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A A Pract. 2018 May 1;10(9):239-241. doi: 10.1213/XAA.0000000000000674.

The Use of Liposomal Bupivacaine in Erector Spinae Plane Block to Minimize Opioid Consumption for Breast Surgery: A Case Report.

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From the Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina.
Department of Anesthesiology, University of Virginia, Charlottesville, Virginia.


The erector spinae plane block is a novel interfascial plane block that can provide thoracic and abdominal analgesia. We describe a patient with opioid intolerance scheduled for breast surgery who received an erector spinae plane block with liposomal bupivacaine as well as a supplemental T1 paravertebral block resulting in profound analgesia throughout her postoperative course. This case report demonstrates that use of liposomal bupivacaine in the erector spinae plane block can be successful in providing extended duration postoperative analgesia and minimizing systemic opioid requirements.

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