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Letter to editor in response to article entitled “Earlier liposomal bupivacaine blocks improve analgesia and decrease opioid requirements for bariatric surgery patients”

  • Tian Tian
    Affiliations
    Department of Anesthesiology, Beijing Friendship Hospital, Capital Medical University, Beijing, PR China
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  • Fu-Shan Xue
    Correspondence
    Corresponding author. Department of Anesthesiology, Beijing Friendship Hospital, Capital Medical University, NO. 95 Yong-An Road, Xi-Cheng District, Beijing, 100050, PR China.;
    Affiliations
    Department of Anesthesiology, Beijing Friendship Hospital, Capital Medical University, Beijing, PR China
    Search for articles by this author
  • Xin-Tao Li
    Affiliations
    Department of Anesthesiology, Beijing Friendship Hospital, Capital Medical University, Beijing, PR China
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      By a retrospective analysis of a prospectively collected database including 86 patients who underwent bariatric surgery with transversus abdominis plane (TAP) blocks, Cralley et al.
      • Cralley A.L.
      • Hopman J.
      • Leasia K.
      • Robinson C.
      • Morton A.
      • Pieracci F.M.
      Earlier liposomal bupivacaine blocks improve analgesia and decrease opioid requirements for bariatric surgery patients.
      showed that performing the TAP blocks with liposomal bupivacaine prior to the beginning of surgery resulted in a significantly decreased opioid consumption compared to the implementation of TAP blocks with liposomal bupivacaine at the end of surgery. As application of a multimodal analgesia protocol including a nerve block to improve postoperative analgesia is being emphasized in current practice of enhanced recovery after surgery protocols,
      • Mancel L.
      • Van Loon K.
      • Lopez A.M.
      Role of regional anesthesia in enhanced recovery after surgery (ERAS) protocols.
      this study has the potential implications. However, we wished to remind readers for attention on several issues that were not well addressed in this study.
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