Muhly WT, et al. - In this multicenter registry report from the Society for Pediatric Anesthesia Improvement Network, researchers characterized the analgesic strategies used to manage pediatric patients undergoing minimally invasive repair of pectus excavatum (MIRPE), as well as the associations of these strategies with pain outcomes. An observational methodology was used where each institution (n=14) managed patients based on their institutional standards and protocols. They collected data on 348 patients categorized based on primary analgesic strategy: epidural catheter (EC, 122), paravertebral catheter (57), wound catheter (41), no regional (120) analgesia, and intrathecal morphine (8). Irrespective of analgesic management, mild-to-moderate pain was experienced by most patients in the postoperative period. Relative to other treatment strategies, lower pain scores and opioid consumption were seen in the early recovery period in patients managed with EC.