Britney Hegdy
25 statements · 1 topic
Featured statements
Despite these improvements, it remains a painful procedure that historically required multiple adjuncts and a large amount of narcotics to achieve pain relief.
quote ·
Pectus Excavatum
The cryo ablation subjects the intercostal nerves to extreme cold and is estimated to allow for pain control lasting weeks to months post ablation.
quote ·
Pectus Excavatum
Nothing matches these filters — clear the search or widen the filters.
Britney's statements about Pectus Excavatum 25 statements
Open the Pectus Excavatum collection →
BOB Ped Surg 2023 - Brittany Hegde, PAPS - Presentation
Statement
Minimally invasive repair of pectus excavatum is used to correct the most common thoracic anomaly in pediatric patients
Open
Quotation
Minimally invasive repair of pectus excavatum is used to correct the most common thoracic anomaly in pediatric patients.
Open
Statement
A previous study at the institution found the use of cryo during minimally invasive repair lowered post-operative opioid use and hospital length of stay without increasing complications
Open
Statement
Minimally invasive approach has been associated with decreased operative time, less blood loss and a quicker return to baseline compared to previous open approaches
Open
Statement
MIRPE remains a painful procedure that historically required multiple adjuncts and a large amount of narcotics to achieve pain relief
Open
Quotation
Despite these improvements, it remains a painful procedure that historically required multiple adjuncts and a large amount of narcotics to achieve pain relief.
Open
Statement
Probes are inserted via thoracoscopic port sites and activated at the site of intercostal nerves, usually bilaterally and within intercostal spaces three through seven
Open
Statement
Cryo ablation subjects the intercostal nerves to extreme cold and is estimated to allow for pain control lasting weeks to months post ablation
Open
Statement
Cryoablation is performed thoracoscopically using cryo nerve block probes under direct visualization
Open
Quotation
The cryo ablation subjects the intercostal nerves to extreme cold and is estimated to allow for pain control lasting weeks to months post ablation.
Open
Quotation
We hypothesized that cryo use would be associated with a decrease in total hospital costs, as well as a decrease in hospital days with no increase in post-operative complications.
Open
Statement
Study included pediatric patients less than 18 from January 2011 to December 2021 who underwent minimally invasive repair
Open
Statement
Total hospital cost data was adjusted for inflation by the consumer price index for medical services
Open
Statement
Cryo was introduced at the institution in November 2016 and every patient treated after this date received it
Open
Quotation
Cryo was introduced at our institution in November 2016 and every patient treated after this date received it.
Open
Statement
Of the 44 patients included, 29 (65.9%) received cryo during minimally invasive repair
Open
Statement
Both treatment groups were similar regarding age, height, weight, insurance status, race, symptoms at presentation and Haller index
Open
Statement
Cryo use was associated with a 100% probability of reduction in index hospital days compared to no cryo use
Open
Statement
Bayesian models were used to analyze the impact of cryo on various outcomes utilizing a neutral prior assuming no treatment effect
Open
Statement
Cryo use was associated with an 89% probability of total hospital cost reduction compared to no cryo use with a difference in total cost of $880
Open
Statement
When comparing total hospital days including readmissions during 90 days, there was a 99% probability of total hospital days reduction with the use of cryo
Open
Statement
The decrease in total cost is likely attributable to the impact of cryo use on hospital days
Open
Statement
Cryo use was associated with a 70% probability of reduction in post-operative complications compared to no cryo use
Open
Statement
The incidence of post-operative complications did not differ between treatment groups
Open