Anesthesia, Local
Conditions
Brief summary
Serum levels of bupivacaine over time after peri-articular injection of a mixture of liposomal bupivacaine and plain bupivacaine during total knee arthroplasty.
Interventions
Injection of a mixture of liposomal and plain bupivacaine around the knee during total knee arthroplasty.
Sponsors
Study design
Eligibility
Inclusion criteria
* Adults of at least 18 years of age having a primary, unilateral total knee arthroplasty with a surgical plan to have an intra-articular injection of a mixture of 266 mg of Exparel, 125 mg of bupivacaine, 1:300,000 epinephrine, and 0.9% saline to make a total volume of 100 ml.
Exclusion criteria
* Known hepatic dysfunction or renal insufficiency (creatinine \> 1.5 mg/dL); * allergy to the study medications; * pregnancy; * incarceration; * inability to communicate with the investigators; * morbid obesity (body mass index \> 40 kg/m2).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Serum Bupivacaine levels | 5 minutes to 24 hours after injection |
Countries
United States