Abstract: Transversus Abdominis Plane (TAP) Blocks with Single-Dose Liposomal Bupivacaine Reduce Length of Stay Following Abdominally-Based Microsurgical Breast Reconstruction
نویسندگان
چکیده
INTRODUCTION: Microsurgical abdominally-based breast reconstruction (MABR) typically entails an inpatient length of stay between three to five days. However, most payors reimburse for only the first two hospital days after routine mastectomy regardless of the breast reconstruction method. Moreover, free flap take-back and salvage rates both drop drastically after 48 hours resulting in rapidly rising incremental hospital costs for flap monitoring beyond the second post-operative day. In this study, we examined the effect of bilateral single-dose TAP nerve blockade using long-acting liposomal bupivacaine (BTBLB) on length of stay after MABR to see if it facilitated safe discharge by post-operative day two.
منابع مشابه
Transversus Abdominis Plane Block: An Updated Review of Anatomy and Techniques
Purpose of Review Transversus abdominis plane (TAP) block is a regional technique for analgesia of the anterolateral abdominal wall. This review highlights the nomenclature system and recent advances in TAP block techniques and proposes directions for future research. Recent Findings Ultrasound guidance is now considered the gold standard in TAP blocks. It is easy to acquire ultrasound images...
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