Liposomal Bupivacaine A Comparative Study of More Than 1000 Total Joint Arthroplasty Cases

被引:49
作者
Barrington, John W. [1 ]
Olugbode, Oluseun [2 ]
Lovald, Scott [3 ]
Ong, Kevin [4 ]
Watson, Heather [3 ]
Emerson, Roger H., Jr. [2 ]
机构
[1] Plano Orthoped Sports Med & Spine Ctr, Plano, TX 75093 USA
[2] Texas Ctr Joint Replacement, Plano, TX 75093 USA
[3] Exponent Inc, Menlo Pk, CA 94025 USA
[4] Exponent Inc, Philadelphia, PA 19104 USA
关键词
Liposomal bupivacaine; Knee arthroplasty; Hip arthroplasty; Pain control; Analgesia; TOTAL KNEE ARTHROPLASTY; PLACEBO-CONTROLLED TRIAL; EXTENDED PAIN RELIEF; ADVERSE DRUG EVENTS; QUALITY-OF-LIFE; POSTOPERATIVE PAIN; POSTSURGICAL-PAIN; DOUBLE-BLIND; TOTAL HIP; MANAGEMENT;
D O I
10.1016/j.ocl.2015.06.003
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
100224 [整形外科学];
摘要
Pain after total joint arthroplasty (TJA) can be severe and difficult to control. A single-dose local analgesic delivers bupivacaine in a liposomal time-release platform. In 2248 consecutive patients with hip and knee arthroplasty, half (Pre) were treated using a well-established multimodal analgesia, including periarticular injection (PAI), and half had the PAI substituted for a liposomal bupivacaine injection technique (Post). Pain scores were significantly lower for patients in the Post group for both hip and knee procedures. A large series of patients who had TJA experienced pain relief after the introduction of liposomal bupivacaine as part of an established multimodal protocol.
引用
收藏
页码:469 / +
页数:10
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