• A&A practice · Dec 2023

    Case Reports

    Repeat, Bilateral Femoral Nerve Blocks With Liposomal Bupivacaine for Analgesia in a Patient With Calciphylaxis: A Case Report.

    • Taylor D Catalano, Daniela Orza, and Florin M Orza.
    • From the Department of Anesthesiology, Atrium Health Care, Charlotte, North Carolina.
    • A A Pract. 2023 Dec 1; 17 (12): e01717e01717.

    AbstractA 39-year-old woman with juvenile idiopathic arthritis complicated by nonuremic calciphylaxis presented for pain management of bilateral lower extremity wounds requiring frequent dressing changes. Bilateral single-shot femoral nerve blocks using liposomal bupivacaine and 0.25% bupivacaine were performed. The patient reported decreased pain scores and had reduced opioid use for 72 hours postblock. Repeat, bilateral single-shot femoral nerve blocks with liposomal bupivacaine and 0.25% bupivacaine were performed approximately every 72 hours to maintain adequate analgesia. We conclude that off-label use of liposomal bupivacaine in femoral nerve blocks results in prolonged block duration without adverse effects or tachyphylaxis.Copyright © 2023 International Anesthesia Research Society.

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