My tummy tuck is in 2 weeks and my ps uses pain pump. However I heard that exparel works better for pain control and I would like him to use exparel. Is exparel better for pain control and in terms of side effects than pain pump. If your patient would request exparel would you go ahead and fulfill pt's wish?
October 16, 2017
Answer: Exparel Vs Pain Pump I have used both, and both work. I have a few concerns about Exparel though. It contains a medication (marcaine) with known serious side effects on the heart, and it has only been studied for hemorrhoid and bunion surgery - very small areas of the body. So my concern is how to withdraw that medication in a case you had a side effect. The pain pump can simply be turned off, the Exparel cannot. Also with the pain pump, you can cover larger area which is useful for tummy tuck surgery.
Helpful 2 people found this helpful
October 16, 2017
Answer: Exparel Vs Pain Pump I have used both, and both work. I have a few concerns about Exparel though. It contains a medication (marcaine) with known serious side effects on the heart, and it has only been studied for hemorrhoid and bunion surgery - very small areas of the body. So my concern is how to withdraw that medication in a case you had a side effect. The pain pump can simply be turned off, the Exparel cannot. Also with the pain pump, you can cover larger area which is useful for tummy tuck surgery.
Helpful 2 people found this helpful
December 28, 2016
Answer: Pain Pump for post surgery pain control in Tummy Tuck I routinely use a pain pump for the first 20 hrs or so immediately after tummy tuck and body lift surgery. It works by delivering a slow continuous dose of local anaesthetic into the abdominal wall as soon as you wake up after surgery. I've found it to be a really effective pain relief method with really no side effects. Because of the effectiveness of the pain relief, it means that less narcotic analgesia needs to be used (so less side effects like nausea, vomiting and constipation) and my patients feel more able to move and get out of bed (which helps prevent venous thrombosis). This is also the rationale for exparel use. So, I think either would be a good option, and really it comes down to possibly cost! I don't think you could go too far wrong with either option!
Helpful
December 28, 2016
Answer: Pain Pump for post surgery pain control in Tummy Tuck I routinely use a pain pump for the first 20 hrs or so immediately after tummy tuck and body lift surgery. It works by delivering a slow continuous dose of local anaesthetic into the abdominal wall as soon as you wake up after surgery. I've found it to be a really effective pain relief method with really no side effects. Because of the effectiveness of the pain relief, it means that less narcotic analgesia needs to be used (so less side effects like nausea, vomiting and constipation) and my patients feel more able to move and get out of bed (which helps prevent venous thrombosis). This is also the rationale for exparel use. So, I think either would be a good option, and really it comes down to possibly cost! I don't think you could go too far wrong with either option!
Helpful