Pain, Postoperative Clinical Trial
Official title:
TAP Blocks Performed With Bupivacaine Versus Liposomal Bupivacaine in Colorectal Surgery Patients: A Prospective, Cluster Randomized Trial
The transversus abdominis plane (TAP) block can be used to reduce pain in patients who get abdominal surgery. TAP blocks are given with a local anesthetic. The purpose of this study is to compare pain medication usage after surgery between two different types of local anesthetic: liposomal bupivacaine and standard bupivacaine.
Pain control is a factor that is central to the surgical patient's postoperative experience.
Opioid pain medications are a mainstay of postoperative pain management. However, these have
several adverse effects.
Multimodal pain regimens to minimize opioid use have become central to enhanced recovery
after surgery (ERAS) protocols. The transversus abdominis plane (TAP) block is one
intervention that contributes to this regimen. Traditionally, TAP blocks are performed with
local anesthetics such as bupivacaine. More recently, these have also been performed with
liposomal bupivacaine, whose duration of action is much greater than regular bupivacaine (96
hours versus 8-9 hours, respectively).
In this study, postoperative opioid usage will be compared between patients receiving regular
bupivacaine and liposomal bupivacaine.
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