Earlier liposomal bupivacaine blocks improve analgesia and decrease opioid requirements for bariatric surgery patients - 20/06/22
, Juliana Hopman a , Kiara Leasia a , Caitlin Robinson a , Alexander Morton a, b , Fredric M. Pieracci a, b Abstract |
Introduction |
Optimal timing of liposomal bupivacaine (LB) transversus abdominis plane (TAP) blocks for bariatric surgery is unknown. We hypothesize that LB TAPs used prior to incision decrease narcotic requirements compared to the completion of surgery.
Methods |
Single intuition review of 86 bariatric surgery patients who received LB TAP blocks from 2/2019 through 8/2020. 44 patients received LB at the beginning of the case (Beg) while 42 patients received LB at the completion (End). Morphine equivalent daily doses (MEDD) were compared.
Results |
MEDD requirements for the Beg-LB group compared to the End-LB group were significantly less on POD 0 (4.8 vs 6.8 MEDD, p = 0.01) and POD 2 (16 vs 32, p = 0.04). Discharge oxycodone prescriptions were lower in the Beg-LB group (15 vs 20, p = 0.008).
Conclusions |
Patients who received LB TAP blocks prior to bariatric surgery required fewer narcotics than patients who received the LB TAP at the conclusion of surgery.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Pre-emptive analgesia may decrease post-operative analgesic requirements. |
• | Optimal timing of liposomal bupivacaine TAP blocks for bariatric surgery is unknown. |
• | Blocks prior to surgery resulted in fewer post-operative narcotic requirements. |
Keywords : Bariatric surgery, Gastric bypass, Liposomal bupivacaine, Transversus abdominis plane blocks, Post-operative pain
Plan
Vol 224 - N° 1PA
P. 75-79 - juillet 2022 Retour au numéro
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