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Update on emerging regional techniques and novel local anesthetics in ambulatory anesthesia

Authors Szafran M, Abrahams E, Gan T

Received 20 July 2015

Accepted for publication 4 September 2015

Published 18 December 2015 Volume 2016:3 Pages 1—12

DOI https://doi.org/10.2147/AA.S92724

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Dr Gildasio S De Oliveira Jr.


Martin J Szafran, Eldhose Abrahams, Tong Joo Gan

Department of Anesthesiology, Stony Brook University, Stony Brook, NY, USA


Abstract: New regional anesthetic techniques have been incorporated into the multimodal approach to postoperative analgesia. Blocks such as the transversus abdominis plane block, adductor canal block, and pectoral nerves blocks all show promise as potential tools used in opioid-sparing techniques, but at the same time have significant limitations to their utility. Novel long-acting formulations of local anesthetics further add to the possible benefit of these blocks, but their application to peripheral nerve blocks is currently being investigated and is not well defined. This review focuses on evaluating the relevant anatomy, technique, and indications of several newer peripheral nerve blocks, the emerging evidence supporting the use of liposomal bupivacaine and SABER®-Bupivacaine, and the application of both in ambulatory anesthesia.

Keywords: transversus abdominis plane (TAP) block, adductor canal block, pectoral nerves block, regional anesthesia, liposomal bupivacaine, SABER®-Bupivacaine

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