JOURNAL ARTICLE

Thoracic Epidural and Analgesic Options After Failed Transversus Abdominus Plane Block With Liposomal Bupivacaine.

  • Published In: Military Medicine, 2025, v. 190, n. 3/4. P. e873 1 of 3

  • Database: Academic Search Ultimate 2 of 3

  • Authored By: Cohen, Kevin T; Lee, Matthew I 3 of 3

Abstract

This article focuses on the postoperative pain management of a 39-year-old female patient who underwent emergent partial colectomy and initially received a transversus abdominus plane (TAP) block with a mixture of bupivacaine and liposomal bupivacaine. Due to inadequate analgesia, a bupivacaine thoracic epidural was placed 24 hours later, resulting in significant pain relief without signs of local anesthetic systemic toxicity (LAST). The case highlights the limited data on the safety of administering neuraxial local anesthetics after liposomal bupivacaine use and underscores the need for further research, especially in resource-limited hospital settings.

Additional Information

  • Source:Military Medicine. 2025/03, Vol. 190, Issue 3/4, pe873
  • Document Type:Article
  • Subject Area:Health and Medicine
  • Publication Date:2025
  • ISSN:0026-4075
  • DOI:10.1093/milmed/usae470
  • Accession Number:183483522
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