{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T01:55:05Z","timestamp":1780624505688,"version":"3.54.1"},"reference-count":25,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2014,8,4]],"date-time":"2014-08-04T00:00:00Z","timestamp":1407110400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Anaesthesiol Scand"],"published-print":{"date-parts":[[2014,10]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Pectus excavatum is the most common congenital chest wall deformity. The <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>uss procedure is frequently used for surgical correction and this technique has been associated with severe and prolonged post\u2010operative pain. At the present time, the optimal analgesic strategy for managing patients following this procedure has not been determined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A web\u2010based survey was sent to representatives from 108 primarily pediatric hospitals in <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>orth <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>merica, <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>urope, <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>sia and <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ustralia. One individual per institution was contacted to complete the survey on behalf of their department.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Survey response rate was 54% and 55 institutions reported using the <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>uss procedure for correction of pectus excavatum. Annual case volume is less than or equal to 25 cases in 57% of institutions, and the most common age of patients is 14 to 17 years old. A clinical protocol for patient post\u2010operative pain management is used in 45% of institutions. Thoracic epidural is utilized as a primary analgesic modality by 91% of institutions. Concomitant use of intravenous patient\u2010controlled analgesia is reported by 27% of institutions. Nine respondents (16%) reported that they had recently stopped performing epidurals because of surgeon preference. Referral of one or more patients annually for chronic pain management was reported in 22% of surveys.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Post\u2010operative pain management following the <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>uss procedure is variable and poorly characterized. Clinical trials or large observational registries comparing the safety and efficacy of primary modalities and long\u2010term outcomes are needed to enable evidence\u2010based decision\u2010making for the management of these patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aas.12376","type":"journal-article","created":{"date-parts":[[2014,8,4]],"date-time":"2014-08-04T09:14:13Z","timestamp":1407143653000},"page":"1134-1139","source":"Crossref","is-referenced-by-count":51,"title":["Pain management following the <scp>N<\/scp>uss procedure: a survey of practice and review"],"prefix":"10.1111","volume":"58","author":[{"given":"W. T.","family":"MUHLY","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Critical Care Medicine The Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania  Philadelphia PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L. G.","family":"MAXWELL","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Critical Care Medicine The Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania  Philadelphia PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. P.","family":"CRAVERO","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Perioperative and Pain Medicine Boston Children's Hospital, Harvard School of Medicine  Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,8,4]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.admecli.2004.06.002"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181effdce"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2010.01.028"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2007.09.024"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aem055"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2007.05.050"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/MJT.0b013e318187de3e"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2011.10.040"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e31826918b6"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.1992.tb02336.x"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/76.6.811"},{"key":"e_1_2_8_14_1","first-page":"543","article-title":"Continuous paravertebral block for post thoracotomy analgesia in children","volume":"38","author":"Shah R","year":"1997","journal-title":"J Cardiovasc Surg (Torino)"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/pan.12369"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2009.03009.x"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-013-3296-6"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11832-011-0337-3"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.3344\/kjp.2012.25.4.267"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1213\/01.ane.0000261517.27532.80"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e318249d36e"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e3181d41dc2"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.2165\/00002018-199716050-00003"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.2165\/00003495-199753010-00012"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.4097\/kjae.2012.62.2.142"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.3349\/ymj.2012.53.2.427"}],"container-title":["Acta Anaesthesiologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Faas.12376","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aas.12376","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T18:03:03Z","timestamp":1695492183000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/aas.12376"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,8,4]]},"references-count":25,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2014,10]]}},"alternative-id":["10.1111\/aas.12376"],"URL":"https:\/\/doi.org\/10.1111\/aas.12376","archive":["Portico"],"relation":{},"ISSN":["0001-5172","1399-6576"],"issn-type":[{"value":"0001-5172","type":"print"},{"value":"1399-6576","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,8,4]]}}}