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Liposomal bupivacaine is an extended-release formulation of the amide-type local anesthetic bupivacaine, utilizing DepoFoam multivesicular liposome technology. It is designed to provide prolonged postsurgical analgesia for up to 72 hours by slowly releasing the active ingredient into the surgical site or near nerves, thereby reducing the need for systemic opioids. The mechanism of action involves the reversible blockade of voltage-gated sodium channels on neuronal membranes, which prevents the generation and conduction of nerve impulses and inhibits pain signal transmission. This specific clinical context involves a study by the University of Texas at Austin evaluating its efficacy as a V2 trigeminal nerve block within an Enhanced Recovery After Surgery (ERAS) protocol for patients undergoing orthognathic surgery.
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