Repeat, Bilateral Femoral Nerve Blocks With Liposomal Bupivacaine for Analgesia in a Patient With Calciphylaxis: A Case Report.
A A Pract
; 17(12): e01717, 2023 Dec 01.
Article
in En
| MEDLINE
| ID: mdl-38088749
ABSTRACT
A 39-year-old woman with juvenile idiopathic arthritis complicated by nonuremic calciphylaxis presented for pain management of bilateral lower extremity wounds requiring frequent dressing changes. Bilateral single-shot femoral nerve blocks using liposomal bupivacaine and 0.25% bupivacaine were performed. The patient reported decreased pain scores and had reduced opioid use for 72 hours postblock. Repeat, bilateral single-shot femoral nerve blocks with liposomal bupivacaine and 0.25% bupivacaine were performed approximately every 72 hours to maintain adequate analgesia. We conclude that off-label use of liposomal bupivacaine in femoral nerve blocks results in prolonged block duration without adverse effects or tachyphylaxis.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Calciphylaxis
/
Analgesia
Limits:
Adult
/
Female
/
Humans
Language:
En
Journal:
A A Pract
Year:
2023
Document type:
Article