Liposomal bupivacaine in hallux valgus surgery: a multimodal pain management adjunct.
J Surg Orthop Adv
; 23(4): 198-202, 2014.
Article
em En
| MEDLINE
| ID: mdl-25785470
ABSTRACT
The objective of this study was to review the use of liposomal bupivacaine as a multimodal pain management adjunct following hallux valgus surgery. The study was a prospective review of a consecutive series of patients who underwent hallux valgus surgery and received liposomal bupivacaine. From postoperative day (POD) 1 to 4, pain scores, number of narcotic rescue pills used, and adverse events were recorded. Wound complications, narcotic refills, and unscheduled clinic and emergency room (ER) visits or hospital admissions for pain were also recorded. The average pain rating was <3.4 (±2.4) during POD 1 to 4. Four patients (28.6%) reported never experiencing pain (Numeric Rating Scale ≤1). Seventy-one percent used narcotic rescue pills on POD 1. There were no unscheduled office or ER visits or hospital admissions. One adverse event and one wound complication occurred. Liposomal bupivacaine may be a safe and useful adjunct in a multimodal pain regimen for patients undergoing hallux valgus surgery. More rigorous studies are needed to determine its efficacy, safety profile, and cost-effectiveness compared to placebo.
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Base de dados:
MEDLINE
Assunto principal:
Bupivacaína
/
Hallux Valgus
/
Procedimentos Ortopédicos
/
Manejo da Dor
/
Anestésicos Locais
Tipo de estudo:
Observational_studies
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article