A study comparing outcomes with the use of liposomal bupivacaine (LB) versus continuous interscalene nerve block (CISB) in patients undergoing shoulder arthroplasty found that the LB patients experienced excellent postoperative pain relief with fewer complications and at a lower cost than the CISB group. 

These results, appearing in the Journal of Shoulder and Elbow Surgery, position LB as “a promising addition to a multimodal pain regimen for shoulder arthroplasty,” the authors write. The prospective, randomized controlled study followed 70 patients receiving one of the two pain management modalities. Preoperatively, all patients received standard analgesia consisting of 1,000?mg of oral acetaminophen and 200?mg of celecoxib. The 34 patients in the LB group had good pain control and similar narcotic use to the CISB group in the initial postoperative period, and they reported equivalent pain control and slightly better patient satisfaction after discharge from the hospital. Learn more...

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