Home >  News >  February, 2014

Local Analgesic Reduces Post-Bariatric Opioids

Study explores Exparel's use in managing abdominal surgery pain.

Published: February 3, 2014

A multimodal pain management therapy that includes the non-opioid local analgesic Exparel lessens the need for post-op narcotics after bariatric surgery, according to a recent study.

For the study, Andras Sandor, MD, FACS, FASMBS, and colleagues at the Hallmark Health Center for Weight Management and Weight Loss Surgery in Medford, Mass., observed the pain management regimens of 90 patients undergoing laparoscopic bariatric procedures.

Half of the patients received a multimodal approach to post-op pain management, including Pacira Pharmaceutical's bupivacaine liposome injectable suspension drug, Exparel, infiltrated into the transversus abdominis plane (a process known as iTAP). The other half were given ketorolac and a lidocaine and bupivacaine/epinephrine combination perioperatively, and pain pumps of hydromorphone afterward.

Each group was allowed opioids at 2 days post-op. But the multimodal group consumed 60.7% fewer opioids. Additionally, they exhibited a greater return of bowel function at the 2-day mark. Dr. Sandor and his team presented their findings at the American Society for Metabolic & Bariatric Surgery's 2013 Obesity Week in November.

"The risks of opioids are pronounced in the bariatric population; utilizing a non-opioid platform with Exparel iTAP at its foundation contributed to decreasing both the amount of opioids needed and their resultant opioid-related adverse effects," says Dr. Sandor.

David Bernard


Also in the News...

Bill Would Lift Moratorium on Construction and Expansion of Physician-Owned Hospitals
Oregon Bill Would Let ASCs Offer Extended Care
10% of Alcohol-Based Preps Allowed to Dry for 3 Minutes Caught Fire
Emails Show Barry Cadden Tried to Cover His Tracks After His Lab Shipped Contaminated Steroids
Faulty Sensor Leads to Recall of Alaris Syringe Pump
Humble Surgical Hospital is Excoriated by Judge for Bilking Aetna Out of Millions
New Details in How Female Impostor Gained Access to 5 ORs

New to Outpatient Surgery Magazine?
Sign-up to continue reading this article.
Register Now
Have an account? Please log in:
Email Address:
  Remember my login on this computer

advertiser banner

Other Articles That May Interest You

Opioids Overprescribed After Minor Surgeries

Battling Post-op Pain Without Opioids

5 multimodal approaches that work best when pain from surgery is at its worst.

Which Common Surgeries Increase Risk of Opioid Abuse?