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.
1
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,
- 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.
Am J Surg. Feb 2022; https://doi.org/10.1016/j.amjsurg.2022.02.052
2
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.To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to The American Journal of SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Earlier liposomal bupivacaine blocks improve analgesia and decrease opioid requirements for bariatric surgery patients.Am J Surg. Feb 2022; https://doi.org/10.1016/j.amjsurg.2022.02.052
- Role of regional anesthesia in enhanced recovery after surgery (ERAS) protocols.Curr Opin Anaesthesiol. Oct 2021; 34: 616-625https://doi.org/10.1097/ACO.0000000000001048
- Preventive analgesia for postoperative pain control: a broader concept.Local Reg Anesth. May 2014; 7: 17-22https://doi.org/10.2147/LRA.S62160
- Minimal clinically important differences in randomised clinical trials on pain management after total hip and knee arthroplasty: a systematic review.Br J Anaesth. May. 2021; 126: 1029-1037https://doi.org/10.1016/j.bja.2021.01.021
- Tramadol. A preliminary review of its pharmacodynamic and pharmacokinetic properties, and therapeutic potential in acute and chronic pain states.Drugs. Aug. 1993; 46: 313-340https://doi.org/10.2165/00003495-199346020-00008
- Impact of ultrasound-guided transversus abdominis plane block on postoperative pain and early outcome after laparoscopic bariatric surgery: a randomized double-blinded controlled trial.Obes Surg. May 2019; 29: 1534-1541https://doi.org/10.1007/s11695-019-03720-y
- Effect of intravenous infusion of lidocaine compared with ultrasound-guided transverse abdominal plane block on the quality of postoperative recovery in patients undergoing laparoscopic bariatric surgery.Drug Des Devel Ther. Mar. 2022; 16: 739-748https://doi.org/10.2147/DDDT.S356880
Article info
Publication history
Published online: May 06, 2022
Accepted:
May 4,
2022
Received:
April 29,
2022
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
