blazejak DL et a. Improving care of patients following minimally invasive pectus excavatum repair with standardization and collaboration","volume":"5","author":"Roskos","year":"2016","journal-title":"Journal of pediatric surgical Nursing"},{"key":"10.1016\/j.jpedsurg.2019.02.007_bb0100","doi-asserted-by":"crossref","first-page":"612","DOI":"10.1016\/j.jpedsurg.2015.10.084","volume":"51","author":"Singhal","year":"2016","journal-title":"J of Pediatric Surgery"},{"key":"10.1016\/j.jpedsurg.2019.02.007_bb0105","unstructured":"American Pain Society Principles of analgesic use in the treatment of acute pain and cancer pain. 6th ed. Glenview, IL: American pain Society; 2008."},{"key":"10.1016\/j.jpedsurg.2019.02.007_bb0110","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1016\/S0885-3924(01)00271-8","article-title":"Accuracy in equianalgesic dosing. Conversion dilemmas","volume":"21","author":"Anderson","year":"2001","journal-title":"J Pain Symptom Manage"},{"key":"10.1016\/j.jpedsurg.2019.02.007_bb0115","doi-asserted-by":"crossref","first-page":"672","DOI":"10.1016\/S0885-3924(01)00294-9","article-title":"Equianalgesic dose ratios for opioids. A critical review and proposals for long-term dosing","volume":"22","author":"Pereira","year":"2001","journal-title":"J Pain Symptom Manage"},{"key":"10.1016\/j.jpedsurg.2019.02.007_bb0120","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1345\/aph.1H421","article-title":"Opioid conversions in acute care","volume":"41","author":"Patanwala","year":"2007","journal-title":"Ann Pharmacother"},{"key":"10.1016\/j.jpedsurg.2019.02.007_bb0125","doi-asserted-by":"crossref","first-page":"1180","DOI":"10.1002\/pds.3851","article-title":"The influence of propoxyphene withdrawal on opioid use in veterans","volume":"24","author":"Hayes","year":"2015","journal-title":"Pharmacoepidemiol Drug Saf"},{"key":"10.1016\/j.jpedsurg.2019.02.007_bb0130","series-title":"Opioid morphine conversion factors","article-title":"GA","author":"Centers for disease control and prevention, Atlanta","year":"2014"},{"key":"10.1016\/j.jpedsurg.2019.02.007_bb0135","doi-asserted-by":"crossref","first-page":"828","DOI":"10.1016\/S0001-2092(06)61501-9","article-title":"The Nuss procedure for pectus excavatum correction","volume":"74","author":"Swoveland","year":"2001","journal-title":"AORN J"},{"key":"10.1016\/j.jpedsurg.2019.02.007_bb0140","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1007\/s00383-002-0915-z","article-title":"Experience in 100 cases with the Nuss procedure using a technique for stabilization of the pectus bar","volume":"19","author":"Uemura","year":"2003","journal-title":"Pediatr Surg Int"},{"key":"10.1016\/j.jpedsurg.2019.02.007_bb0145","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1016\/S0003-4975(03)01330-4","article-title":"The Nuss procedure for pectus excavatum: evolution of techniques and early results on 322 patients","volume":"77","author":"Park","year":"2004","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.jpedsurg.2019.02.007_bb0150","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1053\/jpsu.2001.20707","article-title":"Pectus excavatum repair: experience with standard and minimal invasive techniques","volume":"36","author":"Molik","year":"2001","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.jpedsurg.2019.02.007_bb0155","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1007\/s00268-003-7025-5","article-title":"Current management of pectus excavatum","volume":"27","author":"Fonkalsrud","year":"2003","journal-title":"World J Surg"},{"key":"10.1016\/j.jpedsurg.2019.02.007_bb0160","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1055\/s-2004-830570","article-title":"Results of Nuss procedures for the correction of pectus excavatum","volume":"15","author":"Bohosiewicz","year":"2005","journal-title":"Eur J Pediatr Surg"},{"key":"10.1016\/j.jpedsurg.2019.02.007_bb0165","doi-asserted-by":"crossref","unstructured":"St Peter SD1, Weesner KA, Sharp RJ, Sharp SW, Ostlie DJ, Holcomb GW 3rd. Is epidural anesthesia truly the best pain management strategy after minimally invasive pectus excavatum repair? J Pediatr Surg 2008 Jan;43(1):79\u201382","DOI":"10.1016\/j.jpedsurg.2007.09.024"},{"key":"10.1016\/j.jpedsurg.2019.02.007_bb0170","doi-asserted-by":"crossref","first-page":"516","DOI":"10.1111\/pan.12369","article-title":"A comparison of paravertebral nerve block catheters and thoracic epidural catheters for postoperative analgesia following the Nuss procedure for pectus excavatum repair","volume":"24","author":"Hall Burton","year":"2014","journal-title":"Paediatr Anaesth"},{"key":"10.1016\/j.jpedsurg.2019.02.007_bb0175","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1097\/AAP.0000000000000071","article-title":"A prospective randomized observer-blinded study to assess postoperative analgesia provided by an ultrasound-guided bilateral thoracic paravertebral block for children undergoing the Nuss procedure","volume":"39","author":"Qi","year":"2014","journal-title":"Reg Anesth Pain Med"},{"key":"10.1016\/j.jpedsurg.2019.02.007_bb0180","doi-asserted-by":"crossref","first-page":"612","DOI":"10.1016\/j.jpedsurg.2015.10.084","article-title":"Multimodal anesthesia with the addition of methadone is superior to epidural anesthesia: a retrospective comparison of intraoperative anesthetic techniques and pain management for 124 pediatric patients undergoing the Nuss procedure","volume":"51","author":"Singhal","year":"2016","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.jpedsurg.2019.02.007_bb0185","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/j.pain.2006.06.018","article-title":"Gabapentin and postoperative pain\u2014a systematic review of randomized controlled trials","volume":"126","author":"Ho","year":"2006","journal-title":"Pain"}],"container-title":["Journal of Pediatric Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022346819301186?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022346819301186?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T08:35:00Z","timestamp":1758357300000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022346819301186"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10]]},"references-count":37,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2019,10]]}},"alternative-id":["S0022346819301186"],"URL":"https:\/\/doi.org\/10.1016\/j.jpedsurg.2019.02.007","relation":{},"ISSN":["0022-3468"],"issn-type":[{"value":"0022-3468","type":"print"}],"subject":[],"published":{"date-parts":[[2019,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Opioid use and length of stay following minimally invasive pectus excavatum repair in 436 patients \u2013 Benefits of an enhanced recovery pathway","name":"articletitle","label":"Article Title"},{"value":"Journal of Pediatric Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jpedsurg.2019.02.007","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2019 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}