Multimodal Analgesia in Breast Surgical Procedures: Technical and Pharmacological Considerations for Liposomal Bupivacaine Use.

Journal Article (Journal Article)

Enhanced recovery after surgery is a multidisciplinary perioperative clinical pathway that uses evidence-based interventions to improve the patient experience as well as increase satisfaction, reduce costs, mitigate the surgical stress response, accelerate functional recovery, and decrease perioperative complications. One of the most important elements of enhanced recovery pathways is multimodal pain management. Herein, aspects relating to multimodal analgesia following breast surgical procedures are discussed with the understanding that treatment decisions should be individualized and guided by sound clinical judgment. A review of liposomal bupivacaine, a prolonged-release formulation of bupivacaine, in the management of postoperative pain following breast surgical procedures is presented, and technical guidance regarding optimal administration of liposomal bupivacaine is provided.

Full Text

Duke Authors

Cited Authors

  • Afonso, AM; Newman, MI; Seeley, N; Hutchins, J; Smith, KL; Mena, G; Selber, JC; Saint-Cyr, MH; Gadsden, JC

Published Date

  • September 2017

Published In

Volume / Issue

  • 5 / 9

Start / End Page

  • e1480 -

PubMed ID

  • 29062649

Pubmed Central ID

  • PMC5640354

International Standard Serial Number (ISSN)

  • 2169-7574

Digital Object Identifier (DOI)

  • 10.1097/GOX.0000000000001480

Language

  • eng

Conference Location

  • United States