Name of the Procedure:

Injection, bupivacaine liposome, 1 mg (C9290)

• Common Names: Bupivacaine injection, Liposomal bupivacaine injection
• Technical/Medical Terms: Extended-release bupivacaine injection

Summary

This procedure involves injecting a medication known as bupivacaine liposome, which is a type of local anesthetic. This injection helps to numb a specific area of the body and provides extended pain relief following surgery or other medical procedures.

Purpose

• Medical Conditions or Problems Addressed: The injection is primarily used to manage postoperative pain or pain from orthopedic procedures.
• Goals or Expected Outcomes: The goal is to provide long-lasting pain relief, reduce the need for opioid pain medications, and enhance patient comfort during the recovery period.

Indications

• Specific Symptoms or Conditions: Acute postoperative pain, pain following orthopedic surgery, or pain from other surgical procedures.
• Patient Criteria: Suitable for patients undergoing surgical procedures who need extended pain relief. Not suitable for those with a known allergy to bupivacaine or any of its components.

Preparation

• Pre-procedure Instructions: Patients may be advised to fast for a certain period before the procedure. They may also need to adjust current medications under the guidance of their healthcare provider.
• Diagnostic Tests or Assessments: Usually involves a preoperative evaluation to determine the patient's overall health status and suitability for the procedure.

Procedure Description

• Step-by-Step Explanation:
  1. The patient is positioned comfortably.
  2. The injection site is cleaned and sterilized.
  3. The healthcare provider administers the bupivacaine liposome injection into the target area.
  4. The area is monitored for any immediate adverse reactions.
• Tools/Equipment Used: Syringe, needle, antiseptic solution.
• Anesthesia or Sedation: The procedure itself provides local anesthesia, so no additional sedation is typically needed unless part of a broader surgical procedure.

Duration

• The injection procedure typically takes about 10-15 minutes.

Setting

• The procedure is usually performed in a hospital, outpatient clinic, or surgical center.

Personnel

• Healthcare professionals involved may include a surgeon, anesthesiologist, or a trained nurse.

Risks and Complications

• Common Risks: Temporary numbness or weakness in the injection area, mild pain or discomfort at the injection site.
• Rare Risks: Allergic reactions, infection at the injection site, prolonged numbness, cardiovascular or central nervous system toxicity.

Benefits

• Expected Benefits: Effective and extended pain relief, potentially reducing the need for opioid medications.
• Realization Time: Patients typically feel the benefits within hours of the procedure, with pain relief lasting up to 72 hours or longer.

Recovery

• Post-procedure Care: Monitor the injection site, manage any mild pain or swelling with ice packs or over-the-counter pain relievers, as recommended by a healthcare provider.
• Expected Recovery Time: Most patients can resume normal activities within a few days, depending on the nature of the surgery or condition treated with the injection.
• Restrictions/Follow-up: Follow-up appointments may be necessary to monitor pain levels and ensure proper healing.

Alternatives

• Other Treatment Options: Oral pain medications, other local anesthetics, regional anesthetic blocks.
• Pros and Cons: Alternatives like oral pain medications may have quicker onset but often come with greater systemic side-effects. Other local anesthetics may not offer the same duration of pain relief as liposomal bupivacaine.

Patient Experience

• During Procedure: Patients may feel a slight pinch or pressure at the injection site.
• After Procedure: Post-injection, patients generally report feeling numbness and pain relief in the treated area. Pain management is typically handled using over-the-counter painkillers if needed. Comfort measures like ice packs can help manage any localized swelling or discomfort.