Liposomal bupivacaine for ultrasound-guided rectus sheath blocks after midline laparotomy

M. S. Vereen*, F. Harms, R. J. Stolker, M. Dirckx

*Corresponding author for this work

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Optimal pain management after open abdominal surgery is essential but can be difficult to achieve. The effects of inadequate analgesia go beyond the first few postoperative days; severe acute postoperative pain may contribute to the development of chronic postsurgical pain. Thoracic epidural analgesia is a traditional approach to the management of acute pain after open abdominal surgery but has multiple possible contraindications and can be technically challenging. In our hospital, we typically offer ultrasound-guided rectus sheath blocks with catheters when epidural analgesia is not feasible. However, the recent registration of long-acting liposomal bupivacaine in the Netherlands as well as logistical and equipment-related issues have led us to consider liposomal bupivacaine as an alternative to the use of catheters. Here, we present a short case series to describe our first clinical experiences with the use of liposomal bupivacaine in ultrasound-guided rectus sheath blocks after midline laparotomy for three patients in whom epidural insertion was contraindicated.

Original languageEnglish
Article numbere12284
JournalAnaesthesia Reports
Issue number1
Publication statusPublished - Jan 2024

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© 2024 The Authors. Anaesthesia Reports published by John Wiley & Sons Ltd on behalf of Association of Anaesthetists.


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