The Hip book

Perioperative Pain Management

Intraoperative Pain Management General Anesthesia Neuroleptic Anesthesia Local Anesthesia Postoperative Pain Management Local Anesthetics Normal duration (1-6 hours) bupivacaine (Marcaine) lidocaine Extended duration (72 hours or more) liposomal bupivacaine (Exparel) information procedures references testimonials and news videos and webcasts Indwelling Catheters Opioid (Narcotic) Pain Medications codeine (only available in generic form) fentanyl (Actiq, Duragesic, Fentora) … Read more

Videos and Webcasts

EXPAREL web site Educational Presentations AAHKS 2015: Effective Functional Postsurgical Pain Control with an Opioid-Reducing Regimen. Iorio R, Kelly MA, Huddleston III JI, McAllister C. Duration – 8:55 minutes CCJR 2015: Postsurgical Pain Control with an Opioid-Reducing Regimen: A Focus on the Patient and Functional Outcomes. Mont MA, Kelly MA Kirschenbaum, IH Duration – 9:29 … Read more

Testimonials and News – Perioperative Pain Management

CBS New York — 8/8/16 Time Release Pain Killer ‘EXPAREL’ Designed to Reduce Patients’ Exposure to Opioids Plano Orthopedic — 4/1/15 Dr. Barrington Talks Benefits of EXPAREL for Postsurgical Pain — 3/23/15 New Data Demonstrate Reduced Opioid Requirements Following Use of EXPAREL in Hysterectomy and Mastectomy Procedures MarketWatch — 3/23/15 New Data Demonstrate Reduced … Read more

RefeReferences – Parioperative Pain Management

2016 Femoral nerve block versus long-acting wound infilitration in total knee arthroplasty. Emerson, Barrington, Olugbode et al. Orthopedics. 2016. (article link) Liposomal bupivacaine as an adjunct to postoperative pain control in total hip arthroplasty. Yu, Szulc, Walton, Davidovitch, Bosco, Iorio. J Arthroplasty. 2016. (article link) Reducing opioid adverse events: a safe way to improve outcomes. … Read more


Hip and Knee Infiltration Technique Local Analgesia Infiltration Techniques – Hip and Knee Arthroplasty Spine Infiltration Techniques Anterior/Posterior Lumbar Interbody Fusion L2/3-3/4, L4/5 Lateral Interbody Fusion Followed by Posterior Spinal Fusion L2-L5 with Instrumentation and Laminectomy L3/4-L4/5 Lumbar Laminectomy and Discectomy Right L4-L5 Posterior Cervical Fusion C4/5, C5/6