Cardiothoracic & vascular anesthesia

Sternotomy Wound Infiltration With Liposomal Versus Plain Bupivacaine for Postoperative Analgesia After Elective Cardiac Surgery

J Cardiothorac Vasc AnesthPublished Randomised controlled trial

Authors' conclusion

LB added to PB for sternotomy wound infiltration during elective cardiac surgery did not significantly improve the quality of postoperative analgesia.

Study context

Population
Adults undergoing elective cardiac surgery through median sternotomy, tertiary care university hospitalcompleted the study for analysis
Participants
60 adults
Comparison
Wound infiltration with liposomal bupivacaine (LB) plus plain bupivacaine (PB) vs PB alone
  • LBn = 29
  • PBn = 31reference
Primary endpoint
Pain scores
Follow-up
72 hours
Methodological detailsprospective, double-blinded, single institution
  • Prospective
  • Double-blinded
  • Single institution

Primary result

As reported in the abstract

4 to 72 hours
Trend of mean pain scores at movement (mixed-model regression) significantly lower in LB vs PB
p = 0.01

Further findings

Opioid consumption (oral morphine equivalents) · 72 hours · not significantly different

P = 0.29

Recovery characteristics

Comparable between groups

Safety

Adverse events

Comparable between groups

Original publication

Sternotomy Wound Infiltration With Liposomal Versus Plain Bupivacaine for Postoperative Analgesia After Elective Cardiac Surgery. J Cardiothorac Vasc Anesth. Published 12 October 2022. doi:10.1053/j.jvca.2022.10.006

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