{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T16:34:26Z","timestamp":1764002066966},"reference-count":11,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2016,6,9]],"date-time":"2016-06-09T00:00:00Z","timestamp":1465430400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:label \/><jats:p>Thoracotomy pain is common after chest surgery and may result from injury to the lung pleura, intercostal muscles, costovertebral joint, or intercostal nerves. Inappropriately controlled postoperative pain can hinder recovery and increase the risk of complications such as infection, atelectasis, blood clots, and development of post\u2010thoracotomy pain syndrome. A number of treatment options for acute pain are available, most of which require systemic medications or indwelling catheters that may be contraindicated in patients on anticoagulants. We present the case of a patient with post\u2010thoracotomy pain that effectively was treated with an ultrasound\u2010guided nerve block with liposomal bupivacaine. The patient experienced pain relief without adverse event. Liposomal bupivacaine may be considered a potential treatment option for patients with severe acute post\u2010thoracotomy pain in whom other modalities have not worked or are contraindicated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>N\/A<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.pmrj.2016.06.003","type":"journal-article","created":{"date-parts":[[2016,6,12]],"date-time":"2016-06-12T03:06:06Z","timestamp":1465700766000},"page":"1119-1122","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Alleviating Thoracotomy Pain With Intercostal Liposomal Bupivacaine: A Case Report"],"prefix":"10.1002","volume":"8","author":[{"given":"Adam","family":"Saby","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kavitha","family":"Swaminathan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanjog","family":"Pangarkar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bianca","family":"Tribuzio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,6,9]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1547-4127(04)00022-2"},{"key":"e_1_2_6_3_2","first-page":"425","article-title":"Integrated immune response to standard major surgical trauma in normal patients","volume":"25","author":"Slade M.S.","year":"1974","journal-title":"Surg Forum"},{"key":"e_1_2_6_4_2","first-page":"121","article-title":"Post thoracotomy pain syndrome following surgery for lung cancer: Symptoms and impact on quality of life","volume":"6","author":"Hopkins K.","year":"2015","journal-title":"J Adv Pract Oncol"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/AAP.0b013e3181c15c70"},{"key":"e_1_2_6_6_2","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1097\/ALN.0b013e3181c6316e","article-title":"Improving postoperative pain management. What are the unresolved Issues?","volume":"112","author":"White P.F.","year":"2011","journal-title":"Anesthesiology"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200604000-00033"},{"key":"e_1_2_6_8_2","doi-asserted-by":"crossref","first-page":"539","DOI":"10.2217\/pmt.11.62","article-title":"Evaluation of DepoFoam bupivacaine for the treatment of post surgical pain","volume":"1","author":"Bergese S.","year":"2011","journal-title":"Pain Manag"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1185\/03007995.2012.721760"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2015.08.017"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2015.02.074"},{"key":"e_1_2_6_12_2","first-page":"257","article-title":"Liposomal bupivacaine: A review of a new bupivacaine formulation","volume":"5","author":"Chahar P.","year":"2012","journal-title":"J Pain Res"}],"container-title":["PM&amp;R"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1934148216301770?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1934148216301770?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.pmrj.2016.06.003","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.pmrj.2016.06.003","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.pmrj.2016.06.003","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,15]],"date-time":"2023-09-15T05:41:12Z","timestamp":1694756472000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1016\/j.pmrj.2016.06.003"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,6,9]]},"references-count":11,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2016,11]]}},"alternative-id":["10.1016\/j.pmrj.2016.06.003"],"URL":"https:\/\/doi.org\/10.1016\/j.pmrj.2016.06.003","archive":["Portico"],"relation":{},"ISSN":["1934-1482","1934-1563"],"issn-type":[{"value":"1934-1482","type":"print"},{"value":"1934-1563","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,6,9]]},"assertion":[{"value":"2015-08-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-06-04","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-06-09","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}