Analysis of Factors Affecting Postoperative Opioid Requirement in Pediatric Patients Undergoing Pectus Excavatum Repair with Multimodal Analgesic Management

Children with pectus excavatum are treated surgical repair in a procedure known as minimally invasive of (MIRPE). MIRPE causes considerable postoperative pain, resulting the administration substantial dose opioids. This study aimed to identify perioperative factors that influence requirement for opioids children undergoing MIRPE. Retrospective data from who underwent were analyzed. A multimodal analgesic protocol was implemented continuous wound infiltration system and non-opioid analgesics. Intravenous opioid analgesics administered if pain score greater than 4. The cumulative use assessed by calculating morphine equivalent at 6, 24, 48 h after surgery. Perioperative affecting identified multiple linear regression analyses. included 527 aged 3–6 years, mean age 3.9 years. Symmetrically depressed chest walls, lower Haller index, revised depression index found be associated decreased Boys required higher doses girls. Longer bars (10 inches versus 9 inches) increased use. Severity indices, gender, length surgery analgesia.