The use of bilateral transversus abdominis plane blocks with liposomal bupivacaine on postoperative cesarean delivery patients during COVID-19 pandemic is associated with reduced narcotics use and reduced length of stay

Background: The use of transversus abdominis plane blocks has been previously shown in both large-scale studies and our own institution to significantly reduce postoperative pain and opioid use. In addition, the use of bilateral transversus abdominis plane blocks using liposomal bupivacaine in combi...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Dennis E Feierman, Jason Kim, Aden Bronstein, Agnes Miller, Christein Dgheim, Viktoriya London, Avram Alter, Kalpana Tyagaraj
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Medicine R
Acceso en línea:	https://doaj.org/article/5439e76685d04fbf81555fbe6927284a
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:5439e76685d04fbf81555fbe6927284a
record_format	dspace
spelling	oai:doaj.org-article:5439e76685d04fbf81555fbe6927284a2021-11-13T22:33:36ZThe use of bilateral transversus abdominis plane blocks with liposomal bupivacaine on postoperative cesarean delivery patients during COVID-19 pandemic is associated with reduced narcotics use and reduced length of stay1745-506510.1177/17455065211058046https://doaj.org/article/5439e76685d04fbf81555fbe6927284a2021-11-01T00:00:00Zhttps://doi.org/10.1177/17455065211058046https://doaj.org/toc/1745-5065Background: The use of transversus abdominis plane blocks has been previously shown in both large-scale studies and our own institution to significantly reduce postoperative pain and opioid use. In addition, the use of bilateral transversus abdominis plane blocks using liposomal bupivacaine in combination with neuraxial morphine significantly reduced post-cesarean-delivery pain and opioid use. During the COVID-19 crisis, our anesthesia department in a collaborative effort with our obstetric colleagues thought that the use of bilateral transversus abdominis plane blocks with liposomal bupivacaine could reduce the use of opioids to treat postoperative pain and might result in decreased length of stay. Methods: After institutional review board approval, a retrospective study of 288 patients who underwent cesarean delivery under spinal or epidural (neuraxial) anesthesia at Maimonides Medical Center in Brooklyn, NY was conducted. Historical controls were from 142 consecutive patients from 1 January 2012 through 12 May 2012. An additional set of controls consisted of 30 consecutive patients from 10 March 2020 through 13 April 2020. The primary outcome data analyzed were the use of opioids and length of stay. Results: Post cesarean delivery, patients who received both bilateral transversus abdominis plane blocks with liposomal bupivacaine and neuraxial morphine was associated with a significant decrease in the number of patients using post operative opioids, 54%–60% decreased to 18% ( p < 0.001), and a decreased length of stay; 3.1 days was reduced to 2.39 ( p < 0.001). Conclusion: Neuraxial opioids combined with liposomal bupivacaine transversus abdominis plane blocks provided significant pain relief for patients post cesarean delivery, required less post operative opioids, and facilitated earlier discharge that may aid in reducing patient exposure and hospital burden secondary to COVID-19.Dennis E FeiermanJason KimAden BronsteinAgnes MillerChristein DgheimViktoriya LondonAvram AlterKalpana TyagarajSAGE PublishingarticleMedicineRENWomen's Health, Vol 17 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R
spellingShingle	Medicine R Dennis E Feierman Jason Kim Aden Bronstein Agnes Miller Christein Dgheim Viktoriya London Avram Alter Kalpana Tyagaraj The use of bilateral transversus abdominis plane blocks with liposomal bupivacaine on postoperative cesarean delivery patients during COVID-19 pandemic is associated with reduced narcotics use and reduced length of stay
description	Background: The use of transversus abdominis plane blocks has been previously shown in both large-scale studies and our own institution to significantly reduce postoperative pain and opioid use. In addition, the use of bilateral transversus abdominis plane blocks using liposomal bupivacaine in combination with neuraxial morphine significantly reduced post-cesarean-delivery pain and opioid use. During the COVID-19 crisis, our anesthesia department in a collaborative effort with our obstetric colleagues thought that the use of bilateral transversus abdominis plane blocks with liposomal bupivacaine could reduce the use of opioids to treat postoperative pain and might result in decreased length of stay. Methods: After institutional review board approval, a retrospective study of 288 patients who underwent cesarean delivery under spinal or epidural (neuraxial) anesthesia at Maimonides Medical Center in Brooklyn, NY was conducted. Historical controls were from 142 consecutive patients from 1 January 2012 through 12 May 2012. An additional set of controls consisted of 30 consecutive patients from 10 March 2020 through 13 April 2020. The primary outcome data analyzed were the use of opioids and length of stay. Results: Post cesarean delivery, patients who received both bilateral transversus abdominis plane blocks with liposomal bupivacaine and neuraxial morphine was associated with a significant decrease in the number of patients using post operative opioids, 54%–60% decreased to 18% ( p < 0.001), and a decreased length of stay; 3.1 days was reduced to 2.39 ( p < 0.001). Conclusion: Neuraxial opioids combined with liposomal bupivacaine transversus abdominis plane blocks provided significant pain relief for patients post cesarean delivery, required less post operative opioids, and facilitated earlier discharge that may aid in reducing patient exposure and hospital burden secondary to COVID-19.
format	article
author	Dennis E Feierman Jason Kim Aden Bronstein Agnes Miller Christein Dgheim Viktoriya London Avram Alter Kalpana Tyagaraj
author_facet	Dennis E Feierman Jason Kim Aden Bronstein Agnes Miller Christein Dgheim Viktoriya London Avram Alter Kalpana Tyagaraj
author_sort	Dennis E Feierman
title	The use of bilateral transversus abdominis plane blocks with liposomal bupivacaine on postoperative cesarean delivery patients during COVID-19 pandemic is associated with reduced narcotics use and reduced length of stay
title_short	The use of bilateral transversus abdominis plane blocks with liposomal bupivacaine on postoperative cesarean delivery patients during COVID-19 pandemic is associated with reduced narcotics use and reduced length of stay
title_full	The use of bilateral transversus abdominis plane blocks with liposomal bupivacaine on postoperative cesarean delivery patients during COVID-19 pandemic is associated with reduced narcotics use and reduced length of stay
title_fullStr	The use of bilateral transversus abdominis plane blocks with liposomal bupivacaine on postoperative cesarean delivery patients during COVID-19 pandemic is associated with reduced narcotics use and reduced length of stay
title_full_unstemmed	The use of bilateral transversus abdominis plane blocks with liposomal bupivacaine on postoperative cesarean delivery patients during COVID-19 pandemic is associated with reduced narcotics use and reduced length of stay
title_sort	use of bilateral transversus abdominis plane blocks with liposomal bupivacaine on postoperative cesarean delivery patients during covid-19 pandemic is associated with reduced narcotics use and reduced length of stay
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/5439e76685d04fbf81555fbe6927284a
work_keys_str_mv	AT dennisefeierman theuseofbilateraltransversusabdominisplaneblockswithliposomalbupivacaineonpostoperativecesareandeliverypatientsduringcovid19pandemicisassociatedwithreducednarcoticsuseandreducedlengthofstay AT jasonkim theuseofbilateraltransversusabdominisplaneblockswithliposomalbupivacaineonpostoperativecesareandeliverypatientsduringcovid19pandemicisassociatedwithreducednarcoticsuseandreducedlengthofstay AT adenbronstein theuseofbilateraltransversusabdominisplaneblockswithliposomalbupivacaineonpostoperativecesareandeliverypatientsduringcovid19pandemicisassociatedwithreducednarcoticsuseandreducedlengthofstay AT agnesmiller theuseofbilateraltransversusabdominisplaneblockswithliposomalbupivacaineonpostoperativecesareandeliverypatientsduringcovid19pandemicisassociatedwithreducednarcoticsuseandreducedlengthofstay AT christeindgheim theuseofbilateraltransversusabdominisplaneblockswithliposomalbupivacaineonpostoperativecesareandeliverypatientsduringcovid19pandemicisassociatedwithreducednarcoticsuseandreducedlengthofstay AT viktoriyalondon theuseofbilateraltransversusabdominisplaneblockswithliposomalbupivacaineonpostoperativecesareandeliverypatientsduringcovid19pandemicisassociatedwithreducednarcoticsuseandreducedlengthofstay AT avramalter theuseofbilateraltransversusabdominisplaneblockswithliposomalbupivacaineonpostoperativecesareandeliverypatientsduringcovid19pandemicisassociatedwithreducednarcoticsuseandreducedlengthofstay AT kalpanatyagaraj theuseofbilateraltransversusabdominisplaneblockswithliposomalbupivacaineonpostoperativecesareandeliverypatientsduringcovid19pandemicisassociatedwithreducednarcoticsuseandreducedlengthofstay AT dennisefeierman useofbilateraltransversusabdominisplaneblockswithliposomalbupivacaineonpostoperativecesareandeliverypatientsduringcovid19pandemicisassociatedwithreducednarcoticsuseandreducedlengthofstay AT jasonkim useofbilateraltransversusabdominisplaneblockswithliposomalbupivacaineonpostoperativecesareandeliverypatientsduringcovid19pandemicisassociatedwithreducednarcoticsuseandreducedlengthofstay AT adenbronstein useofbilateraltransversusabdominisplaneblockswithliposomalbupivacaineonpostoperativecesareandeliverypatientsduringcovid19pandemicisassociatedwithreducednarcoticsuseandreducedlengthofstay AT agnesmiller useofbilateraltransversusabdominisplaneblockswithliposomalbupivacaineonpostoperativecesareandeliverypatientsduringcovid19pandemicisassociatedwithreducednarcoticsuseandreducedlengthofstay AT christeindgheim useofbilateraltransversusabdominisplaneblockswithliposomalbupivacaineonpostoperativecesareandeliverypatientsduringcovid19pandemicisassociatedwithreducednarcoticsuseandreducedlengthofstay AT viktoriyalondon useofbilateraltransversusabdominisplaneblockswithliposomalbupivacaineonpostoperativecesareandeliverypatientsduringcovid19pandemicisassociatedwithreducednarcoticsuseandreducedlengthofstay AT avramalter useofbilateraltransversusabdominisplaneblockswithliposomalbupivacaineonpostoperativecesareandeliverypatientsduringcovid19pandemicisassociatedwithreducednarcoticsuseandreducedlengthofstay AT kalpanatyagaraj useofbilateraltransversusabdominisplaneblockswithliposomalbupivacaineonpostoperativecesareandeliverypatientsduringcovid19pandemicisassociatedwithreducednarcoticsuseandreducedlengthofstay
_version_	1718430076907814912

The use of bilateral transversus abdominis plane blocks with liposomal bupivacaine on postoperative cesarean delivery patients during COVID-19 pandemic is associated with reduced narcotics use and reduced length of stay

Ejemplares similares