Comparison of Liposomal Bupivacaine and Conventional Local Anesthetic Agents in Regional Anesthesia: A Systematic Review

Jin, Zhaosheng; Ding, Olivia; Islam, A.; Li, R.; Lin, Jun

doi:10.1097/01.aoa.0000796144.39697.5e

Cited by 1 publication

(1 citation statement)

References 5 publications

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“…Liposomal bupivacaine local infiltration for TSA was associated with higher pain scores, greater opioid consumption and longer postanesthesia care unit stays, compared to single-injection ISB with ropivacaine [20 ▪▪ ]. Systematic review found little evidence that liposomal bupivacaine prolongs the duration of analgesia compared to conventional local anesthetics [21 ▪ ]. A combined systematic review and meta-analysis concluded that liposomal bupivacaine offered a small analgesic benefit that was not clinically relevant [22 ▪▪ ].…”

Section: Analgesic Pathway Componentsmentioning

confidence: 99%

Clinical care pathways for ambulatory total shoulder arthroplasty

Dong

YaDeau

2022

Current Opinion in Anaesthesiology

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Purpose of reviewTotal shoulder arthroplasty (TSA) is growing in popularity and is increasingly done on an ambulatory basis. This review examines recent developments in anesthesia and analgesia for ambulatory shoulder surgery. Pathway components are discussed and a sample pathway is described. Recent FindingsAdoption of pathways for shoulder surgery improves patient experience by reducing pain, opioid use, and side effects while improving patient satisfaction. Long-acting nerve blockade using adjuvants like dexamethasone provide long-lasting analgesia without rebound pain. Peripheral nerve blockade provides better analgesia than peri-articular injection of local anesthetic. There are multiple approaches to nerve blockade for shoulder surgery to consider, including interscalene, superior trunk, supraclavicular, and anterior suprascapular nerve blocks. Multimodal analgesia should include acetaminophen and nonsteroidal anti-inflammatory drugs, but routine gabapentinoids should not be used.

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Section: Analgesic Pathway Componentsmentioning

confidence: 99%