脂质体布比卡因关节周围浸润用于髋膝关节置换术后疼痛管理的技术:一项共识推荐

Techniques for periarticular infiltration with liposomal bupivacaine for the management of pain after hip and knee arthroplasty: a consensus recommendation.

作者信息

Joshi Girish P, Cushner Fred D, Barrington John W, Lombardi Adolph V, Long William J, Springer Bryan D, Stulberg Bernard N

机构信息

Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical School, Dallas, Texas.

出版信息

J Surg Orthop Adv. 2015 Spring;24(1):27-35.

DOI:
Abstract

Periarticular infiltration analgesia when used as a component of multimodal analgesia regimen has been shown to provide excellent pain relief after major joint replacement surgery. Recently, a liposomal formulation of bupivacaine (Exparel) has been approved for administration into the surgical site to produce postsurgical analgesia. It is a sustained release preparation of bupivacaine that has been shown to provide pain relief for up to 72 hours with a single local administration. Because the success of infiltration technique depends on systematic, extensive, meticulous tissue injection before surgical wound closure, a group convened to address the best practice for periarticular injection techniques for hip and knee replacement surgery. This article provides recommendations for optimal solution for injection (i.e., drug combinations or ``cocktail'' and total volume) as well as detailed description (including illustrations) of the infiltration technique for primary, revision, and unicompartmental knee arthroplasty and primary and revision hip arthroplasty using various surgical approaches.

摘要

关节周围浸润镇痛作为多模式镇痛方案的一部分,已被证明在大关节置换术后能提供出色的疼痛缓解效果。最近,一种布比卡因脂质体制剂(Exparel)已被批准用于手术部位注射以产生术后镇痛效果。它是一种布比卡因缓释制剂,单次局部给药已被证明可提供长达72小时的疼痛缓解。由于浸润技术的成功取决于在手术伤口闭合前进行系统、广泛、细致的组织注射,因此成立了一个小组来探讨髋膝关节置换手术关节周围注射技术的最佳实践。本文提供了关于最佳注射溶液(即药物组合或“鸡尾酒”及总体积)的建议,以及使用各种手术方法进行初次、翻修和单髁膝关节置换术以及初次和翻修髋关节置换术的浸润技术的详细描述(包括图示)。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索