Randomized Trialhigh evidence

Liposomal Bupivacaine, Plain Bupivacaine, and Saline for Transversus Abdominis Plane Blocks: The CLEVELAND Randomized Trial.

Anesthesiology·March 1, 2026·PMID 41329063

Why it matters

TAP blocks are widely used in Enhanced Recovery After Surgery pathways, but their efficacy has been debated. This high-quality trial challenges the routine use of single-shot TAP blocks, including those with liposomal bupivacaine, for major abdominal surgery, potentially influencing perioperative pain management protocols.

Infographic summary of Liposomal Bupivacaine, Plain Bupivacaine, and Saline for Transversus Abdominis Plane Blocks: The CLEVELAND Randomized Trial.
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