Liposomal Bupivacaine as a Single-Injection Peripheral Nerve Block
نویسندگان
چکیده
منابع مشابه
Neurotoxicity of perineural vs intraneural–extrafascicular injection of liposomal bupivacaine in the porcine model of sciatic nerve block†
Liposomal bupivacaine is a prolonged-release local anaesthetic, the neurotoxicity of which has not yet been determined. We used quantitative histomorphometric and immunohistochemical analyses to evaluate the neurotoxic effect of liposomal bupivacaine after perineural and intraneural (extrafascicular) injection of the sciatic nerve in pigs. In this double-blind prospective randomised trial, 4 ml...
متن کاملLiposomal Bupivacaine vs Interscalene Nerve Block for Pain Control After Shoulder Arthroplasty: A Retrospective Cohort Analysis.
The aim of this study was to compare liposomal bupivacaine and interscalene nerve block (ISNB) for analgesia after shoulder arthroplasty. We compared 37 patients who received liposomal bupivacaine vs 21 who received ISNB after shoulder arthroplasty by length of hospital stay (LOS), opioid consumption, and postoperative pain. Pain was the same in both groups for time intervals of 1 hour and 8 to...
متن کاملLiposomal bupivacaine versus interscalene nerve block for pain control after shoulder arthroplasty: a prospective randomized trial.
HYPOTHESIS Our hypothesis was that in patients undergoing shoulder arthroplasty, a prospective randomized trial would find no significant differences in average daily pain scores of those treated with interscalene nerve block (INB) vs. local liposomal bupivacaine (LB). METHODS Sixty patients undergoing primary shoulder arthroplasty were assessed for eligibility. Study arms included either int...
متن کاملWhen is a single-injection nerve block not really a single injection?
To the Editor:—I read, with interest, the case report describing a brachial plexopathy after an ultrasound-guided interscalene block in a patient with multiple sclerosis and the accompanying editorial and would like to make an observation not mentioned in either. Interscalene blocks have been performed using either mechanical paresthesia or electrical nerve stimulation, for decades, with succes...
متن کاملUnanticipated transient sciatic nerve deficits from intra-wound liposomal bupivacaine injection during total hip arthroplasty
Liposomal bupivacaine (Exparel®) is a novel formulation of local anesthetic used to provide extended postoperative analgesia as part of a multimodal pain control regimen in patients undergoing total joint arthroplasty. In the three total hip arthroplasty cases described, all patients exhibited a transient loss of neurologic function in the sciatic nerve distribution of the operated extremity la...
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ژورنال
عنوان ژورنال: Anesthesia & Analgesia
سال: 2013
ISSN: 0003-2999
DOI: 10.1213/ane.0b013e31829cc6ae