Delayed Onset of Motor Blockade After Liposomal Bupivacaine Use for a Perioperative Popliteal Nerve Block: A Case Report.

Autor:	Shah S; Research, University of California Riverside, Riverside, USA., Mirzayan R; Orthopedics, Baldwin Park Medical Center, Kaiser Permanente, Baldwin Park, USA., Bernbeck J; Orthopedics, Los Alamitos Medical Center, Los Alamitos, USA., Italia Y; Research, University of California Los Angeles, Los Angeles, USA., Morkos A; Anesthesiology, Baldwin Park Medical Center, Kaiser Permanente, Baldwin Park, USA., Qiu C; Anesthesiology, Baldwin Park Medical Center, Kaiser Permanente, Baldwin Park, USA., Desai V; Anesthesiology, Baldwin Park Medical Center, Kaiser Permanente, Baldwin Park, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2022 Apr 11; Vol. 14 (4), pp. e24031. Date of Electronic Publication: 2022 Apr 11 (Print Publication: 2022).
DOI:	10.7759/cureus.24031
Abstrakt:	We present a case of a 60-year-old male who has undergone Achilles' tendon repair with amnion augmentation on the right side. Before the surgery, liposomal bupivacaine was requested by the patient, and this was used to block the popliteal and adductor canal nerves for intraoperative anesthetic and postoperative pain control.   The patient understood the benefits and risks of the regional nerve block with this medication and its off-label use. After the surgery, the patient underwent an irregular course of anesthetic, including delayed motor weakness, and became non-weight-bearing temporarily. The motor block was inconsistent and non-linear. Initially, the motor block completely resolved with a return to the sensation after three days. Then, on day four, a complete motor block developed, which resolved gradually over the next four days. After 10 days, the patient had full resolution of symptoms. He denies any pain since the surgery. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2022, Shah et al.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu