Evidence map›Paper›PMID 29263963›Full record

ArticlePlastic and reconstructive surgery. Global open2017

Liposomal Bupivacaine in Implant-Based Breast Reconstruction.

Saba Motakef, Wendy W Wong, Michael J Ingargiola, David Nguyen, Izabela A Galdyn, Hahns Y Kim, Subhas C Gupta

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04360421 (Use of Liposomal Bupivacaine), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.5field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04360421 phase4terminatednot on this mapstarted 2020, after this paper: background citation

Use of Liposomal Bupivacaine (Exparel) In Expedited Recovery Following Lower Extremity Amputation

TypeinterventionalSponsorLoma Linda UniversityRan2020 to 2023Enrolled7ConditionsAmputation, Anesthesia, Local, Opioid UseArmsLiposomal bupivacaine
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 18 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Saba MotakefDepartment of Plastic Surgery, Loma Linda University, Loma Linda, Calif.
Wendy W WongDepartment of Plastic Surgery, Loma Linda University, Loma Linda, Calif.
Michael J IngargiolaDepartment of Plastic Surgery, Loma Linda University, Loma Linda, Calif.
David NguyenDepartment of Plastic Surgery, Loma Linda University, Loma Linda, Calif.
Izabela A GaldynDepartment of Plastic Surgery, Loma Linda University, Loma Linda, Calif.
Hahns Y KimDepartment of Plastic Surgery, Loma Linda University, Loma Linda, Calif.
Subhas C GuptaDepartment of Plastic Surgery, Loma Linda University, Loma Linda, Calif.
Loma Linda University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study evaluates the role of liposomal bupivacaine in implant-based breast reconstruction.

methodsA prospective, randomized, single-blind trial of liposomal bupivacaine in implant-based breast reconstruction was performed. Patients in the control arm were treated with 20 mL 0.25% bupivacaine with epinephrine 1:200,000 to each breast pocket. Patients in the experimental arm were treated with 10 mL 1.3% liposomal bupivacaine delivered to each breast pocket. Pain scores were recorded over the course of patients' hospital stay. Consumption of pain medications, benzodiazepines, and anti-emetics was monitored. Length of stay and other direct cost data were collected.

resultsTwenty-four patients were enrolled, with 12 women randomized to each arm. Average postoperative pain scores were 3.66 for patients in the control arm and 3.68 for patients in the experimental arm. Opioid consumption was 1.43 morphine equivalent dosing/h for patients in the control arm and 0.76 morphine equivalent dosing/h for patients in the experimental arm (

conclusionsLiposomal bupivacaine reduces opioid and benzodiazepine consumption, length of stay, and hospital charges. These data support a role for liposomal bupivacaine in implant-based breast reconstruction.

Identifiers

PMID29263963
PMCPMC5732669
OpenAlexW2770201700

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.