Liposome bupivacaine for postsurgical pain in an obese woman with chronic pain undergoing laparoscopic gastrectomy: a case report

Table 1 Opioid use at baseline and after laparoscopic sleeve gastrectomy

Day	Drug	Dosage × number of administrations/day	IV morphine equivalent per dose	Daily IV morphine equivalent dose per drug	Total daily IV morphine equivalent opioid dose
Presurgery baseline
NA	Transmucosal fentanyl citrate, oral	600μg × 4	15mg	60mg
	Morphine CR, oral	30mg × 2	10mg	20mg	80mg (+ tramadol)
	Tramadol, oral	50mg as needed	NA^a	NA^a
Administered in the operating room
1	Fentanyl, IV	925μg × 1	92.5mg	92.5mg
Administered in the postanesthesia care unit
1	Hydromorphone, IV	0.5mg × 6	3.3mg	19.8mg
Administered during hospital stay					164.1mg
1	Transmucosal fentanyl citrate, oral	200μg × 2	5mg	10mg
	Morphine CR, oral	30mg × 1	10mg	10mg
	Hydromorphone, IV	1mg × 4	6.7mg	26.8mg
	Oxycodone + APAP, oral solution	10mg × 1	5mg	5mg
2	Transmucosal fentanyl citrate, oral	600μg × 2	15mg	30mg
	Morphine CR, oral	30mg × 2	10mg	20mg
	Hydromorphone, IV	1mg × 3	6.7mg	20.1mg	90.1mg
	Oxycodone + APAP, oral solution	10mg × 3	5mg	20mg
	Oxycodone + APAP, oral solution	5mg × 2	2.5mg	20mg
3 (before discharge)	Transmucosal fentanyl citrate, oral	600μg × 3	15mg	45mg
	Morphine CR, oral	30mg × 1	10mg	10mg	60mg
	Oxycodone + APAP, oral solution	10mg × 1	5mg	5mg	60mg

^aConversion of oral tramadol to morphine equivalent not available. APAP, acetaminophen; CR, controlled-release; IV, intravenous; NA, not applicable.

ISSN: 1752-1947