International Journal of Anesthesiology & Pain Medicine

Transversus Abdominis Plane Block with Liposomal Bupivacaine Reduces Post-Operative Opioid Requirements in Living Liver Donors

Pain management with the current open surgical approach for LLDH and opioid epidemic is a substantial concern and should be addressed. Patients undergoing LLDH often anticipate that they will experience significant pain after surgery and although many report that their pain was not as severe as they anticipated, this pre-emptive anxiety could represent a potential barrier when advocating for living donation. With the weight of the opioid crisis looming over our healthcare system, how we balance the risks associated with opioid-based pain management in the living donor population should be underscored. Exposure to opioid medications in both donors and recipients can lead to significant adverse effects including constipation, somnolence, and an increased risk of physical dependence.

Author(s):

Gianna Girone, Vincent Do, Elizabeth Cohen, Ann Marie Liapakis, David Mulligan, Ranjit Deshpande and Ramesh Batra

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