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A Systematic Review and Meta-Analysis of Intraperitoneal Bupivacaine in Laparoscopic Gynecologic Surgery

Greg Marchand1, Kelly Ware1,2, Malini Govindan1

  • 1Marchand Institute for Minimally Invasive Surgery, Mesa, AZ, USA.

Journal of Pain Research
|September 13, 2021
PubMed
Abstract

Keywords:
ERASbupivacaineenhanced recovery after surgeryintra-abdominal anestheticmarcaine

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Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
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