Epidural bupivacaine administration after infiltration of liposomal bupivacaine for transversalis fascia plane block: A case report

Monica W Harbell; William J Binder Jr; Colby Erickson; Krista Goulding; Molly B Kraus

doi:10.1002/ccr3.6417

Epidural bupivacaine administration after infiltration of liposomal bupivacaine for transversalis fascia plane block: A case report

Clin Case Rep. 2022 Oct 11;10(10):e6417. doi: 10.1002/ccr3.6417. eCollection 2022 Oct.

Authors

Monica W Harbell¹, William J Binder Jr¹, Colby Erickson², Krista Goulding³, Molly B Kraus¹

Affiliations

¹ Department of Anesthesiology and Perioperative Medicine, Mayo Clinic Phoenix Arizona USA.
² Arizona College of Osteopathic Medicine Midwestern University Glendale Arizona USA.
³ Department of Orthopedic Surgery Mayo Clinic Phoenix Arizona USA.

Abstract

Extended-release liposomal bupivacaine is frequently used in surgical infiltration for postoperative pain control. The manufacturer recommends against subsequent local anesthetics within 96 hours. We administered epidural bupivacaine one day after local liposomal bupivacaine infiltration for staged hemipelvectomy without symptoms of LAST. Further pharmacokinetic and clinical safety studies are needed.

Keywords: bupivacaine; liposomal bupivacaine; local anesthetics; multimodal analgesia; regional analgesia.

Publication types

Case Reports