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Exparel/Peripheral Catheter Use in the Ambulatory Setting and Use of Peripheral Catheters Postoperatively in the Home Setting

  • Adam L. Bromberg
  • Jeremy A. Dennis
  • Karina GritsenkoEmail author
Other Pain (N Vadivelu and A Kaye, Section Editors)
  • 324 Downloads
Part of the following topical collections:
  1. Topical Collection on Other Pain

Abstract

Purpose of Review

With the increasing number of ambulatory surgeries being performed, regional anesthesia has become an increasingly popular anesthetic modality, and many choices exist to provide efficient, effective quality perioperative analgesia. In this paper, we will review the various regional anesthesia options in addition to the advantages and disadvantages of each. Lastly, we will discuss liposomal bupivicaine, a long acting local anesthetic, and its future role in the anesthesiologist’s armamentarium. The aim of the publication is to provide a general overview of regional anesthesia as well as to discuss the advantages and disadvantages of this modality. Additionally, we sought to review the basics of liposomal bupivicaine as well as the relevant literature.

Recent Findings

The results regarding liposomal bupivicaine are mixed and mainly focuses on local infiltration and intra-articular injections. There are no known studies specifically comparing liposomal bupivicaine to bupivicaine hydrochloride in ultrasound-guided nerve blocks.

Summary

There is some encouraging data regarding liposomal bupivicaine, but further studies are needed before it is adopted as a mainstay of treatment. In addition to efficacy, additional investigations are needed to evaluate cost as this could be a major impediment to its implementation.

Keywords

Exparel Nerve block Local anesthetics Peripheral nerve catheter Liposomal bupivacaine Postoperative analgesia 

Notes

Compliance with Ethical Standards

Conflict of Interest

Adam L. Bromberg, Jeremy A. Dennis, and Karina Gritsenko declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: •• Of major importance

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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  • Adam L. Bromberg
    • 1
  • Jeremy A. Dennis
    • 1
  • Karina Gritsenko
    • 1
    • 2
    • 3
    Email author
  1. 1.Department of AnesthesiologyMontefiore Medical Center, Albert Einstein College of MedicineBronxUSA
  2. 2.Department of Family & Social MedicineMontefiore Medical Center, Albert Einstein College of MedicineBronxUSA
  3. 3.Department of Physical Medicine and RehabilitationMontefiore Medical Center, Albert Einstein College of MedicineBronxUSA

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