Anesthesia Clinical Trial
Official title:
On Postoperative Analgesic Requirements in Laparoscopic Colorectal Surgery Patients After Exparel Administration Via Transversus Abdominis Plane Block Versus Surgical Infiltration
This study evaluates differences in how administering liposomal bupivacaine via two different methods affects postoperative pain control in laparoscopic abdominal surgery patients. Half the participants will receive liposomal bupivacaine via a transverses abdominis plane block while the other half will receive liposomal bupivacaine via local infiltration.
Liposomal bupivacaine is a newer formulation of a local anesthetic that is commonly used for
local infiltration, peripheral nerve blocks, and neuraxial anesthesia. This new formulation
allows the effects of bupivacaine to last up to 72 hours as it is slowly released from a
liposome. It is FDA approved for local infiltration and has recently been approved for
interscalene blocks.
A transversus abdominis plane block is a fascial plane block that is performed routinely for
postoperative pain relief for some abdominal incisions. It is performed by placing local
anesthetic between the internal oblique and transverses abdominis muscle planes where it will
provide analgesia to several dermatomes of the abdomen in hopes of improving postoperative
pain relief and reducing postoperative opioid requirement.
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