Exparel as a Nerve Block for Severe Hand Pain

Chemical Sympathectomy Following Peripheral Nerve Block With Liposomal Bupivacaine

The purpose of this study is to investigate whether the use of the study drug (Exparel) is safe and effective for treating circulation problems and pain in the hand or fingers.

Inclusion Criteria:

• American Society of Anesthesiologists (ASA) status I-IV

Exclusion Criteria:

• True Allergy, not sensitivity to: local anesthetics, midazolam, fentanyl, propofol, ketamine
• Previous surgery or significant trauma involving the radial or ulnar arteries (previous history of angiography and intravascular catheter placement are permitted)
• Pregnancy
• Severe hepatic impairment
• Evidence of infection at or near the proposed needle insertion site
• Any sensorimotor deficit of the ipsilateral upper extremity, whether acute or chronic as determined by the PI and/or designee