Dr. Domb, who is medical director of the American Hip Institute, Chicago, added, “Decreased opioid requirement may lead to earlier recovery, and lower frequency of opioid-related complications such as falls, constipation, bowel obstruction and mental alterations or confusion.”
At the Hip Institute, he adds, “our preferred technique for hip arthroscopy or robotic, minimally invasive hip replacement includes infiltration of liposomal bupivacaine. Our experience with its use has been excellent, with similar decreases in opioid use, and improved early rehabilitation.”
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Reference
- Sakamoto B, Keiser S, Meldrum R, et al. Efficacy of liposomal bupivacaine infiltration on the management of total knee arthroplasty. JAMA Surg. 2016 Oct 12. doi: 10.1001/jamasurg.2016.3474. [Epub ahead of print]