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Download Pectus excavatum with bar placement Algorithm (131 KB)

Download Pectus excavatum with bar placement ERAS overview: patient/parent handout (English) (312 KB)

Download Pectus excavatum with bar placement ERAS overview: patient/parent handout (Spanish) (304 KB)

Publication Date



These guidelines do not establish a standard of care to be followed in every case. It is recognized that each case is different and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare guidelines for each. Accordingly, these guidelines should guide care with the understanding that departures from them may be required at times.

Objective of the Care Process Model

The Pectus Excavatum Repair with Bar Placement Enhanced Recovery After Surgery (ERAS) pathway aims to minimize the variation of care for the patient undergoing pectus excavatum repair with bar placement surgery, starting with the Center for Pectus Excavatum and Pectus Carinatum Clinic visit through hospital discharge. This includes optimizing pre-operative nutrition/metabolism, decreasing adverse medication side effects, promoting earlier return of bowel function, improving wound and anastomotic healing, and reducing overall hospitalization length of stay. In the last several decades the application of ERAS principles has shown significant improvements in various surgeries regarding length of stay, opioid use, pain control, and return to diet.

Target Users

Anesthesiologists; Pediatric surgeons; Nurse practitioners; OR nurses




Care Process Models (CPMs) promote evidence based, safe, and high-value care for patients with common or high-risk clinical conditions when national or international guidelines are not available or applicable. CPMs are informed by methodical review of scientific literature and the consensus of a multidisciplinary committee of subject matter experts and key stakeholders at Children’s Mercy Kansas City. Processes within CPMs may be specific to Children’s Mercy Kansas City and should be evaluated before applying to a different setting.

Care Process Models are updated on a revision schedule. Primary files will always be the most current update. Previous revisions are available upon request from Children’s Mercy Library Services.

Finalized/Revised: Sept 2022; Jan 2023

Pectus Excavatum With Bar Placement ERAS

Included in

Pediatrics Commons



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