Analgesic Efficacy of Continuous Bupivacaine Infusion versus Liposomal Bupivacaine in Parasacral Ischial Plane Block After Total Knee Arthroplasty: An Open-Label, Randomized, Controlled, Non-Inferiority Study

Xuan Pan, Peng Ye, Yawen Xie, Yingjie Chen, Hanliang Fan, Yongxin Huang, Chunying Zheng, Xiaochun Zheng, Ting Zheng · 2026

Read Analgesic Efficacy of Continuous Bupivacaine Infusion versus Liposomal Bupivacaine in Parasacral Ischial Plane Block After Total Knee Arthroplasty: An Open-Label, Randomized, Controlled, Non-Inferiority Study by Xuan Pan, Peng Ye, Yawen Xie, Yingjie Chen, Hanliang Fan, Yongxin Huang, Chunying Zheng, Xiaochun Zheng, Ting Zheng (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13564457.txt.

Description

Xuan Pan and co-authors compare two ways of numbing the back of the knee after knee replacement surgery. Pain behind the knee is a stubborn gap in standard blocks. One trial arm used a continuous infusion of ordinary bupivacaine through a catheter in a deep hip-side plane. The other used a single shot of the long-acting liposomal form of the same drug in the same plane. One hundred patients were randomized.

Pain scores over the first seventy-two hours formed the main measure, with a preset margin for what counts as close enough. Both strict and full-group analyses confirmed the single shot was not worse than the drip. Rescue opioid use, recovery milestones, and side effects were also tracked. The authors present the one-shot liposomal option as a simpler route to the same relief, sparing patients a pump and catheter to manage.

Catalog record

CREATORXuan Pan, Peng Ye, Yawen Xie, Yingjie Chen, Hanliang Fan, Yongxin Huang, Chunying Zheng, Xiaochun Zheng, Ting Zheng
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE43 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13564457

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