Journal of pediatric surgery
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During the COVID-19 pandemic, experience-based guidelines are needed in the pediatric population in order to deliver high quality care in a new way that keeps patients and healthcare workers safe and maximizes hospital resource utilization. ⋯ Clinical research paper LEVEL OF EVIDENCE: Level V.
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Pain following bar placement for pectus excavatum is the dominant factor post-operatively and determines length of stay (LOS). We recently adopted intercostal cryoablation as our preferred method of pain control following minimally invasive pectus excavatum repair. We compared the outcomes of cryoablation to results of a recently concluded trial of epidural (EPI) and patient-controlled analgesia (PCA) protocols. ⋯ II.
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Multicenter Study
Characterization of initial North American pediatric surgical response to the COVID-19 pandemic.
The impact of COVID-19 pandemic on pediatric surgical care systems is unknown. We present an initial evaluation of self-reported pediatric surgical policy changes from hospitals across North America. ⋯ III.
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Intercostal cryoablation(IC) for pain management in children undergoing Nuss Procedure has been previously described. We evaluated postoperative outcomes following Modified Ravitch procedure for pectus disorders comparing IC to thoracic epidural(TE). ⋯ Treatment Study, Level III (Retrospective comparative study).
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To improve opioid stewardship for umbilical hernia repair in children. ⋯ Level II.