Episode 1.8 Exparel and TAP blocks plus the history of insulin and diabetes in pregnancy

In this episode we discuss the use of TAP blocks for Cesarean delivery with and without liposomal bupivacaine or Exparel and discuss issues related to intrathecal morphine and postoperative pain management in the context of the opioid epidemic. Plus, we celebrate the centennial of the discovery of insulin with a quick look at the the history of diabetes in pregnancy.

Links discussed:

TAP block vs intrathecal morphine

Morphine vs US guided TAP block

Side effects of intrathecal morphine

Newer $285 painkiller no better than older $3 treatment, studies say

TAP Block Versus Surgical Site Infiltration for Pain Management After Open Total Abdominal Hysterectomy

Exparel TAP Block RCT

Exparel TAP blocks

Opioid consumption reduction strategies after Cesarean

Banting and Best with one of their dogs