Lead Author Year Journal Institution Study Type Level of Evidence Number of Patients Liposomal Bupivacaine Dose Given Concurrent Nerve Block (Y/N + Nerve Block Type) Comparison Group Outcome Measured 1-2 Sentence Conclusion
Okoroha, K 2016 Arthroscopy - Journal of Arthroscopic and Related Surgery Henry Ford Hospital, Detroit, Michigan Randomized control trial I 85 20 mL of LB (266 mg) mixed with 10 mL of saline No Received a single shot of 40 mL of 0.5% ropivacaine Daily pain difference The patients treated with LB had increased pain levels in the initial postoperative hours when compared with FNB. After the acute postoperative period, LB provided similar pain control compared with FNB.
Premkumar, A 2016 American Journal of Sports Medicine Emory Orthopaedics and Spine Center Randomized control trial I 32 20 mL Exparel (1 vial of bupivacaine liposome injectable suspension). Injections were at the hamstring graft sites and port sites (not periarticular). No Received 20 mL 0.5% bupivacaine HCl and 20 mL 0.9% injectable saline Efficacy of liposomal bupivacaine compared to bupivacaine HCL. There were comparable outcomes with 0.25% bupivacaine HCl at a 200-fold lower cost than liposomal bupivacaine.
Stryder, B 2021 Orthopedics Med-Star Washington Hospital Center Randomized control trial I 67 20 mL of LB (266 mg) No Received Catheter-based peripheral nerve block Quantity of opioids prescribed to patients who received LB Patients who received liposomal bupivacaine as part of multimodal pain management had significantly fewer opioid prescriptions.
Keller, R 2018 Knee surgery, sports traumatology, arthroscopy Ascension Crittenton Hospital Randomized control trial I 42 20 mL of LB No Received femoral nerve block Postoperative pain levels and opioid consumption Injecting the posterior capsule of the knee with LB significantly reduced pain in the early postoperative period as well as the total number of opiate medications taken by patients recovering from ACLR.