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Papers of the Week


2021 Jul 01


Dis Colon Rectum


64


7

A Prospective Randomized Trial of Surgeon-Administered Intraoperative Transversus Abdominis Plane Block With Bupivacaine Against Liposomal Bupivacaine: The TINGLE Trial.

Authors

Truong A, Fleshner PR, Mirocha JM, Tran HP, Shane R, Zaghiyan KN
Dis Colon Rectum. 2021 Jul 01; 64(7):888-898.
PMID: 34086002.

Abstract

Transversus abdominis plane blocks are increasingly used to achieve opioid-sparing analgesia after colorectal surgery. Traditionally, bupivacaine was the long-acting analgesic of choice, but the addition of dexamethasone and/or epinephrine to bupivacaine may extend block duration. Liposomal bupivacaine has also been suggested to achieve an extended analgesia duration of 72 hours but is significantly more expensive.