Off Label Use of Exparel in an Axillary Block for Prolonged Postoperative Analgesia


Post-operative analgesia is both necessary for patient comfort and satisfaction. Peripheral nerve block offer both good post-operative analgesia and patient satisfaction, but rarely cover the entire period of post-operative pain. Nonnarcotic drugs are extremely helpful, but with severe pain, narcotics are usually used to help with post-operative pain when the nerve block wears off. However, nausea and vomiting, as well as other side effects associated with narcotic use can be severe and limit their use for post-operative analgesia. The addition of supplements to the local anesthetic used for the nerve blocks can extend the analgesia, but few blocks last greater than 24 hours. We describe the use of a relatively new extended release bupivacaine, Exparel that provide significantly longer analgesia than presently used single shot techniques protocols for extended nerve block analgesia.

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Lawhon, R. , LaCivita, R. , Fanouse, J. and Feierman, D. (2015) Off Label Use of Exparel in an Axillary Block for Prolonged Postoperative Analgesia. Open Journal of Anesthesiology, 5, 170-172. doi: 10.4236/ojanes.2015.57030.

Conflicts of Interest

The authors declare no conflicts of interest.


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