Administration volume and technique are critical to achieving optimal results
The surgical video below demonstrates an example of how to administer EXPAREL for optimal pain control and coverage.
TAP In Laparoscopic Sleeve GastrectomyPerformed by Dr Sandor
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This video represents an individual clinician experience with and methodology for using EXPAREL.
Pacira BioSciences, Inc., recognizes that there are other methodologies for administering local anesthetics, as well as individual patient considerations, when selecting the dose for a specific procedure.
Multimodal approaches with or without ERAS protocols have demonstrated benefits in bariatric surgery
Protocol implementation can positively impact recovery and costs1-6
- 50% shorter LOS
- 40% to 61% fewer fewer opioids at 48 hours
- 86% fewer patients with itching, demonstrating an improvement in ORAEs
- Earlier ambulation, which may reduce the risk of VTE (PE and DVT)
- 50% fewer cases of respiratory dysfunction in patients not taking morphine
- 96% of patients without postoperative nausea/vomiting
- 19-hour earlier return of bowel sounds and flatus
The ASA supports the use of opioid-minimizing pain management strategies after bariatric surgery
“Because of the high incidence of obstructive sleep apnea (OSA) in obese patients and other studies showing that morbidly obese patients have increased perioperative airway obstruction and desaturations even without OSA, the focus with regard to pain management has to be on opioid-sparing multimodal approaches.”7
- Best Practice & Research: Clinical Anaesthesiology, 2011
“…regional analgesic techniques should be considered to reduce or eliminate the requirement for systemic opioids in patients at increased perioperative risk from OSA.”8
“For superficial procedures, consider the use of local anesthesia…”8
- 2014 Practice Guidelines for OSA
DVT, deep vein thrombosis; ERAS, enhanced recovery after surgery; LOS, length of stay; ORAE, opioid-related adverse event; PE, pulmonary embolism; VTE, venous thromboembolism; ASA,American Society of Anesthesiologists.