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EXPAREL is a local anesthetic that produces postsurgical analgesia in patients aged six years and older.

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The recommended dose of EXPAREL for patients aged six to seventeen years old is weight-based at four milligrams per kilogram

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up to a maximum of two hundred sixty-six milligrams.

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To determine the dose, weigh patient.

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After the tonsils are removed, EXPAREL is administered via surgical site infiltration.

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First, draw EXPAREL into a five-milliliter syringe using a twenty-five-gauge needle.

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Mark the needle at 1cm to indicate the depth of needle insertion into the pharyngeal muscle.

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Insert the needle into the midpole of EACH tonsillar fossae. Aspirate before injection to avoid intravascular injection.

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Then, inject two point five milliliters of EXPAREL into EACH tonsillar fossae.

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Inject each bilateral incision site in the palatoglossus mucosa at the one centimeter needle depth with two point four milliliters of EXPAREL.

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Control any bleeding from the injection sites with electrocautery.