The Use of Exparel (Liposomal Bupivacaine) to Manage Postoperative Pain in Unilateral Total Knee Arthroplasty Patients
| Autor: | Nathan T. Baynes, Jonathan W. Surdam, Britney R. Arce, David J. Licini |
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| Rok vydání: | 2015 |
| Předmět: |
Male
musculoskeletal diseases medicine.medical_specialty Nausea Narcotic medicine.medical_treatment Total knee arthroplasty Injections medicine Humans Orthopedics and Sports Medicine Prospective Studies Anesthetics Local Arthroplasty Replacement Knee Prospective cohort study Aged Pain Measurement Pain Postoperative business.industry Nerve Block Middle Aged musculoskeletal system Liposomal Bupivacaine Bupivacaine Femoral nerve block Surgery Accelerated rehabilitation Anesthesia Liposomes Vomiting Female medicine.symptom business Femoral Nerve |
| Zdroj: | The Journal of Arthroplasty. 30:325-329 |
| ISSN: | 0883-5403 |
| DOI: | 10.1016/j.arth.2014.09.004 |
| Popis: | Efforts continue to improve pain after total knee arthroplasty (TKA) in order to allow for accelerated rehabilitation. The purpose of this study was to evaluate pain control after TKA. A randomized prospective study of 80 consecutive patients was performed comparing Exparel versus femoral nerve block (FNB). Inpatient pain control was the primary outcome. Secondary outcome measures included ROM (extension and flexion), nausea and vomiting, narcotic consumption, ambulation distance, and length of stay (LOS). There were no statistically significant differences between the groups with regard to pain, nausea and vomiting, and narcotic consumption. The FNB group had greater flexion but the Exparel group had improved early ambulation and decreased LOS. Exparel provided similar pain relief to a FNB after TKA without compromising early rehabilitation. |
| Databáze: | OpenAIRE |
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