Preperitoneal Bupivacaine Infiltration Reduces Postoperative Opioid Consumption, Acute Pain, and Chronic Postsurgical Pain After Bariatric Surgery: a Randomized Controlled Trial

Boerboom, Saskia L.; Haes, Ann De; Wetering, Lianne Vd; Aarts, Edo O.; Janssen, Ignace M. C.; Geurts, José W.; Kamphuis, Ed T.

doi:10.1007/s11695-018-3341-6

Cited by 22 publications

(16 citation statements)

References 30 publications

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“…Ultrasound-guided transversus abdominis plane block can decrease pain scores and opioid requirement, and improve ambulation after bariatric surgery [ 134 ]. Infiltration of bupivacaine 0.5% before incision results in a reduction in opioid consumption and postoperative pain [ 135 ]. Other promising strategies are intraperitoneal instillation of bupivacaine [ 136 ] and erector spinae plane block [ 137 ].…”

Section: Results: Evidence Base and Recommendationsmentioning

confidence: 99%

Guidelines for Perioperative Care in Bariatric Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations: A 2021 Update

et al. 2022

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Background This is the second updated Enhanced Recovery After Surgery (ERAS®) Society guideline, presenting a consensus for optimal perioperative care in bariatric surgery and providing recommendations for each ERAS item within the ERAS® protocol. Methods A principal literature search was performed utilizing the Pubmed, EMBASE, Cochrane databases and ClinicalTrials.gov through December 2020, with particular attention paid to meta-analyses, randomized controlled trials and large prospective cohort studies. Selected studies were examined, reviewed and graded according to the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system. After critical appraisal of these studies, the group of authors reached consensus regarding recommendations. Results The quality of evidence for many ERAS interventions remains relatively low in a bariatric setting and evidence-based practices may need to be extrapolated from other surgeries. Conclusion A comprehensive, updated evidence-based consensus was reached and is presented in this review by the ERAS® Society.

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Section: Results: Evidence Base and Recommendationsmentioning

confidence: 99%

Guidelines for Perioperative Care in Bariatric Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations: A 2021 Update

et al. 2022

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“…In addition to decreased inhalant dosing, the need for rescue analgesia, including opioids, is decreased with the use of local/regional analgesia. In humans (Bergese et al, 2012;Blanco, Ansari, & Girgis, 2015;Boerboom et al, 2018;Candiotti, 2012;Lombardi, 2014;Malik, Kaye, Belani, & Urman, 2017;Marques et al, 2014;Stokes et al, 2017) and dogs/ cats (Benito et al, 2016;Carpenter et al, 2004;Flecknell, Kirk, Liles, Hayes, & Dark, 1991;Myrna et al, 2010;Perez et al, 2013;Savvas et al, 2008;Wenger, Moens, Jäggin, & Schatzmann, 2005), local anaesthetics significantly decrease the opioid requirements for intraoperative anti-nociception and postoperative analgesia. Using local anaesthetics to decrease opioid use could be very beneficial in both human and veterinary patients, not only because of the desire to reduce potential opioid-mediated adverse effects, such as dysphoria, vomiting and nausea, but also because the availability of potent opioids may be limited due to legislation, production or country/region.…”

mentioning

confidence: 99%

“…The intensity and duration of pain in recovery is an important indicator of the likelihood of chronic pain development in humans (Althaus et al, 2018;Boerboom et al, 2018;de Brito, Omanis, Ashmawi, & Torres, 2012;Jin et al, 2016;Rashiq & Dick, 2014;Voscopoulos & Lema, 2010). The fact that human patients with local anaesthetic drugs included in the analgesic protocols were less likely to develop both postoperative and chronic pain is a very compelling reason to utilize local/regional blockade (Boerboom et al, 2018;de Brito et al, 2012;Rashiq & Dick, 2014). Although no studies are available for animals, the authors suggest that, based on the similarity of the mammalian pain pathway across species, the same result could be extrapolated for veterinary patients, including dogs and cats.…”

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confidence: 99%

Local and regional anaesthesia in dogs and cats: Overview of concepts and drugs (Part 1)

Grubb

Lobprise

2020

Veterinary Medicine & Sci

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Pain management in veterinary patients is a crucial component of appropriate patient care. Multimodal analgesia that includes both systemically and locally/regionally administered drugs is generally the most effective approach to providing pain relief. Local anaesthetic drugs used in local and regional blockade are unique in that they can completely block the transmission of pain (in conscious patients) or nociceptive (in anaesthetized patients) signals, thereby providing profound analgesia. In addition, local and regional administration of drugs, when compared with systemic bolus administration, generally results in a lower incidence of dose‐related adverse effects. Due to the potential to provide profound analgesia and the high safety margin (when used correctly) of this drug class, local anaesthetics are recommended as part of the analgesic protocol in the majority of patients undergoing surgical procedures or suffering traumatic injuries. This manuscript, Part 1 of a two‐part instalment, emphasizes the importance of using local and regional anaesthesia as a component of multimodal analgesia, provides a review of the basic pharmacokinetics/pharmacodynamics of local anaesthetic drugs in general, lists information on commonly used local anaesthetic drugs for local and regional blockade in dogs and cats, and briefly introduces the novel liposome‐encapsulated bupivacaine (NOCITA®). Part 2 is a review of local and regional anaesthetic techniques used in dogs and cats (Grubb & Lobprise, 2020).

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“…Lidocaine plasma concentrations were below toxic levels when 8 mg/kg was instilled intraperitoneally and 2 mg/kg was injected at the incision site . (Boerboom et al 2018;Ruiz-Tovar et al, 2016), including caesarean section (Patel et al, 2017).…”

Section: Testicular Blockmentioning

confidence: 99%

Local and regional anaesthesia in dogs and cats: Descriptions of specific local and regional techniques (Part 2)

Grubb

Lobprise

2020

Veterinary Medicine & Sci

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Pain management in veterinary patients is a crucial component of appropriate patient care. Local anaesthetic drugs used in local and regional blockade can completely block the transmission of nociceptive impulses, decreasing both intra-operative nociception and postoperative pain, while decreasing the potential incidence of adverse effects that can be associated with systemic boluses of drugs. For efficacy and safety, this class of drugs is recommended as part of the analgesic protocol in the majority of surgical procedures and traumatic injuries. Numerous local and regional blocks are proven effective in dogs and cats, thus providing the clinician with ample opportunity to include these blocks in practice. This manuscript, Part 2 of a two-part instalment, focuses on brief descriptions of select commonly used local/regional anaesthesia techniques for dogs and cats that cover a multitude of painful surgeries/injuries and that can be implemented in any practice. In Part 1 of this topic, detailed information on local anaesthetic drugs commonly used in small animal practice was reviewed . K E Y W O R D Sanalgesia, bupivacaine, liposome-encapsulated, local anaesthetics, local block This article is linked to "Local and regio nal anaes thesi a in dogs and cats: Overv iew of conce pts and drugs (Part 1)."

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Preperitoneal Bupivacaine Infiltration Reduces Postoperative Opioid Consumption, Acute Pain, and Chronic Postsurgical Pain After Bariatric Surgery: a Randomized Controlled Trial

Abstract: This study shows that preperitoneal local anesthesia with bupivacaine results in a reduction in opioid consumption and postoperative pain and seems to lower the incidence rate of chronic postsurgical pain after laparoscopic bariatric surgery.

Cited by 22 publications

References 30 publications

Guidelines for Perioperative Care in Bariatric Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations: A 2021 Update

Guidelines for Perioperative Care in Bariatric Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations: A 2021 Update

Local and regional anaesthesia in dogs and cats: Overview of concepts and drugs (Part 1)

Local and regional anaesthesia in dogs and cats: Descriptions of specific local and regional techniques (Part 2)

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