Page last updated: 2024-12-04

bupivacaine

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Description

Bupivacaine: A widely used local anesthetic agent. [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

1-butyl-N-(2,6-dimethylphenyl)piperidine-2-carboxamide : A piperidinecarboxamide obtained by formal condensation of the carboxy group of N-butylpipecolic acid with the amino group of 2,6-dimethylaniline. [Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

bupivacaine : A racemate composed of equimolar amounts of dextrobupivacaine and levobupivacaine. Used (in the form of its hydrochloride hydrate) as a local anaesthetic. [Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Cross-References

ID SourceID
PubMed CID2474
CHEMBL ID1098
CHEBI ID77431
CHEBI ID3215
SCHEMBL ID25438
MeSH IDM0003045

Synonyms (153)

Synonym
bloqueina
AC-2096
bupivacaine liposome
CHEMBL1098
sky0402
liposomal bupivacaine
bucaine
sky-0402
liq-865
liq865
ropivacaine hydrochloride impurity, bupivacaine-
chebi:77431 ,
AB00053674-08
BRD-A01636364-003-05-2
gtpl2397
posimir
2-piperidinecarboxamide, 1-butyl-n-(2,6-dimethylphenyl)-
2',6'-pipecoloxylidide, 1-butyl-
DIVK1C_000758
KBIO1_000758
1-butyl-n-(2,6-dimethylphenyl)piperidine-2-carboxamide
38396-39-3
einecs 218-553-3
2-piperidinecarboxamide, 1-butyl-n-(2,6-dimethylphenyl)-, (+-)-
lac-43
bupivacainum [inn-latin]
(1)-1-butyl-n-(2,6-dimethylphenyl)piperidine-2-carboxamide
win 11318
(+-)-bupivacaine
ah 250
einecs 253-911-2
anekain
bupivacaina [inn-spanish]
sensorcaine
SPECTRUM_001524
PRESTWICK2_000305
BSPBIO_002607
NCGC00178579-01
NCGC00178579-02
2180-92-9
exparel (tn)
bucaine (tn)
D07552
bupivacaine (usan/inn)
SPECTRUM5_001483
IDI1_000758
BSPBIO_000270
BPBIO1_000298
AB00053674
C07529
marcaine
bupivacaine
dl-bupivacaine
dl-1-butyl-2',6'-pipecoloxylidide
1-butyl-n-(2,6-dimethylphenyl)-2-piperidinecarboxamide
(+/-)-bupivacaine
racemic bupivacaine
1-butyl-2',6'-pipecoloxylidide
(rs)-bupivacaine
DB00297
KBIOGR_001516
KBIO2_007140
KBIOSS_002004
KBIO2_002004
KBIO2_004572
KBIO3_001827
PRESTWICK1_000305
SPBIO_001558
PRESTWICK0_000305
SPBIO_002489
SPECTRUM3_000974
SPECTRUM4_001098
SPECTRUM2_001589
NINDS_000758
PRESTWICK3_000305
marcain
HMS2090F12
xaracoll
L000695
FT-0660567
AKOS001637202
cbupivacaine
bupivacaine hcl kit
dur-843
bdbm50350790
sky 0402
y8335394ro ,
bupivacaina
bupivacainum
hsdb 7790
bupivacaine [usan:inn:ban]
unii-y8335394ro
bupivacaine liposome injectable suspension
exparel
FT-0623286
EPITOPE ID:122662
chebi:3215
BRD-A01636364-003-08-6
STL484283
bupivacaine [hsdb]
bupivacaine [green book]
bupivacaine [mi]
bupivacaine [orange book]
zynrelef component bupivacaine
bupivacaine [inn]
bupivacaine [usan]
2-piperidinecarboxamide, 1-butyl-n-(2,6-dimethylphenyl)-, (+/-)-
bupivacaine component of zynrelef
ropivacaine hydrochloride impurity, bupivacaine- [usp impurity]
bupivacaine [vandf]
bupivacaine [who-dd]
SCHEMBL25438
AB00053674-09
3-ethyl-2-methylbenzoxazoliumiodide
AKOS016842516
BS-5224
1-butyl-n-(2,6-dimethylphenyl)-piperidine-2-carboxamide
2-piperidinecarboxamide, 1-butyl-n-(2,6-dimethylphenyl)-, (.+/-.)-
marcaine spinal (salt/mix)
(.+/-.)-1-butyl-2',6'-pipecoloxylidide
marcaine hydrochloride (salt/mix)
(.+/-.)-bupivacaine
lac-43 (salt/mix)
Q-100271
HMS3428P06
AB00053674_10
AB00053674_11
DTXSID2022703 ,
mfcd00243007
FT-0699781
bupivacaine base
SBI-0051846.P002
CS-W023182
FT-0771900
BCP21825
Q422806
119427-31-5
(plusmn)-1-butyl-n-(2,6-dimethylphenyl)piperidine-2-carboxamide
BCP12242
marcaine and sensorcaine
bupivacaine free base
ah250
ah-250
A873847
BB166160
HY-B0405
EN300-18292932
bupivacaina (inn-spanish)
dtxcid802703
n01bb01
bupivacaine hcl collagen-matrix
nocita
bupivacainum (inn-latin)

Research Excerpts

Overview

Bupivacaine (BUP) is an anesthetic from the family of aminoacyl anesthetics and has the highest myotoxicity among other groups of anesthetic. BupivACaine/meloxicam ER is a viable, safe, nonopioid local anesthetic for sustained 72-hour postoperative pain management.

ExcerptReferenceRelevance
"Bupivacaine (BUP) is a long-acting amide local anesthetic that may induce strong neurotoxicity and neurological complications. "( MiRNA-494-3p Regulates Bupivacaine-Induced Neurotoxicity by the CDK6-PI3K/AKT Signaling.
Guo, F; Zhang, L, 2021
)
2.37
"Bupivacaine (BP) is a commonly clinically used local anesthetic (LA). "( Bupivacaine Induces ROS-Dependent Autophagic Damage in DRG Neurons via TUG1/mTOR in a High-Glucose Environment.
Guo, W; Lai, L; Li, F; Li, L; Peng, S; Wang, Y; Wei, G; Xia, Z; Xu, S, 2022
)
3.61
"Bupivacaine is a common local anesthetic that causes neurotoxicity when used at clinical concentrations. "( Melatonin ameliorates bupivacaine-induced spinal neurotoxicity in rats by suppressing neuronal NLRP3 inflammasome activation.
Chen, MY; Huang, LS; Ji, JM; Lai, J; Liu, JC; Luo, YP; Wei, LL; Yu, Y; Zhou, G, 2022
)
2.48
"Bupivacaine (BPX) is a widely used local anesthetic. "( The efficacy of bupivacaine for the treatment of strabismus.
Farrelly-Waters, M; Parmar, K; Smith, J, 2022
)
2.51
"Bupivacaine is a viable option for the treatment of small angle deviations and is not recommended for use in long-standing cranial nerve palsies or those associated with atrophy. "( The efficacy of bupivacaine for the treatment of strabismus.
Farrelly-Waters, M; Parmar, K; Smith, J, 2022
)
2.51
"Bupivacaine is a commonly used drug. "( Bupivacaine Metabolite Can Interfere with Norfentanyl Measurement by LC-MS/MS.
Basu, S; Bernstein, S; Flood, JG; Griggs, D; Khaliq, T; Leffert, L; Mahowald, G; Siegel, M; Uljon, S, 2022
)
3.61
"Bupivacaine is a more widely used anesthetic than mepivacaine. "( Mepivacaine Versus Bupivacaine for Spinal Anesthesia: A Systematic Review and Meta-analysis of Random Controlled Trials.
Fan, G; Guo, W; Tan, H; Wan, T; Xie, Y, 2022
)
2.49
"Bupivacaine is a short-acting local anesthetic. "( Bupivacaine/meloxicam ER: A New Dual-acting Extended-Release Local Anesthetic for Opioid-Sparing Postoperative Pain Management.
Bourn, T; Serpa, SM, 2023
)
3.8
"Bupivacaine/meloxicam ER is a viable, safe, nonopioid local anesthetic for sustained 72-hour postoperative pain management mitigating opioid consumption."( Bupivacaine/meloxicam ER: A New Dual-acting Extended-Release Local Anesthetic for Opioid-Sparing Postoperative Pain Management.
Bourn, T; Serpa, SM, 2023
)
3.8
"Bupivacaine (BUP) is an anesthetic from the family of aminoacyl anesthetics and has the highest myotoxicity among other groups of anesthetics. "( Applications of bupivacaine in the non-surgical treatments of strabismus: a review.
Ansari-Astaneh, MR; Es'haghi, A; Gharib, B; Ghavami Shahri, SH; Kiarudi, MY, 2022
)
2.51
"Levobupivacaine is a long-acting amide local anaesthetic used in analgesia and anaesthesia. "( Clinical Pharmacokinetics and Pharmacodynamics of Levobupivacaine.
Bampoe, S; Brunnen, D; Heppolette, CAA; Odor, PM, 2020
)
1.36
"Bupivacaine is a longer-lasting local anesthetic, and a film-forming formulation allows easy and durable application to the affected skin."( Postherpetic Neuralgia: Current Evidence on the Topical Film-Forming Spray with Bupivacaine Hydrochloride and a Review of Available Treatment Strategies.
Anya, A; Berger, AA; Cornett, EM; Fortier, L; Herron, EW; Kassem, H; Kaye, AD; Ngo, AL; Oh, JH; Sanchez, MG; Urits, I; Urman, RD; Viswanath, O; Yilmaz, M, 2020
)
1.51
"Bupivacaine is an amide local anesthetic with possible side effects that include an irregular heart rate. "( The anesthetic bupivacaine induces cardiotoxicity by targeting L-type voltage-dependent calcium channels.
Chen, B; Gao, Y; Hua, Q; Li, B; Yang, R; Zhang, X, 2020
)
2.35
"Bupivacaine is a long-acting local anesthetic (LA) used for cutaneous infiltration, peripheral nerve blocks, epidural and spinal anesthesia. "( Transient left ventricular dysfunction due to coronary spasm after spinal anesthesia with bupivacaine - a case report.
Bartkowski, J; Elikowski, W; Horbacka, K; Kalawski, B; Małek-Elikowska, M; Słomczyński, M, 2017
)
2.12
"Bupivacaine is a commonly used local anesthetic in postoperative pain management. "( Anti-nociceptive effects of bupivacaine-encapsulated PLGA nanoparticles applied to the compressed dorsal root ganglion in mice.
Dai, F; Hurwitz, O; LaMotte, RH; Ma, C; Shimada, SG; Tian, D; Wang, T; Zhou, J, 2018
)
2.22
"Bupivacaine is a valid alternative to articaine in third molar surgery and may offer residual anesthesia as a means of reducing postoperative pain. "( Double-blind, randomized controlled clinical trial on analgesic efficacy of local anesthetics articaine and bupivacaine after impacted third molar extraction.
Manzano-Moreno, FJ; Muñoz-López, JL; Olmedo-Gaya, MV; Reyes-Botella, C; Vallecillo-Capilla, MF, 2018
)
2.14
"Bupivacaine is a commonly used local anesthetic that has been shown to be cytotoxic to articular chondrocytes and various tumor cells. "( The In Vitro Effects of Bupivacaine on Cartilage-forming Tumor Cells.
Chapman, GL; Mirshahidi, S; Zuckerman, LM, 2019
)
2.26
"Bupivacaine is an amide local anaesthetic used in hyperbaric and isobaric forms. "( Use of hyperbaric versus isobaric bupivacaine for spinal anaesthesia for caesarean section.
Chan, ES; Lim, Y; Sia, AT; Siddiqui, FJ; Sng, BL; Tan, KH, 2013
)
2.11
"Bupivacaine is a fi rst choice for regional anesthesia considering its effectiveness, long duration and less motor blockade. "( Comparative study related to cardiovascular safety between bupivacaine (S75-R25) and ropivacaine in brachial plexus block.
Auler, JO; de Rezende, MR; Hamaji, A; Mattar, R; Vieira, JE,
)
1.82
"Bupivacaine is a widely used, local anesthetic agent that blocks voltage-gated Na(+) channels when used for neuro-axial blockades. "( Ultralow concentrations of bupivacaine exert anti-inflammatory effects on inflammation-reactive astrocytes.
Biber, B; Björklund, U; Block, L; Hansson, E; Jörneberg, P; Westerlund, A, 2013
)
2.13
"Levobupivacaine is an enantiomer of racemic bupivacaine with less cardiotoxicity and neurotoxicity."( Local anesthesia for treatment of hernia in elder patients: Levobupicavaine or Bupivacaine?
Accurso, A; Amato, B; Amato, M; Aprea, G; Bianco, T; Compagna, R; Danzi, M; Fappiano, F; Rossi, R; Vigliotti, G, 2013
)
1.1
"Bupivacaine is a sodium channel blocker administered for local infiltration, nerve block, epidural, and intrathecal anesthesia."( Enhanced expression of WD repeat-containing protein 35 via nuclear factor-kappa B activation in bupivacaine-treated Neuro2a cells.
Feng, GG; Fujiwara, Y; Harato, M; Huang, L; Ishikawa, N; Kondo, F; Okada, S, 2014
)
1.34
"Bupivacaine is a first choice for regional anesthesia considering its effectiveness, long duration and less motor blockade. "( Comparative study related to cardiovascular safety between bupivacaine (S75-R25) and ropivacaine in brachial plexus block.
Auler, JO; Hamaji, A; Mattar, R; Rezende, MR; Vieira, JE,
)
1.82
"Bupivacaine is an amide type long acting local anesthetic used for epidural anesthesia and nerve blockade in patients. "( Growth inhibition by bupivacaine is associated with inactivation of ribosomal protein S6 kinase 1.
Andrabi, KI; Bashir, A; Bashir, B; Beigh, MA; Hussain, Mu; Showkat, M, 2014
)
2.16
"Bupivacaine is a sodium channel blocker, which is widely used for local infiltration nerve block, epidural and intrathecal anesthesia. "( The effects of hispidulin on bupivacaine-induced neurotoxicity: role of AMPK signaling pathway.
Chen, J; Li, S; Niu, X; Wang, P; Zhang, M; Zhou, H, 2014
)
2.14
"Bupivacaine is a long-acting local anaesthetic that is widely used in medicine and dentistry. "( Anaesthetic efficacy of bupivacaine 2-hydroxypropyl-β-cyclodextrin for dental anaesthesia after inferior alveolar nerve block in rats.
Caldas, CS; Franz-Montan, M; Groppo, FC; Nolasco, FP; Paula, Ed; Santos, CP; Serpe, L; Silva, CB; Volpato, MC, 2014
)
2.15
"Bupivacaine is an amide local anesthetic used in hyperbaric and plain forms administered as spinal anesthesia for cesarean delivery. "( Hyperbaric versus plain bupivacaine for spinal anesthesia for cesarean delivery.
Chan, ESY; Heng Sia, AT; Lim, Y; Siddiqui, FJ; Sng, BL; Tan, KH, 2015
)
2.17
"Bupivacaine is a well-known local anaesthetic."( Randomised controlled trial of spinal anaesthesia with bupivacaine or 2-chloroprocaine during caesarean section.
Laubach, M; Maes, S; Poelaert, J, 2016
)
1.4
"Bupivacaine is a commonly used local anaesthetic for spinal anaesthesia for caesarean section, but may produce prolonged motor block, delaying discharge from the post-anaesthesia care unit. "( Duration of motor block with intrathecal ropivacaine versus bupivacaine for caesarean section: a meta-analysis.
Banerjee, A; Halpern, S; Hunter, J; Johnstone, C; Malhotra, R, 2016
)
2.12
"Bupivacaine is an established and efficacious anesthetic that has become increasingly popular in postoperative pain management. "( Bupivacaine drug-induced liver injury: a case series and brief review of the literature.
Chintamaneni, P; Malik, SM; Stevenson, HL, 2016
)
3.32
"Bupivacaine is a local anesthetic widely used in surgical procedures."( Comparison of histopathological effects of perineural administration of bupivacaine and bupivacaine-dexmedetomidine in rat sciatic nerve.
Alizadeh, L; Arhami-Dolatabadi, A; Daneshbod, Y; Hosseinian, MA; Khandaghy, M; Memari, E; Mirabotalebi, M; Mirkheshti, A; Shirian, S, 2016
)
1.39
"Bupivacaine acts as a non-competitive antagonist and has limitations, such as myotoxicity, neurotoxicity, and inflammation."( GaAs laser therapy reestablishes the morphology of the NMJ and nAChRs after injury due to bupivacaine.
Codina, F; de Souza Castro, PA; Matheus, SM; Pinto, CG; Pissulin, CN; Vechetti-Junior, IJ, 2017
)
1.4
"Bupivacaine is a local anesthetic commonly used to relieve or control pain in interventional spine procedures. "( Effect of bupivacaine on intervertebral disc cell viability.
Kang, J; Lee, H; O'Connell, S; Sowa, G; Studer, R; Vadala, G; Vo, N, 2010
)
2.21
"Bupivacaine is an amide type local anesthetic which is widely used for epidural anesthesia and nerve blockade in patients. "( Alpha-lipoic acid prevents bupivacaine-induced neuron injury in vitro through a PI3K/Akt-dependent mechanism.
Cheng, Y; Ding, Z; Li, C; Liu, L; Wang, X; Zhang, W; Zhang, X, 2010
)
2.1
"Levobupivacaine is a valid alternative to traditional local anesthetics for surgical removal of lower third molars. "( Postoperative pain relief after surgical removal of impacted third molars: a single-blind, randomized, controlled study to compare levobupivacaine and mepivacaine.
Brienza, N; Crincoli, V; Di Bisceglie, MB; Favia, G; Giuliani, R; Massaro, M, 2009
)
1.11
"Levobupivacaine is a long-acting local anesthetic with a clinical profile similar to that of racemic bupivacaine but with a greater margin of safety. "( The direct effect of levobupivacaine in isolated rat aorta involves lipoxygenase pathway activation and endothelial nitric oxide release.
Choi, YS; Hah, YS; Hwang, EM; Jeong, YS; Lee, SH; Ok, SH; Park, JY; Shin, IW; Sohn, JT, 2010
)
1.22
"Bupivacaine infiltration is a safe and effective method for relief of pediatric post-adenotonsillectomy pain."( Bupivacaine versus normal saline for relief of post-adenotonsillectomy pain in children: a meta-analysis.
Jin, L; Meng, Y; Sun, J; Wu, X, 2010
)
3.25
"Levobupivacaine (Chirocaine) is a long-acting amide local anaesthetic that is effective when administered as an epidural, spinal, peripheral nerve or ocular block, or by topical application or local infiltration. "( Levobupivacaine: a review of its use in regional anaesthesia and pain management.
Keating, GM; Sanford, M, 2010
)
1.48
"Bupivacaine is a widely used long-acting local anaesthetic. "( The effects of lidocaine on bupivacaine-induced cardiotoxicity in the isolated rat heart.
Jarkovský, J; Krikava, I; Nováková, M; Ševčík, P; Stourac, P, 2010
)
2.1
"Levobupivacaine is a long acting local anesthetic with less cardiovascular toxicity. "( [Comparison of levobupivacaine and ropivacaine for postoperative epidural analgesia].
Goyagi, T; Kudo, R; Nishikawa, T, 2010
)
1.25
"Bupivacaine is a local anesthetic commonly used for back pain management in interventional procedures. "( Bupivacaine decreases cell viability and matrix protein synthesis in an intervertebral disc organ model system.
Choe, SR; Dong, Q; Hartman, RA; Kang, JD; Lee, JY; Ngo, K; Niedernhofer, LJ; Sowa, GA; Vo, NV; Wang, D; Witt, WT, 2011
)
3.25
"Levobupivacaine is a new long-acting local anesthetic, which is the isolated S-enantiomer of racemic bupivacaine with less cardiovascular and central nervous system toxicity than bupivacaine. "( A comparison of spinal isobaric levobupivacaine and racemic bupivacaine for lower abdominal and lower extremity surgery.
Bn, KP; Bn, MT; Bn, RK; Sathitkarnmanee, T; Thongrong, C; Tribuddharat, S, 2011
)
1.2
"Levobupivacaine is a long-acting local anesthetic that intrinsically produces vasoconstriction in isolated vessels. "( Levobupivacaine-induced contraction of isolated rat aorta is calcium dependent.
Baik, JS; Chung, YK; Hwang, EM; Kim, JG; Ok, SH; Park, JY; Park, SS; Sohn, JT; Sung, HJ, 2011
)
1.49
"Levobupivacaine is a long-acting amide local anesthetic that intrinsically produces vasoconstriction both in vivo and in vitro. "( Protein kinases participate in the contraction in response to levobupivacaine in the rat aorta.
Kwon, SC; Lee, SH; Ok, SH; Shim, HS; Sohn, JT, 2012
)
1.17
"Bupivacaine is a widely used anaesthetic injected locally in clinical practice for short-term neurotransmission blockade. "( Acute and chronic effects of bupivacaine on muscle energetics during contraction in vivo: a modular metabolic control analysis.
Arsac, LM; Deschodt-Arsac, V; Diolez, P; Miraux, S; Nouette-Gaulain, K; Rossignol, R; Thiaudiere, E, 2012
)
2.11
"Bupivacaine is a local anaesthetic prohibited in equine sports. "( Structural elucidation of phase I and II metabolites of bupivacaine in horse urine and fungi of the Cunninghamella species using liquid chromatography/multi-stage mass spectrometry.
Bondesson, U; Hedeland, M; Rydevik, A, 2012
)
2.07
"Bupivacaine is a local anesthetic compound belonging to the amino amide group. "( Bupivacaine inhibits large conductance, voltage- and Ca2+- activated K+ channels in human umbilical artery smooth muscle cells.
Enrique, N; Martín, P; Milesi, V; Palomo, AR; Rebolledo, A,
)
3.02
"Levobupivacaine is an enantiomer of racemic bupivacaine with less cardiotoxicity and neurotoxicity."( Comparative study between Levobupivacaine and Bupivacaine for hernia surgery in the elderly.
Amato, B; Amato, M; Aprea, G; Compagna, R; Coretti, G; Iacono, F; Militello, C; Prezioso, D; Puzziello, A; Vigliotti, G, 2012
)
1.15
"Levobupivacaine is a newly developed local anaesthetic derived from a bupivacaine racemic mixture from which the right isomer has been eliminated. "( 0.25% levo-bupivacaine for interscalene block during shoulder surgery. A survey on 20 patients.
Chillemi, S; Marino, A; Sinardi, D; Trimarchi, G,
)
1.08
"Levobupivacaine seems to be a suitable alternative local anaesthetic to lignocaine with adrenaline for pain control after oral operations."( Safety and efficacy of levobupivacaine for postoperative pain relief after the surgical removal of impacted third molars: a comparison with lignocaine and adrenaline.
Coulthard, P; Gennery, BA; Rood, JP; Snowdon, AT, 2002
)
1.09
"Levobupivacaine is a promising new local anaesthetic agent for pain management in paediatric patients and appears to offer similar anaesthetic efficacy to racemic bupivacaine with a potentially improved tolerability profile."( Efficacy and safety of caudal injection of levobupivacaine, 0.25%, in children under 2 years of age undergoing inguinal hernia repair, circumcision or orchidopexy.
Austin, S; Chalkiadis, GA; Eyres, R; Taylor, R, 2003
)
1.13
"Bupivacaine is a local anesthetic agent of the amide class. "( Clinical experience with intrathecal bupivacaine in combination with opioid for the treatment of chronic pain related to failed back surgery syndrome and metastatic cancer pain of the spine.
Caraway, DL; Deer, TR; Dempsey, CD; Kim, CK; McNeil, KF; Stewart, CD,
)
1.85
"Levobupivacaine 7.5 g ml(-1) is an isobaric solution within all patient groups at 37 degrees C [corrected]"( Density of spinal anaesthetic solutions of bupivacaine, levobupivacaine, and ropivacaine with and without dextrose.
McLeod, GA, 2004
)
1.07
"Levobupivacaine is an effective agent for spinal anesthesia in neonates at a recommended dose of 1 mg x kg(-1). "( Levobupivacaine spinal anesthesia in neonates: a dose range finding study.
Farrell, T; Frawley, GP; Smith, S, 2004
)
1.44
"Levobupivacaine is an effective local anaesthetic agent for nerve blockade with less systemic toxicity than racemic bupivacaine. "( Plasma levobupivacaine concentrations following scalp block in patients undergoing awake craniotomy.
Cormack, JR; Costello, TG; Harris, K; LaFerlita, B; Mather, LE; Murphy, MA, 2005
)
1.28
"Bupivacaine is a long-acting local anesthetic agent that is very widely used for cutaneous infiltration, peripheral nerve blocks, epidural anesthesia, and spinal anesthesia. "( Cardiovascular collapse from low dose bupivacaine.
Levsky, ME; Miller, MA, 2005
)
2.04
"Bupivacaine is a racemic mixture of S(-)- and R(+)-enantiomers. "( In vitro antagonism of recombinant ligand-gated ion-channel receptors by stereospecific enantiomers of bupivacaine.
Mashimo, T; Sugimoto, M; Suzuki, T; Uchida, I; Ueta, K,
)
1.79
"Levobupivacaine is an effective agent for caudal anesthesia in children at a recommended dose of 2.5 mg x kg(-1). "( Levobupivacaine caudal anesthesia in children: a randomized double-blind comparison with bupivacaine.
Downie, S; Frawley, GP; Huang, GH, 2006
)
1.45
"Bupivacaine is a potent local anesthetic widely used for prolonged local and regional anesthesia. "( Stereoselective block of cardiac sodium channels by bupivacaine in guinea pig ventricular myocytes.
Bennett, PB; Hondeghem, LM; Snyders, DJ; Tamargo, J; Valenzuela, C, 1995
)
1.98
"Bupivacaine is a more potent inhibitor of adrenergic neurotransmission in the blood vessel wall than is lidocaine."( Inhibitory effects of bupivacaine and lidocaine on adrenergic neuroeffector junctions in rat tail artery.
Gardner, CA; Szocik, JF; Webb, RC, 1993
)
1.32
"Bupivacaine is a local ocular anesthetic with a long duration of action when administered by retrobulbar injection. "( Topical bupivacaine and proparacaine: a comparison of toxicity, onset of action, and duration of action.
Beuerman, RW; Liu, JC; McDonald, MB; Steinemann, TL; Thompson, HW, 1993
)
2.16
"Bupivacaine HCl is a 50:50 racemic mixture of the levo [S(-)] and dex [R(+)] enantiomers. "( Arterial and pulmonary arterial concentrations of the enantiomers of bupivacaine after epidural injection in elderly patients.
Go, G; Mather, LE; Sculco, TP; Sharrock, NE, 1998
)
1.98
"Bupivacaine is a local anesthetic frequently used in clinical practice, and cardiotoxicity is one of its severe side effects."( The effects of verapamil and nimodipine on bupivacaine-induced cardiotoxicity in rats: an in vivo and in vitro study.
Adsan, H; Onaran, O; Tulunay, M, 1998
)
1.28
"Levobupivacaine is an enantiomer of the long-acting local anaesthetic bupivacaine, which, although currently the most widely used agent in surgery and obstetrics, is associated with potentially fatal cardiotoxicity. "( Levobupivacaine.
McClellan, KJ; Spencer, CM, 1998
)
1.42
"Bupivacaine is a commonly used local anesthetic in dental, ophthalmologic, and simple surgical procedures. "( Bupivacaine-induced seizures and ventricular fibrillation in a 13-year-old girl undergoing wound debridement.
Newman, RD; Yan, AC, 1998
)
3.19
"Bupivacaine is a potent local anaesthetic used in equine medicine. "( Bupivacaine in the horse: relationship of local anaesthetic responses and urinary concentrations of 3-hydroxybupivacaine.
Boyles, J; Carter, WG; Dirikolu, L; Harkins, JD; Karpiesiuk, W; Lehner, A; Tobin, T; Woods, WE, 1999
)
3.19
"Levobupivacaine is a long acting local anaesthetic with a clinical profile closely resembling that of bupivacaine. "( Levobupivacaine: a review of its pharmacology and use as a local anaesthetic.
Foster, RH; Markham, A, 2000
)
1.42
"Bupivacaine hydrochloride is a long-acting local anesthetic that is clinically effective for approximately 8 hours."( Bupivacaine for postoperative pain relief at the iliac crest bone graft harvest site.
Gusmorino, P; Moskovich, R; Puri, R; Shott, S, 2000
)
2.47
"Bupivacaine is a commonly used local anesthetic for labor epidural analgesia."( Mode of delivery following labor epidural analgesia: influence of ropivacaine and bupivacaine.
Litwin, AA, 2001
)
1.26
"Bupivacaine is a local anaesthetic of great potency and long duration but has also well known cardio-and CNS toxic side-effects. "( Best indications for local anaesthetics: bupivacaine.
Bertellini, E; Gazzotti, F; Tassi, A, 2001
)
2.02
"Bupivacaine is a local anesthetic commonly used in obstetrical practice. "( Effects of bupivacaine and calcium antagonists on human uterine arteries in pregnant and non-pregnant women.
Källfelt, B; Lindblom, B; Norén, H, 1991
)
2.11
"Bupivacaine is a commonly used local anesthetic in obstetrical practice, but since this compound also has a constrictor action on vascular smooth muscle it can be hazardous to the fetus. "( Effects of bupivacaine and calcium antagonists on the rat uterine artery.
Källfelt, B; Lindblom, B; Norén, H, 1991
)
2.11

Effects

Bupivacaine has a chiral centre and is currently available as a racemic mixture of its two enantiomers. It has a small effect on abdominal and skin pain 2 h after surgery (p = 0.01) but has no effect on shoulder or back discomfort.

Bupivacaine has been encapsulated by solvent evaporation method based on O/W emulsion, using poly(DL-lactic-co-glycolic) acid (PLGA) 50:50. It has a higher lipid solubility, tissue permeability, and affinity for sodium channels than lidocaine, resulting in greater anesthetic potency.

ExcerptReferenceRelevance
"Bupivacaine (Bup) has a certain research basis in pain-related diseases, but it has not been studied in painful diabetic neuropathy. "( Low concentration of Bupivacaine ameliorates painful diabetic neuropathy by mediating miR-23a/PDE4B axis in microglia.
Ju, F; Liao, O; Xia, L; Xie, A; Zhang, X; Zhou, Y, 2021
)
2.38
"Bupivacaine has a lower incidence of TNS as an alternative but it may have a prolonged action."( Systematic review of spinal anaesthesia using bupivacaine for ambulatory knee arthroscopy.
Abrishami, A; Chung, F; Lermitte, J; Nair, GS, 2009
)
1.33
"Bupivacaine has a lower incidence of transient neurological symptoms than lidocaine after intrathecal (i.t.) injection. "( Comparison of the effects of intrathecal administration of levobupivacaine and lidocaine on the prostaglandin E2 and glutamate increases in cerebrospinal fluid: a microdialysis study in freely moving rats.
Lauwers, MH; Michotte, Y; Poelaert, J; Shi, L; Smolders, I; Umbrain, VJ, 2009
)
2.04
"Levobupivacaine has a greater vasodilatory effect than ropivacaine. "( Regional anesthesia for carotid endarterectomy: a comparison between ropivacaine and levobupivacaine.
Arlati, S; Bettinelli, L; Bracconaro, G; Cristalli, A; Marconi, G; Zerbi, S, 2009
)
1.13
"Levobupivacaine has a greater safety margin for cardiotoxicity than bupivacaine; consequently it has been recommended as the agent of choice for extending low-dose epidural analgesia for emergency caesarean section. "( Low-dose epidural top up for emergency caesarean delivery: a randomised comparison of levobupivacaine versus lidocaine/epinephrine/fentanyl.
Balaji, P; Dhillon, P; Russell, IF, 2009
)
1.13
"Levobupivacaine has a vasoconstrictive effect in 0.25% concentrations that may be beneficial in tonsillectomy patients and has a consistent analgesic effect."( Vasoconstrictive and analgesic efficacy of locally infiltrated levobupivacaine in tonsillectomy patients.
Akin, I; Akkaya, T; Aladag, E; Alicura, S; Ergil, J; Gozaydin, O; Gumus, H; Gunsoy, B, 2012
)
1.17
"L-Bupivacaine has a safer side-effect profile than bupivacaine. "( Comparison of L-bupivacaine 0.75% and lidocaine 2% with bupivacaine 0.75% and lidocaine 2% for peribulbar anaesthesia.
Lai, F; Nicholson, G; Sutton, B, 2003
)
1.39
"Levobupivacaine 5 g ml(-1) has a significantly higher density compared with bupivacaine 5 g ml(-1) and ropivacaine 5 g ml(-1) at 23 and 37 degrees C both with and without dextrose."( Density of spinal anaesthetic solutions of bupivacaine, levobupivacaine, and ropivacaine with and without dextrose.
McLeod, GA, 2004
)
1.07
"Bupivacaine has a higher lipid solubility, tissue permeability, and affinity for sodium channels than lidocaine, resulting in greater anesthetic potency."( A comparison of intracellular lidocaine and bupivacaine concentrations producing nerve conduction block in the giant axon of crayfish in vitro.
Ibusuki, S; Takasaki, M; Yano, T, 2006
)
1.32
"Bupivacaine has a chiral centre and is currently available as a racemic mixture of its two enantiomers: R(+)-bupivacaine and S(-)-bupivacaine. "( Extradural S(-)-bupivacaine: comparison with racemic RS-bupivacaine.
Bannister, J; Cox, CR; Faccenda, KA; Gilhooly, C; Morrison, LM; Scott, NB, 1998
)
2.09
"Bupivacaine has a small effect on abdominal and skin pain 2 h after surgery (p = 0.01) but has no effect on shoulder or back discomfort."( Pain after laparoscopy: an observational study and a randomized trial of local anesthetic.
Bryce, F; Griffiths-Jones, M; Hicks, N; Jarvis, G; Johnson, N; MacDonald, H; Onwude, JL; Player, J; Tuffnell, D; Yates, A, 1994
)
1.01
"S(-) bupivacaine has a more potent phasic blocking effect than ropivacaine or R(+) bupivacaine in crayfish giant axons in vitro. "( Comparisons of the anesthetic potency and intracellular concentrations of S(-) and R() bupivacaine and ropivacaine in crayfish giant axon in vitro.
Kanai, Y; Katsuki, H; Takasaki, M, 2000
)
1.04
"Bupivacaine has a slow onset (20-30 min) and a long duration of action (240-360 min), and is used to control pain both preoperatively and postoperatively."( Local and regional anesthesia.
Dawson, SD; Lemke, KA, 2000
)
1.03
"Bupivacaine has been demonstrated to be less effective in patients with chronic nerve palsies."( The efficacy of bupivacaine for the treatment of strabismus.
Farrelly-Waters, M; Parmar, K; Smith, J, 2022
)
1.79
"Bupivacaine (BUP) has previously been shown to trigger neurotoxicity after spinal anesthesia. "( Ferrostatin-1 ameliorates Bupivacaine-Induced spinal neurotoxicity in rats by inhibiting ferroptosis.
Chen, Y; Ji, J; Lai, J; Lin, Y; Liu, J; Liu, Z; Luo, X; Luo, Y; Wei, L; Zhao, Y; Zhou, G, 2023
)
2.65
"Bupivacaine has previously been reported to induce neurotoxicity, which is further enhanced by high glucose levels. "( High glucose and bupivacaine‑induced cytotoxicity is mediated by enhanced apoptosis and impaired autophagy via the PERK‑ATF4‑CHOP and IRE1‑TRAF2 signaling pathways.
Gao, M; Liu, Y; Ma, Y; Shang, L; Sun, L; Wei, B, 2019
)
2.3
"Bupivacaine and lidocaine have been shown to be toxic to certain malignancies."( Bupivacaine and Lidocaine Induce Apoptosis in Osteosarcoma Tumor Cells.
de Necochea-Campion, R; Duerksen-Hughes, P; Janjua, A; Mirshahidi, HR; Mirshahidi, S; Reeves, ME; Shields, TG; Williams, NL; Yuan, X; Zuckerman, LM, 2021
)
2.79
"Bupivacaine (Bup) has a certain research basis in pain-related diseases, but it has not been studied in painful diabetic neuropathy. "( Low concentration of Bupivacaine ameliorates painful diabetic neuropathy by mediating miR-23a/PDE4B axis in microglia.
Ju, F; Liao, O; Xia, L; Xie, A; Zhang, X; Zhou, Y, 2021
)
2.38
"Bupivacaine has been widely used in clinical Anesthesia, but its neurotoxicity has been frequently reported, implicating cellular oxidative DNA damage as the major underlying mechanism. "( The roles of PARP-1 and XPD and their potential interplay in repairing bupivacaine-induced neuron oxidative DNA damage.
Lai, L; Liu, Z; Luo, J; Ma, C; Xia, Z; Xu, S; Zhao, W, 2021
)
2.3
"Bupivacaine 0,5% has the most pronounced effect."( Antibacterial effect of local anaesthetics
Bátai, I; Győrffy, Ö; Kerényi, M; Kovács, T; Sütő, B; Szabó, Z; Szentkirályi, É, 2021
)
1.34
"Bupivacaine has emerged as the most popular choice, but its relatively long-acting effect limits its use with rapid recovery."( Spinal Anesthesia Using Ropivacaine Leads to Earlier Ambulation After Total Hip Arthroplasty.
Abrams, JH; Arumugam, S; Contino, V; Cremins, MS; McCann, GP; Sinha, SK; Vellanky, SS,
)
0.85
"Bupivacaine 40 mg/mL has been available in France only since July 2020 under temporary authorization of use."( First Evaluation Switching From Ropivacaine to Highly Concentrated Bupivacaine in Intrathecal Mixtures for Cancer Pain.
Bellanger, M; Bienfait, F; Boré, F; Delorme, T; Dupoiron, D; Jaoul, V; Jubier-Hamon, S; Lebrec, N; Pluchon, YM; Robert, J; Seegers, V; Sorrieul, J, 2021
)
1.58
"Bupivacaine has been shown to induce neurotoxicity through inducing excessive reactive oxygen species (ROS), but the underlying mechanism remains unclear. "( Activation of p47phox as a Mechanism of Bupivacaine-Induced Burst Production of Reactive Oxygen Species and Neural Toxicity.
Li, FX; Li, L; Li, YJ; Liu, ZT; Xu, SY; Yu, XJ; Zhao, W, 2017
)
2.17
"Levobupivacaine group has shown a greater request for paracetamol while patients who experienced bupivacaine have showed a higher request of other analgesics."( Local anesthesia for treatment of hernia in elder patients: Levobupicavaine or Bupivacaine?
Accurso, A; Amato, B; Amato, M; Aprea, G; Bianco, T; Compagna, R; Danzi, M; Fappiano, F; Rossi, R; Vigliotti, G, 2013
)
1.1
"Levobupivacaine has less toxic potential on both the cardiovascular and central nervous system and has been widely used for postoperative epidural analgesia in surgical patients. "( Comparative efficacy of levobupivacaine and ropivacaine for epidural block in outpatients with degenerative spinal disease.
Araki, H; Egashira, T; Fukasaki, M; Hara, T; Okada, M; Sakai, A; Terao, Y,
)
0.98
"Levobupivacaine has been developed as a safer alternative to bupivacaine because of its reduced systemic toxicity. "( Effects of levobupivacaine on isolated rat tracheal smooth muscle.
Chang, HC; Chen, SY; Cherng, YG; Huang, YF; Liu, FL; Wang, HW, 2015
)
1.33
"Levobupivacaine has excellent anesthetic effect in epidural anesthesia for gynecology and it is suitable for clinical use."( Application of Ropivacaine and Levobupivacaine in Epidural Anesthesia for Gynecological Surgery.
Ma, MY; Wang, Y; Wang, YP; Zhang, Y,
)
0.97
"S(-)-Bupivacaine has the pharmacotoxicological advantage over its antipode and racemate. "( Stereospecific interaction of bupivacaine enantiomers with lipid membranes.
Kashimata, M; Mizogami, M; Takakura, K; Tsuchiya, H; Ueno, T,
)
0.93
"Levobupivacaine has been extensively evaluated for spinal anesthesia. "( Effects of baricity of 0.5% or 0.75% levobupivacaine on the onset time of spinal anesthesia: a randomized trial.
Adamanti, S; Baciarello, M; Danelli, G; De Marco, G; Di Cianni, S; Fanelli, G; Zasa, M, 2008
)
1.17
"Bupivacaine has a lower incidence of TNS as an alternative but it may have a prolonged action."( Systematic review of spinal anaesthesia using bupivacaine for ambulatory knee arthroscopy.
Abrishami, A; Chung, F; Lermitte, J; Nair, GS, 2009
)
1.33
"Bupivacaine has a lower incidence of transient neurological symptoms than lidocaine after intrathecal (i.t.) injection. "( Comparison of the effects of intrathecal administration of levobupivacaine and lidocaine on the prostaglandin E2 and glutamate increases in cerebrospinal fluid: a microdialysis study in freely moving rats.
Lauwers, MH; Michotte, Y; Poelaert, J; Shi, L; Smolders, I; Umbrain, VJ, 2009
)
2.04
"Levobupivacaine has less central nervous system side effects than racemic bupivacaine, but its anesthetic effect is not as intense. "( Comparison of histologic spinal cord and neurologic changes in guinea pigs after subarachnoid block with large volumes of racemic bupivacaine, 50% enantiomeric excess bupivacaine (S75-R25), and levobupivacaine.
Capelozzi, M; Capelozzi, VL; Posso, Ide P; Vasconcelos Filho, PO,
)
0.89
"Levobupivacaine has a greater vasodilatory effect than ropivacaine. "( Regional anesthesia for carotid endarterectomy: a comparison between ropivacaine and levobupivacaine.
Arlati, S; Bettinelli, L; Bracconaro, G; Cristalli, A; Marconi, G; Zerbi, S, 2009
)
1.13
"Levobupivacaine has a greater safety margin for cardiotoxicity than bupivacaine; consequently it has been recommended as the agent of choice for extending low-dose epidural analgesia for emergency caesarean section. "( Low-dose epidural top up for emergency caesarean delivery: a randomised comparison of levobupivacaine versus lidocaine/epinephrine/fentanyl.
Balaji, P; Dhillon, P; Russell, IF, 2009
)
1.13
"Bupivacaine has been shown to be toxic to articular cartilage, which has similarities to intervertebral disc (IVD) cartilage, raising concern over a potentially negative effect of bupivacaine on the disc."( Effect of bupivacaine on intervertebral disc cell viability.
Kang, J; Lee, H; O'Connell, S; Sowa, G; Studer, R; Vadala, G; Vo, N, 2010
)
1.48
"Bupivacaine has been widely used as a long-acting local anesthetic. "( AMPK attenuates bupivacaine-induced neurotoxicity.
Ha, JH; Kang, IS; Kim, HJ; Lee, SC; Lee, SJ; Shin, TJ, 2010
)
2.15
"Levobupivacaine has a vasoconstrictive effect in 0.25% concentrations that may be beneficial in tonsillectomy patients and has a consistent analgesic effect."( Vasoconstrictive and analgesic efficacy of locally infiltrated levobupivacaine in tonsillectomy patients.
Akin, I; Akkaya, T; Aladag, E; Alicura, S; Ergil, J; Gozaydin, O; Gumus, H; Gunsoy, B, 2012
)
1.17
"Bupivacaine 2 mg kg-1 has been recommended for this block."( Pharmacokinetics of 0.75% ropivacaine and 0.5% bupivacaine after ilioinguinal-iliohypogastric nerve block in children.
Ala-Kokko, TI; Alahuhta, S; Karinen, J; Kiviluoma, K; Räihä, E, 2002
)
1.29
"L-Bupivacaine has a safer side-effect profile than bupivacaine. "( Comparison of L-bupivacaine 0.75% and lidocaine 2% with bupivacaine 0.75% and lidocaine 2% for peribulbar anaesthesia.
Lai, F; Nicholson, G; Sutton, B, 2003
)
1.39
"Levobupivacaine 5 g ml(-1) has a significantly higher density compared with bupivacaine 5 g ml(-1) and ropivacaine 5 g ml(-1) at 23 and 37 degrees C both with and without dextrose."( Density of spinal anaesthetic solutions of bupivacaine, levobupivacaine, and ropivacaine with and without dextrose.
McLeod, GA, 2004
)
1.07
"Bupivacaine (2 mg kg(-1)) has been recommended for blockade of the ilioinguinal and iliohypogastric nerves in paediatric patients undergoing inguinal surgery. "( Pharmacokinetics of 0.5% levobupivacaine following ilioinguinal-iliohypogastric nerve blockade in children.
Ala-Kokko, TI; Alahuhta, S; Karinen, J; Kiviluoma, K; Räihä, E, 2005
)
2.06
"Levobupivacaine (0.5%) has better anaesthetic properties with respect to 0.75% ropivacaine and is well-suited for peribulbar block in cataract surgery."( Efficacy and comparison of 0.5% levobupivacaine with 0.75% ropivacaine for peribulbar anaesthesia in cataract surgery.
Celleno, D; Di Donato, A; Fontana, C; Lancia, F, 2006
)
1.17
"Bupivacaine has a higher lipid solubility, tissue permeability, and affinity for sodium channels than lidocaine, resulting in greater anesthetic potency."( A comparison of intracellular lidocaine and bupivacaine concentrations producing nerve conduction block in the giant axon of crayfish in vitro.
Ibusuki, S; Takasaki, M; Yano, T, 2006
)
1.32
"Bupivacaine has been encapsulated by solvent evaporation method based on O/W emulsion, using poly(DL-lactic-co-glycolic) acid (PLGA) 50:50. "( Bupivacaine-loaded biodegradable poly(lactic-co-glycolic) acid microspheres I. Optimization of the drug incorporation into the polymer matrix and modelling of drug release.
Gao, S; Lu, Y; Sun, D; Zhang, G; Zhang, H; Zhong, Y, 2008
)
3.23
"Bupivacaine has been encapsulated into multilameller liposomes in order to reduce its systemic toxicity and to lengthen its action. "( Motor blockade and absence of local nerve toxicity induced by liposomal bupivacaine injected into the brachial plexus of rabbits.
Boogaerts, J; Donnay, M; Lafont, N; Legros, FJ; Luo, H, 1995
)
1.97
"Bupivacaine has been associated to multilamellar liposomes with the aim of altering circulating plasma concentrations after injection into the rabbit brachial plexus. "( Plasma concentrations of bupivacaine after brachial plexus administration of liposome-associated and plain solutions to rabbits.
Boogaerts, JG; Lafont, ND; Legros, FJ; Luo, H, 1993
)
2.03
"bupivacaine has stronger depressive effects on cardiac conduction than does i.v."( Bupivacaine does not suppress cardiac sympathetic nerve activity during halothane anesthesia in the cat.
Asada, A; Morimoto, O; Nishikawa, K; Terai, T; Yukioka, H, 1997
)
2.46
"Bupivacaine has the beneficial property of less motor blockade than other local anesthetics."( The efficacy of intrathecal coadministration of morphine and bupivacaine for labor analgesia.
Chen, LH; Hsu, MS; Hsu, TC; Tsai, YC; Wu, JL; Yang, WJ, 1997
)
1.26
"Bupivacaine has a chiral centre and is currently available as a racemic mixture of its two enantiomers: R(+)-bupivacaine and S(-)-bupivacaine. "( Extradural S(-)-bupivacaine: comparison with racemic RS-bupivacaine.
Bannister, J; Cox, CR; Faccenda, KA; Gilhooly, C; Morrison, LM; Scott, NB, 1998
)
2.09
"Bupivacaine has a small effect on abdominal and skin pain 2 h after surgery (p = 0.01) but has no effect on shoulder or back discomfort."( Pain after laparoscopy: an observational study and a randomized trial of local anesthetic.
Bryce, F; Griffiths-Jones, M; Hicks, N; Jarvis, G; Johnson, N; MacDonald, H; Onwude, JL; Player, J; Tuffnell, D; Yates, A, 1994
)
1.01
"S(-) bupivacaine has a more potent phasic blocking effect than ropivacaine or R(+) bupivacaine in crayfish giant axons in vitro. "( Comparisons of the anesthetic potency and intracellular concentrations of S(-) and R() bupivacaine and ropivacaine in crayfish giant axon in vitro.
Kanai, Y; Katsuki, H; Takasaki, M, 2000
)
1.04
"Bupivacaine has not been studied."( Prolonged suppression of tinnitus after peripheral nerve block using bupivacaine and lidocaine.
Weinmeister, KP,
)
1.09
"Levobupivacaine has recently been approved for epidural anaesthesia."( Evaluation of the effects of levobupivacaine on clotting and fibrinolysis using thromboelastography.
Leonard, SA; Lydon, A; O'Hare, B; Shorten, GD; Walsh, M, 2000
)
1.07
"Bupivacaine has a slow onset (20-30 min) and a long duration of action (240-360 min), and is used to control pain both preoperatively and postoperatively."( Local and regional anesthesia.
Dawson, SD; Lemke, KA, 2000
)
1.03
"Bupivacaine has been the most widely used local anaesthetic for years. "( Levobupivacaine.
Borghi, B; Ivani, G; van Oven, H, 2001
)
2.31
"Bupivacaine has been thought to have little effect on the fetus, but neurobehavioural studies have cast doubt on this."( Elimination of pethidine and bupivacaine in the newborn.
Aggett, PJ; Cooper, LV; Stephen, GW, 1977
)
1.27
"Bupivacaine has been used for spinal anesthesia since 1982 in our department. "( [Investigation of 121 cases of spinal anesthesia with plain 0.5% bupivacaine].
Kobayashi, T; Shima, N; Yokoyama, K, 1990
)
1.96
"Bupivacaine has been called the local anesthetic of choice for epidural infusion."( Epidural catheter analgesia for the management of postoperative pain.
Cullen, ML; Staren, ED, 1986
)
0.99

Actions

Bupivacaine is the most popular local anesthetic in parturients undergoing cesarean section. Bupvacaine and lower concentrations of lidocaine transiently alter Ca2+cyt homeostasis.

ExcerptReferenceRelevance
"Bupivacaine can inhibit protein kinase B (AKT) phosphorylation and activated adenosine monophosphate-activated protein kinase alpha (AMPKα)."( Apelin-13 Reverses Bupivacaine-Induced Cardiotoxicity via the Adenosine Monophosphate-Activated Protein Kinase Pathway.
Cai, Y; Chen, H; Jin, Z; Liu, L; Papadimos, TJ; Shi, K; Wang, Q; Xia, E; Xia, F; Xia, Y; Xu, X; Ye, Y, 2021
)
1.67
"The bupivacaine-induced increase of ROS and calcium and the bupivacaine-induced decrease of MMP were attenuated by ROS scavengers NAC and mitotempo, and the lipid emulsion."( Lipid emulsions attenuate the inhibition of carnitine acylcarnitine translocase induced by toxic doses of local anesthetics in rat cardiomyoblasts.
Ahn, SH; Kang, D; Kim, HJ; Lee, SH; Ok, SH; Sohn, JT,
)
0.61
"Bupivacaine may cause neuronal DNA damage and PARP-1 activation in pregnant mice. "( Oxidative DNA Damage-induced PARP-1-mediated Autophagic Flux Disruption Contributes to Bupivacaine-induced Neurotoxicity During Pregnancy.
Li, J; Luo, J; Xu, S; Zeng, L; Zhao, W, 2023
)
2.58
"Bupivacaine (BPV) can cause severe central nervous system toxicity when absorbed into the blood circulation system. "( BDNF-TrkB/proBDNF-p75
Bai, Z; Chen, X; Jia, D; Wang, F, 2023
)
2.35
"Levobupivacaine may produce a sensory and motor block that is different from that produced by bupivacaine, the most popular local anaesthetic for parturients undergoing caesarean section (CS)."( An unusually prolonged duration of spinal anaesthesia following 0.5% levobupivacaine.
Bigat, Z; Ertugrul, F; Karsli, B; Kayacan, N, 2012
)
1.09
"Levobupivacaine did not cause any significant changes in haemodynamic parameters, including systolic blood pressure, and showed a similar sensory block onset time compared with bupivacaine, but it had a significantly longer motor block onset time compared with bupivacaine."( Intrathecal bupivacaine or levobupivacaine: which should be used for elderly patients?
Bigat, Z; Ertugrul, F; Gulec, D; Karsli, B; Kayacan, N, 2014
)
1.26
"Bupivacaine help the lower pain values and less additional painkiller need after FESS."( Different anesthetic agents-soaked sinus packings on pain management after functional endoscopic sinus surgery: which is the most effective?
Arıkan, OK; Haytoğlu, S; Kuran, G; Muluk, NB, 2016
)
1.16
"Bupivacaine has a lower incidence of TNS as an alternative but it may have a prolonged action."( Systematic review of spinal anaesthesia using bupivacaine for ambulatory knee arthroscopy.
Abrishami, A; Chung, F; Lermitte, J; Nair, GS, 2009
)
1.33
"Bupivacaine has a lower incidence of transient neurological symptoms than lidocaine after intrathecal (i.t.) injection. "( Comparison of the effects of intrathecal administration of levobupivacaine and lidocaine on the prostaglandin E2 and glutamate increases in cerebrospinal fluid: a microdialysis study in freely moving rats.
Lauwers, MH; Michotte, Y; Poelaert, J; Shi, L; Smolders, I; Umbrain, VJ, 2009
)
2.04
"Bupivacaine significantly increase the level of glutamate in a dose- dependent manner in the RTA muscle. "( Intramuscular bupivacaine injection dose-dependently increases glutamate release and muscle injury in rats.
Cherng, CH; Wong, CS; Wu, CT; Yeh, CC, 2010
)
2.16
"Levobupivacaine may produce a sensory and motor block different from that produced by bupivacaine, which is the most popular local anesthetic in parturients undergoing cesarean section. "( A randomized comparison of different doses of intrathecal levobupivacaine combined with fentanyl for elective cesarean section: prospective, double-blinded study.
Firat, V; Gunusen, I; Karaman, S; Sargin, A, 2011
)
1.17
"Bupivacaine and lower concentrations of lidocaine transiently alter Ca2+(cyt) homeostasis for several minutes, but without an immediate neurotoxic effect within 60 min."( Effect of local anesthetic on neuronal cytoplasmic calcium and plasma membrane lysis (necrosis) in a cell culture model.
DaSilva, AD; Gores, GJ; Johnson, ME; Saenz, JA; Uhl, CB, 2002
)
1.04
"Bupivacaine-loaded gels allow the drug was permeated through the skin."( Transdermal application of bupivacaine-loaded poly(acrylamide(A)-co-monomethyl itaconate) hydrogels.
Bernardo, MV; Blanco, MD; Sastre, RL; Teijón, C; Teijón, JM, 2003
)
1.34
"The bupivacaine group had lower pain scores and reduced narcotics during the 24-hour period, with a 23-minute shorter time to discharge from the postanesthesia care unit than the placebo group (P =.02)."( Bupivacaine bolus injection versus placebo for pain management following total knee arthroplasty.
Browne, C; Colwell, C; Copp, S; Pulido, P; Reden, L, 2004
)
2.25
"Levobupivacaine produced an increase in amplitude of contractions, while bupivacaine showed an increased trend in frequency."( Effects of levobupivacaine and bupivacaine on rat myometrium.
Li, ZG; Tang, HF; Zhou, L, 2006
)
1.17
"Bupivacaine had a lower success rate than lidocaine (64% versus 82%) but there was no significant difference between the two solutions."( A prospective, randomized, double-blind comparison of bupivacaine and lidocaine for maxillary infiltrations.
Beck, M; Gross, R; McCartney, M; Reader, A, 2007
)
1.31
"The bupivacaine group had lower pain score than the control group during the first 4 hours (p < 0.001 at 1 hour and p < 0.05 at 2 hours)."( Intra-articular morphine and bupivacaine for pain relief after therapeutic arthroscopic knee surgery.
Chan, ST, 1995
)
1.06
"Bupivacaine lower extremity motor block onset was significantly faster than ropivacaine (9 +/- 3 vs."( A double-blind comparison of the abdominal wall relaxation produced by epidural 0.75% ropivacaine and 0.75% bupivacaine in gynecologic surgery.
Bridenbaugh, PO; Katz, JA; Knarr, D; Quinlan, R; Tuttle, AA,
)
1.07
"Bupivacaine induced an increase in VTPP at 30 and 60 min, limitation of oedema at 60 min and a reduction in spinal c-fos expression at 60 and 180 min, but these effects were not present 240 min after carrageenan."( Effects of local anaesthetics on carrageenan-evoked inflammatory nociceptive processing in the rat.
Besson, JM; Buritova, J; Fletcher, D; Honoré, P, 1996
)
1.02
"Bupivacaine's ability to enhance Ca2+ release channel-ryanodine receptor activity of skeletal muscle sarcoplasmic reticulum most likely contributes to the myotoxicity of this local anesthetic. "( Interaction of bupivacaine and tetracaine with the sarcoplasmic reticulum Ca2+ release channel of skeletal and cardiac muscles.
Komai, H; Lokuta, AJ, 1999
)
2.1
"Bupivacaine may also inhibit TX signaling, but seems to block additional factors as well."( Bupivacaine inhibits whole blood coagulation in vitro.
Durieux, ME; Feirer, N; Hoenemann, CW; Kohrs, R,
)
2.3
"Bupivacaine may cause sinus arrhythmias by facilitating EAD generation in SA node cells."( Effects of nicardipine and bupivacaine on early after depolarization in rabbit sinoatrial node cells: a possible mechanism of bupivacaine-induced arrhythmias.
Kurata, Y; Matsuda, T, 1999
)
1.32
"Levobupivacaine was found to cause smaller changes in indices of cardiac contractility and the QTc interval of the electrocardiogram and also to have less depressant effect on the electroencephalogram."( Cardiac and CNS toxicity of levobupivacaine: strengths of evidence for advantage over bupivacaine.
Gristwood, RW, 2002
)
1.08
"The bupivacaine group had lower pain scores (P less than 0.01) and required less papaveretum (P less than 0.01) than the control group."( Efficacy of continuous extrapleural intercostal nerve block on post-thoracotomy pain and pulmonary mechanics.
Berrisford, RG; Bibby, SR; Bickford Smith, PJ; Eng, J; Majid, MR; Mearns, AJ; Sabanathan, S, 1990
)
0.76
"Bupivacaine did, however, cause wider individual variations compared with lignocaine with respect to coronary blood flow."( Effects of lignocaine and bupivacaine on regional myocardial function and coronary blood flow in anaesthetized dogs.
Arvieux, CC; Foëx, P; Lehot, JJ; Leone, BJ; Ramsay, JG; Runciman, WB; Ryder, WA; Welding, RN, 1988
)
1.3

Treatment

Bupivacaine treatment led to an increase in Caspase 3 gene expression (P = 0.000) when compared to control. The treatment also decreased colony formation, migration, and invasion of HepG2 and SNU-449 cells.

ExcerptReferenceRelevance
"Bupivacaine treatment dose-dependently reduced cell viability, increased LDH release, and induced ROS production and PI3K/PKB pathway inactivation in SH-SY5Y cells, which were overturned by capillarisin treatment. "( Capillarisin protects SH-SY5Y cells against bupivacaine-induced apoptosis via ROS-mediated PI3K/PKB pathway.
Wang, Q; Zhao, T, 2020
)
2.26
"Bupivacaine treatment led to an increase in Caspase 3 gene expression (P = 0.000) as well as the acetaminophen treatment (P = 0.001) when compared to control."( Acetaminophen, bupivacaine, Duramorph, and Toradol: A comparison of chondrocyte viability and gene expression changes in osteoarthritic human chondrocytes.
Chen, C; Cooke, C; Flynn, J; Jackson, N; Keating, P; Lemos, S; Markel, D; Osborne, J, 2020
)
1.63
"Bupivacaine treatment also decreased colony formation, migration, and invasion of HepG2 and SNU-449 cells."( Local anesthetic bupivacaine inhibits proliferation and metastasis of hepatocellular carcinoma cells via suppressing PI3K/Akt and MAPK signaling.
Cai, X; Guan, H; Guo, W; Wang, L; Yan, N; Zhu, L, 2021
)
1.68
"Levobupivacaine treatment inhibited phosphorylated ERK1/2 induction, carbenoxolone treatment inhibited glial phosphorylated ERK1/2 at 2 min after the injury, and carbenoxolone inhibited pain hypersensitivity and neuronal phosphorylated ERK1/2 at 1 h after the injury."( Synergistic activation of ERK1/2 between A-fiber neurons and glial cells in the DRG contributes to pain hypersensitivity after tissue injury.
Amaya, F; Horii, Y; Matsuda, M; Matsuoka, Y; Sawa, T; Takemura, H; Yamaguchi, Y; Yamakita, S; Yamashita, A,
)
0.61
"Levobupivacaine treated group required significantly more intravenous tramadol when compared with paracetamol and lornoxicam groups in patients submitted to transperitoneal laparoscopic renal and adrenal surgery."( Comparıson of different postoperative paın managements in patients submitted to transperitoneal laparoscopic renal and adrenal surgery.
Aslan, Y; Atan, A; Balci, M; Postaci, A; Tuncel, A,
)
0.69
"Bupivacaine treatment significantly induced cell injury as evidenced by decreased cell viability, increased nuclear condensation and Annexin V staining. "( Alpha-lipoic acid prevents bupivacaine-induced neuron injury in vitro through a PI3K/Akt-dependent mechanism.
Cheng, Y; Ding, Z; Li, C; Liu, L; Wang, X; Zhang, W; Zhang, X, 2010
)
2.1
"Bupivacaine treatment in the presence of 45°C and 50°C temperatures significantly increased necrosis of bovine articular chondrocytes in this in vitro study."( Supraphysiologic temperature enhances cytotoxic effects of bupivacaine on bovine articular chondrocytes in an in vitro study.
Ge, D; Liu, S; Lucas, J; Mead, RN; Ryu, J; Savoie, FH; You, Z, 2012
)
1.34
"In bupivacaine-treated mice, a significant correlation was observed between limb weakness scores and paw withdrawal latencies."( Paradoxical enhancement of bupivacaine anesthesia in mice by drugs that open sodium channels.
Lindsay, RJ; Smith, FL, 2003
)
1.13
"Bupivacaine treatment caused severe tissue damage (score, 2.3 +/- 0.7), whereas ropivacaine induced fiber injury of a significantly smaller extent (score, 1.3 +/- 0.8)."( The acute myotoxic effects of bupivacaine and ropivacaine after continuous peripheral nerve blockades.
Bohl, JRE; Braun, PM; Fink, RHA; Graf, BM; Hacke, N; Martin, E; Seif, C; Sinner, B; Zink, W, 2003
)
1.33
"Bupivacaine microspheres treatment produced conduction blockade with a complete lack of sensory responsiveness in the sural territory for 6 to 10 days. "( Development of neuropathic pain in the rat spared nerve injury model is not prevented by a peripheral nerve block.
Berde, CB; Decosterd, I; Gilliard, N; Papaloïzos, M; Spahn, DR; Suter, MR; Woolf, CJ, 2003
)
1.76
"All bupivacaine-treated, four of five lidocaine-treated, and no control hearts beat throughout the 60-min recovery period. "( Adding bupivacaine to high-potassium cardioplegia improves function and reduces cellular damage of rat isolated hearts after prolonged, cold storage.
Conlon, B; DiGregorio, G; Edelman, L; Feinstein, DL; Law, WR; Massad, M; Murphy, P; Palmer, JW; Ripper, R; Ross, JD; Weinberg, GL, 2006
)
1.35
"The bupivacaine-treated patients had a significantly higher mean pain score at two hours following recovery from anesthesia than the saline-treated patients."( The effect of wound irrigation with bupivacaine on postoperative analgesia of the feline onychectomy patient.
Benson, GJ; Greenfield, CL; Winkler, KP,
)
0.89
"The bupivacaine-treated group had more degenerated and injured muscle fibers, and more osteocytes than the control group."( Effect of bupivacaine on muscle tissues and new bone formation induced by demineralized bone matrix gelatin.
Horisaka, Y; Kawada, J; Matsumoto, N; Okamoto, Y; Takagi, T; Yamashita, K; Yoshimura, Y, 1991
)
1.16
"Only treatment with bupivacaine alone induced cardiovascular and respiratory rate changes that stayed within acceptable limits."( Fentanyl and methadone used as adjuncts to bupivacaine for lumbosacral epidural analgesia in sheep.
de Carvalho, AQ; DeRossi, R; Hermeto, LC; Macedo, GG; Pagliosa, RC, 2017
)
1.03
"Treatment with bupivacaine or lidocaine caused depression of contraction to all four stimuli. "( Inhibitory effects of bupivacaine and lidocaine on adrenergic neuroeffector junctions in rat tail artery.
Gardner, CA; Szocik, JF; Webb, RC, 1993
)
0.95
"The treatment of bupivacaine-induced cardiovascular toxicity with amiodarone or bretylium was studied using anesthetized pigs (n = 30). "( Treatment of bupivacaine-induced cardiac arrhythmias in hypoxic and hypercarbic pigs with amiodarone or bretylium.
Haasio, J; Kyttä, J; Pitkänen, MT; Rosenberg, PH,
)
0.84

Toxicity

Clonidine 1 microg/kg prolonged the duration of sensory block achieved with bupivacaine by 30 min and postoperative analgesia by 120 min without severe adverse events. Liposomal bupvacaine is a safe adjunct to the management of pain of patients undergoing pulmonary surgery.Dexmedetomidine is a useful and safe drug in combination with lignocaine bupVacaine for vitreoretinal surgery.

ExcerptReferenceRelevance
"Etidocaine given by intravenous infusion has been compared, using a double-blind technique, with bupivacaine and lignocaine in respect of toxic symptoms and signs."( Evaluation of the toxicity of local anaesthetic agents in man.
Scott, DB, 1975
)
0.47
" We conclude that central nervous system toxic effects of amide/amide or amide/ester anesthetic combinations, such as might occur during accidental intravascular injection, are no more than when the drugs are administered alone."( Central nervous system toxicity of local anesthetic mixtures in the rat.
Baker, MT; Dexter, F; Spiegel, DA; Todd, MM; Warner, DS, 1992
)
0.28
" This work suggests that the lethal cardiorespiratory toxicity of lidocaine and bupivacaine associated with intravenous infusion is additively toxic in rats."( Lidocaine and bupivacaine cardiorespiratory toxicity is additive: a study in rats.
Erskine, R; James, MF; Janicki, PK; Mets, B; Sasman, B, 1992
)
0.87
" In this rat model, desbutylbupivacaine was about half as toxic as bupivacaine judged by cardiac parameters, and clearly less toxic to the central nervous system than bupivacaine."( Acute cardiovascular and central nervous system toxicity of bupivacaine and desbutylbupivacaine in the rat.
Heavner, JE; Rosenberg, PH, 1992
)
0.82
" Three minutes after pretreatment, group 1 (n = 11), group 3 (n = 10), and their respective control groups (n = 11 and n = 9) received intravenous bupivacaine LD50 (median lethal dose)."( Nimodipine reduces the toxicity of intravenous bupivacaine in rats.
Horn, JL; Hyman, SA; Kambam, JR; Kinney, WW; Skelley, CC, 1992
)
0.74
"Metoclopramide administered before induction of spinal anesthesia for cesarean delivery appears to significantly reduce both pre- and postdelivery emetic symptoms without apparent adverse effects on mother or neonate."( The antiemetic efficacy and safety of prophylactic metoclopramide for elective cesarean delivery during spinal anesthesia.
Bader, AM; Datta, S; Lussos, SA; Thornhill, ML,
)
0.13
"The influence of digoxin on the systemic toxic effects of bupivacaine was studied in a rodent animal model."( Digoxin enhances bupivacaine toxicity in rats.
De Kock, M; Gautier, P; Renotte, MT; Vandewalle, F,
)
0.72
" This study assessed the effects of bupivacaine at toxic dose in dogs with previous beta-adrenergic receptor blockade."( [Do beta adrenergic receptor blockaders increase bupivacaine cardiotoxicity?].
Bassoul, B; Brugada, J; d'Athis, F; de La Coussaye, JE; Desch, G; Eledjam, JJ; Gagnol, JP; Sassine, A, 1990
)
0.81
" Our data suggest that epinephrine or phenylephrine added to bupivacaine may be more toxic to cardiorespiratory systems than plain bupivacaine or epinephrine alone or phenylephrine alone when injected intravenously in rats."( Epinephrine and phenylephrine increase cardiorespiratory toxicity of intravenously administered bupivacaine in rats.
Holaday, DA; Kambam, JR; Kinney, WW; Matsuda, F; Wright, W, 1990
)
0.74
"Pregnant sheep are more vulnerable to the toxic effects of bupivacaine, a potent local anesthetic, than are nonpregnant sheep."( Pregnancy does not alter lidocaine toxicity.
Arthur, GR; Covino, BG; Finster, M; Morishima, HO, 1990
)
0.52
"The influence of age and volatile anesthetic agents on plasma concentrations and toxic effects of bupivacaine were studied in 2-day-old, 2-week-old, and 2-month-old pigs."( Bupivacaine toxicity in young pigs is age-dependent and is affected by volatile anesthetics.
Badgwell, JM; Heavner, JE; Kytta, J, 1990
)
1.94
" They were familiarized with the central nervous system (CNS) toxic effects of local anesthetics by receiving a preliminary intravenous injection of lidocaine."( Acute toxicity of ropivacaine compared with that of bupivacaine.
Bloomfield, P; Bowler, GM; Fagan, D; Lee, A; Lundh, R; Scott, DB, 1989
)
0.53
" Dose-response curves were constructed from the data obtained, and the CD50 and LD50 values for each local anesthetic alone and in combination with each of the vasoconstrictors were calculated by probit analysis."( Modification of local anesthetic toxicity by vasoconstrictors.
Dorris, RL; Taylor, SE,
)
0.13
"To determine what effect the addition of epinephrine has on bupivacaine toxicity, toxic doses of bupivacaine were administered to awake spontaneously breathing pigs."( Effect of epinephrine on central nervous system and cardiovascular system toxicity of bupivacaine in pigs.
Bernards, CM; Brown, DL; Carpenter, RL; Kenter, ME; Rupp, SM; Thompson, GE, 1989
)
0.74
" Immediate pretreatment with verapamil increased the mortality of mice given the LD50 dose of lidocaine to 74%, and in mice given the LD50 doses of bupivacaine, to 82%."( Verapamil increases the toxicity of local anesthetics.
Rosenblatt, RM; Tallman, RD; Wang, YL; Weaver, JM, 1988
)
0.47
" However, the sinus bradycardias and junctional disturbances seen in toxic accidents are probably due to an inhibition of the slow current of the atrial and atrio-ventricular nodes (Isi current)."( [Mechanisms of the cardiac toxicity of bupivacaine].
Bassoul, B; Brugada, J; de la Coussaye, JE; Eledjam, JJ, 1988
)
0.54
" The toxic dose was significantly less in the six-week-old group than younger or older animals."( The influence of age on the cardiovascular toxicity of intravenous bupivacaine in young dogs.
Bell, B; Brown, TC; Edwards, J; Riquelme, CM, 1987
)
0.51
"The risk of toxic effects on the heart of bupivacaine following several kinds of locoregional anaesthesia has been investigated in the dog in situ heart by determining conduction time and effective refractory period in the various parts of the conduction system and the ventricular muscle, as well as the discharge rate of the sinus node."( Electrophysiological study in the dog of the risk of cardiac toxicity of bupivacaine.
Béal, JL; Bertrix, L; Faucon, G; Freysz, M; Lakhal, M; Lang, J; Timour, Q, 1987
)
0.77
" A slow continuous intravenous infusion of bupivacaine was simulated to examine the possibility that brain and heart concentrations would continue to accumulate reaching toxic concentrations in the absence of blood concentrations associated with bupivacaine toxicity."( Use of a limited physiologic model to explain target organ toxicity of bupivacaine as a function of route of administration.
Coyle, DE; Denson, DD; Thompson, GA,
)
0.63
" Amide local anaesthetics are safe in MH-susceptible patients."( 3-in-1 lumbar plexus block for muscle biopsy in malignant hyperthermia patients. Amide local anaesthetics may be used safely.
Gielen, M; Viering, W, 1986
)
0.27
" The pharmacokinetics of these compounds are discussed in this review, with particular emphasis on the fetal exposure and its relationship to adverse effects on the fetus."( Clinical pharmacokinetics in pregnancy and perinatology. I. Placental transfer and fetal side effects of local anaesthetic agents.
Nau, H, 1985
)
0.27
" It is concluded that as the adverse effects on labor are quite common, PDB should not be given as a routine before delivery, but may be offered liberally when pain in the pudendal area is a main part of the pain of childbirth."( Analgesia and maternal side effects of pudendal block at delivery. A comparison of three local anesthetics.
Langhoff-Roos, J; Lindmark, G, 1985
)
0.27
" It is concluded that adding epinephrine to bupivacaine during epidural anesthesia in the normal parturient has no adverse effects on either mother, fetus, neonate, or the progress of labor; and that it significantly prolongs the duration of anesthesia and decreases the incidence of maternal hypotension."( Safety and efficacy of epinephrine added to bupivacaine for lumbar epidural analgesia in obstetrics.
Abboud, TK; Costandi, J; Haroutunian, S; Hoffman, D; Murakawa, K; Sheik-ol-Eslam, A; Yanagi, T; Zakarian, M, 1985
)
0.79
" Onset of electrical seizure activity occurred at about the same time in both groups and was defined as the central nervous system (CNS) toxic end point."( Toxicity and resuscitation in lidocaine- or bupivacaine-infused cats.
Chadwick, HS, 1985
)
0.53
" A variety of currently available local anesthetic compounds has been deemed safe for common usage in the field of anesthesia."( Local anesthetic toxicity: review and case studies.
Kalil, AL, 1983
)
0.27
" These results suggest that the CNS is the primary target organ for the toxic effects of both highly lipid-soluble and highly protein-bound local anesthetics (i."( Comparative CNS toxicity of lidocaine, etidocaine, bupivacaine, and tetracaine in awake dogs following rapid intravenous administration.
Covino, BG; Feldman, HS; Giasi, R; Liu, PL; Patterson, MK, 1983
)
0.52
" Prilocaine proved to be significantly less toxic than bupivacaine."( [Toxicity of prilocaine and bupivacaine in intravenous regional anesthesia].
Hausmann, E; Tryba, M; Wellhöner, HH; Zenz, M, 1982
)
0.81
"25% bupivacaine is administered as a continuous infusion or repeated bolus, serum bupivacaine levels frequently approach the toxic range."( The safety of continuous pleural lignocaine after thoracotomy in children and adolescents.
Balsara, RK; Lear, BR; Pasquariello, CA; Schwartz, RE; Stayer, SA, 1995
)
0.85
" The patient recovered after treatment without adverse sequelae."( Bupivacaine toxicity secondary to continuous cervical epidural infusion. Case report.
Baaijens, PF; Crul, BJ; Gielen, MJ; Jessen, HJ; Vree, TB,
)
1.57
" Areas obtained from the left ventricle at the two time points studied (the half-time from the beginning of injection to the occurrence of asystole referred to as midway through the toxic episode and at asystole) exhibited a significant systolic dilation only midway through the toxic episode."( Echocardiographic evaluation of bupivacaine cardiotoxicity.
Behbehani, MM; Coyle, DE; Porembka, DT; Sehlhorst, CS; Wan, L, 1994
)
0.57
" None of the animals given halothane had seizures, but they did exhibit the other three toxic endpoints."( Bupivacaine toxicity in lightly anesthetized pigs with respiratory imbalances plus or minus halothane.
Badgwell, JM; Dryden, CF; Flinders, C; Heavner, JE,
)
1.57
" In conclusion, the present study demonstrated that PPX is more toxic than expected since we found that its induced mortality was approximately three times that found for bupivacaine and its CNS toxicity was about two times that of bupivacaine."( Acute toxicity of bupivacaine metabolites in mice.
Attolini, L; Bruguerolle, B; Gantenbein, M, 1994
)
0.82
" Arterial blood samples were obtained before infusion and at the onset of toxic manifestations, which appeared in the following sequence: convulsions, hypotension, apnea, and circulatory collapse."( Comparative systemic toxicity of ropivacaine and bupivacaine in nonpregnant and pregnant ewes.
Arthur, GR; De Armas, P; Finster, M; Morishima, HO; Santos, AC; Wlody, D, 1995
)
0.55
"There were no significant differences between non-pregnant and pregnant animals in the doses or serum concentrations of either drug required to elicit toxic manifestations."( Comparative systemic toxicity of ropivacaine and bupivacaine in nonpregnant and pregnant ewes.
Arthur, GR; De Armas, P; Finster, M; Morishima, HO; Santos, AC; Wlody, D, 1995
)
0.55
" Greater doses of ropivacaine, as compared to bupivacaine, are needed to produce toxic manifestations in pregnant animals."( Comparative systemic toxicity of ropivacaine and bupivacaine in nonpregnant and pregnant ewes.
Arthur, GR; De Armas, P; Finster, M; Morishima, HO; Santos, AC; Wlody, D, 1995
)
0.8
"The influence of the immunoreactive endogenous digoxin-like factor (IEDLF) on the systemic toxic effects of bupivacaine was studied in a rodent model."( The endogenous digoxin-like factor enhances bupivacaine toxicity in rats.
DeKock, M; Gautier, P; Henin, D,
)
0.61
" Threshold doses of bupivacaine's toxic effects (first ventricular arrhythmia, first seizure activity, 25% fall of baseline heart rate, 25% of baseline mean arterial blood pressure, isoelectric electroencephalogram) were significantly lower for the rats with an endogenous digoxin-like activity."( The endogenous digoxin-like factor enhances bupivacaine toxicity in rats.
DeKock, M; Gautier, P; Henin, D,
)
0.72
" Whatever the efficiency of specific resuscitation, it must be emphasized that prevention of toxic accident must always include: the best choice of local anesthetic drug (e."( [Cardiotoxicity of local anesthetics].
Brugada, J; de La Coussaye, JE; Eledjam, JJ; Sassine, A, 1993
)
0.29
" The toxic effects of bupivacaine on pacing thresholds, av conduction, intraventricular conduction, cardiac inotropy, and blood pressure are modulated by the stimulation frequency of a cardiac pacemaker."( [The cardiotoxicity of bupivacaine during pacemaker stimulation is dependent on the stimulation frequency. Results of an experimental study].
Fischer, M; Hahn, N; Hörnchen, U; Lauven, PM, 1993
)
0.91
" The current study, using a rodent animal model, evaluated the influence of clonidine pretreatment on the systemic toxic effects of bupivacaine overdose induced by a constant intravenous infusion."( Clonidine pretreatment reduces the systemic toxicity of intravenous bupivacaine in rats.
De Kock, M; Henin, D; Le Polain, B; Scholtes, JL; Vandewalle, F, 1993
)
0.73
" The time of occurrence of the bupivacaine-induced toxic events was recorded and the doses were calculated."( Clonidine pretreatment reduces the systemic toxicity of intravenous bupivacaine in rats.
De Kock, M; Henin, D; Le Polain, B; Scholtes, JL; Vandewalle, F, 1993
)
0.81
"In this model, clonidine given prophylactically delays the toxic manifestations of bupivacaine overdose and does not accentuate the subsequent hypotension."( Clonidine pretreatment reduces the systemic toxicity of intravenous bupivacaine in rats.
De Kock, M; Henin, D; Le Polain, B; Scholtes, JL; Vandewalle, F, 1993
)
0.75
"We investigated analgesia and the adverse effects of epidural sufentanil infusion in a double-blind randomized study of 37 patients undergoing thoracic surgery."( The analgesic efficacy and adverse effects of continuous epidural sufentanil and bupivacaine infusion after thoracotomy.
Bake, B; Hansdóttir, V; Nordberg, G, 1996
)
0.52
" The results suggest an increased safety margin before onset of toxic side effects after treatment with ropivacaine, compared to bupivacaine, in pregnant rase."( Toxicity of bupivacaine and ropivacaine in relation to free plasma concentrations in pregnant rats: a comparative study.
Arvidsson, T; Böö, EL; Danielson, MK; Danielsson, BR; Halldin, MM, 1997
)
0.88
" Proparacaine was statistically more toxic than were the others."( Corneal endothelial toxicity of topical anesthesia.
Judge, AJ; Lee, DA; Miller, KM; Najafi, K, 1997
)
0.3
"No adverse clinical reaction and no histologic abnormality was observed in any of the nine groups after injection."( Toxicity of intraocular lidocaine and bupivacaine.
Liang, C; Peyman, GA; Sun, G, 1998
)
0.57
" Both verapamil and nimodipine pretreatment increased the LD50 and 95% confidence intervals for bupivacaine and increased survival."( The effects of verapamil and nimodipine on bupivacaine-induced cardiotoxicity in rats: an in vivo and in vitro study.
Adsan, H; Onaran, O; Tulunay, M, 1998
)
0.78
" The reported toxic serum level for bupivacaine was 4 micrograms/ml and for ketoprofen is 1128 micrograms/ml."( The safety of topical anaesthetic and analgesic agents in a gel when used to provide pain relief at split skin donor sites.
Alvi, R; Bunting, P; Burrows, D; Collins, W; Jones, RP; Jones, S; McKiernan, EP, 1998
)
0.58
"Cholestasis has been proposed as a side effect of interpleural bupivacaine."( Cholestasis as a side effect of bupivacaine?
Leger, R; Olmer, A; Raetzell, M; Scheiderer, U; Wulf, H,
)
0.65
" The incidence of adverse effects was similar in all groups; serious adverse effects did not occur."( The safety and efficacy of intrabursal oxycodone and bupivacaine in analgesia after shoulder surgery.
Kirvelä, O; Muittari, P,
)
0.38
" The main side effect was pruritus."( Combined spinal epidural for labour analgesia--duration, efficacy and side effects of adding sufentanil or fentanyl to bupivacaine intrathecally vs plain bupivacaine.
Chen, LH; Chong, JL; Lo, WK, 1999
)
0.51
" The timing of the occurrence of local anesthetic-induced toxic events (defined as the first QRS modification, dysrhythmia, seizures, moderate and severe bradycardia and hypotension, final systole) was recorded and the dose calculated."( The comparative toxicity of ropivacaine and bupivacaine at equipotent doses in rats.
Cuignet, O; De Kock, M; Dewinde, V; Dony, P; Gautier, P; Lavand'homme, P; Legrand, E; Vanderick, B, 2000
)
0.57
" Peribulbar block appears to be a safe and useful analgesic technique for paediatric ophthalmic surgery."( Safety and efficacy of peribulbar block as adjunct to general anaesthesia for paediatric ophthalmic surgery.
Deb, K; Dehran, M; Shende, D; Subramaniam, R; Tandon, R, 2001
)
0.31
" Additionally, they are less toxic to the CNS than bupivacaine judging by the larger doses tolerated before the onset of seizures."( Cardiotoxicity with modern local anaesthetics: is there a safer choice?
Chang, DH; Mather, LE, 2001
)
0.56
" No severe adverse effects were noted."( Continuous fascia iliaca compartment block in children: a prospective evaluation of plasma bupivacaine concentrations, pain scores, and side effects.
Bruguerolle, B; Camboulives, J; Paut, O; Rémond, C; Sallabery, M; Schreiber-Deturmeny, E, 2001
)
0.53
"In this study, we have shown that, in children, continuous fascia iliaca compartment block, a technique providing neural blockade of the thigh and the anterior part of the knee, was associated with safe plasma bupivacaine concentrations, was well tolerated, and provided satisfactory pain scores in most cases."( Continuous fascia iliaca compartment block in children: a prospective evaluation of plasma bupivacaine concentrations, pain scores, and side effects.
Bruguerolle, B; Camboulives, J; Paut, O; Rémond, C; Sallabery, M; Schreiber-Deturmeny, E, 2001
)
0.72
" In this study, chronic supplementation of intrathecal opioids with bupivacaine was a safe method for providing continued management of chronic pain of cancer or noncancer origin."( Stability, compatibility, and safety of intrathecal bupivacaine administered chronically via an implantable delivery system.
Deer, TR; Elsberry, DD; Hildebrand, KR, 2001
)
0.8
" Arterial blood samples were obtained before infusion and at the onset of toxic manifestations."( Systemic toxicity of levobupivacaine, bupivacaine, and ropivacaine during continuous intravenous infusion to nonpregnant and pregnant ewes.
DeArmas, PI; Santos, AC, 2001
)
0.61
" The mean cumulative dose and serum concentration at each toxic manifestation was lowest for bupivacaine, intermediate for levobupivacaine, and highest for ropivacaine in both pregnant and nonpregnant animals."( Systemic toxicity of levobupivacaine, bupivacaine, and ropivacaine during continuous intravenous infusion to nonpregnant and pregnant ewes.
DeArmas, PI; Santos, AC, 2001
)
0.83
"Postoperative epidural infusion of levobupivacaine can provide safe and effective analgesia for patients having hip or knee joint replacement."( The efficacy and safety of three concentrations of levobupivacaine administered as a continuous epidural infusion in patients undergoing orthopedic surgery.
Berman, JS; Dickson, UK; Gad-Elrab, RR; Murdoch, JA; Scott, NB; Wilson, PA, 2002
)
0.83
"Central and regional block procedures have a well-defined role as safe and effective methods in modern anesthesia and analgesia with long-acting local anesthetics."( The cardiotoxicity of local anesthetics: the place of ropivacaine.
Graf, BM, 2001
)
0.31
" The safety end-point measurements included Apgar scores, maternal ECG, maternal and neonatal blood pH, and adverse events."( A comparative study of the safety and efficacy of 0.5% levobupivacaine and 0.5% bupivacaine for epidural anesthesia in subjects undergoing elective caesarean section.
Cheng, CR; Hung, YC; Su, TH; Wang, PT, 2002
)
0.56
" Apgar scores, maternal and neonatal blood pH, maternal ECG, and adverse events did not differ between groups."( A comparative study of the safety and efficacy of 0.5% levobupivacaine and 0.5% bupivacaine for epidural anesthesia in subjects undergoing elective caesarean section.
Cheng, CR; Hung, YC; Su, TH; Wang, PT, 2002
)
0.56
" No significant maternal or neonatal adverse events were found between the treatment groups."( A comparative study of the safety and efficacy of 0.5% levobupivacaine and 0.5% bupivacaine for epidural anesthesia in subjects undergoing elective caesarean section.
Cheng, CR; Hung, YC; Su, TH; Wang, PT, 2002
)
0.56
" Sacral block appears early after intrathecal injections compared with epidural ones, and we therefore used SI motor block to determine a safe and reliable test dose for epidural catheter misplacement."( Evaluation of S1 motor block to determine a safe, reliable test dose for epidural analgesia.
Ateleanu, B; Collis, RE; Daoud, Z; Mapleson, WW, 2002
)
0.31
" Systemic bupivacaine may affect neural control of the cardiovascular system in addition to having toxic actions on the heart."( Investigation of systemic bupivacaine toxicity using the in situ perfused working heart-brainstem preparation of the rat.
Headley, PM; Paton, JF; Pickering, AE; Waki, H, 2002
)
1.02
" Fewer patients after levobupivacaine n=20 (7%) than after lignocaine n=7 (23%) or placebo n=5 (16%) experienced adverse events."( Safety and efficacy of levobupivacaine for postoperative pain relief after the surgical removal of impacted third molars: a comparison with lignocaine and adrenaline.
Coulthard, P; Gennery, BA; Rood, JP; Snowdon, AT, 2002
)
0.91
" Surgical management in the form of pyloromyotomy under general anaesthesia has been reported as safe for relieving the obstructed bowel."( The effectiveness and safety of spinal anaesthesia in the pyloromyotomy procedure.
Gaitini, LA; Malatzkey, S; Sabo, E; Somri, M; Tome, R; Vaida, SJ; Yudashkin, M, 2003
)
0.32
" Two patients in the levobupivacaine group experienced serious adverse events, but neither was considered related to the study medication."( The efficacy and safety of 0.75% levobupivacaine vs 0.75% bupivacaine for peribulbar anaesthesia.
Birt, DJ; Cummings, GC, 2003
)
0.9
"Levobupivacaine and bupivacaine are equally successful in achieving clinically satisfactory peribulbar anaesthesia with few adverse effects."( The efficacy and safety of 0.75% levobupivacaine vs 0.75% bupivacaine for peribulbar anaesthesia.
Birt, DJ; Cummings, GC, 2003
)
1.15
"No toxic reactions to bupivacaine were seen."( Steady state bupivacaine plasma concentrations and safety of a femoral "3-in-1" nerve block with bupivacaine in patients over 80 years of age.
Gielen, MJ; Lagerwert, AJ; Snoeck, MM; Vree, TB, 2003
)
1
" The aim was to investigate efficacy, adverse effects and safety of the treatments in a large patient population."( Pain relief and safety after major surgery. A prospective study of epidural and intravenous analgesia in 2696 patients.
Flisberg, P; Linnér, R; Lundberg, CJ; Rudin, A, 2003
)
0.32
"In a large patient population the use of epidural and intravenous postoperative analgesia was considered safe in surgical wards, and the incidence of adverse effects was low."( Pain relief and safety after major surgery. A prospective study of epidural and intravenous analgesia in 2696 patients.
Flisberg, P; Linnér, R; Lundberg, CJ; Rudin, A, 2003
)
0.32
" In this investigation we hypothesized that bupivacaine infiltration of the donor site before skin harvest would prove to be a safe technique as determined by the measurement of blood levels of bupivacaine at various time intervals after infiltration."( The safety of adding bupivacaine to the subcutaneous infiltration solution used for donor site harvest.
Fischer, CG; Kopcha, R; Lloyd, S; McCall, JE; Warden, GD,
)
0.71
" Therefore, the authors investigated the adverse effects and effectiveness of this drug when given for ulnar nerve blockade in human volunteers."( Phase Ia and Ib study of amitriptyline for ulnar nerve block in humans: side effects and efficacy.
Eappen, S; Fridrich, P; Gerner, P; Jaeger, W; Schernhammer, E; Wang, GK; Zizza, AM, 2004
)
0.32
"Bupivacaine 1 mg seems to be the efficient and safe dose."( Efficacy and safety of three ophthalmic inserts for topical anaesthesia of the cornea. An exploratory comparative dose-ranging, double-blind, randomized trial in healthy volunteers.
Bergmann, JF; Conti, R; El Meski, S; Gaudric, A; Jarrin, I; Mahé, I; Mouly, S; Otéro, J; Simoneau, G; Tavera, C; Tillet, Y, 2005
)
1.77
"The purpose of this retrospective study was to determine whether epidural fentanyl-bupivacaine patient-controlled analgesia (PCA) was more efficacious and had fewer adverse effects than epidural or intravenous morphine PCA."( Efficacy and adverse effects of patient-controlled epidural or intravenous analgesia after major surgery.
Hu, JS; Liew, C; Lui, PW; Teng, YH; Tsai, SK, 2004
)
0.55
" Adverse effects including nausea, vomiting, pruritus, urinary retention, sedation, motor block, and respiratory depression (< 8 breaths per minute) were recorded."( Efficacy and adverse effects of patient-controlled epidural or intravenous analgesia after major surgery.
Hu, JS; Liew, C; Lui, PW; Teng, YH; Tsai, SK, 2004
)
0.32
" There were no differences in other adverse events such as urinary retention, sedation, and motor block among the three groups."( Efficacy and adverse effects of patient-controlled epidural or intravenous analgesia after major surgery.
Hu, JS; Liew, C; Lui, PW; Teng, YH; Tsai, SK, 2004
)
0.32
" It is considered safe to use continuous epidural PCA with fentanyl-bupivacaine in patients receiving major elective surgery."( Efficacy and adverse effects of patient-controlled epidural or intravenous analgesia after major surgery.
Hu, JS; Liew, C; Lui, PW; Teng, YH; Tsai, SK, 2004
)
0.56
" Adverse events were uncommon, with no difference between groups."( Cost-effectiveness and safety of epidural steroids in the management of sciatica.
Arden, N; Coglan, L; Price, C; Rogers, P, 2005
)
0.33
" PCB was found to be a safe pain-relief method for low-risk parturients."( A comparative study of the safety of 0.25% levobupivacaine and 0.25% racemic bupivacaine for paracervical block in the first stage of labor.
Huhtala, H; Kirkinen, P; Palomäki, O, 2005
)
0.59
"One-minute exposure to lidocaine 1% E or 2% E appears to be safe for cultured rabbit CECs, although longer exposures could cause time-dependent cytotoxicity, which should be considered in planning cataract or other ocular surgery."( Cytotoxicity of lidocaine or bupivacaine on corneal endothelial cells in a rabbit model.
Chang, YS; Tseng, SH; Tseng, SY; Wu, CL, 2006
)
0.63
" Future areas of investigation will focus on improved treatment regimes and better understanding of the mechanism of lipid rescue, which might allow superior alternative therapies, or treatment of other toxic events."( Lipid rescue resuscitation from local anaesthetic cardiac toxicity.
Weinberg, G, 2006
)
0.33
"In adolescents, clonidine 1 microg/kg prolonged the duration of sensory block achieved with bupivacaine by 30 min and postoperative analgesia by 120 min without severe adverse events."( Clonidine 1 microg/kg is a safe and effective adjuvant to plain bupivacaine in spinal anesthesia in adolescents.
Abdelaziz, AB; Chattaoui, O; Kaabachi, O; Kokki, H; Ouezini, R; Zarghouni, A, 2007
)
0.8
"125% applied daily via chambers covering wounds in a full-thickness pig excision model has no overt toxic effect on wound healing as measured by wound contraction and histological assessment."( Safety evaluation of topically applied amitriptyline in porcine full-thickness wounds.
Bleiziffer, O; Eriksson, E; Gerner, P; Kudsi, Y; Pomahac, B; Velander, P; Zuhaili, B,
)
0.13
"Celiac plexus neurolysis and block are considered safe but provide limited pain relief."( Initial evaluation of the efficacy and safety of endoscopic ultrasound-guided direct Ganglia neurolysis and block.
Chari, ST; Clain, JE; de la Mora, JG; Gleeson, FC; Levy, MJ; Pearson, RK; Pelaez, MC; Petersen, BT; Rajan, E; Topazian, MD; Vege, SS; Wang, KK; Wiersema, MJ, 2008
)
0.35
" This study was designed to investigate whether bupivacaine could induce a toxic effect in primary cultured mouse spinal cord neuron and if so, whether the Shenfu injection had a similar neuroprotective effect in the cell model."( Shenfu injection attenuates neurotoxicity of bupivacaine in cultured mouse spinal cord neurons.
Lei, C; Li, QB; Liu, MY; Lu, ZH; Peng, Y; Wang, Q; Xiong, LZ, 2007
)
0.85
" The overall incidence of adverse events was low and consisted primarily of technical problems and postoperative nausea and vomiting."( Safety and efficacy of patient controlled epidural analgesia following pediatric spinal surgery.
Ceroni, D; Greenberg, RS; Habre, W; Kaelin, A; Meyer, PA; Saudan, S; von Ungern-Sternberg, BS, 2008
)
0.35
"The present study demonstrates that PCEA provides excellent pain relief following extensive spinal surgery and is associated with a low incidence of adverse events."( Safety and efficacy of patient controlled epidural analgesia following pediatric spinal surgery.
Ceroni, D; Greenberg, RS; Habre, W; Kaelin, A; Meyer, PA; Saudan, S; von Ungern-Sternberg, BS, 2008
)
0.35
" Patients also completed a questionnaire each visit regarding their assessment of paralysis, asymmetry, and adverse effects."( Bupivacaine-induced myotoxicity and its effect on botulinum toxin paresis.
Wall, VK; Yen, MT, 2008
)
1.79
"General anesthesia produced physiological perturbations, exacerbated local anesthetic-induced cardiovascular depression, and changed the pharmacokinetics of toxic doses of local anesthetics."( The effects of general anesthesia on the central nervous and cardiovascular system toxicity of local anesthetics.
Copeland, SE; Gu, XQ; Ladd, LA; Mather, LE, 2008
)
0.35
" We investigated the hypotheses that these drugs (A) are less neurotoxic than the prototype local anesthetic, lidocaine (B) are selectively toxic for subcategories of dorsal root ganglion neurons and (C) induce activation of either p38 MAPK or related enzymes, such as the c-jun terminal N-kinase (JNK) and extracellular signal-regulated kinase (ERK)."( In vitro, inhibition of mitogen-activated protein kinase pathways protects against bupivacaine- and ropivacaine-induced neurotoxicity.
Colvin, HP; Gerner, P; Haller, I; Klimaschewski, L; Lang, L; Lirk, P; Tomaselli, B, 2008
)
0.57
" Importantly, even very low concentrations that were nontoxic over brief exposures became highly toxic after days or weeks of exposure."( Local myotoxicity from sustained release of bupivacaine from microparticles.
Bellas, E; Hao, D; Kohane, DS; Padera, R; Tse, JY, 2008
)
0.61
"Butorphanol is considered an effective and safe analgesic after cesarean delivery but is associated with profound dose-dependent sedation."( The efficacy and safety of low dose epidural butorphanol on postoperative analgesia following cesarean delivery.
Basnet, N; Bhattarai, B; Khaniya, S; Pokharel, K; Rahman, TR; Singh, SN,
)
0.13
" The present article provides a concise review of the toxic potencies of levobupivacaine and ropivacaine."( The toxicity of local anesthetics: the place of ropivacaine and levobupivacaine.
Graf, BM; Zink, W, 2008
)
0.81
" Experimental studies and case reports confirm this hypothesis, showing that ropivacaine is characterized by fewer (cardio) toxic effects and, most probably, a greater margin of safety."( The toxicity of local anesthetics: the place of ropivacaine and levobupivacaine.
Graf, BM; Zink, W, 2008
)
0.58
"A prospective study of 644 consecutive augmentation mammaplasty patients shows that indwelling catheters for the postoperative instillation of bupivacaine are both safe and effective in the management of postoperative pain."( Pain control in augmentation mammaplasty: safety and efficacy of indwelling catheters in 644 consecutive patients.
Nelson, CE; Pacik, PT; Werner, C,
)
0.33
" Study variables included pain intensity on a visual analog scale every 4 hours, need for rescue analgesia (morphine), complications and adverse events within 5 postoperative days."( [Epidural analgesia versus femoral or femoral-sciatic nerve block after total knee replacement: comparison of efficacy and safety].
Bartrons Vilarnau, R; Bisbe Vives, E; Castillo Monsegur, J; Escolano Villén, F; Ginés Cespedosa, A; Montes Pérez, A; Santiveri Papiol, X, 2009
)
0.35
" Peripheral nerve block techniques have fewer adverse side effects than epidural analgesia."( [Epidural analgesia versus femoral or femoral-sciatic nerve block after total knee replacement: comparison of efficacy and safety].
Bartrons Vilarnau, R; Bisbe Vives, E; Castillo Monsegur, J; Escolano Villén, F; Ginés Cespedosa, A; Montes Pérez, A; Santiveri Papiol, X, 2009
)
0.35
" Only one previous study has reported adverse events of CPNB in a high number of pediatric cases."( Continuous peripheral nerve blocks for postoperative analgesia in children: feasibility and side effects in a cohort study of 339 catheters.
Bringuier, S; Canaud, N; Capdevila, X; Dadure, C; Lubrano-Lavadera, JF; Raux, O; Rochette, A; Troncin, R, 2009
)
0.35
" In the postoperative period, demographic data, quality of analgesia, amount of rescue analgesic medication, child/parent satisfaction, and adverse events were recorded in our Departmental Regional Anesthesia registry."( Continuous peripheral nerve blocks for postoperative analgesia in children: feasibility and side effects in a cohort study of 339 catheters.
Bringuier, S; Canaud, N; Capdevila, X; Dadure, C; Lubrano-Lavadera, JF; Raux, O; Rochette, A; Troncin, R, 2009
)
0.35
" There were no major adverse events."( Continuous peripheral nerve blocks for postoperative analgesia in children: feasibility and side effects in a cohort study of 339 catheters.
Bringuier, S; Canaud, N; Capdevila, X; Dadure, C; Lubrano-Lavadera, JF; Raux, O; Rochette, A; Troncin, R, 2009
)
0.35
" Our results demonstrate that CPNBs are feasible in the pediatric setting, and in skilled hands, they promote prolonged analgesia in the majority of patients without major adverse events."( Continuous peripheral nerve blocks for postoperative analgesia in children: feasibility and side effects in a cohort study of 339 catheters.
Bringuier, S; Canaud, N; Capdevila, X; Dadure, C; Lubrano-Lavadera, JF; Raux, O; Rochette, A; Troncin, R, 2009
)
0.35
" Continuous peripheral nerve blocks have been proposed as safe and effective techniques for postoperative pain relief and chronic pain therapy, particularly in small children."( Age-dependent bupivacaine-induced muscle toxicity during continuous peripheral nerve block in rats.
Capdevila, X; Dadure, C; Galbes, O; Hayot, M; Mercier, J; Morau, D; Nouette-Gaulain, K; Pertuiset, C; Rossignol, R; Sztark, F, 2009
)
0.71
" We highlight how these toxic effects have motivated the search for a safe and long-acting local anesthetic."( Local anesthetic systemic toxicity.
Dillane, D; Finucane, BT, 2010
)
0.36
"The adverse effects of local anesthetics (LAs) on wound healing at surgical sites have been suggested, and may be related to their cytotoxicity."( Bupivacaine causes cytotoxicity in mouse C2C12 myoblast cells: involvement of ERK and Akt signaling pathways.
Chang, YC; Gan, Y; Hibner, M; Huang, Y; Ma, FX; Maurice, JM, 2010
)
1.8
" Anti-proliferation and cell death with concomitant apoptosis mediated by bupivacaine may offer an explanation for its adverse effects in vivo (eg slowing wound healing at the surgical sites)."( Bupivacaine causes cytotoxicity in mouse C2C12 myoblast cells: involvement of ERK and Akt signaling pathways.
Chang, YC; Gan, Y; Hibner, M; Huang, Y; Ma, FX; Maurice, JM, 2010
)
2.03
" Local anaesthesia is however associated with potential risks and adverse reactions including toxicity."( Local anaesthetic toxicity.
Maher, AJ; Metcalfe, SA; Parr, S, 2008
)
0.35
"Local anaesthesia although safe has the potential to cause serious harm in the event of toxicity."( Local anaesthetic toxicity.
Maher, AJ; Metcalfe, SA; Parr, S, 2008
)
0.35
"In 2001, we reported a novel technique for pediatric circumcision that has proved to be fast, reliable, and safe during the past 4 years, with good cosmetic results."( Adult template circumcision: a prospective, randomized, patient-blinded, comparative study evaluating the safety and efficacy of a novel circumcision device.
Decastro, B; Gurski, J; Peterson, A, 2010
)
0.36
"The use of the adult circumcision template appears to be a reliable and safe method of circumcision that significantly reduces the operative time."( Adult template circumcision: a prospective, randomized, patient-blinded, comparative study evaluating the safety and efficacy of a novel circumcision device.
Decastro, B; Gurski, J; Peterson, A, 2010
)
0.36
" Per-operative preparations and management were all standardised, with other drugs being only administered to manage anxiety, pain, nausea/vomiting, hypotension, and any adverse event."( Spinal anaesthesia for laparoscopic cholecystectomy: a feasibility and safety study.
Gautam, B,
)
0.13
"Spinal anaesthesia with Morphine-mixed hyperbaric Bupivacaine is adequate and safe for elective LC in otherwise healthy patients and minimises postoperative pain and opioid use."( Spinal anaesthesia for laparoscopic cholecystectomy: a feasibility and safety study.
Gautam, B,
)
0.38
" An understanding of structure-activity relationships (SARs) of chemicals can make a significant contribution to the identification of potential toxic effects early in the drug development process and aid in avoiding such problems."( Developing structure-activity relationships for the prediction of hepatotoxicity.
Fisk, L; Greene, N; Naven, RT; Note, RR; Patel, ML; Pelletier, DJ, 2010
)
0.36
" These benefits, however, can be offset by adverse iatrogenic muscle pain."( N-acetylcysteine protects against bupivacaine-induced myotoxicity caused by oxidative and sarcoplasmic reticulum stress in human skeletal myotubes.
Bourret, A; Capdevila, X; Galbes, O; Matecki, S; Mercier, J; Nouette-Gaulain, K; Philips, A; Pillard, F; Py, G, 2010
)
0.64
"The authors used primary cell cultures of human skeletal muscle myoblasts to study local anesthetic adverse effects."( N-acetylcysteine protects against bupivacaine-induced myotoxicity caused by oxidative and sarcoplasmic reticulum stress in human skeletal myotubes.
Bourret, A; Capdevila, X; Galbes, O; Matecki, S; Mercier, J; Nouette-Gaulain, K; Philips, A; Pillard, F; Py, G, 2010
)
0.64
"The development of safe and effective local anesthetic agents has possibly been the most important advancement in dental science to occur in the last century."( Local anesthetics: pharmacology and toxicity.
Hersh, EV; Moore, PA, 2010
)
0.36
" Adverse effects were rare and unrelated to the choice of drug."( Evidence-based clinical update: Which local anesthetic drug for pediatric caudal block provides optimal efficacy with the fewest side effects?
Cox, RG; Dobereiner, EF; Ewen, A; Lardner, DR, 2010
)
0.36
" Adverse effects in human studies are rare, mild, and unrelated to the choice of drug."( Evidence-based clinical update: Which local anesthetic drug for pediatric caudal block provides optimal efficacy with the fewest side effects?
Cox, RG; Dobereiner, EF; Ewen, A; Lardner, DR, 2010
)
0.36
" Each result showed that bupivacaine was the most toxic of the three local anaesthetics."( Comparison of the cytotoxic effects of bupivacaine, lidocaine, and mepivacaine in equine articular chondrocytes.
Choi, SH; Hong, G; Kim, G; Park, J; Sutradhar, BC, 2011
)
0.94
" Knowing that morphine provides comparable to even prolonged pain reduction after ACL reconstruction, the presented in vitro study suggests morphine as a potentially less toxic analgetic drug for intraarticular application in clinical practice."( Bupivacaine, ropivacaine, and morphine: comparison of toxicity on human hamstring-derived stem/progenitor cells.
Docheva, D; Grote, S; Haasters, F; Kohler, J; Mutschler, W; Polzer, H; Prall, WC; Saller, MM; Schieker, M, 2011
)
1.81
"Measures to improve the safe implementation and utilization of an elastomeric infusion system for pain management are described."( Measures to improve safety of an elastomeric infusion system for pain management.
Anderson, RL; Birrer, KL; Liu-DeRyke, X; Patel, KR, 2011
)
0.37
"Due to the multiple safety concerns associated with the use of the On-Q infusion systems (I-Flow Corporation, Lake Forest, CA) in a community-based teaching institution, a multidisciplinary team of physicians, pharmacists, clinical nurses, nurse educators, and computer informatics personnel was formed to develop a standardized policy and procedure to ensure the safe use of On-Q pumps."( Measures to improve safety of an elastomeric infusion system for pain management.
Anderson, RL; Birrer, KL; Liu-DeRyke, X; Patel, KR, 2011
)
0.37
" SSNB is a very safe procedure in the outpatient setting, even among frail, elderly patients."( Safety and acceptability of suprascapular nerve block in rheumatology patients.
Ahern, MJ; Hill, CL; Shanahan, EM; Shanahan, KR; Smith, MD, 2012
)
0.38
"There was no adverse effect in either species."( The safety and tolerability evaluation of DepoFoam bupivacaine (bupivacaine extended-release liposome injection) administered by incision wound infiltration in rabbits and dogs.
Brubaker, AN; Cole, PI; Haan, D; Nelson, KG; Newton, PE; Ott, LR; Rebelatto, MC; Richard, BM; Ross, PE, 2011
)
0.62
"This study determined the quality of perioperative analgesia and side effect profile of spinal bupivacaine plus pethidine for caesarean section."( Subarachnoid bupivacaine and pethidine for caesarean section: assessment of quality of perioperative analgesia and side effects.
Akhideno, II; Akpoguado, DD; Asudo, FD; Imarengiaye, CO; Ogunsakin, AT; Omoifo, CE, 2011
)
0.96
"5mg resulted in better quality of anaesthesia, longer postoperative analgesia with acceptable side effect profile."( Subarachnoid bupivacaine and pethidine for caesarean section: assessment of quality of perioperative analgesia and side effects.
Akhideno, II; Akpoguado, DD; Asudo, FD; Imarengiaye, CO; Ogunsakin, AT; Omoifo, CE, 2011
)
0.74
" The rate of adverse events with conscious sedation has not been previously assessed in the interventional spine procedure setting."( Adverse events of conscious sedation in ambulatory spine procedures.
Marín, DR; Schaufele, MK; Simmons, AC; Tate, JL, 2011
)
0.37
"The goal of this study was to determine the rate of adverse events when using conscious sedation in the ambulatory interventional spine setting."( Adverse events of conscious sedation in ambulatory spine procedures.
Marín, DR; Schaufele, MK; Simmons, AC; Tate, JL, 2011
)
0.37
"The rate and type of adverse events were analyzed and compared between those who received conscious sedation with local anesthesia and those who received local anesthesia alone."( Adverse events of conscious sedation in ambulatory spine procedures.
Marín, DR; Schaufele, MK; Simmons, AC; Tate, JL, 2011
)
0.37
" Of these cases, 66 immediate adverse events (5."( Adverse events of conscious sedation in ambulatory spine procedures.
Marín, DR; Schaufele, MK; Simmons, AC; Tate, JL, 2011
)
0.37
"The findings of this study suggest that mild to moderate conscious sedation in interventional spine procedures is associated with low rates of adverse events when established protocols are followed."( Adverse events of conscious sedation in ambulatory spine procedures.
Marín, DR; Schaufele, MK; Simmons, AC; Tate, JL, 2011
)
0.37
" No serious adverse events were reported, and no patients discontinued the study due to adverse events."( The efficacy and safety of DepoFoam bupivacaine in patients undergoing bilateral, cosmetic, submuscular augmentation mammaplasty: a randomized, double-blind, active-control study.
Bergese, SD; Hedden, W; Onel, E; Smoot, JD; Williams, HT, 2012
)
0.65
"Findings from paired electrocardiograms (ECGs), corresponding pharmacokinetic assessments, and cardiovascular adverse events (AEs) in a phase 2, randomized, double-blind, dose-ranging study of bupivacaine extended-release (150, 300, 450, or 600 mg) or bupivacaine HCl 150 mg with epinephrine administered intraoperatively via wound infiltration in patients undergoing total knee arthroplasty (n = 138), were assessed for potential causality."( Bupivacaine extended-release liposome injection exhibits a favorable cardiac safety profile.
Bergese, SD; Morganroth, J; Morren, M; Onel, E,
)
1.76
" However, during cesarean section with neuraxial block, S-Ketamine might have adverse effects on the interaction between mothers and infants, including breastfeeding."( A study of low-dose S-ketamine infusion as "preventive" pain treatment for cesarean section with spinal anesthesia: benefits and side effects.
Catarci, S; Draisci, G; Suppa, E; Valente, A; Zanfini, BA, 2012
)
0.38
" All side effects were rated as light and there were no serious adverse events."( A study of low-dose S-ketamine infusion as "preventive" pain treatment for cesarean section with spinal anesthesia: benefits and side effects.
Catarci, S; Draisci, G; Suppa, E; Valente, A; Zanfini, BA, 2012
)
0.38
"Preventive administration of S-Ketamine via 12-hour infusion was safe and may have anti-hyperalgesic action after cesarean section."( A study of low-dose S-ketamine infusion as "preventive" pain treatment for cesarean section with spinal anesthesia: benefits and side effects.
Catarci, S; Draisci, G; Suppa, E; Valente, A; Zanfini, BA, 2012
)
0.38
"SABER-Bupivacaine appeared safe with no difference in the incidence of side effects compared with SABER-Placebo."( Safety and efficacy of extended-release bupivacaine local anaesthetic in open hernia repair: a randomized controlled trial.
Abrouk, N; Fletcher, I; Hadj, A; Lissin, D; Moodie, J; Nicholson, D; Rosenfeldt, F; Turner, R; Watts, R, 2012
)
1.13
"After open inguinal hernia repair, SABER-Bupivacaine administered at the surgical site was safe and provided pain relief, reduced the need for supplemental (oral and parenteral) analgesia and did not impair wound healing."( Safety and efficacy of extended-release bupivacaine local anaesthetic in open hernia repair: a randomized controlled trial.
Abrouk, N; Fletcher, I; Hadj, A; Lissin, D; Moodie, J; Nicholson, D; Rosenfeldt, F; Turner, R; Watts, R, 2012
)
0.91
" Previous studies have shown that the commonly used drugs lidocaine, ropivacaine, and bupivacaine can be toxic to human chondrocytes."( Cytotoxicity of local anesthetics on human mesenchymal stem cells.
Dang, AC; Kim, HT; Kuo, AC; Rahnama, R; Wang, M, 2013
)
0.61
"79), and 2% lidocaine was found to be significantly more toxic than all doses of bupivacaine and ropivacaine."( Cytotoxicity of local anesthetics on human mesenchymal stem cells.
Dang, AC; Kim, HT; Kuo, AC; Rahnama, R; Wang, M, 2013
)
0.62
" Since other studies have shown ropivacaine to be less toxic to chondrocytes than bupivacaine, ropivacaine may be a safer intra-articular anesthetic."( Cytotoxicity of local anesthetics on human mesenchymal stem cells.
Dang, AC; Kim, HT; Kuo, AC; Rahnama, R; Wang, M, 2013
)
0.62
" Adverse events (AEs) were monitored for up to 36 days after administration."( The safety of liposome bupivacaine, a novel local analgesic formulation.
Onel, E; Ramamoorthy, SL; Sinatra, R; Viscusi, ER, 2014
)
0.71
" The frequency of analgesic use and the occurrence of adverse side effects during the first 48 hours after surgery were compared between the two groups."( [Safety and beneficial effects of spinal morphine on the postoperative course of elderly patients undergoing surgical fixation of the femoral neck fracture].
Baba, H; Fujiwara, T; Mochida, T; Watanabe, I; Watanabe, T, 2013
)
0.39
"1 mg morphine had beneficial effects and was safe in the postoperative period of elderly patients with femoral neck fracture provided that sufficient observation was given."( [Safety and beneficial effects of spinal morphine on the postoperative course of elderly patients undergoing surgical fixation of the femoral neck fracture].
Baba, H; Fujiwara, T; Mochida, T; Watanabe, I; Watanabe, T, 2013
)
0.39
"Bupivacaine is one of the most toxic local anesthetics but the mechanisms underlying its neurotoxicity are still unclear."( Nicotinamide adenine dinucleotide (NAD+) repletion attenuates bupivacaine-induced neurotoxicity.
Lai, LY; Li, L; Xu, SY; Zheng, T; Zhou, SQ, 2013
)
2.07
" The incidence of adverse events was compared with the chi-square or Fisher test."( Comparative study related to cardiovascular safety between bupivacaine (S75-R25) and ropivacaine in brachial plexus block.
Auler, JO; de Rezende, MR; Hamaji, A; Mattar, R; Vieira, JE,
)
0.37
" In addition, the results showed that lidocaine was the most toxic of the three local anesthetics and that ropivacaine presented less cytotoxicity than lidocaine and bupivacaine."( Comparison of toxicity effects of ropivacaine, bupivacaine, and lidocaine on rabbit intervertebral disc cells in vitro.
Cai, XY; Ding, F; Gao, F; Shao, ZW; Xie, M; Xiong, LM; Yang, SH, 2014
)
0.85
" There was no statistically significance in adverse events between two groups."( Efficacy and safety of bupivacaine versus lidocaine in dental treatments: a meta-analysis of randomised controlled trials.
Huang, Y; Liao, S; Su, N; Wang, H; Yang, S; Zhang, S, 2014
)
0.71
" The incidence of adverse events was compared with the chi-square or Fisher test."( Comparative study related to cardiovascular safety between bupivacaine (S75-R25) and ropivacaine in brachial plexus block.
Auler, JO; Hamaji, A; Mattar, R; Rezende, MR; Vieira, JE,
)
0.37
"5% lidocaine is fast-onset, very effective and safe in initiating epidural analgesia for early stage labor."( Low concentration lidocaine (0.5%) bolus epidurally can initiate fast-onset, effective and safe analgesia for early stage labor.
Liu, H; Rosinia, F; Yao, S, 2013
)
0.39
" This may contribute to a further increase in the safe use of spinal anesthesia in the clinical setting."( Spinal anesthesia revisited: toxicity of new and old drugs and compounds.
Hampl, K; Steinfeldt, T; Wulf, H, 2014
)
0.4
"Ropivacaine is not safe when intrathecally administered with lidocaine at the concentrations used in this study."( Intrathecal lidocaine neurotoxicity: combination with bupivacaine and ropivacaine and effect of nerve growth factor.
Chen, W; Ding, X; Guo, Y; Zhao, G, 2014
)
0.65
" Adverse effects were recorded and treated."( Efficacy and safety of dexmedetomidine added to caudal bupivacaine in pediatric major abdominal cancer surgery.
Alieldin, NH; Fares, KM; Othman, AH,
)
0.38
" Of the evaluated anesthetics, ropivacaine is the least toxic in the clinically used concentration."( Cytotoxic effects of ropivacaine, bupivacaine, and lidocaine on rotator cuff tenofibroblasts.
Hah, YS; Kim, JS; Kim, RJ; Lee, SJ; Nam, JB; Park, HB; Sung, CM, 2014
)
0.68
"We conclude that intraperitoneal administration of Dex 1 μg/kg combined with bupivacaine improves the quality and the duration of postoperative analgesia and provides an analgesic sparing effect compared to bupivacaine alone without significant adverse effects in patients undergoing laparoscopic colorectal cancer surgery."( Efficacy and safety of intraperitoneal dexmedetomidine with bupivacaine in laparoscopic colorectal cancer surgery, a randomized trial.
Abd El-Rahman, AM; Amin, AT; Fares, KM; Mohamed, AA; Mohamed, SA, 2015
)
0.89
" Adverse events (AEs) were monitored for 1 to 30 days after study drug administration."( Safety and Side Effect Profile of Liposome Bupivacaine (Exparel) in Peripheral Nerve Blocks.
Hadzic, A; Ilfeld, BM; Joshi, GP; Lookabaugh, J; Minkowitz, HS; Morren, MD; Viscusi, ER,
)
0.39
"Liposome bupivacaine has a similar safety and side effect profile to bupivacaine HCl and normal saline, suggesting that most of the more common AEs are related to either opioid rescue or the surgical procedure itself."( Safety and Side Effect Profile of Liposome Bupivacaine (Exparel) in Peripheral Nerve Blocks.
Hadzic, A; Ilfeld, BM; Joshi, GP; Lookabaugh, J; Minkowitz, HS; Morren, MD; Viscusi, ER,
)
0.81
" Primary outcome measures were safety and adverse events associated with NeoSTX."( A Phase 1, Dose-escalation, Double-blind, Block-randomized, Controlled Trial of Safety and Efficacy of Neosaxitoxin Alone and in Combination with 0.2% Bupivacaine, with and without Epinephrine, for Cutaneous Anesthesia.
Alexander, ME; Berde, CB; Bilge, A; Boretsky, K; Cornelissen, L; Cravero, J; Donado, C; Kellogg, M; Kim, J; Kurgansky, KE; Lobo, K; McCann, ME; Ortiz, R; Peake, RW; Peyton, J; Zurakowski, D, 2015
)
0.62
"A total of 84 subjects were randomized and completed the two-part trial with no serious adverse events or clinically significant physiologic impairments."( A Phase 1, Dose-escalation, Double-blind, Block-randomized, Controlled Trial of Safety and Efficacy of Neosaxitoxin Alone and in Combination with 0.2% Bupivacaine, with and without Epinephrine, for Cutaneous Anesthesia.
Alexander, ME; Berde, CB; Bilge, A; Boretsky, K; Cornelissen, L; Cravero, J; Donado, C; Kellogg, M; Kim, J; Kurgansky, KE; Lobo, K; McCann, ME; Ortiz, R; Peake, RW; Peyton, J; Zurakowski, D, 2015
)
0.62
"NeoSTX combinations have a tolerable side effect profile and appear promising for prolonged local anesthesia."( A Phase 1, Dose-escalation, Double-blind, Block-randomized, Controlled Trial of Safety and Efficacy of Neosaxitoxin Alone and in Combination with 0.2% Bupivacaine, with and without Epinephrine, for Cutaneous Anesthesia.
Alexander, ME; Berde, CB; Bilge, A; Boretsky, K; Cornelissen, L; Cravero, J; Donado, C; Kellogg, M; Kim, J; Kurgansky, KE; Lobo, K; McCann, ME; Ortiz, R; Peake, RW; Peyton, J; Zurakowski, D, 2015
)
0.62
" Secondary outcomes were pain scores from 24 to 72 h, intraoperative and postoperative opioid consumption, time to onset of bowel movement and side effect profiles."( Comparison of efficacy and safety of lateral-to-medial continuous transversus abdominis plane block with thoracic epidural analgesia in patients undergoing abdominal surgery: A randomised, open-label feasibility study.
Brookes, J; Das Adhikary, S; Ganapathy, S; Sondekoppam, RV; Subramanian, L; Terlecki, M, 2015
)
0.42
" Opioids remain the standard of care because of their analgesic efficacy; however, opioid use is often associated with adverse effects and poor patient outcomes."( The safety of liposome bupivacaine 2 years post-launch: a look back and a look forward.
Viscusi, ER, 2015
)
0.73
" No adverse events were reported."( Single Fascia Iliaca Compartment Block is Safe and Effective for Emergency Pain Relief in Hip-fracture Patients.
Dijksman, LM; Groot, L; Rebel, JR; Simons, MP; Zwartsenburg, MM, 2015
)
0.42
"In a busy Dutch ED with rotating residents of varying levels of experience, FICB seems to be an efficient, safe and practical method for pain reduction in patients with a hip fracture."( Single Fascia Iliaca Compartment Block is Safe and Effective for Emergency Pain Relief in Hip-fracture Patients.
Dijksman, LM; Groot, L; Rebel, JR; Simons, MP; Zwartsenburg, MM, 2015
)
0.42
" However, adverse side effects of opioids include respiratory depression, urinary retention, pruritus, vomiting, nausea, constipation, and increased risk of falls."( Reducing Opioid Adverse Events: A Safe Way to Improve Outcomes.
McCarus, SD; Redan, JA; Reeder, S; Wells, T, 2016
)
0.43
" Adverse opioid events measured included constipation, pruritus, vomiting, nausea, urinary retention, respiratory depression and fall risk."( Reducing Opioid Adverse Events: A Safe Way to Improve Outcomes.
McCarus, SD; Redan, JA; Reeder, S; Wells, T, 2016
)
0.43
" No serious adverse events occurred."( Efficacy and safety of a single occipital nerve blockade in episodic and chronic cluster headache: A prospective observational study.
Abbas, H; Diener, HC; Dresler, T; Gaul, C; Görlinger, K; Roguski, J; Totzeck, A; Weber, R, 2017
)
0.46
" No systemic adverse events were reported."( Efficacy and safety of bupivacaine versus lidocaine in local anesthesia of the nasopharynx: A meta-analysis.
He, Z; Huang, L; Wang, J; Yu, X, 2016
)
0.74
" The aim of this study was to characterize levobupivacaine absorption pharmacokinetics, with and without epinephrine, and estimate the risk of LAST, based on a previously reported toxic threshold."( Levobupivacaine absorption pharmacokinetics with and without epinephrine during TAP block: analysis of doses based on the associated risk of local anaesthetic toxicity.
Altermatt, FR; Araneda, A; Cortínez, LI; Corvetto, MA; Echevarría, GC; Miranda, P, 2016
)
1.25
" There was no statistically significant difference among the various groups with respect to adverse reactions."( Analgesic effect and safety of single-dose intra-articular magnesium after arthroscopic surgery: a systematic review and meta-analysis.
Gao, SG; Lei, GH; Li, LJ; Li, YS; Luo, W; Wei, J; Xiao, WF; Xie, DX; Xie, X; Xiong, YL; Zeng, C, 2016
)
0.43
" Secondary outcomes included block quality, maternal adverse effects, uterine contraction patterns, and fetal outcomes analyzed by using the χ test with Yates continuity correction."( Dural Puncture Epidural Technique Improves Labor Analgesia Quality With Fewer Side Effects Compared With Epidural and Combined Spinal Epidural Techniques: A Randomized Clinical Trial.
Bibbo, C; Cappiello, EC; Chau, A; Elterman, KG; Huang, CC; Robinson, JN; Tsen, LC, 2017
)
0.46
" Our study shows LRSB is effective and safe for laparoscopic abdominal surgery."( Laparoscopic-assisted Rectus Sheath Block as a Novel Technique is Effective and Safe: A Randomized Controlled Trial.
Ebihara, Y; Hirano, S; Kurashima, Y; Miyazaki, D; Murakami, S; Nakamura, T; Noji, T; Okamura, K; Shichinohe, T; Tsuchikawa, T, 2017
)
0.46
" Rats were inspected for durations of effective sensory and motor nerve blocks, systemic adverse effects, and histological changes of local tissues."( The quaternary lidocaine derivative QX-314 in combination with bupivacaine for long-lasting nerve block: Efficacy, toxicity, and the optimal formulation in rats.
Li, J; Liu, J; Lv, R; Ma, L; Yang, X; Yin, Q; Zhang, W; Zheng, Q; Zhu, T, 2017
)
0.69
"Adverse Event Reporting System database of FDA, which houses public and industry submitted adverse event case reports, was queried and analyzed to quantify the passive pharmacovigilance signal for Local Anesthetic Systemic Toxicity as associated with use of bupivacaine Liposome."( Local anesthetics systemic toxicity association with exparel (bupivacaine liposome)- a pharmacovigilance evaluation.
Aggarwal, N, 2018
)
0.9
"In this exploratory study, the pre-peritoneal bolus using bupivacaine resulted in serum bupivacaine concentrations well below the commonly accepted toxic threshold."( Serum levels of bupivacaine after pre-peritoneal bolus vs. epidural bolus injection for analgesia in abdominal surgery: A safety study within a randomized controlled trial.
Besselink, MG; Geerts, BF; Lirk, P; Mungroop, TH; van Dieren, S; van Samkar, G; Veelo, DP, 2017
)
1.05
" Patients were monitored for adverse events related to anesthetic toxicity (cardiac and neurologic)."( Systemic Safety of Liposomal Bupivacaine in Simultaneous Bilateral Total Knee Arthroplasty.
Mason, JB; Odum, SM; Springer, BD, 2018
)
0.77
"The use of full-dose PAI with liposomal bupivacaine placed into each knee during simultaneous bTKA is safe with systemic bupivacaine levels well below reported cardiac and neurotoxic levels."( Systemic Safety of Liposomal Bupivacaine in Simultaneous Bilateral Total Knee Arthroplasty.
Mason, JB; Odum, SM; Springer, BD, 2018
)
1.04
" Understanding the underlying mechanism of action of this safe source of calories may assist in the development of novel organ protective agents."( Lipid Emulsion, More Than Reversing Bupivacaine Cardiotoxicity: Potential Organ Protection.
Atala, A; Motayagheni, N; Nozari, A; Phan, S, 2017
)
0.73
" In any subsequent research, further studies should focus on the optimal dose of local anesthetics and the potential adverse side effects."( The efficiency and safety of local liposomal bupivacaine infiltration for pain control in total hip arthroplasty: A systematic review and meta-analysis.
Yang, Q; Zhang, X; Zhang, Z, 2017
)
0.71
" All adverse events during the hospital stay were recorded."( A prospective, randomized, open label, controlled study investigating the efficiency and safety of 3 different methods of rectus sheath block analgesia following midline laparotomy.
Anttila, M; Eskelinen, M; Hautajärvi, H; Kinnunen, M; Kokki, H; Kokki, M; Lehtonen, M; Purdy, M, 2018
)
0.48
" No serious or unexpected adverse events were reported."( A prospective, randomized, open label, controlled study investigating the efficiency and safety of 3 different methods of rectus sheath block analgesia following midline laparotomy.
Anttila, M; Eskelinen, M; Hautajärvi, H; Kinnunen, M; Kokki, H; Kokki, M; Lehtonen, M; Purdy, M, 2018
)
0.48
" No mixture related adverse events (nausea, vomiting, pruritus, sedation, respiratory depression) or those related to electrocardiographic parameters (arrhythmias and asystole) were reported in any patients."( The safety of a mixture of bupivacaine and lidocaine in children after urologic inguinal and scrotal surgery.
Chung, JM; Lee, K; Lee, SD, 2018
)
0.78
" An appropriate dose has no clinically significant hemodynamic or cardiac changes and adverse effects."( The safety of a mixture of bupivacaine and lidocaine in children after urologic inguinal and scrotal surgery.
Chung, JM; Lee, K; Lee, SD, 2018
)
0.78
" Liposomal bupivacaine is a safe adjunct to the management of pain of patients undergoing pulmonary surgery."( Intercostal Nerve Blocks With Liposomal Bupivacaine: Demonstration of Safety, and Potential Benefits.
Antonoff, MB; Cata, JP; Correa, AM; Mehran, RJ; Rice, DC; Walsh, GL; Zalpour, A, 2017
)
1.11
"Local anesthetic systemic toxicity (LAST) is a rare but potentially serious adverse event ."( A comparison of approaches to identify possible cases of local anesthetic systemic toxicity in the FDA Adverse Event Reporting System (FAERS) database.
Dagenais, S; Joyce, AR; Scranton, R; Vick, CC, 2018
)
0.48
"Data from the US Food and Drug Administration Adverse Event Reporting System were examined for liposomal bupivacaine (LB), bupivacaine, or other injectable local anesthetics."( A comparison of approaches to identify possible cases of local anesthetic systemic toxicity in the FDA Adverse Event Reporting System (FAERS) database.
Dagenais, S; Joyce, AR; Scranton, R; Vick, CC, 2018
)
0.69
" The effects of local anaesthetics on equine chondrocytes are mixed with some studies reporting chondrodestruction and others no adverse effects."( Plasma and synovial fluid concentrations and cartilage toxicity of bupivacaine following intra-articular administration of a liposomal formulation to horses.
Hill, AE; Knych, HK; Mama, KR; McKEMIE, DS; Moore, CE, 2019
)
0.75
" Most adverse events were mild or moderate, without evidence of bupivacaine toxicity or deleterious effects on wound healing."( Safety and Efficacy of Bupivacaine HCl Collagen-Matrix Implant (INL-001) in Open Inguinal Hernia Repair: Results from Two Randomized Controlled Trials.
Deck, K; Jones, N; Leiman, D; Minkowitz, HS; Niebler, G; Rider, P; Velanovich, V, 2019
)
1.06
" Finally, the occurrence of adverse events, between BU and DEX + BU group, was not statistically significant (RR=0."( The Efficacy and Safety of Dexmedetomidine Combined with Bupivacaine on Caudal Epidural Block in Children: A Meta-Analysis.
Cui, J; Li, S; Tan, X; Tu, Z, 2019
)
0.76
"Dexmedetomidine is a useful and safe drug in combination with lignocaine bupivacaine in peribulbar for vitreoretinal surgery as it maintains hemodynamic stability and provides sedation, which enables full cooperation and potentially better operating conditions."( Evaluation of the effect and safety of dexmedetomidine as an additive to local anesthesia in peribulbar block for vitreoretinal surgery.
Agarwal, M; Gautam, P; Gujral, GS; Shrivastav, A; Singh, S, 2019
)
0.75
"1 ng·mL, remained far below theoretical toxic thresholds."( Transversus Abdominal Plane Block in Children: Efficacy and Safety: A Randomized Clinical Study and Pharmacokinetic Profile.
Bringuier, S; Capdevila, X; Dadure, C; Mathieu, O; Menacé, C; Raux, O; Saour, AC; Sola, C, 2019
)
0.51
" Systemic toxicity with reflex on the central nervous and cardiovascular systems is their most feared adverse reactions, and the anaphylactic reaction is the most concerning one."( Safety of local anesthetics.
Cherobin, ACFP; Tavares, GT,
)
0.13
"To evaluate: (1) pain relief efficacy; (2) opioid consumption; (3) length of stay (LOS); (4) discharge disposition (DD); and (5) safety and adverse effects of liposomal bupivacaine (LB) in pediatric patients who underwent spinal deformity correction."( Liposomal Bupivacaine Is Both Safe and Effective in Controlling Postoperative Pain After Spinal Surgery in Children: A Controlled Cohort Study.
Ballock, RT; Bena, J; Chughtai, M; Goodwin, RC; Gurd, DP; Hudson, B; Jin, Y; Khlopas, A; Kuivila, TE; Seif, J; Sultan, AA, 2020
)
1.16
" Therefore, seeking a safe and effective postoperative analgesia is necessary for promoting the application of arthroscopic surgery."( Comparative efficacy and safety of intra-articular analgesics after knee arthroscopy: a Bayesian network meta-analysis protocol.
He, H; He, Y; Li, X; Wang, Y; Xie, DX, 2020
)
0.56
" The most common adverse events (AEs) in both groups were associated with general anesthesia and the postsurgical setting."( Pharmacokinetics and Safety of INL-001 (Bupivacaine HCl) Implants Compared with Bupivacaine HCl Infiltration After Open Unilateral Inguinal Hernioplasty.
Leiman, D; Minkowitz, HS; Niebler, G, 2021
)
0.89
"These findings demonstrate that INL-001 provides immediate and extended delivery of bupivacaine and is well tolerated in patients undergoing open inguinal hernioplasty with no adverse effect on wound healing."( Pharmacokinetics and Safety of INL-001 (Bupivacaine HCl) Implants Compared with Bupivacaine HCl Infiltration After Open Unilateral Inguinal Hernioplasty.
Leiman, D; Minkowitz, HS; Niebler, G, 2021
)
1.11
" Any substances that can mitigate the toxic effects of BV are of great importance in surgical procedures and pain management."( Hesperidin alleviates bupivacaine anesthesia-induced neurotoxicity in SH-SY5Y cells by regulating apoptosis and oxidative damage.
Wang, T; Zhang, W; Zheng, L, 2021
)
0.94
" These data support that LB is well tolerated and safe in individuals of Chinese descent."( Pharmacokinetics and safety of liposomal bupivacaine after local infiltration in healthy Chinese adults: a phase 1 study.
Cheung, BM; Liu, Y; Ng, PY; Wang, NQ; Yang, J; Yu, V; Zhou, M, 2021
)
0.89
"This study compared the effects of adductor canal blocks with those of a low concentration of popliteal-sciatic nerve block (SNB) and dexamethasone as an adjunctive technique for total knee arthroplasties (TKA) in patients susceptible to the adverse effects of NSAIDs."( Adding a low-concentration sciatic nerve block to total knee arthroplasty in patients susceptible to the adverse effects of non-steroidal anti-inflammatory drugs (NSAIDs): a randomized controlled trial.
Halilamien, P; Kerdchan, T; Poolsuppasit, S; Sirivanasandha, B; Sutthivaiyakit, K; Tangwiwat, S, 2021
)
0.62
"A prospective, double-blinded, randomized controlled trial was performed in 50 patients susceptible to the adverse effects of NSAIDs undergoing unilateral TKAs."( Adding a low-concentration sciatic nerve block to total knee arthroplasty in patients susceptible to the adverse effects of non-steroidal anti-inflammatory drugs (NSAIDs): a randomized controlled trial.
Halilamien, P; Kerdchan, T; Poolsuppasit, S; Sirivanasandha, B; Sutthivaiyakit, K; Tangwiwat, S, 2021
)
0.62
"For patients susceptible to the adverse effects of NSAIDs, a low concentration of SNB and dexamethasone is an effective adjunctive technique for early postoperative pain control (especially on movement) following TKAs, without an increase in motor weakness."( Adding a low-concentration sciatic nerve block to total knee arthroplasty in patients susceptible to the adverse effects of non-steroidal anti-inflammatory drugs (NSAIDs): a randomized controlled trial.
Halilamien, P; Kerdchan, T; Poolsuppasit, S; Sirivanasandha, B; Sutthivaiyakit, K; Tangwiwat, S, 2021
)
0.62
" The incidence of adverse effects was monitored."( Analgesic Efficacy and Safety of Spinal Oxycodone in Total Hip Arthroplasty: A Preliminary Study.
Adamski, M; Bienert, A; Kowalski, G; Leppert, W; Olczak, B; Szkutnik-Fiedler, D; Teżyk, A; Wieczorowska-Tobis, K, 2022
)
0.72
" Regarding adverse effects, one patient had hypotension, one had bradycardia, and one had pruritus."( Analgesic Efficacy and Safety of Spinal Oxycodone in Total Hip Arthroplasty: A Preliminary Study.
Adamski, M; Bienert, A; Kowalski, G; Leppert, W; Olczak, B; Szkutnik-Fiedler, D; Teżyk, A; Wieczorowska-Tobis, K, 2022
)
0.72
"Oxycodone in spinal block prolongs analgesia period, does not cause serious adverse effects and seems to be safe and effective opioid for patients undergoing THA."( Analgesic Efficacy and Safety of Spinal Oxycodone in Total Hip Arthroplasty: A Preliminary Study.
Adamski, M; Bienert, A; Kowalski, G; Leppert, W; Olczak, B; Szkutnik-Fiedler, D; Teżyk, A; Wieczorowska-Tobis, K, 2022
)
0.72
" Intra-articular injection of local anaesthetics should be limited in the TMJ because of the potential toxic effects."( Chondrotoxic effects of intra-articular injection of local anaesthetics in the rabbit temporomandibular joint.
Ağyüz, G; Asan, CY; Asan, M; Canpolat, DG; Demirbas, AE; Karakükcü, Ç; Ülger, M; Yay, A, 2022
)
0.72
" Yet, these drugs also have some adverse effects."( [Systemic toxicity secondary to local anesthetic infiltration].
Dotor-García Soto, J; Eichau, S; Guerra-Hiraldo, JD; López-Ruiz, R; Ruiz-de Arcos, M; Sánchez-Fernández, F, 2022
)
0.72
"Lipid emulsion (LE) has been used to treat children with cardiovascular collapse induced by toxic doses of nonlocal anesthetics with high lipid solubility."( Lipid Emulsion Treatment for Drug Toxicity Caused by Nonlocal Anesthetic Drugs in Pediatric Patients: A Narrative Review.
Kim, S; Lee, SH; Sohn, JT, 2023
)
0.91
" The adverse effects of LE treatment in the reported cases were hypertriglyceridemia, mild pancreatitis, and elevated levels of aspartate and alanine aminotransaminases."( Lipid Emulsion Treatment for Drug Toxicity Caused by Nonlocal Anesthetic Drugs in Pediatric Patients: A Narrative Review.
Kim, S; Lee, SH; Sohn, JT, 2023
)
0.91
"4 min, but exacerbating ropivacaine adverse effects (reduced survival by 13."( Local Anesthetic Cardiac Toxicity Is Mediated by Cardiomyocyte Calcium Dynamics.
Coles, JG; Estrada, M; Lonnqvist, PA; Maynes, JT; Plakhotnik, J; Zhang, L, 2022
)
0.72
"4%) of severe itching in women, in group I such an adverse reaction was absent."( SAFETY OF USING DURAL PUNCTURE EPIDURAL ANALGESIA AS A METHOD OF LABOR ANALGESIA.
Loskutov, OA; Sulimenko, YM; Zhezher, AO, 2022
)
0.72
" Based on these results, low concentrations of buprenorphine appear to be safe for intra-articular administration."( Buprenorphine has a concentration-dependent cytotoxic effect on equine chondrocytes in vitro.
Castro-Cuellar, G; Cremer, J; Hampton, C; Leise, BS; Liu, CC; Queiroz-Williams, P, 2023
)
0.91
" We hypothesized that the preoperative administration of a liposomal bupivacaine (LB) supraclavicular nerve block would be safe and effective in controlling postoperative pain."( Safety and Efficacy of Liposomal Bupivacaine Supraclavicular Nerve Blocks in Open Treatment of Distal Radius Fractures: A Perioperative Pain Management Protocol.
Brown, CA; Ghanouni, A; Ghareeb, PA; Payne, SH; Williams, R, 2023
)
1.43
"Liposomal bupivacaine supraclavicular nerve blocks are safe and effective in the treatment of postoperative pain after open reduction internal fixation of DRF."( Safety and Efficacy of Liposomal Bupivacaine Supraclavicular Nerve Blocks in Open Treatment of Distal Radius Fractures: A Perioperative Pain Management Protocol.
Brown, CA; Ghanouni, A; Ghareeb, PA; Payne, SH; Williams, R, 2023
)
1.59
" Prespecified key secondary outcomes included SPI48 and SPI72, percentage of opioid-free patients through 24, 48, and 72 hours, and adverse events, which were tested sequentially to control for multiplicity (ie, if the first variable failed to reach significance, no subsequent variables were declared statistically significant)."( A randomized, double-blind, placebo-controlled study to evaluate the efficacy and safety of a bupivacaine hydrochloride implant in patients undergoing abdominoplasty.
Beaton, AC; Folkerth, S; Leiman, D; Minkowitz, HS; Niebler, G; Salazar, H; Singla, N; Skuban, N; Solanki, D; Vaughn, B, 2023
)
1.13
" The only adverse event occurring in ≥5% of patients and for which proportion INL-001 >placebo was back pain (7."( A randomized, double-blind, placebo-controlled study to evaluate the efficacy and safety of a bupivacaine hydrochloride implant in patients undergoing abdominoplasty.
Beaton, AC; Folkerth, S; Leiman, D; Minkowitz, HS; Niebler, G; Salazar, H; Singla, N; Skuban, N; Solanki, D; Vaughn, B, 2023
)
1.13
" In short, the fat emulsion can reverse the toxic effects of Bupivacaine on rat hippocampal neurons by regulating the PTEN/PI3K/AKT signaling pathway."( Mechanism of Fat Emulsion-mediated PTEN-PI3K-AKT Signaling Pathway on Neurotoxicity of Bupivacaine.
Lu, C; Zhao, N, 2023
)
1.37
"Local anaesthetic systemic toxicity is a life-threatening adverse event that may occur after administration of local anaesthetics through a variety of routes."( Local anaesthetic systemic toxicity complicating intraoperative intercostal nerve blocks: What do clinicians need to know to prevent similar occurrence?
Basta, MN, 2023
)
0.91

Pharmacokinetics

The influence of age on the systemic absorption and disposition of bupivacaine following epidural administration in 20 male patients (22 to 81 years) was examined using a stable isotope method.

ExcerptReferenceRelevance
"Information derived from measurements of blood concentrations of local anaesthetics can be extended by the application of pharmacokinetic anaylsis."( Pharmacology of local anaesthetic agents. Pharmacokinetics of local anaesthetic agents.
Mather, LE; Tucker, GT, 1975
)
0.25
"The influence of age on the systemic absorption and disposition of bupivacaine following epidural administration in 20 male patients (22 to 81 years) was examined using a stable isotope method to determine whether pharmacokinetics play a role in age-related pharmacodynamic changes seen with the drug."( The effect of age on the systemic absorption, disposition and pharmacodynamics of bupivacaine after epidural administration.
Burm, AG; Onkenhout, W; Spierdijk, J; van den Heuvel, RP; Veering, BT; Vletter, AA, 1992
)
0.75
" The method is accurate, fast and sensitive and has been applied in a pharmacokinetic study of bupivacaine."( The use of a packed column for the determination of bupivacaine in human plasma by gas chromatography: an application in a pharmacokinetic study of bupivacaine.
Chan, K; Lau, OW; Wong, YC, 1992
)
0.75
"The effects of prostaglandin E1 (PGE1) and trimetaphan (TMP) on the plasma concentrations and derived pharmacokinetic parameters of bupivacaine were studied in 14 women after its epidural administration."( [Pharmacokinetics of epidurally administered bupivacaine during prostaglandin E1- or trimetaphan-induced hypotension].
Hamakawa, T; Sakimura, S; Takasaki, M; Takeshita, M, 1992
)
0.75
" There was a very significant inverse correlation between the Cmax of bupivacaine and the weight of the patient (r = -0."( Inverse correlation between the peak venous serum concentration of bupivacaine and the weight of the patient during interscalene brachial plexus block.
Pihlajamäki, KK, 1991
)
0.75
" However, the limiting dosages determined up to now do not take account of important pharmacokinetic and toxicological data: (1) The dependence of blood levels measured on the technique of regional anesthesia and (2) the raised toxicity of a local anesthetic solution containing adrenaline following inadvertent intravascular (intravenous) injection."( [Dose limits for local anesthetics. Recommendations based on toxicologic and pharmacokinetic data].
Kaiser, H; Niesel, HC, 1991
)
0.28
"All currently available aminoacylaniline local anaesthetics, except lignocaine, contain a chiral centre but are used as racemates, a fact usually ignored in pharmacokinetic studies."( Cardiovascular effects and regional clearances of i.v. bupivacaine in sheep: enantiomeric analysis.
Mather, LE; McLean, CF; Rutten, AJ, 1991
)
0.53
"95 h-1] after the twelfth dose were significantly different from the Cmax (206 +/- 81 micrograms/L), tmax (1."( Clinical pharmacokinetics after repeated intrapleural bupivacaine administration.
Bigot, MC; Bricard, H; Debruyne, D; Gerard, JL; Moulin, MA; Tartiere, J, 1990
)
0.53
"08) litre h-1 kg-1) was less and the mean elimination half-life (6."( Pharmacokinetics of interpleural bupivacaine in patients undergoing cholecystectomy.
Frost, M; Higbie, J; Ismail, Z; Mogg, GA; Triggs, EJ, 1990
)
0.56
" The study aimed to provide pharmacokinetic data that are limited in these age groups, and to identify any adverse effects of intercostal nerve block in infancy."( Pharmacokinetics of bupivacaine following intraoperative intercostal nerve block in neonates and in infants aged less than 6 months.
Booker, PD; Bricker, SR; Telford, RJ, 1989
)
0.6
" Similarly, the H2 receptor antagonists did not alter the plasma bupivacaine against time curves, half-life or bupivacaine clearance in the three groups studied."( H2 antagonists and bupivacaine clearance.
Brighouse, D; Morgan, B; O'Sullivan, GM; Reynolds, F; Smith, M, 1988
)
0.84
" The absorption of lidocaine could be described by a single first order absorption process, characterized by a half-life of 71 +/- 17 min in five out of six patients."( Pharmacokinetics of lidocaine and bupivacaine following subarachnoid administration in surgical patients: simultaneous investigation of absorption and disposition kinetics using stable isotopes.
Breimer, DD; Burm, AG; Olthof, G; Spierdijk, J; Van Kleef, JW; Vermeulen, NP, 1988
)
0.55
"The comparative pharmacokinetic properties of lidocaine, bupivacaine, etidocaine and mepivacaine were investigated in convulsing and non-convulsing dogs."( Alterations in the pharmacokinetic properties of amide local anaesthetics following local anaesthetic induced convulsions.
Arthur, GR; Covino, BG; Feldman, HS, 1988
)
0.52
" After epidural injections (ropivacaine n = 6; bupivacaine n = 5), a dose-related increase in Cmax was observed with both drugs."( Comparative pharmacokinetics of bupivacaine and ropivacaine, a new amide local anesthetic.
Arthur, GR; Covino, BG; Feldman, HS, 1988
)
0.82
" The possibility of a pharmacokinetic interaction between the H2-receptor antagonist cimetidine and the long-acting local anaesthetic agent bupivacaine was studied in seven healthy, non-smoking volunteers."( Lack of effect of cimetidine on the pharmacokinetics of bupivacaine in healthy subjects.
Jantunen, ME; Lindberg, RL; Pihlajamäki, KK, 1988
)
0.72
" The time to peak concentration and the terminal half-life increased, whereas the total plasma clearance decreased with advancing age."( Spinal anaesthesia with hyperbaric bupivacaine. Effects of age on neural blockade and pharmacokinetics.
Burm, AG; Spierdijk, J; Veering, BT, 1988
)
0.55
"Blood concentrations and pharmacokinetic parameters of bupivacaine were measured after epidural injection in children aged from 1 to 7 years."( Bupivacaine pharmacokinetics during epidural anaesthesia in children.
Delleur, MM; Esteve, C; Montay, G; Murat, I; Saint-Maurice, C, 1988
)
1.96
" The total plasma clearance of bupivacaine decreased and the terminal half-life increased with age."( Epidural anesthesia with bupivacaine: effects of age on neural blockade and pharmacokinetics.
Burm, AG; Hennis, PJ; Spierdijk, J; van Kleef, JW; Veering, BT, 1987
)
0.86
" Age had no effect on time to peak concentration or the terminal half-life."( Spinal anesthesia with glucose-free bupivacaine: effects of age on neural blockade and pharmacokinetics.
Burm, AG; Hennis, PJ; Spierdijk, J; van Kleef, JW; Veering, BT, 1987
)
0.55
" The pharmacokinetic behaviour of both agents was consistent with a 2-compartment open model and two parallel first-order absorption processes."( Pharmacokinetics of lignocaine and bupivacaine in surgical patients following epidural administration. Simultaneous investigation of absorption and disposition kinetics using stable isotopes.
Breimer, DD; Burm, AG; de Boer, AG; Spierdijk, J; van Kleef, JW; Vermeulen, NP, 1987
)
0.55
"A pharmacokinetic evaluation of bupivacaine was carried out after intercostal nerve blocks performed on 28 occasions in 27 children varying in age from 3 months to 16 yr."( Bupivacaine for intercostal nerve blocks in children: blood concentrations and pharmacokinetics.
Arthur, GR; Covino, BG; Feldman, HS; Kopf, GS; Rothstein, P, 1986
)
2
"Pretreatment of patients with diazepam has been reported to reduce the plasma half-life of epidurally administered bupivacaine."( The influence of diazepam on the pharmacokinetics of intravenous and epidural bupivacaine in the rhesus monkey.
Bridenbaugh, PO; Denson, DD; Stuebing, RC; Thompson, GA; Turner, PA, 1986
)
0.71
" The peak concentration of lidocaine was detected within 30 minutes."( Pharmacokinetics and pharmacodynamics of local analgesia for laparoscopic tubal ligations.
Hulka, JF; Mueller, RA; Ostheimer, GW; Spielman, FJ, 1983
)
0.27
"Results of previous studies have shown a 5-10 fold range in the clearance total and half-life of bupivacaine."( Continuous perineural infusions of bupivacaine for prolonged analgesia--a rapid two-point method for estimating individual pharmacokinetic parameters.
Denson, DD; Finnsson, RA; Myers, JA; Raj, PP; Thompson, GA; Thurman, BH, 1984
)
0.76
"The pharmacokinetic parameters for 50 patients undergoing continuous extravascular perineural bupivacaine infusions for the treatment of their chronic pain were studied."( Continuous perineural infusion of bupivacaine for prolonged analgesia: pharmacokinetic considerations.
Denson, DD; Finnsson, RA; Joyce, TH; Raj, PP; Ritschel, WA; Saldahna, F; Turner, JL, 1983
)
0.76
" The present studies were performed to determine whether different study designs using different iv dosage regimens could influence the pharmacokinetic parameters determined for either bupivacaine enantiomer."( Pharmacokinetics of bupivacaine enantiomers in sheep: influence of dosage regimen and study design.
Mather, LE; Plummer, JL; Rutten, AJ, 1994
)
0.8
"kg-1 of bupivacaine by the intrapleural route, and serial blood levels were taken to determine the pharmacokinetic profile in this group of babies."( The pharmacokinetics of bupivacaine following interpleural nerve block in infants of very low birthweight.
Bourchier, D; Weston, PJ, 1995
)
1.03
"The clinical and pharmacokinetic properties of ropivacaine and bupivacaine, both 5 mg/mL, used in axillary plexus block were compared in 60 patients in this randomized, double-blind, parallel-group study."( A clinical and pharmacokinetic comparison of ropivacaine and bupivacaine in axillary plexus block.
Haavisto, ET; Hollmén, AI; Huha, TM; Jozwiak, HM; Korpi, KJ; Magnusson, AA; Nuutinen, LS; Vainionpää, VA, 1995
)
0.77
"34 L/kg, resulting in a blood elimination half-life of 144 +/- 46 minutes."( Clinical pharmacokinetics of propofol given as a constant-rate infusion and in combination with epidural blockade.
Hartvig, P; Nilsson, A; Persson, PM; Wessén, A,
)
0.13
"We could not show any statistically significant influence of an epidural blockade on the pharmacokinetic parameters of propofol."( Clinical pharmacokinetics of propofol given as a constant-rate infusion and in combination with epidural blockade.
Hartvig, P; Nilsson, A; Persson, PM; Wessén, A,
)
0.13
" The purpose of this study was to determine the pharmacokinetic properties of ropivacaine and bupivacaine after bilateral intercostal blockade."( Pharmacokinetics of ropivacaine and bupivacaine for bilateral intercostal blockade in healthy male volunteers.
Carpenter, RL; Emanuelsson, BM; Kopacz, DJ; Stephenson, CA; Thompson, GE, 1994
)
0.78
" The terminal half-life (t1/2 beta) of ropivacaine (2."( Pharmacokinetics of ropivacaine and bupivacaine for bilateral intercostal blockade in healthy male volunteers.
Carpenter, RL; Emanuelsson, BM; Kopacz, DJ; Stephenson, CA; Thompson, GE, 1994
)
0.56
" Following pharmacokinetic parameters of bupivacaine were determined: Cmax (maximal concentration), Tmax (time to reach maximum), AUC (area under curve), Cl (total plasma clearance), Vz (volume of distribution during the elimination phase), T1/2 (elimination half-life)."( [Pharmacokinetics of epidural or intrathecal bupivacaine in elective cesarean section].
Collet, D; Debord, J; Feiss, P; Lachatre, G; Ledan, C; Vincelot, A, 1993
)
0.81
" In an attempt to discriminate between a pharmacokinetic and a pharmacodynamic (or both) origin to these differences, we used an isolated rabbit heart model with constant coronary inflow to compare the myocardial uptake and disposition kinetics of lidocaine and bupivacaine."( Myocardial uptake of bupivacaine: I. Pharmacokinetics and pharmacodynamics of lidocaine and bupivacaine in the isolated perfused rabbit heart.
Boïco, O; Kantelip, JP; Mazoit, JX; Orhant, EE; Samii, K, 1993
)
0.78
"The enantiomers of a racemic drug generally differ in their pharmacokinetic and/or pharmacodynamic properties."( Myocardial uptake of bupivacaine: II. Pharmacokinetics and pharmacodynamics of bupivacaine enantiomers in the isolated perfused rabbit heart.
Boïco, O; Mazoit, JX; Samii, K, 1993
)
0.6
"To evaluate intrapleural analgesia with bupivacaine following partial pulmonary resection and to determine pharmacokinetic parameters of bupivacaine with epinephrine."( Interpleural analgesia with bupivacaine following thoracotomy: ineffective results of a controlled study and pharmacokinetics.
Debaene, B; Elman, A; Magny-Metrot, C; Murciano, G,
)
0.69
" Maximum peak concentration (C Max) and maximum time to reach the peak concentration (T Max) were assessed after the first and last injections."( Interpleural analgesia with bupivacaine following thoracotomy: ineffective results of a controlled study and pharmacokinetics.
Debaene, B; Elman, A; Magny-Metrot, C; Murciano, G,
)
0.43
" Maximum plasma concentration (Cmax) and time to reach Cmax (Tmax) were obtained for all the patients except one who needed a supplementary injection and was excluded from the study."( The role of hyaluronidase on lidocaine and bupivacaine pharmacokinetics after peribulbar blockade.
Adenis, JP; Benrhaiem, M; Debord, J; Feiss, P; Lachatre, G; Lotfi, H; Nathan, N; Rigaud, G, 1996
)
0.56
" Two pharmacodynamic models, based on the understanding of the physiology of the spread of local anesthetic in the spinal fluid, were evaluated to characterize the time course of analgesia in a specific patient."( Population pharmacodynamic modeling and covariate detection for central neural blockade.
Bruckert, H; Mandema, JW; Minto, CF; Schnider, TW, 1996
)
0.29
" The concentration of bupivacaine in patients determined by this method agreed well with the values obtained from an alternative method, making the technique applicable for pharmacokinetic studies in humans."( Direct injection of large volumes of plasma in a column-switching system for the analysis of local anaesthetics. II. Determination of bupivacaine in human plasma with an alkyldiol silica precolumn.
Westerlund, D; Yu, Z, 1996
)
0.81
"2 mg/kg; elimination half-life 113."( The pharmacokinetics of epidural lidocaine and bupivacaine during cesarean section.
Arney, TL; Downing, JW; Gonzalez, HF; Herman, NL; Johnson, HV; Johnson, RF, 1997
)
0.55
" The method was applied to a pharmacokinetic study of lidocaine and bupivacaine during peribulbar anesthesia in ocular surgery."( Simultaneous determination of lidocaine and bupivacaine in human plasma: application to pharmacokinetics.
Ben Rhaiem, M; Debord, J; Dreyfuss, MF; Feiss, P; Lachâtre, G; Lotfi, H; Marquet, P, 1997
)
0.79
" The relationship between V(d)beta and CL was such that the elimination half-life (T(1/2)beta) was not altered."( Comparative pharmacokinetics of ropivacaine and bupivacaine in nonpregnant and pregnant ewes.
Arthur, GR; Finster, M; Lehning, EJ; Santos, AC, 1997
)
0.55
" Arterial blood samples were drawn for serum drug concentration determinations and pharmacokinetic analysis."( Comparative local anesthetic efficacy and pharmacokinetics of epidurally administered ropivacaine and bupivacaine in the sheep.
Ask, AL; Doucette, AM; Dvoskin, S; Feldman, HS; Halldin, MH,
)
0.35
" In the pharmacokinetic part of this study the objectives were to 1) determine the dose proportionality in the pharmacokinetics of epidural ropivacaine, and 2) compare the pharmacokinetics of 125 mg ropivacaine and 125 mg bupivacaine."( Pharmacokinetics of three doses of epidural ropivacaine during hysterectomy and comparison with bupivacaine.
Arlander, E; Callahan-Enright, SO; Chan, V; Finucane, BT; Friedlander, M; Milner, A; Muzyka, D; Sandler, AN; Taddio, A, 1998
)
0.7
" Pharmacokinetic variables were derived from plasma concentration-time curve data."( Pharmacokinetics of three doses of epidural ropivacaine during hysterectomy and comparison with bupivacaine.
Arlander, E; Callahan-Enright, SO; Chan, V; Finucane, BT; Friedlander, M; Milner, A; Muzyka, D; Sandler, AN; Taddio, A, 1998
)
0.52
" Apparent plasma clearance (CL) and the terminal half-life (t1/2) were similar in the three ropivacaine groups."( Pharmacokinetics of three doses of epidural ropivacaine during hysterectomy and comparison with bupivacaine.
Arlander, E; Callahan-Enright, SO; Chan, V; Finucane, BT; Friedlander, M; Milner, A; Muzyka, D; Sandler, AN; Taddio, A, 1998
)
0.52
"Epidural ropivacaine displays dose-proportional pharmacokinetic behaviour for doses of 125 mg to 250 mg."( Pharmacokinetics of three doses of epidural ropivacaine during hysterectomy and comparison with bupivacaine.
Arlander, E; Callahan-Enright, SO; Chan, V; Finucane, BT; Friedlander, M; Milner, A; Muzyka, D; Sandler, AN; Taddio, A, 1998
)
0.52
" The relevant pharmacokinetic differences include a lower lipid solubility, a slightly higher plasma clearance and shorter elimination half-life (t 1/2 beta) compared with racemic bupivacaine, with a similar degree of plasma protein binding."( Recent advances in the pharmacokinetics of local anaesthetics. Long-acting amide enantiomers and continuous infusions.
Schug, SA; Thomas, JM, 1999
)
0.5
" Pharmacokinetic data were obtained from 22 subjects."( Clinical efficacy and pharmacokinetics of 1% ropivacaine and 0.75% bupivacaine in peribulbar anaesthesia for cataract surgery.
Ala-Kokko, TI; Alahuhta, S; Huha, T; Salomäki, T, 1999
)
0.54
"To determine pharmacokinetic variables and pharmacologic effects of the S(-) isomer of bupivacaine (S[-]-BPV) in dogs."( Pharmacokinetics and pharmacologic effects of the S(-) isomer of bupivacaine after intravenous and epidural administration in dogs.
Arboix, M; Cristòfol, C; Franquelo, C; Manubens, J; Toledo, A; Valladares, JE, 1999
)
0.76
" Pharmacokinetic variables and pharmacologic effects were determined for each route of administration."( Pharmacokinetics and pharmacologic effects of the S(-) isomer of bupivacaine after intravenous and epidural administration in dogs.
Arboix, M; Cristòfol, C; Franquelo, C; Manubens, J; Toledo, A; Valladares, JE, 1999
)
0.54
" administration, plasma concentration versus time curves were adjusted, using biexponential equations that indicated a rapid distribution phase followed by a slower elimination phase, with a mean +/- SD half-life of 33."( Pharmacokinetics and pharmacologic effects of the S(-) isomer of bupivacaine after intravenous and epidural administration in dogs.
Arboix, M; Cristòfol, C; Franquelo, C; Manubens, J; Toledo, A; Valladares, JE, 1999
)
0.54
"05), while it had no significant effect on other pharmacokinetic variables of the enantiomers."( Effect of itraconazole on the pharmacokinetics of bupivacaine enantiomers in healthy volunteers.
Neuvonen, PJ; Olkkola, KT; Palkama, VJ, 1999
)
0.56
" Bupivacaine concentration was fitted to a one-compartment model to calculate basic pharmacokinetic parameters."( Pharmacokinetics of bupivacaine after continuous epidural infusion in infants with and without biliary atresia.
Dubousset, AM; Goujard, E; Mazoit, JX; Meunier, JF; Samii, K, 2001
)
1.54
" In the first step, pharmacokinetic characterization of 75 mg bupivacaine hydrochloride (B-HCl) (IV infusion and brachial plexus block) was performed (n = 12)."( The pharmacokinetics and pharmacodynamics of bupivacaine-loaded microspheres on a brachial plexus block model in sheep.
Cathelineau, G; Chevanne, F; Du Plessis, L; Ecoffey, C; Estebe, JP; Le Corre, P; Le Verge, R, 2001
)
0.81
" Eleven patients with normal renal function and eight patients with ESRD underwent pharmacokinetic analysis."( Levobupivacaine for axillary brachial plexus block: a pharmacokinetic and clinical comparison in patients with normal renal function or renal disease.
Crews, JC; James, RL; Moss, J; Weller, RS, 2002
)
0.87
" Pharmacokinetic parameters were not significantly different and there was no evidence of chiral inversion after dosing with S-bupivacaine."( Comparative efficacy and pharmacokinetics of racemic bupivacaine and S-bupivacaine in third molar surgery.
Fawcett, JP; Kennedy, JM; Kumar, A; Kumara, GM; Ledger, R; Patel, MJ; Zacharias, M,
)
0.59
" Determination of local tissue pharmacokinetic variables of bupivacaine by microdialysis confirms that the prolonged duration of anesthesia is caused by the extended release characteristics of the microcapsules."( A model to evaluate the pharmacokinetic and pharmacodynamic variables of extended-release products using in vivo tissue microdialysis in humans: bupivacaine-loaded microcapsules.
Allen, HW; Bernards, CM; Kopacz, DJ; Lacouture, PG; Landau, C; Nandy, P; Wu, D, 2003
)
0.76
" The pharmacokinetic profiles of the two bupivacaine enantiomers differs and that of racemic bupivacaine may be age dependent."( Pharmacokinetics of levobupivacaine 0.25% following caudal administration in children under 2 years of age.
Austin, S; Chalkiadis, GA; Cranswick, N; Eyres, RL; Taylor, RH, 2004
)
0.9
" Sampling in future pharmacokinetic studies in this age group should extend beyond 60 min."( Pharmacokinetics of levobupivacaine 0.25% following caudal administration in children under 2 years of age.
Austin, S; Chalkiadis, GA; Cranswick, N; Eyres, RL; Taylor, RH, 2004
)
0.63
" The tmax and toxicity data were obtained from the literature."( Lipophilicity affects the pharmacokinetics and toxicity of local anaesthetic agents administered by caudal block.
Bello-Ramírez, AM; Nava-Ocampo, AA,
)
0.13
" The elimination half-life of ropivacaine was significantly less than that of bupivacaine (5."( [Clinical effects and pharmacokinetics of ropivacaine and bupivacaine for epidural analgesia during labor].
Barros Núñez, C; Cánovas Martínez, L; Castro Méndez, A; Gallardo, E; González González, D; López Piñeiro, S, 2004
)
0.8
" The plasma concentration-time profile of bupivacaine was fitted to a two-compartment open model, and the estimated intercepts and slopes were used for calculation of standard pharmacokinetic parameters."( The effect of hydroxyethylstarch infusion on bupivacaine pharmacokinetics in rats.
Hoka, S; Kuczkowski, KM; Matsumoto, Y; Okutomi, T; Saito, M; Shimizu, M, 2006
)
0.86
"Our results suggest that the increased volume of distribution during HES infusion could be counterbalanced by the increased total clearance, resulting in unchanged half-life or elimination rate constant of bupivacaine."( The effect of hydroxyethylstarch infusion on bupivacaine pharmacokinetics in rats.
Hoka, S; Kuczkowski, KM; Matsumoto, Y; Okutomi, T; Saito, M; Shimizu, M, 2006
)
0.78
" The pharmacokinetic findings are compatible with a more rapid and extensive initial effect of IV morphine compared with IM."( Serum and cerebrospinal fluid morphine pharmacokinetics after single doses of intravenous and intramuscular morphine after hip replacement surgery.
Borchgrevink, PC; Dale, O; Klepstad, P; Nilsen, T; Thoner, J; Tveita, T, 2007
)
0.34
" Resulting dialysate and plasma concentrations were used to calculate pharmacokinetic parameters for ropivacaine and bupivacaine."( Effect of epinephrine on epidural, intrathecal, and plasma pharmacokinetics of ropivacaine and bupivacaine in sheep.
Chevanne, F; Dollo, G; Ecoffey, C; Estebe, JP; Le Corre, P; Malinovsky, JM; Ratajczak-Enselme, M; Rose, FX; Wodey, E, 2007
)
0.77
" Plasma Cmax for bupivacaine was decreased."( Effect of epinephrine on epidural, intrathecal, and plasma pharmacokinetics of ropivacaine and bupivacaine in sheep.
Chevanne, F; Dollo, G; Ecoffey, C; Estebe, JP; Le Corre, P; Malinovsky, JM; Ratajczak-Enselme, M; Rose, FX; Wodey, E, 2007
)
0.9
"We compared two pharmacodynamic models, one with and one without a plateau effect."( Comparative pharmacodynamic modeling using bispectral and narcotrend-index with and without a pharmacodynamic plateau during sevoflurane anesthesia.
Apfel, CC; Biedler, A; Bruhn, J; Grundmann, U; Kreuer, S; Larsen, R; Walter, E; Wilhelm, W, 2008
)
0.35
" To evaluate the relationship between concentrations and electroencephalographic indices, two different pharmacodynamic models were applied: a conventional model based on a single sigmoidal curve, and a novel model based on two sigmoidal curves for BIS and NCT values with and without burst suppression."( Comparative pharmacodynamic modeling using bispectral and narcotrend-index with and without a pharmacodynamic plateau during sevoflurane anesthesia.
Apfel, CC; Biedler, A; Bruhn, J; Grundmann, U; Kreuer, S; Larsen, R; Walter, E; Wilhelm, W, 2008
)
0.35
" pharmacokinetic data on 670 drugs representing, to our knowledge, the largest publicly available set of human clinical pharmacokinetic data."( Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
Lombardo, F; Obach, RS; Waters, NJ, 2008
)
0.35
"The highest Cmax reached in this study was close to the toxic threshold of adult patients."( Pharmacokinetics of levobupivacaine (2.5 mg/kg) after caudal administration in children younger than 3 years.
Cortínez, LI; Fuentes, R; Muñoz, HR; Ostermann, P; Solari, S; Vega, M, 2008
)
0.65
"During orthopaedic surgery of the limb, we performed a prospective, double blind controlled study on three parallel groups in 30 patients to evaluate the pharmacokinetic and pharmacodynamic effect of infiltration of the iliac crest bone graft harvest site with 20 ml of bupivacaine (100 mg), ropivacaine (150 mg) or saline as control group (n = 10 in each group)."( Local anaesthetic use for the iliac crest-donor site: pharmacokinetic and pharmacodynamic evaluations.
Chevanne, F; Ecoffey, C; Eliat, C; Estebe, JP; Husson, JL; Le Corre, P; Le Naoures, A, 2009
)
0.53
"The primary objective was to compare the serum pharmacokinetic profile of a single dose of extended-release epidural morphine (EREM) administered alone versus 15 to 60 mins after an analgesic epidural dose of bupivacaine."( Extended-release epidural morphine (DepoDur) following epidural bupivacaine in patients undergoing lower abdominal surgery: a randomized controlled pharmacokinetic study.
Gambling, DR; Hughes, TL; Manvelian, GZ,
)
0.56
" Median time to maximum serum concentration and median apparent terminal elimination half-life were also comparable."( Extended-release epidural morphine (DepoDur) following epidural bupivacaine in patients undergoing lower abdominal surgery: a randomized controlled pharmacokinetic study.
Gambling, DR; Hughes, TL; Manvelian, GZ,
)
0.37
"The pharmacokinetic and efficacy profiles of a single 15-mg dose of EREM were not significantly altered when administered 15, 30, or 60 mins after an analgesic epidural dose of bupivacaine."( Extended-release epidural morphine (DepoDur) following epidural bupivacaine in patients undergoing lower abdominal surgery: a randomized controlled pharmacokinetic study.
Gambling, DR; Hughes, TL; Manvelian, GZ,
)
0.56
"Physiologically based pharmacokinetic (PBPK) models were developed for design and optimization of liposome therapy for treatment of overdoses of tricyclic antidepressants and local anesthetics."( A physiologically based pharmacokinetic (PBPK) model for predicting the efficacy of drug overdose treatment with liposomes in man.
Chauhan, A; Howell, BA, 2010
)
0.36
" Tissue-to-plasma partition coefficients calculated from the total (protein-bound and unbound) and unbound concentrations in plasma and brain as well as pharmacokinetic parameters in plasma and cerebral extracellular fluid were compared among the three anesthetics."( Pharmacokinetics of lidocaine, bupivacaine, and levobupivacaine in plasma and brain in awake rats.
Asada, A; Hase, I; Ikeda, Y; Miyake, W; Nakamura, T; Oda, Y; Takahashi, R, 2010
)
0.65
" The relationship between pharmacokinetic parameters and creatinine clearance (CL(CR)) was assessed."( Pharmacokinetics of ropivacaine in patients with chronic renal failure.
Ekstrand, A; Henriksson, J; Honkanen, E; Pere, PJ; Rosenberg, PH; Salonen, M; Sjövall, J, 2011
)
0.37
"One-compartment first-order pharmacokinetic models incorporating linear binding of ropivacaine and PPX to α(1)-acid glycoprotein were used."( Population pharmacokinetic analysis of ropivacaine and its metabolite 2',6'-pipecoloxylidide from pooled data in neonates, infants, and children.
Aarons, L; Henriksson, J; Molnár, V; Pitsiu, M; Sadler, B; Sjövall, J, 2011
)
0.37
"All doses of liposome bupivacaine resulted in greater area under the curve and a longer time to observed maximum plasma concentration and terminal elimination half-life than bupivacaine HCl 50 mg."( The pharmacokinetics and pharmacodynamics of liposome bupivacaine administered via a single epidural injection to healthy volunteers.
Candiotti, KA; Ludbrook, GL; Morren, M; Onel, E; Viscusi, ER,
)
0.69
" This article provides a summary of the pharmacokinetic profile of liposome bupivacaine compared with bupivacaine HCl based on data compiled from four randomized, active- and placebo-controlled trials that included pharmacokinetic assessments following single administrations of study drug."( Pharmacokinetic profile of liposome bupivacaine injection following a single administration at the surgical site.
Hadzic, A; Hu, D; Kramer, WG; Onel, E; Singla, N, 2013
)
0.89
" In an effort to quantitatively probe the merits of a "sink" mechanism, a physiologically based pharmacokinetic model has been developed that considers the binding action of plasma lipid."( Validity of the lipid sink as a mechanism for the reversal of local anesthetic systemic toxicity: a physiologically based pharmacokinetic model study.
Akpa, BS; Kuo, I, 2013
)
0.39
"The model yielded quantitative agreement with available pharmacokinetic data."( Validity of the lipid sink as a mechanism for the reversal of local anesthetic systemic toxicity: a physiologically based pharmacokinetic model study.
Akpa, BS; Kuo, I, 2013
)
0.39
" The toxicity model and treatment were the same as the pharmacokinetic portion."( The effect of lipid emulsion on pharmacokinetics and tissue distribution of bupivacaine in rats.
Chen, C; Dong, X; Luo, M; Papadimos, TJ; Shi, K; Tang, W; Wang, Q; Wang, X; Wu, Y; Xia, Y; Xu, X; Zhang, Y, 2013
)
0.62
"The primary aim of this study was to establish the population pharmacokinetic (PPK) model of bupivacaine after combined lumbar plexus and sciatic nerve blocks and secondary aim is to assess the effect of patient's characteristics including age, body weight and sex on pharmacokinetic parameters."( Population pharmacokinetics of bupivacaine in combined lumbar and sciatic nerve block.
Boussofara, M; Eljebari, H; Gaies, E; Jebabli, N; Klouz, A; Lakhal, M; Salouage, I,
)
0.64
"We assessed possible pharmacokinetic modifications due to different epidural injection techniques using either a needle or a catheter."( Is the pharmacokinetics of bupivacaine equivalent after lumbar epidural administration through a needle or a catheter in male and female adults?
Blanco, D; Casasín, T; Faura, A; Izquierdo, E; Lastra, CF; Mariño, EL; Modamio, P; Segarra, I, 2015
)
0.71
" The safety profile of different drugs can be better estimated by comparing their pharmacokinetic profiles than by considering their objective side effects."( A Comparison of Differences Between the Systemic Pharmacokinetics of Levobupivacaine and Ropivacaine During Continuous Epidural Infusion: A Prospective, Randomized, Multicenter, Double-Blind Controlled Trial.
Allegri, M; Braschi, A; Cusato, M; De Andrés, J; Fanelli, G; Ingelmo, P; Niebel, TL; Perotti, L; Regazzi, M; Riva, F; Somaini, M; Tinelli, C, 2015
)
0.65
" The plasma concentrations of ropivacaine approached the Cmax significantly faster than those of levobupivacaine."( A Comparison of Differences Between the Systemic Pharmacokinetics of Levobupivacaine and Ropivacaine During Continuous Epidural Infusion: A Prospective, Randomized, Multicenter, Double-Blind Controlled Trial.
Allegri, M; Braschi, A; Cusato, M; De Andrés, J; Fanelli, G; Ingelmo, P; Niebel, TL; Perotti, L; Regazzi, M; Riva, F; Somaini, M; Tinelli, C, 2015
)
0.86
" Propofol was administered via an effect-site target-controlled infusion device using the Schnider pharmacokinetic model."( Modelling of the Sedative Effects of Propofol in Patients undergoing Spinal Anaesthesia: A Pharmacodynamic Analysis.
Choi, S; Ha, SH; Han, DW; Jeong, KH; Kim, Y; Roh, GU, 2016
)
0.43
" There is, however, no pharmacokinetic data to support the currently recommended doses."( Pharmacokinetics of levobupivacaine following infant spinal anesthesia.
Bjorksten, A; Frawley, G; Hallett, B; Velkov, T, 2016
)
0.74
"This was an open-label pharmacokinetic safety and tolerability study of levobupivacaine spinal anesthesia in infants <55 weeks Post Menstrual Age undergoing lower abdominal surgery."( Pharmacokinetics of levobupivacaine following infant spinal anesthesia.
Bjorksten, A; Frawley, G; Hallett, B; Velkov, T, 2016
)
0.97
"LCT emulsions are more effective than LCT/MCT emulsions in the metabolism of bupivacaine through demonstration of a superior pharmacokinetic profile."( The Effect of Lipid Emulsion on Pharmacokinetics of Bupivacaine in Rats: Long-Chain Triglyceride Versus Long- and Medium-Chain Triglyceride.
Dong, J; Lin, S; Papadimos, TJ; Shi, K; Tang, W; Wang, Q; Wu, C; Xia, Y; Xu, X; Zhao, S, 2016
)
0.91
" Pharmacokinetic parameters were determined by data plotting followed by analysis with a noncompartmental model."( Pharmacokinetics of bupivacaine after intraperitoneal administration to cats undergoing ovariohysterectomy.
Beaudry, F; Benito, J; Lascelles, BD; Lavoie, AM; Monteiro, BP; Steagall, PV, 2016
)
0.76
", half-life (t 1/2β ), was prolonged, and the elimination rate constants (K 12 and K 10) were significantly decreased (P < 0."( Pharmacodynamics and Pharmacokinetics of Levobupivacaine Used for Epidural Anesthesia in Patients with Liver Dysfunction.
Li, F; Ma, M; Ran, J; Wang, Y; Zhang, W, 2015
)
0.68
" Peak concentration was decreased by 26 to 30% in the subjects receiving Intralipid®."( Effect of Intralipid® on the Dose of Ropivacaine or Levobupivacaine Tolerated by Volunteers: A Clinical and Pharmacokinetic Study.
Benhamou, D; Charbit, B; Dureau, P; Mazoit, JX; Nicolas, N, 2016
)
0.68
" A pharmacokinetic analysis was performed using the NONMEM statistical programme."( Levobupivacaine absorption pharmacokinetics with and without epinephrine during TAP block: analysis of doses based on the associated risk of local anaesthetic toxicity.
Altermatt, FR; Araneda, A; Cortínez, LI; Corvetto, MA; Echevarría, GC; Miranda, P, 2016
)
0.99
" Epinephrine prolonged the levobupivacaine absorption half-life {4."( Levobupivacaine absorption pharmacokinetics with and without epinephrine during TAP block: analysis of doses based on the associated risk of local anaesthetic toxicity.
Altermatt, FR; Araneda, A; Cortínez, LI; Corvetto, MA; Echevarría, GC; Miranda, P, 2016
)
1.28
"This randomised, controlled, double-blind study investigated the effects of different doses of perineural dexmedetomidine on the pharmacodynamic profile of femoral nerve block in patients undergoing arthroscopic knee surgery."( The effects of perineural dexmedetomidine on the pharmacodynamic profile of femoral nerve block: a dose-finding randomised, controlled, double-blind study.
Abdulatif, M; Fawzy, M; Hasanin, A; Mohamed, H; Nassar, H; Ollaek, M, 2016
)
0.43
" This study aimed to assess bupivacaine pharmacokinetic parameters after ultrasound-guided transversus abdominis plane blocks following cesarean delivery under spinal anesthesia."( Pharmacokinetics of bupivacaine after bilateral ultrasound-guided transversus abdominis plane block following cesarean delivery under spinal anesthesia.
Bennasr, L; Charfi, R; Eljebari, H; Jebabli, N; Maghrebi, H; Marzouk, SB; Sassi, MB; Trabelsi, B; Trabelsi, S, 2017
)
1.07
"The risk of systemic bupivacaine toxicity is a persistent problem, which makes its pharmacokinetic study fundamental for regional anesthesia safety."( [Pharmacokinetic and clinical effects of two bupivacaine concentrations on axillary brachial plexus block].
Assunção, NA; Barreto, CN; Faria, B; Ferraro, LHC; Takeda, A,
)
0.71
" Evidence to support any particular local anesthetic regimen as well as pharmacokinetic and systemic toxicity risks of TAP block remain insufficiently studied in children."( Transversus Abdominal Plane Block in Children: Efficacy and Safety: A Randomized Clinical Study and Pharmacokinetic Profile.
Bringuier, S; Capdevila, X; Dadure, C; Mathieu, O; Menacé, C; Raux, O; Saour, AC; Sola, C, 2019
)
0.51
" Pharmacokinetic profile study of levobupivacaine was also performed."( Transversus Abdominal Plane Block in Children: Efficacy and Safety: A Randomized Clinical Study and Pharmacokinetic Profile.
Bringuier, S; Capdevila, X; Dadure, C; Mathieu, O; Menacé, C; Raux, O; Saour, AC; Sola, C, 2019
)
0.78
" Bupivacaine administration by micropump nebulization resulted in a significantly lower Highest Plasma Drug Concentration (Cmax) and shorter time to reach Cmax (Tmax) (P < ."( Population Pharmacokinetics of Intraperitoneal Bupivacaine Using Manual Bolus Atomization Versus Micropump Nebulization and Morphine Requirements in Young Children.
Houck, CS; Meier, PM; Munoz-San Julian, C; Nguyen, HT; Pereira, LM; Zurakowski, D, 2019
)
1.68
" The pharmacokinetic properties of levobupivacaine are similar to that of bupivacaine; both extensively metabolised in the liver, and excreted in the urine and faeces."( Clinical Pharmacokinetics and Pharmacodynamics of Levobupivacaine.
Bampoe, S; Brunnen, D; Heppolette, CAA; Odor, PM, 2020
)
1.08
" Median (interquartile range [IQR]) Tmax was 24 (12) hours (confidence interval [CI], 19."( An Observational Study of the Pharmacokinetics of Surgeon-Performed Intercostal Nerve Blockade With Liposomal Bupivacaine for Posterior-Lateral Thoracotomy Analgesia.
Alpert, SB; Blank, RS; Dobrzanski, TP; Durieux, ME; Manson, WC; Martin, LW; Ratcliffe, SJ; Schneider, EB, 2020
)
0.77
" Here, we examine the pharmacokinetic (PK) and safety profile of INL-001 placement during unilateral open inguinal hernioplasty."( Pharmacokinetics and Safety of INL-001 (Bupivacaine HCl) Implants Compared with Bupivacaine HCl Infiltration After Open Unilateral Inguinal Hernioplasty.
Leiman, D; Minkowitz, HS; Niebler, G, 2021
)
0.89
" However, pharmacokinetic (PK) parameters and safety of LB in the Chinese population have not been assessed."( Pharmacokinetics and safety of liposomal bupivacaine after local infiltration in healthy Chinese adults: a phase 1 study.
Cheung, BM; Liu, Y; Ng, PY; Wang, NQ; Yang, J; Yu, V; Zhou, M, 2021
)
0.89
" This approach allowed us to simulate the cellular environment for a longer time and to compare our model with pharmacokinetic properties (time to onset and duration of action) of local anesthetics from the literature."( Micro-pharmacokinetics of lidocaine and bupivacaine transfer across a myelinated nerve fiber.
Kavčič, H; Mavri, J; Pregeljc, D; Smrkolj, V; Umek, N, 2023
)
1.18

Compound-Compound Interactions

Hyperbaric bupivacaine 3 mg combined with 50 mcg of intradural morphine hydrochloride (BUP-MOR group) was compared with 5 mg hyperbaric. bupvacaine alone and in combination with dexmedetomidine or meperidine in spinal anesthesia during cesarean section.

ExcerptReferenceRelevance
"The purpose of the study was to compare the duration of analgesia and the amount of supplemental postoperative analgesics required when morphine combined with bupivacaine was injected into the knee joint at the end of knee arthroscopy surgery."( Effects of tourniquet time in knee arthroscopy patients receiving intraarticular morphine combined with bupivacaine.
Klinken, C, 1995
)
0.7
"A double-blind study was conducted to assess the efficacy and the safety of epidural clonidine combined with bupivacaine for analgesia during labor."( Epidural clonidine combined with bupivacaine for analgesia in labor. Effects on mother and neonate.
Bonnet, F; Brohon, E; Cigarini, I; Damas, F; Dutz, F; Hans, P; Kaba, A,
)
0.62
"To investigate the pharmacokinetics of propofol in combination with epidural anesthesia or with intravenous (i."( Clinical pharmacokinetics of propofol given as a constant-rate infusion and in combination with epidural blockade.
Hartvig, P; Nilsson, A; Persson, PM; Wessén, A,
)
0.13
" In Group 1, a continuous infusion of propofol was combined with an epidural block with bupivacaine."( Clinical pharmacokinetics of propofol given as a constant-rate infusion and in combination with epidural blockade.
Hartvig, P; Nilsson, A; Persson, PM; Wessén, A,
)
0.35
" Nevertheless, the concentration-time profile changed during infusion, rendering the described infusion regimen, in combination with epidural anesthesia, unsatisfactory for adequate hypnosis."( Clinical pharmacokinetics of propofol given as a constant-rate infusion and in combination with epidural blockade.
Hartvig, P; Nilsson, A; Persson, PM; Wessén, A,
)
0.13
"5%) combined with epidural lidocaine (2%)."( Low dose of intrathecal hyperbaric bupivacaine combined with epidural lidocaine for cesarean section--a balance block technique.
Cheng, YJ; Fan, SZ; Liu, CC; Susetio, L; Wang, YP, 1994
)
0.57
"5 mg combined with adrenaline 25 micrograms and sufentanil 10 micrograms; group B received the same solution with clonidine 30 micrograms."( Clonidine combined with sufentanil and bupivacaine with adrenaline for obstetric analgesia.
De Kock, M; Le Polain, B; Scholtes, JL; Van Lierde, M, 1993
)
0.56
"We have studied the use of clonidine combined with low doses of sufentanil and bupivacaine in 45 parturients requiring extradural analgesia for the first stage of labour, in a double-blind, randomized study."( Extradural clonidine combined with sufentanil and 0.0625% bupivacaine for analgesia in labour.
Boulétreau, P; Chassard, D; Dailler, F; Golfier, F; Mathon, L; Tournadre, JP, 1996
)
0.77
" The purpose of this study was to determine the effect of epidural bupivacaine combined with morphine on extubation time, postoperative analgesia, respiration, and hemodynamics in patients undergoing esophagectomy."( Administration of epidural bupivacaine combined with epidural morphine after esophageal surgery.
Fujimori, M; Terai, T; Yukioka, H, 1997
)
0.83
"Continuous administration of epidural bupivacaine combined with morphine resulted in good analgesia without any respiratory or hemodynamic depression in patients who had undergone esophagectomy, and early extubation is related to the efficacy of continuous epidural administration of bupivacaine."( Administration of epidural bupivacaine combined with epidural morphine after esophageal surgery.
Fujimori, M; Terai, T; Yukioka, H, 1997
)
0.87
" Epidural clonidine infused at 20 microg/h improves analgesia during coughing when combined with epidural bupivacaine-fentanyl in patients undergoing lower abdominal surgery but is associated with hemodynamic changes and increased vasopressor requirement."( Postoperative epidural infusion: a randomized, double-blind, dose-finding trial of clonidine in combination with bupivacaine and fentanyl.
Evans, SF; Lim, W; Orlikowski, CE; Paech, MJ; Pavy, TJ, 1997
)
0.72
" combined with epidural bupivacaine at 0-24 h, or epidural morphine at 24-48 h after renal surgery."( Effect of i.v. ketamine in combination with epidural bupivacaine or epidural morphine on postoperative pain and wound tenderness after renal surgery.
Brennum, J; Dahl, JB; Hansen, TM; Ilkjaer, S; Nikolajsen, L; Wernberg, M, 1998
)
0.86
"The efficacy and safety of postoperative analgesia with continuous epidural infusion of either morphine or fentanyl in combination with a low dose of bupivacaine were evaluated in 205 patients after upper abdominal surgery."( [Postoperative epidural analgesia after upper abdominal surgery: the effects of low concentrations of bupivacaine combined with a low dose of opioid].
Kohno, K; Kosaka, Y; Shiihara, K, 1999
)
0.72
"In this study, we evaluated the effect of two doses of intrathecal sufentanil combined with bupivacaine and epinephrine on the incidence of pruritus and on the duration and quality of analgesia."( Two doses of intrathecal sufentanil (2.5 and 5 microg) combined with bupivacaine and epinephrine for labor analgesia.
Dumont, L; Mardirosoff, C, 1999
)
0.76
"We evaluated two different doses of intrathecal sufentanil combined with bupivacaine and epinephrine for labor analgesia."( Two doses of intrathecal sufentanil (2.5 and 5 microg) combined with bupivacaine and epinephrine for labor analgesia.
Dumont, L; Mardirosoff, C, 1999
)
0.77
"75% in combination with general inhaled anesthesia without opioids."( A comparison of the analgesic efficacy of 0.25% levobupivacaine combined with 0.005% morphine, 0.25% levobupivacaine alone, or 0.005% morphine alone for the management of postoperative pain in patients undergoing major abdominal surgery.
Crews, JC; Denson, DD; Hord, AH; Schatzman, C, 1999
)
0.55
"Pre-incisional epidural K+M+B treatment combined with continuous epidural anaesthesia and general anaesthesia provides an ideal pre-emptive analgesic therapy, exhibiting better postoperative pain relief than general anaesthesia and post-incisional K+M+B treatment."( Pre-incisional epidural ketamine, morphine and bupivacaine combined with epidural and general anaesthesia provides pre-emptive analgesia for upper abdominal surgery.
Ho, ST; Lee, MM; Tao, PL; Wong, CS; Wu, CT; Yeh, CC; Yu, JC, 2000
)
0.56
" Its combination with the "3 in 1" block was tested for postoperative analgesia following major surgery of the knee."( [Sciatic nerve block: an new lateral mediofemoral approach. The value of its combination with a "3 in 1" block for invasive surgery of the knee].
Blanche, E; Bodin, J; Gouin, F; Hauet, P; Naux, E; Petitfaux, F; Pham-Dang, C; Pinaud, M, 2000
)
0.31
"After testing in four unembalmed corpses the new approach was applied to 42 ASA 1-2 patients, in combination with a continuous "3 in 1" block."( [Sciatic nerve block: an new lateral mediofemoral approach. The value of its combination with a "3 in 1" block for invasive surgery of the knee].
Blanche, E; Bodin, J; Gouin, F; Hauet, P; Naux, E; Petitfaux, F; Pham-Dang, C; Pinaud, M, 2000
)
0.31
" Its combination with the "3 in 1" block was evaluated with a visual analogue scale (VAS) scoring, for postoperative analgesia after total knee arthroplasty."( [Sciatic nerve block: an new lateral mediofemoral approach. The value of its combination with a "3 in 1" block for invasive surgery of the knee].
Blanche, E; Bodin, J; Gouin, F; Hauet, P; Naux, E; Petitfaux, F; Pham-Dang, C; Pinaud, M, 2000
)
0.31
" Combined with a continuous "3 in 1" block, it provides excellent analgesia during the early postoperative period after major surgery of the knee."( [Sciatic nerve block: an new lateral mediofemoral approach. The value of its combination with a "3 in 1" block for invasive surgery of the knee].
Blanche, E; Bodin, J; Gouin, F; Hauet, P; Naux, E; Petitfaux, F; Pham-Dang, C; Pinaud, M, 2000
)
0.31
" The purpose of this study was to compare three doses of sufentanil combined with low-dose bupivacaine, to determine the lowest appropriate dose."( A comparison of three doses of sufentanil in combination with bupivacaine-adrenaline in continuous epidural analgesia during labour.
Eriksson, SL; Frykholm, P; Olofsson, C; Stenlund, PM, 2000
)
0.77
" Sixty adult patients underwent elective rotator cuff repair using interscalene brachial plexus block combined with general anesthesia and were randomly divided into one of the following three groups."( Clonidine combined with a long acting local anesthetic does not prolong postoperative analgesia after brachial plexus block but does induce hemodynamic changes.
Culebras, X; Gamulin, Z; Hoffmeyer, P; Van Gessel, E, 2001
)
0.31
" These results indicate that IV-PCA of buprenorphine combined with continuous thoracic epidural infusion of bupivacaine is more effective analgesic management than continuous TEA with buprenorphine and bupivacaine."( [Intravenous patient controlled analgesia combined with continuous thoracic epidural analgesia for post-thoracotomy pain].
Hirabayashi, Y; Satoh, M; Seo, N, 2000
)
0.52
"We previously found that spinal clonidine prolongs labor analgesia when combined with spinal bupivacaine and sufentanil."( Neostigmine combined with bupivacaine, clonidine, and sufentanil for spinal labor analgesia.
D'Angelo, R; Dean, LS; Meister, GC; Nelson, KE, 2001
)
0.83
"This study evaluates the efficacy and side effects of a low dose of epidural morphine combined with clonidine for postoperative pain relief after lumbar disc surgery."( Epidural administration of low-dose morphine combined with clonidine for postoperative analgesia after lumbar disc surgery.
Bonhomme, V; Brichant, JF; Dewandre, PY; Doll, A; Ghassempour, K; Hans, P, 2002
)
0.31
" Local anaesthetic combined with wound cautery virtually abolished the cortisol response until at least 24 h after dehorning."( Effect of local anaesthetic combined with wound cauterisation on the cortisol response to dehorning in calves.
Bruce, RA; Gregory, NG; Mellor, DJ; Stafford, KJ; Sutherland, MA; Ward, RN, 2002
)
0.31
" An opioid can be combined with local anaesthetic to reduce the incidence of side-effects and to improve analgesia for the relief of labour pain."( Comparison of bupivacaine 0.2% and ropivacaine 0.2% combined with fentanyl for epidural analgesia during labour.
Alkiş, N; Aşik, I; Göktuğ, A; Gülay, I; Uysalel, A, 2002
)
0.68
"2% combined with fentanyl produced equivalent analgesia for pain relief during labour and delivery."( Comparison of bupivacaine 0.2% and ropivacaine 0.2% combined with fentanyl for epidural analgesia during labour.
Alkiş, N; Aşik, I; Göktuğ, A; Gülay, I; Uysalel, A, 2002
)
0.68
" Few data are available concerning dose requirements of epidural ROPI when combined with morphine."( A comparison of 0.1% and 0.2% ropivacaine and bupivacaine combined with morphine for postoperative patient-controlled epidural analgesia after major abdominal surgery.
Joris, JL; Lahaye-Goffart, B; Lamy, ML; Ledoux, D; Senard, M; Toussaint, PJ, 2002
)
0.57
" Therefore, intrathecal opioids combined with a low dose of epidural local anesthetics for Cesarean section is suitable for critically ill patients with malignant abdominal tumors, such as a Krukenberg tumor, complicated by massive ascites."( Intrathecal fentanyl/meperidine combined with low-dose epidural bupivacaine for Cesarean section in a patient with advanced Krukenberg tumors.
Amano, K; Hoka, S; Hoshino, Y; Okamoto, H; Okutomi, T, 2002
)
0.55
"Spinal anesthesia with supplemental epidural clonidine in combination with incision site subcutaneous bupivacaine was evaluated both intra- and postoperatively and compared with spinal anesthesia alone for lower lumbar spine procedures."( The effect of spinal bupivacaine in combination with either epidural clonidine and/or 0.5% bupivacaine administered at the incision site on postoperative outcome in patients undergoing lumbar laminectomy.
Abodeely, A; Fluder, EM; Jellish, WS; Shea, J, 2003
)
0.85
" We randomized 45 patients to 3 groups receiving intrathecal hyperbaric bupivacaine 6 mg combined with saline (Group B), clonidine 15 micro g (Group BC15), or clonidine 30 micro g (Group BC30); all solutions were diluted with saline to 3 mL."( Clonidine combined with small-dose bupivacaine during spinal anesthesia for inguinal herniorrhaphy: a randomized double-blinded study.
Axelsson, K; Dobrydnjov, I; Gupta, A; Holmström, B; Klockhoff, H; Matthiesen, P; Thörn, SE, 2003
)
0.83
"We investigated the duration of labor analgesia produced by a small dose of spinal bupivacaine/fentanyl alone or in combination with a small dose of morphine."( Small dose bupivacaine-fentanyl spinal analgesia combined with morphine for labor.
Hess, PE; Pratt, SD; Snowman, C; Vasudevan, A, 2003
)
0.93
"We designed this double-blinded, randomized, controlled study to evaluate the effect of small-dose ketamine IV in combination with epidural morphine and bupivacaine on postoperative pain after renal surgery."( Intraoperative intravenous ketamine in combination with epidural analgesia: postoperative analgesia after renal surgery.
Karaman, H; Kararmaz, A; Kaya, S; Ozyilmaz, MA; Turhanoglu, S, 2003
)
0.52
" We demonstrated that IV ketamine had an improved analgesic or opioid-sparing effect when it was combined with epidural bupivacaine and morphine after renal surgery."( Intraoperative intravenous ketamine in combination with epidural analgesia: postoperative analgesia after renal surgery.
Karaman, H; Kararmaz, A; Kaya, S; Ozyilmaz, MA; Turhanoglu, S, 2003
)
0.53
" We conclude that spinal mechanisms contribute to the analgesia produced by epidural sufentanil in combination with a local anesthetic."( Spinal mechanisms contribute to analgesia produced by epidural sufentanil combined with bupivacaine for postoperative analgesia.
Deleuse, JJ; Jacob, EA; Joris, JL; Kaba, A; Lamy, ML; Sessler, DI, 2003
)
0.54
"When combined with epidural bupivacaine, the sufentanil requirement was 50% less when given epidurally than IV."( Spinal mechanisms contribute to analgesia produced by epidural sufentanil combined with bupivacaine for postoperative analgesia.
Deleuse, JJ; Jacob, EA; Joris, JL; Kaba, A; Lamy, ML; Sessler, DI, 2003
)
0.84
"The purpose of this study was to determine the efficacy and safety of intrathecal bupivacaine combined with opioids for treatment of pain of spinal origin when opioids alone were inadequate."( Clinical experience with intrathecal bupivacaine in combination with opioid for the treatment of chronic pain related to failed back surgery syndrome and metastatic cancer pain of the spine.
Caraway, DL; Deer, TR; Dempsey, CD; Kim, CK; McNeil, KF; Stewart, CD,
)
0.63
"Bupivacaine, when used in combination with opioids, is a helpful and safe method of treatment in a select population of patients who have not responded to intrathecal opioids alone."( Clinical experience with intrathecal bupivacaine in combination with opioid for the treatment of chronic pain related to failed back surgery syndrome and metastatic cancer pain of the spine.
Caraway, DL; Deer, TR; Dempsey, CD; Kim, CK; McNeil, KF; Stewart, CD,
)
1.85
" In this study, we compared the efficacy, dose requirements, side effects, and motor block observed with epidural levobupivacaine and ropivacaine when given in combination with small-dose morphine for 60 h after major abdominal surgery."( Epidural levobupivacaine 0.1% or ropivacaine 0.1% combined with morphine provides comparable analgesia after abdominal surgery.
Geortay, MN; Honoré, PD; Jacquemin, MJ; Joris, JL; Kaba, A; Lamy, ML; Maquoi, LM; Senard, M, 2004
)
0.9
"1%) of epidural levobupivacaine and ropivacaine combined with morphine (0."( Epidural levobupivacaine 0.1% or ropivacaine 0.1% combined with morphine provides comparable analgesia after abdominal surgery.
Geortay, MN; Honoré, PD; Jacquemin, MJ; Joris, JL; Kaba, A; Lamy, ML; Maquoi, LM; Senard, M, 2004
)
1.02
"Only a relatively short immediate analgesic benefit could be demonstrated by a combination of IINB with spinal anaesthesia compared with IINB combined with general anaesthesia."( Analgesia and discharge following preincisional ilioinguinal and iliohypogastric nerve block combined with general or spinal anaesthesia for inguinal herniorrhaphy.
Permi, J; Rosenberg, PH; Toivonen, J, 2004
)
0.32
"The efficiency of bilateral paravertebral blockade combined with general anaesthesia (active) vs."( General anaesthesia combined with bilateral paravertebral blockade (T5-6) vs. general anaesthesia for laparoscopic cholecystectomy: a prospective, randomized clinical trial.
Lönnqvist, PA; Naja, MZ; Ziade, MF, 2004
)
0.32
"The enantiomeric separation of a series of basic pharmaceuticals (beta-blockers, local anesthetics, sympathomimetics) has been investigated in nonaqueous capillary electrophoresis (NACE) systems using heptakis(2,3-di-O-methyl-6-O-sulfo)-beta-cyclodextrin (HDMS-beta-CD) in combination with potassium camphorsulfonate (camphorSO3-)."( Enantiomeric separation of basic compounds using heptakis(2,3-di-O-methyl-6-O-sulfo)-beta-cyclodextrin in combination with potassium camphorsulfonate in nonaqueous capillary electrophoresis: optimization by means of an experimental design.
Chiap, P; Crommen, J; Dewé, W; Fillet, M; Hubert, P; Servais, AC, 2004
)
0.32
"This study was conducted to compare the effects of intravenous fentanyl and intravenous fentanyl combined with bupivacaine infiltration on the hemodynamic response to skull pin insertion."( The effects of intravenous fentanyl and intravenous fentanyl combined with bupivacaine infiltration on the hemodynamic response to skull pin insertion.
Akin, A; Boyaci, A; Dogru, K; Kotanoglu, MS; Madenoglu, H; Yildiz, K, 2005
)
0.77
"A simple liquid-phase microextraction (LPME) device combined with high-performance liquid chromatography (HPLC) is presented for the simultaneous analysis of local anaesthetics, lidocaine, bupivacaine, and tetracaine, from human urine sample."( Liquid-phase microextraction combined with high-performance liquid chromatography for the determination of local anaesthetics in human urine.
Chen, B; Kang, S; Ma, M; Yao, S; Zhao, Q, 2006
)
0.52
" We hypothesized that subtenon anesthesia performed before the start of surgery and combined with general intravenous anesthesia would reduce these adverse effects."( Effects of subtenon anesthesia combined with general anesthesia on perioperative analgesic requirements in pediatric strabismus surgery.
Calache, E; Dupeyron, JP; Franckhauser, J; Karcenty, A; Speeg-Schatz, C; Steib, A,
)
0.13
"Intrathecal midazolam acts synergically with other anesthetics to relieve surgical pain, and the drug combination may decrease complications attributable to each component drug."( Intrathecal midazolam combined with low-dose bupivacaine improves postoperative recovery in diabetic mellitus patients undergoing foot debridement.
Hong, CC; Hung, CP; Lu, HF; Shiau, JM; Tseng, CC; Wu, YW, 2005
)
0.59
"5 mg of hyperbaric bupivacaine; group 2 (M+M) received 5 mg of hyperbaric bupivacaine combined with 2 mg of midazolam intrathecally."( Intrathecal midazolam combined with low-dose bupivacaine improves postoperative recovery in diabetic mellitus patients undergoing foot debridement.
Hong, CC; Hung, CP; Lu, HF; Shiau, JM; Tseng, CC; Wu, YW, 2005
)
0.92
"2 mL of different concentrations of the following drugs was injected sub-fascially: bupivacaine, lidocaine, and ephedrine alone and bupivacaine or lidocaine combined with ephedrine (n=8 per group)."( Efficacy of lidocaine or bupivacaine combined with ephedrine in rat sciatic nerve block.
Gerner, P; Greco, WR; Hung, YC; Kau, YC; Wang, GK; Zizza, AM; Zurakowski, D,
)
0.66
"Ephedrine combined with bupivacaine interacted additively for both motor and sensory blockade, and ephedrine combined with lidocaine interacted antagonistically (sub-additive) for sensory blockade and additively for motor blockade."( Efficacy of lidocaine or bupivacaine combined with ephedrine in rat sciatic nerve block.
Gerner, P; Greco, WR; Hung, YC; Kau, YC; Wang, GK; Zizza, AM; Zurakowski, D,
)
0.74
"To investigate the effects, side-effects and security of bupivacaine, ropivacaine combined with fentanyl in postoperative continuous epidural analgesia."( [Security evaluation of bupivacaine, ropivacaine combined with fentanyl in postoperative continuous epidural analgesia].
Huang, HQ; Huang, QQ; Su, MX; Wan, LJ; Wan, XH, 2006
)
0.89
" The current trial describes the dose-response relation of levobupivacaine, ropivacaine, and bupivacaine, combined with sufentanil, when used for intrathecal labor analgesia."( Determination of the full dose-response relation of intrathecal bupivacaine, levobupivacaine, and ropivacaine, combined with sufentanil, for labor analgesia.
Deprest, J; Dreelinck, R; Dubois, J; Kumar, A; Lewi, L; Van de Velde, M; Vandermeersch, E, 2007
)
0.82
"This is the first dose-finding study specifically designed to estimate the ED95 of intrathecal bupivacaine combined with a fixed amount of fentanyl for analgesia in active labor."( Determination of the ED95 for intrathecal plain bupivacaine combined with fentanyl in active labor.
Carvalho, JC; Goldszmidt, E; Parkes, RK; Whitty, R, 2007
)
0.81
"5% (10 mg) combined with either intrathecal fentanyl (10 and 20 microg), or sufentanil (5 microg) in terms of sensory and motor block characteristics."( Comparison of intrathecal bupivacaine and levobupivacaine combined with opioids for Caesarean section.
Bremerich, DH; Byhahn, C; Fetsch, N; Gogarten, W; Meininger, D; Zwissler, BC, 2007
)
0.64
"5% combined with sufentanil 5 microg was the most appropriate anaesthetic regimen in parturients undergoing elective Caesarean delivery in spinal anaesthesia."( Comparison of intrathecal bupivacaine and levobupivacaine combined with opioids for Caesarean section.
Bremerich, DH; Byhahn, C; Fetsch, N; Gogarten, W; Meininger, D; Zwissler, BC, 2007
)
0.64
"125%), all in combination with sufentanil 1 microg/mL with regard to postoperative pain relief and absence of motor block in a patient-controlled epidural analgesia setting."( Postoperative epidural analgesia after total knee arthroplasty with sufentanil 1 microg/ml combined with ropivacaine 0.2%, ropivacaine 0.125%, or levobupivacaine 0.125%: a randomized, double-blind comparison.
Dahan, A; Rose, L; Sitsen, E; Stienstra, R; van Alphen, W; van Poorten, F,
)
0.33
"To investigate the clinical effects of epidural clonidine pretreatment in epidural patient-controlled analgesia (PCA) using sufentanil combined with levobupivacaine."( [Effects of epidural clonidine pretreatment in epidural patient-controlled analgesia using sufentanil combined with levobupivacaine].
Ruan, XC; She, SZ; Su, J; Xie, XQ; Xu, LX, 2008
)
0.75
" 4 microg/ml combined with levobupivacaine 2 mg/ml was given for postoperative epidural patient-controlled analgesia."( [Effects of epidural clonidine pretreatment in epidural patient-controlled analgesia using sufentanil combined with levobupivacaine].
Ruan, XC; She, SZ; Su, J; Xie, XQ; Xu, LX, 2008
)
0.84
"Epidural clonidine 2-4 microg/kg pretreatment improves the clinical effects of epidural PCA using sufentanil combined with levobupivacaine."( [Effects of epidural clonidine pretreatment in epidural patient-controlled analgesia using sufentanil combined with levobupivacaine].
Ruan, XC; She, SZ; Su, J; Xie, XQ; Xu, LX, 2008
)
0.76
"Spinal anesthesia combined with fentanyl sometimes induces sedation."( [Specific gravity of bupivacaine with fentanyl influences bispectral index value during spinal anesthesia combined with fentanyl in patients undergoing cesarean section].
Kimoto, M; Murao, K; Nakamoto, M; Nakao, S; Shingu, K, 2009
)
0.67
"5% bupivacaine combined with 1:200,000 epinephrine in the parasacral (PS) and infragluteal (IG) sciatic nerve block (SNB)."( Comparison of the plasma levels of 50% enantiomeric excess (S75/R25) 0.5% bupivacaine combined with 1:200,000 epinephrine between the parasacral and infragluteal sciatic nerve blocks.
Bussman, AR; da Conceição, DB; de Oliveira Filho, GR; Helayel, PE,
)
0.98
"To evaluate the efficacy of intraoperative local anesthetic infiltration in combination with intravenous paracetamol infusion on postoperative pain management in patients who underwent percutaneous nephrolithotomy (PCNL)."( Efficacy of levobupivacaine infiltration to nephrosthomy tract in combination with intravenous paracetamol on postoperative analgesia in percutaneous nephrolithotomy patients.
Dogan, HS; Gokten, OE; Kilicarslan, H; Kordan, Y; Turker, G, 2011
)
0.72
"Levobupivacaine infiltration through the nephrostomy tract in combination with intravenous paracetamol infusion was shown to be safe and efficacious as an analgesia method after PCNL."( Efficacy of levobupivacaine infiltration to nephrosthomy tract in combination with intravenous paracetamol on postoperative analgesia in percutaneous nephrolithotomy patients.
Dogan, HS; Gokten, OE; Kilicarslan, H; Kordan, Y; Turker, G, 2011
)
1.27
"Our prospective, randomized, double-blind study aimed to detect the effect of intrathecal levobupivacaine combined with fentanyl or morphine on the postoperative analgesia in patients undergoing cesarean section."( [Assessment of the effect of intrathecal levobupivacaine combined with fentanyl or morphine on postoperative analgesia in patients undergoing cesarean section].
Acar, P; Akyol, O; Ozyuvacı, E; Toprak, N; Vatansever, S, 2010
)
0.84
" The aim of this study was to investigate the block characteristics, the clinical efficacy, surgeon and patient satisfaction, and hemodynamic effects of using different doses of intrathecal plain levobupivacaine combined with fentanyl."( A randomized comparison of different doses of intrathecal levobupivacaine combined with fentanyl for elective cesarean section: prospective, double-blinded study.
Firat, V; Gunusen, I; Karaman, S; Sargin, A, 2011
)
0.8
"5) or 10 mg (group 10), all combined with fentanyl 25, 15 or 10 μg, respectively."( A randomized comparison of different doses of intrathecal levobupivacaine combined with fentanyl for elective cesarean section: prospective, double-blinded study.
Firat, V; Gunusen, I; Karaman, S; Sargin, A, 2011
)
0.61
"5 mg combined with fentanyl 15 μg is suitable for combined spinal-epidural anesthesia in elective cesarean section."( A randomized comparison of different doses of intrathecal levobupivacaine combined with fentanyl for elective cesarean section: prospective, double-blinded study.
Firat, V; Gunusen, I; Karaman, S; Sargin, A, 2011
)
0.61
" It was aimed to analyze the effectiveness and the side effects of bupivacaine alone and in combination with sufentanil in arthroscopic knee surgery during unilateral spinal anesthesia."( Comparison of bupivacaine alone and in combination with sufentanil in patients undergoing arthroscopic knee surgery.
Akan, B; Albayrak, D; Aydın, F; Erdem, D; Gogus, N; Susleyen, C, 2011
)
0.97
" We employed levobupivacaine for epidural anesthesia combined with general anesthesia using remifentanil and sevoflurane for thymectomy with thoracoscopy for generalized type of myasthenia gravis."( [A case of anesthetic management using levobupivacaine in epidural anesthesia combined with general anesthesia for thymectomy with thoracoscopy for generalized type myasthenia gravis].
Fujino, Y; Fujita, T; Inoue, S; Maeda, K; Matsuyama, C; Ogawa, N; Ohuchi, M; Ozaki, Y; Saotome, T, 2012
)
0.98
"In interscalene block combined with lidocaine, ropivacaine had slower onset of motor block and longer duration of both blocks than bupivacaine."( Comparison of the motor and sensory block by ropivacaine and bupivacaine in combination with lidocaine in interscalene block.
Nishiyama, T, 2012
)
0.82
" It was evaluated the maternal effects and neonatal repercussions of sufentanil, morphine, and clonidine combined with hyperbaric bupivacaine for elective cesarean section."( Spinal anesthesia for cesarean section. Use of hyperbaric bupivacaine (10mg) combined with different adjuvants.
Braga, AA; Braga, FS; Frias, JA; Hirata, ES; Potério, GB; Torres, NA,
)
0.58
" We aimed to determine the analgesic and adverse effects of intrathecal neostigmine combined with hyperbaric bupivacaine and fentanyl."( Analgesic effect of intrathecal neostigmine combined with bupivacaine and fentanyl.
Akinwale, MO; Akinyemi, OA; Sotunmbi, PT, 2012
)
0.84
" Ephedrine in combination with either bupivacaine or lidocaine was then injected into the spinal catheters."( Ephedrine shows synergistic motor blockade when combined with bupivacaine or lidocaine for spinal anesthesia in a rat model.
Danninger, T; Djalali, AG; Fritsch, G; Gerner, P; Perez-Valdivieso, JR; Wang, JC; Zurakowski, D, 2013
)
0.9
"Ephedrine combined with either bupivacaine or lidocaine acted synergistically to block motor function and has the potential to reduce the amount of local anesthetic needed for spinal block."( Ephedrine shows synergistic motor blockade when combined with bupivacaine or lidocaine for spinal anesthesia in a rat model.
Danninger, T; Djalali, AG; Fritsch, G; Gerner, P; Perez-Valdivieso, JR; Wang, JC; Zurakowski, D, 2013
)
0.92
" This study was designed to compare the efficacy of intrathecal (IT) morphine alone, or in combination with bupivacaine and fentanyl, as part of a combined spinal-epidural (CSE) analgesia, in patients undergoing elective total gastrectomy."( Comparison of analgesic effect of intrathecal morphine alone or in combination with bupivacaine and fentanyl in patients undergoing total gastrectomy: a prospective randomized, double blind clinical trial.
Gerić, V; Ivanoviić, N; Karanikolas, M; Randjelović, T; Rasković, J; Slavković, Z; Stamenković, DM; Tomić, A; Veljović, M, 2013
)
0.83
"To compare the postoperative analgesic characteristics and side effects of two different doses of intrathecal dexmedetomidine in combination with hyperbaric bupivacaine, and to evaluate the effects of these combinations on spinal anesthesia."( The effects of 2 µg and 4 µg doses of dexmedetomidine in combination with intrathecal hyperbaric bupivacaine on spinal anesthesia and its postoperative analgesic characteristics.
Belli, E; Yektaş, A,
)
0.55
" The purpose of this systematic review and meta-analysis is to compare the efficacy and safety of bupivacaine with ropivacaine and levobupivacaine in combination with sufentanil (BUPI-, ROPI-, and LBUPI-SUF respectively) in epidural analgesia for labor."( Efficacy and safety of local anesthetics bupivacaine, ropivacaine and levobupivacaine in combination with sufentanil in epidural anesthesia for labor and delivery: a meta-analysis.
Fang, F; Lv, BS; Mi, WD; Wang, JH; Wang, W; Wang, XW; Wang, ZQ, 2014
)
0.89
"The neurotoxicity of lidocaine was significantly increased when combined with ropivacaine."( Intrathecal lidocaine neurotoxicity: combination with bupivacaine and ropivacaine and effect of nerve growth factor.
Chen, W; Ding, X; Guo, Y; Zhao, G, 2014
)
0.65
"Ropivacaine is not safe when intrathecally administered with lidocaine at the concentrations used in this study."( Intrathecal lidocaine neurotoxicity: combination with bupivacaine and ropivacaine and effect of nerve growth factor.
Chen, W; Ding, X; Guo, Y; Zhao, G, 2014
)
0.65
"The purpose of this study was to evaluate comparatively, in women undergoing caesarean section under spinal anesthesia, the effectiveness of hyperbaric bupivacaine combined with 3 different adjuvants (fentanyl, clonidine, and dexmedtomidine) on quality of blockade and maternal and neonatal repercussions."( A Randomised Controlled Trial to Evaluate the Effectiveness of Intrathecal Bupivacaine Combined with Different Adjuvants (Fentanyl, Clonidine and Dexmedetomidine) in Caesarean Section.
Huang, AJ; Li, AZ; Li, KZ; Li, Z; Qi, J; Shi, CX; Tian, M; Xin, DQ; Zhang, CY, 2015
)
0.85
" In conclusion, BUPI-FEN combination exhibits significantly better tolerability at an approximate ratio of 6 FEN:1 SUF, albeit, both fentanyl and sufentanil in combination with bupivacaine provide similar analgesic properties via the epidural or intrathecal routes for labor pain relief."( Bupivacaine in combination with fentanyl or sufentanil in epidural/intrathecal analgesia for labor: a meta-analysis.
Gao, C; Li, B; Wang, H, 2015
)
2.05
"In combination with fentanyl, bupivacaine and ropivacaine exhibit comparable efficacy and safety."( Epidural analgesia with amide local anesthetics, bupivacaine, and ropivacaine in combination with fentanyl for labor pain relief: a meta-analysis.
Fan, Y; Hu, C; Li, Y; Wang, H; Xu, H, 2015
)
0.96
"In the current prospective, randomized study, we aimed to compare the effects of low dose selective spinal anesthesia with 5 mg of hyperbaric bupivacaine and single-shot femoral nerve block combination with conventional dose selective spinal anesthesia in terms of intraoperative anesthesia characteristics, block recovery characteristics, and postoperative analgesic consumption."( Comparison of low-dose spinal anesthesia and single-shot femoral block combination with conventional dose spinal anesthesia in outpatient arthroscopic meniscus repair.
Akmese, R; Okten, FF; Ozkan, F; Turhan, KS, 2015
)
0.62
"Because of lower desflurane consumption, a superior recovery profile, and a high degree of patient acceptance, general anaesthesia in combination with interscalene block may be preferred in arthroscopic shoulder surgery."( Bispectral index-guided general anaesthesia in combination with interscalene block reduces desflurane consumption in arthroscopic shoulder surgery: a clinical comparison of bupivacaine versus levobupivacaine.
Albayrak, T; Kanbak, O; Kesimci, E; Ozturk, L, 2015
)
0.61
"The aim of the present study is to compare the success rate and complications of caudal epidural bupivacaine alone or in combination with intravenous (IV) midazolam and ketamine in awake infants undergoing lower abdominal surgery."( The success rate and complications of awake caudal epidural bupivacaine alone or in combination with intravenous midazolam and ketamine in pre-term infants.
Azarfarin, R; Mashhoori, M; Seyedhejazi, M; Shekhzadeh, D; Taghizadieh, N,
)
0.59
" Drug-drug interactions were evaluated by isobolographic methods."( Cutaneous synergistic analgesia of bupivacaine in combination with dopamine in rats.
Chen, YW; Hung, CH; Tzeng, JI; Wang, JJ; Wang, JN, 2016
)
0.71
"Use of SB combined with general anesthesia in patients undergoing vitreoretinal surgery reduces postoperative analgesic requirements and complications such as intraoperative OCR and PONV."( Subtenon block combined with general anesthesia for vitreoretinal surgery improves postoperative analgesia in adult: a randomized controlled trial.
Abdelhalim, AA; Abouammoh, MA; Al-Zahrani, TA; Elzoughari, I; Mohamed, EA; Mustafa, M, 2016
)
0.43
"Caudal anesthesia combined with dexmedetomidine sedation is an effective anesthetic technique for lower abdominal and extremity surgery in ex-preterm and full-term infants with severe comorbidities."( Dexmedetomidine sedation combined with caudal anesthesia for lower abdominal and extremity surgery in ex-preterm and full-term infants.
Goeters, C; Sauerland, C; Waurick, K, 2017
)
0.46
" Hyperbaric bupivacaine 3 mg combined with 50 mcg of intradural morphine hydrochloride (BUP-MOR group) was compared with 5 mg hyperbaric bupivacaine (BUP group)."( Intraspinal administration of morphine hydrochloride combined with low doses of bupivacaine in hemorrhoidectomy: a clinical randomized trial.
de Abajo Iglesias, FJ; Rodríguez-Miguel, A; Ruiz-Castro, M; San José Santos, M, 2017
)
1.06
"The quaternary lidocaine derivative (QX-314) in combination with bupivacaine can produce long-lasting nerve blocks in vivo, indicating potential clinical application."( The quaternary lidocaine derivative QX-314 in combination with bupivacaine for long-lasting nerve block: Efficacy, toxicity, and the optimal formulation in rats.
Li, J; Liu, J; Lv, R; Ma, L; Yang, X; Yin, Q; Zhang, W; Zheng, Q; Zhu, T, 2017
)
0.93
"Local intraoperative infiltration of liposomal bupivacaine administered with standard bupivacaine for ankle fractures requiring Open Reduction Internal Fixation (ORIF) affords improved pain relief in the immediate postoperative period resulting in a reduction in Percocet ingestion, with resultant effects seen up to 2 days postoperatively."( The Use of Liposomal Bupivacaine Administered With Standard Bupivacaine in Ankle Fractures Requiring Open Reduction Internal Fixation: A Single-Blinded Randomized Controlled Trial.
Davidovitch, R; Driesman, A; Egol, K; Goch, A; Konda, S; Pean, C, 2017
)
1.03
"Levosimendan combined with epinephrine may be superior to either drug alone for lipid-based resuscitation in a rat model of bupivacaine-induced cardiac arrest."( Levosimendan combined with epinephrine improves rescue outcomes in a rat model of lipid-based resuscitation from bupivacaine-induced cardiac arrest.
Cai, X; Chen, L; Li, M; Li, Z; Nan, F; Xu, X; Ye, Y, 2017
)
0.87
"Parenteral parecoxib and single-shot SNB both significantly reduced morphine requirements when used in combination with femoral nerve blockade after TKA."( Parenteral Parecoxib Provides a Similar Reduction in Opioid Requirement to Single-Shot Sciatic Nerve Block after Total Knee Arthroplasty when Combined with Continuous Femoral Nerve Block.
Chalacheewa, T; Finlayson, RJ; Saipimpong, S; Tontisirin, N; Tran, D, 2017
)
0.46
"BACKGROUND This meta-analysis was conducted to evaluate the analgesics effect and safety of dexmedetomidine (DEX) combined with bupivacaine (BU) on caudal epidural block."( The Efficacy and Safety of Dexmedetomidine Combined with Bupivacaine on Caudal Epidural Block in Children: A Meta-Analysis.
Cui, J; Li, S; Tan, X; Tu, Z, 2019
)
0.96
"5% combined with recession of the antagonist rectus muscle to treat sensory strabismus in adult patients."( Bupivacaine injection combined with recession of antagonist rectus muscle to treat sensory strabismus.
Allemann, N; Hopker, LM; Modelli, R, 2019
)
1.96
" For patients with esotropia (<25 PD), a single MR recession combined with bupivacaine in the LR can produce a successful motor alignment."( Bupivacaine injection combined with recession of antagonist rectus muscle to treat sensory strabismus.
Allemann, N; Hopker, LM; Modelli, R, 2019
)
2.19
" An ultralow concentration of the local anesthetic agent bupivacaine reduced 5-HT-evoked intracellular Ca2+ release, and an ultralow concentration of the phosphodiesterase-5 inhibitor sildenafil in combination with vitamin D3 reduced ATP-evoked intracellular Ca2+ release."( Anti-inflammatory effects induced by ultralow concentrations of bupivacaine in combination with ultralow concentrations of sildenafil (Viagra) and vitamin D3 on inflammatory reactive brain astrocytes.
Hansson, E; Skiöldebrand, E, 2019
)
1
"The comparative efficacy of epidural bupivacaine alone and bupivacaine combined with magnesium sulfate in providing postoperative analgesia remains controversial."( Comparative evaluation of epidural bupivacaine alone and bupivacaine combined with magnesium sulfate in providing postoperative analgesia: a meta-analysis of randomized controlled trials.
Fang, MD; Li, LQ; Lu, HL; Wang, C; Wang, LX; Xu, HY; Zhang, HZ, 2020
)
1.11
"The purpose of this study was to evaluate the efficacy of intrathecal morphine (ITM) in combination with bupivacaine as pre-emptive analgesia in patients undergoing posterior lumbar fusion surgery."( Intrathecal morphine in combination with bupivacaine as pre-emptive analgesia in posterior lumbar fusion surgery: a retrospective cohort study.
Balain, B; Dheerendra, S; Ghodke, A; John, J; Kuiper, J; Munigangaiah, S; Ockendon, M; Trivedi, J; Trivedi, R, 2022
)
1.2
"ITM in combination with bupivacaine results in a significantly decreased use of perioperative opioids."( Intrathecal morphine in combination with bupivacaine as pre-emptive analgesia in posterior lumbar fusion surgery: a retrospective cohort study.
Balain, B; Dheerendra, S; Ghodke, A; John, J; Kuiper, J; Munigangaiah, S; Ockendon, M; Trivedi, J; Trivedi, R, 2022
)
1.29
" This open-label study (NCT03974932) evaluated the efficacy and safety of HTX-011 combined with an MMA regimen in patients undergoing TKA under spinal anesthesia."( HTX-011 in Combination with Multimodal Analgesic Regimen Minimized Severe Pain and Opioid Use after Total Knee Arthroplasty in an Open-Label Study.
Berkowitz, R; Hacker, S; Hu, J; Lee, GC; Rechter, A, 2023
)
0.91
"Comparing bupivacaine's adjuvants in spinal anesthesia, we assessed the specific blocking characteristics and adverse effects of bupivacaine alone and in combination with dexmedetomidine or meperidine in spinal anesthesia during cesarean section."( Analgesic Characteristics of Bupivacaine Alone and in Combination with Dexmedetomidine or Meperidine in Spinal Anesthesia during Cesarean Section: A Double-Blind Randomized Clinical Trial Study.
Azemati, S; Jouybar, R; Naderi-Boldaji, V; Zarghami, A, 2022
)
1.41
"To investigate the effect of intrathecal morphine, dexmedetomidine, or both in combination with bupivacaine on cellular immunity and cytokine production in cancer surgical patients."( Immunosuppressive Effect of Intrathecal Morphine, Dexmedetomidine, or Both in Combination with Bupivacaine on Patients Undergoing Major Abdominal Cancer Surgery.
Abdelemam, RM; Elmasry, HM; Fares, KM; Kamal, SM; Mansour, S; Mohamed, SA, 2022
)
1.16
"Intrathecal dexmedetomidine has the least immunosuppressive effect than morphine and morphine-dexmedetomidine, in combination with bupivacaine."( Immunosuppressive Effect of Intrathecal Morphine, Dexmedetomidine, or Both in Combination with Bupivacaine on Patients Undergoing Major Abdominal Cancer Surgery.
Abdelemam, RM; Elmasry, HM; Fares, KM; Kamal, SM; Mansour, S; Mohamed, SA, 2022
)
1.14
"Animal and other experimental studies have demonstrated increased block time and quality when α- and β-cyclodextrin drugs are combined with local anesthetics."( Evaluation of the effects of bupivacaine combined with sugammadex on the duration of the nociceptive blockade in sciatic nerve blocks: a controlled, double-blind animal study.
Darbaz, I; Deniz, A; Ergene, O; Kose, HC; Kose, SG; Tasargol, O; Tulgar, S; Zabitler, F, 2023
)
1.2
"The aim of this study was to investigate the effects of traditional interscalene block (ISB) alone and ISB combined with superior truncus block (STB)-associated diaphragm paralysis evaluated by ultrasound, duration of analgesia, and rate of complication in patients undergoing arthroscopic shoulder surgery."( Retrospective evaluation of the effects of traditional interscalene block alone versus combined with superior truncus block-associated diaphragm paralysis during arthroscopic shoulder surgery.
Emmez, G; Gunaydin, B; Gungor, I; Kanatli, U; Kaptan, AB, 2023
)
0.91
"1 years; range, 18 to 80 years) who underwent arthroscopic shoulder surgery under ISB, either alone or combined with STB, were retrospectively analyzed."( Retrospective evaluation of the effects of traditional interscalene block alone versus combined with superior truncus block-associated diaphragm paralysis during arthroscopic shoulder surgery.
Emmez, G; Gunaydin, B; Gungor, I; Kanatli, U; Kaptan, AB, 2023
)
0.91
"05 mg/cc morphine, administered with a basal infusion rate of 4 cc/h, a 2-cc bolus dose, and a 30-minute lockout time."( Bupivacaine combined with morphine for patient-controlled epidural analgesia after thoracotomy: high volume and low concentration vs. low volume and high concentration.
Baldemir, R; Cirik, MÖ; Kaybal, O; Küçük, O; Sazak, H; Tunç, M; Ülger, G, 2023
)
2.35

Bioavailability

Bupivacaine bioavailability did not seem to be modified by flumazenil. The observed reduction in the absorption rate of bupivacane into the systemic circulation for both viscous hyaluronic formulations may explain the prolongation of spinal effects.

ExcerptReferenceRelevance
"The effect of the pH of the solution on the rate of absorption into the blood stream of locally-injected adrenaline using an adrenaline solution mixed with either mepivacaine or bupivacaine was investigated."( Adrenaline absorption: effect of pH in mepivacaine and bupivacaine solutions. A clinical study during halothane anesthesia.
Hirakawa, M; Mori, K; Ueda, W, 1992
)
0.72
"The rate of absorption of paracetamol following oral administration was used as an indirect measure of the rate of gastric emptying."( Gastric emptying following caesarean section and the effect of epidural fentanyl.
Geddes, SM; Logan, RW; Thorburn, J, 1991
)
0.28
" This method has been successfully applied to bioavailability studies after Parkinane and Artane administration to humans."( Quantitation of trihexyphenidyl from plasma using a mass-selective detector and electron-impact ionization.
Brazier, JL; Desage, M; Lecompte, D; Rousseau-Tsangaris, M, 1991
)
0.28
"51 h], and first-order absorption rate constant (ka) [5."( Clinical pharmacokinetics after repeated intrapleural bupivacaine administration.
Bigot, MC; Bricard, H; Debruyne, D; Gerard, JL; Moulin, MA; Tartiere, J, 1990
)
0.53
" Clearance, volume of distribution, and rate of absorption were estimated from the blood concentration time data and were 43."( Serum bupivacaine concentrations in term parturients following continuous epidural analgesia for labor and delivery.
Denson, DD; Knapp, RM; Thompson, GA; Turner, P, 1984
)
0.75
" The procedure was used in bioavailability studies of bupivacaine-loaded poly(D,L-lactide) (i."( High-performance liquid chromatographic determination of bupivacaine in plasma samples for biopharmaceutical studies and application to seven other local anaesthetics.
Chevanne, F; Le Corre, P; Le Guévello, P; Le Verge, R, 1993
)
0.78
" dose of bupivacaine, C max, Vd, Cl and AUC were not significantly modified by flumazenil; even if T max was shown to be significantly shorter when flumazenil was associated, bupivacaine bioavailability did not seem to be modified and thus may not be involved in the explanation of previously reported increasing bupivacaine-induced mortality by flumazenil."( Lack of bupivacaine kinetic changes induced by flumazenil in mice.
Bruguerolle, B; Lorec, AM, 1993
)
1.14
"The aim of this work was to study the cerebrospinal fluid (CSF) bioavailability and pharmacokinetics of bupivacaine (BUP) and lidocaine (LID) administered separately in rabbits using microdialysis with retrodialysis calibration."( Cerebrospinal fluid bioavailability and pharmacokinetics of bupivacaine and lidocaine after intrathecal and epidural administrations in rabbits using microdialysis.
Chevanne, F; Clement, R; Dollo, G; Le Corre, P; Le Verge, R; Malinovsky, JM, 1999
)
0.76
"A decrease in the rate of gastric emptying can delay resumption of enteral feeding, alter bioavailability of orally administered drugs, and result in larger residual gastric volumes, increasing the risk of nausea and vomiting."( Delayed postoperative gastric emptying following intrathecal morphine and intrathecal bupivacaine.
Cooke, T; Duggan, F; Lydon, AM; Shorten, GD, 1999
)
0.53
"The aim of the present study was to determine the intrathecal bioavailability of a mixture of lidocaine and bupivacaine in a rabbit model of spinal anesthesia by using the microdialysis technique."( Spinal biopharmaceutics of bupivacaine and lidocaine by microdialysis after their simultaneous administration in rabbits.
Chevanne, F; Clément, R; Dollo, G; Le Corre, P; Le Verge, R; Malinovsky, J, 2000
)
0.82
" In both models, only systemic absorption rate of bupivacaine was decreased upon complexation, not the quantity absorbed."( [Biopharmaceutics of local anesthetic-cyclodextrin complexes following loco-regional administration].
Chevanne, F; Dollo, G; Fréville, JC; Le Corre, P; Leverge, R, 2000
)
0.56
" In conclusion, bupivacaine liposomes elevated the intensity and prolonged the duration of the local anaesthetic effect of bupivacaine, and suppressed the systemic absorption rate of encapsulated bupivacaine."( Kinetic and dynamic studies of liposomal bupivacaine and bupivacaine solution after subcutaneous injection in rats.
Li, SD; Sun, P; Yu, HY, 2002
)
0.93
" The observed reduction in the absorption rate of bupivacaine into the systemic circulation for both viscous hyaluronic formulations after 6 mg of bupivacaine may explain the prolongation of spinal effects."( Prolongation of epidural bupivacaine effects with hyaluronic acid in rabbits.
Chevanne, F; Dollo, G; Le Corre, P; Le Verge, R; Malinovsky, JM; Péron, A; Pinaud, M, 2004
)
0.88
"Design of water-soluble prodrugs may constitute a means to improve the oral bioavailability of drugs suffering from dissolution rate-limited absorption."( Bioreversible quaternary N-acyloxymethyl derivatives of the tertiary amines bupivacaine and lidocaine--synthesis, aqueous solubility and stability in buffer, human plasma and simulated intestinal fluid.
Buur, A; Larsen, C; Nielsen, AB, 2005
)
0.56
" The rate of absorption of the local anesthetic depends on its mass and blood flow at the site of the injection."( Comparison of the plasma levels of 50% enantiomeric excess (S75/R25) 0.5% bupivacaine combined with 1:200,000 epinephrine between the parasacral and infragluteal sciatic nerve blocks.
Bussman, AR; da Conceição, DB; de Oliveira Filho, GR; Helayel, PE,
)
0.36
"Oral bioavailability (F) is a product of fraction absorbed (Fa), fraction escaping gut-wall elimination (Fg), and fraction escaping hepatic elimination (Fh)."( Physicochemical space for optimum oral bioavailability: contribution of human intestinal absorption and first-pass elimination.
Chang, G; El-Kattan, A; Miller, HR; Obach, RS; Rotter, C; Steyn, SJ; Troutman, MD; Varma, MV, 2010
)
0.36
"05} and reduced its relative bioavailability (0."( Levobupivacaine absorption pharmacokinetics with and without epinephrine during TAP block: analysis of doses based on the associated risk of local anaesthetic toxicity.
Altermatt, FR; Araneda, A; Cortínez, LI; Corvetto, MA; Echevarría, GC; Miranda, P, 2016
)
0.99
" The PK model suggested that relative bioavailability was two times higher in HNC patients with oral mucositis grade 1-2 and three times higher in HNC patients with oral mucositis grade 3-4 than in the healthy individuals."( Absorption of Bupivacaine after Administration of a Lozenge as Topical Treatment for Pain from Oral Mucositis.
Andersen, O; Jacobsen, J; Jensen, AB; Jensen, K; Kreilgaard, M; Kristensen, CA; Mogensen, S; Petersen, J; Sveinsdóttir, K; Sverrisdóttir, E; Treldal, C, 2017
)
0.82

Dosage Studied

Bupivacaine is more potent than both other drugs. Other factors including underlying cartilage injury or disease, decreased chondrocyte density, and increased bupivacain dosing need to be taken into account.

ExcerptRelevanceReference
"min-1 decreased the seizure dosage of etidocaine but had no effect on that of bupivacaine."( Relation of etidocaine and bupivacaine toxicity to rate of infusion in rhesus monkeys.
Embro, WJ; Malagodi, MH; Munson, ES, 1977
)
0.78
" Since bupivacaine has certain potential disadvantages for the mother and the fetus, its dosage should be kept as low as possible."( Blood bupivacaine levels in standard and segmental epidural blockade in obstetrics.
Du T Zaaijman, J; Slabber, CF, 1979
)
1.2
" The need for limiting the dosage of local anesthetic agents is stressed."( [New aspects of field blocks and peripheral nerve blocks (author's transl)].
Schulte-Steinberg, O, 1977
)
0.26
" The increase in dosage of the local anaesthetic did not increase the segmental spread and duration of analgesia."( [The dose-effect-ratio of isobaric bupivacaine in spinal analgesia (author's transl)].
Nolte, H; Stark, P, 1979
)
0.54
"The physical status of the patient (sex, age, weight, height, and underlying disease) has been thought to influence the dosage of local anesthetic drugs that can be injected without causing a systemic toxic reaction, but this belief is not supported by statistically significant data."( Factors determining dosages of amide-type local anesthetic drugs.
Balfour, RI; Bridenbaugh, LD; Horton, WG; Moore, DC; Thompson, GE, 1977
)
0.26
" The fetal-maternal ratio of concentrations at delivery was higher than in previous studies, most probably due to the protein-binding characteristics of bupivacaine and the dosage used."( Anesthesia for cesarean section IV: placental transfer and neonatal elimination of bupivacaine following epidural analgesia for elective cesarean section.
Berlin, A; Karlsson, K; Kjellmer, I; Magno, R, 1976
)
0.68
" A better understanding of quantitative aspects of the disposition and absorption of these drugs should assist the anaesthetist in deciding the optimal agent and dosage for regional block techniques."( Pharmacology of local anaesthetic agents. Pharmacokinetics of local anaesthetic agents.
Mather, LE; Tucker, GT, 1975
)
0.25
" The dosage required to produce symptoms can be compared with other drugs."( Evaluation of clinical tolerance of local anaesthetic agents.
Scott, DB, 1975
)
0.25
" A short pilot study was undertaken to determine the optimal dosage and concentration of bupivacaine."( Intravenous regional analgesia using bupivacaine.
Ware, RJ, 1975
)
0.75
" Dose-response curves determined in nonpregnant ewes indicate that significant decreases in blood flow may occur at arterial blood concentrations encountered clinically."( Effects of local anesthetic agents on the uterine vasculatures and myometrium.
Anderson, SG; Greiss, FC; Still, JG, 1976
)
0.26
" The dose-response curves of this tonic block of peak Na+ currents by (-)/(+) cocaine and (-)/(+) bupivacaine were well fitted by the Langmuir isotherm, suggesting that one LA isomer blocked one Na+ channel."( Altered stereoselectivity of cocaine and bupivacaine isomers in normal and batrachotoxin-modified Na+ channels.
Wang, GK; Wang, SY, 1992
)
0.77
" The postoperative peridural dosage of 5 mg morphine (three times in 24 h) was very effective."( [Continuous peridural anesthesia in abdominal surgery. An alternative for elderly patients].
Fuchs, C, 1992
)
0.28
" In contrast, at the low dose of either local anesthetic, after the resolution of the transient motor weakness, these doses resulted in a significant leftward shift in the dose-response curves for intrathecal morphine on both the hot plate and paw pressure, as measured by the maximum observed peak effect and by the area under the time-effect curve."( Interaction of intrathecal morphine with bupivacaine and lidocaine in the rat.
Penning, JP; Yaksh, TL, 1992
)
0.55
"The present study defined the dose-response relationship of intrathecally injected bupivacaine in rats."( The dose-response and time-effect relationships of intrathecal bupivacaine in rats. The influence of epinephrine and pH.
Bakker, H; Booij, L; Dirksen, R; Gielen, M; Lerou, J; Nijhuis, G; van Luijtelaar, E, 1992
)
0.75
" Although the propofol dosage requirements to maintain comparable levels of sedation were similar in both groups, midazolam decreased patients' recall of intraoperative events (e."( Midazolam in combination with propofol for sedation during local anesthesia.
Ghouri, AF; Taylor, E; White, PF,
)
0.13
"With regard to the inhibition of contractility, dose-response curves of ryanodine and nickel were produced, and in these curves ID50 values were 10(-6) M and 2 x 10(-3) M, respectively."( [The effect of local anesthetics on the isolated human right atrial appendages--Part 2: Bupivacaine is different from lidocaine concerning the mechanism of inhibition of contractility].
Itoh, H; Minakuchi, C, 1991
)
0.5
" The test dosage and the aspiration test are discussed."( [Toxic reaction to bupivacaine].
Lindholm, P, 1991
)
0.61
" In order to maintain sufficient analgesia, we had to increase the dosage from 19."( [The effect of continuous thoracic peridural anesthesia on the pulmonary function of patients undergoing colon surgery. Results of a randomized study of 116 patients].
Bredtmann, RD; Herden, HN; Kniesel, B; Teichmann, W, 1991
)
0.28
" The efficacy of the treatment was estimated from: 1) daily dosage (intraspinal and total opiates, and intraspinal bupivacaine), and 2) scores of non-opiate analgesic and sedative consumption, gait and daily activities, and amount and pattern of sleep."( Long-term intrathecal morphine and bupivacaine in "refractory" cancer pain. I. Results from the first series of 52 patients.
Appelgren, L; Curelaru, I; Einarsson, S; Hultman, E; Linder, LE; Nitescu, P; Sjöberg, M, 1991
)
0.77
" Among the patients receiving the bolus injections, morphine was required 62 +/- 15 (SEM) times over the 24-h study period with total morphine dosage averaging 30 +/- 15 mg."( Continuous infusion of interpleural bupivacaine maintains effective analgesia after cholecystectomy.
Citron, GM; Kirz, LI; Laurito, CE; Pelligrino, DA; Riegler, FX; Segil, LJ; VadeBoncouer, TR, 1991
)
0.56
" The use of IT morphine significantly reduced the dosage requirement of epidural bupivacaine."( Intrathecal morphine 0.2 mg versus epidural bupivacaine 0.125% or their combination: effects on parturients.
Abouleish, E; Lorenz, T; Rashad, MN; Rawal, N; Shaw, J, 1991
)
0.77
" Two minutes after dosing and for 15 minutes thereafter, no changes were observed in maternal heart rate (HR), mean arterial pressure (MAP) or arterial blood gas values and catecholamine concentrations other than a statistically significant doubling in epi levels after epi dosing."( Effects of intravenous test dose epinephrine on fetal sheep during acute fetal stress and acidosis.
Amini, S; Cohen, I; Herman, M; Hoyt, M; Veille, JC; Youngstrom, P,
)
0.13
" The following results were obtained 1) In the 24 hour period following childbirth, NACS tended to be low in relation to the total dosage of bupivacaine administered to the mother."( [Neurobehavior and mental development of newborn infants delivered under epidural analgesia with bupivacaine].
Chihara, H; Ishikawa, H; Ishikawa, J; Kamatsuki, H; Kometani, K; Morikawa, S; Nagata, T; Shinzato, Y; Watanabe, A, 1990
)
0.7
"25% bupivacaine, administered within fixed dosing intervals of 60-90 minutes, there was an increasing spread of sensory block toward sacral dermatomes while the upper level of sensory block did not change."( Sacralization of epidural block with repeated doses of 0.25% bupivacaine during labor.
Ewing, DA; Smith, MH; Tierney, E; Yarnell, RW,
)
0.93
" A reduction in the bupivacaine dosage when the synovium has been resected or divided is recommended to keep the serum level below the potentially toxic range."( Blood levels of bupivacaine after arthroscopy of the knee joint.
Limbird, TJ; Smith, BE; Wasudev, G, 1990
)
0.95
" Three different dosage regimens of bupivacaine were compared."( Caudal analgesia for pediatric day case surgery: assessment of motor function prior to discharge.
Burns, AM; Dewar, AK; Shelly, MP,
)
0.41
" There were significant differences between the two groups in pain score, patient assessment of analgesia quality, time to first analgesic intervention, and total dosage of hydromorphone during the first 24 hours."( Epidural hydromorphone for postcesarean analgesia.
Chestnut, DH; Choi, WW; Isbell, TJ, 1986
)
0.27
" The dog was given only the alcohol solvent portion of the nifedipine solution at a dosage and rate equivalent to that of the first day of the experiment."( Does nifedipine enhance the cardiovascular depressive effects of bupivacaine?
Candler, EM; Frolicher, DA; Howie, MB; McSweeney, TD; Mortimer, W,
)
0.37
" There was no significant difference between groups in median duration of subsequent bupivacaine analgesia (60 min in each group) or mean (+/- SD) dosage of bupivacaine during the first stage of labor (64 +/- 43 versus 72 +/- 57 mg)."( The influence of pH-adjusted 2-chloroprocaine on the quality and duration of subsequent epidural bupivacaine analgesia during labor: a randomized, double-blind study.
Bates, JN; Chestnut, DH; Choi, WW; Geiger, M, 1989
)
0.72
"A comparative trial between three different dosage regimens of bupivacaine administered by the caudal route, used for the prevention of postoperative pain in children undergoing elective inguinal herniotomy or ligation of patient processus vaginalis was undertaken."( Caudal anaesthesia for postoperative pain relief in children: a comparative trial of different regimens using plain bupivacaine.
Coad, NR; Hain, WR, 1989
)
0.73
" Although both drugs caused evidence of depression of conductivity and contractility, these appeared at lower dosage and lower plasma concentrations with bupivacaine than with ropivacaine."( Acute toxicity of ropivacaine compared with that of bupivacaine.
Bloomfield, P; Bowler, GM; Fagan, D; Lee, A; Lundh, R; Scott, DB, 1989
)
0.73
" Dose-response curves were constructed from the data obtained, and the CD50 and LD50 values for each local anesthetic alone and in combination with each of the vasoconstrictors were calculated by probit analysis."( Modification of local anesthetic toxicity by vasoconstrictors.
Dorris, RL; Taylor, SE,
)
0.13
" Both the dose-response curve and the kinetics of the cocaine-induced closures indicate that there is a single class of cocaine-binding site."( Cocaine-induced closures of single batrachotoxin-activated Na+ channels in planar lipid bilayers.
Wang, GK, 1988
)
0.27
" The dose-response curves were monotonic and the slopes were log-linear."( Epidural injections of bupivacaine, morphine, fentanyl, lofentanil, and DADL in chronically implanted rats: a pharmacologic and pathologic study.
Durant, PA; Yaksh, TL, 1986
)
0.58
" Incremental dosage and careful screening is recommended."( Coeliac plexus block and cephalic spread of injectate.
Hardy, PA; Wells, JC, 1989
)
0.28
" The mean dosage of bupivacaine decreased in the acute pain group from 21."( Difference in analgesia following epidural blockade in patients with postoperative or chronic low back pain.
Denson, DD; Edström, HH; Gregg, RV; Knarr, D; Raj, PP; Vigdorth, E, 1988
)
0.6
"5 per cent bupivacaine, in a dosage adequate to produce block to the T4 level."( The effect of pH adjustment of bupivacaine on onset and duration of epidural anaesthesia for caesarean section.
Axelson, JE; Blair, I; Douglas, MJ; Gambling, DR; Kim, JH; McMorland, GH; Ross, PL; Swenerton, JE, 1988
)
0.95
" Cardiotoxicity associated with bupivacaine is related not to the concentration employed but to the total dosage administered as a rapid intravenous injection."( Is there a need for chloroprocaine 3% and bupivacaine 0.75%?
Covino, BG, 1988
)
0.82
" Difficulties in interpreting the elimination parameters following epidural administration are discussed, leading to the conclusion that the derivation of dosage regimens from kinetic parameters following epidural administration is not warranted."( Pharmacokinetics and protein binding of bupivacaine in postoperative epidural analgesia.
Heinzow, B; Maier, C; Winckler, K; Wulf, H, 1988
)
0.54
" A reduced dosage of local anesthetics, as commonly recommended during pregnancy, was used."( [Epidural anesthesia in a patient with Friedreich's ataxia].
Alon, E; Waespe, W, 1988
)
0.27
" We conclude that the extrapolation of kinetic data of bupivacaine obtained after a short infusion (or a bolus injection) to prolonged dosage must be done with care."( Pharmacokinetics of bupivacaine after short and prolonged infusions in conscious dogs.
Berdeaux, A; Froideveaux, R; Gerard, JL; Lambert, C; Mazoit, JX, 1988
)
0.85
" Continuous administration of low dosage epidural narcotics has been shown to have less frequent side effects than bolus administration."( Epidural catheter analgesia for the management of postoperative pain.
Cullen, ML; Staren, ED, 1986
)
0.27
"01); total codeine dosage was lower in group 1 (4."( Intraoperative bupivacaine during outpatient hernia repair in children: a randomized double blind trial.
Langer, JC; Rosenberg, M; Shandling, B, 1987
)
0.63
" The mean dosage of bupivacaine decreased from 21."( Comparison of continuous epidural infusion of a local anesthetic and administration of systemic narcotics in the management of pain after total knee replacement surgery.
Denson, DD; Edström, HH; Hartrick, CT; Hopson, CN; Knarr, DC; Pither, CE; Raj, PP; Vigdorth, E, 1987
)
0.6
" It was found that infusions provided comparable analgesia and decreased midwife workload but resulted in a higher dosage of bupivacaine."( An epidural infusion technique for labour.
Balmer, HG; Gaylard, DG; Wilson, IH, 1987
)
0.48
" When administered over the dosage range 1-16% (v/v) intradermally, or by injections into muscle, or by repeat injections every 4 days for 16 days, all animals regained their pretreatment response to painful stimulations, and there was no evidence of gross injury to tissue."( Ultra-long-duration local anesthesia produced by injection of lecithin-coated methoxyflurane microdroplets.
Haynes, DH; Kirkpatrick, AF, 1985
)
0.27
" Dose-response curves for lignocaine, mepivacaine, bupivacaine, amethocaine and cinchocaine were obtained after single intrathecal injection to the mouse."( A methodological study of spinal (subarachnoid) anaesthesia in the rat and the mouse.
Akerman, SB, 1985
)
0.52
" The dosage requirement on the first occasion was large and much greater than on the second occasion."( Excessive dose requirements of local anaesthetic for epidural analgesia. How far should an epidural catheter be inserted?
Dennison, B; Kumar, CM; Lawler, PG, 1985
)
0.27
"A randomized double-blind study was performed to elucidate the interrelationships among volume, concentration, and dosage of bupivacaine administered intrathecally."( A dose-response study of bupivacaine for spinal anesthesia.
Bizzarri-Schmid, M; Covino, BG; Edstrom, H; Francis, DM; Rocco, AG; Sheskey, MC, 1983
)
0.78
"01)--but this was likely to be due to the smaller total dosage of bupivacaine used in the hyperbaric group."( A comparison of hyper- and isobaric solutions of bupivacaine for subarachnoid block.
MacEvilly, M; Phelan, DM, 1984
)
0.76
" No differences in onset, duration and regression of analgesia or motor blockade were noticed, indicating that dosage (in mg) is more important than either volume or concentration when glucose-free bupivacaine solutions are used for spinal analgesia."( Spinal analgesia with glucose-free bupivacaine--effects of volume and concentration.
Bengtsson, M; Edström, HH; Malmqvist, LA, 1984
)
0.73
" Since bupivacaine has a narrow therapeutic range and highly variable pharmacokinetic parameters, rapid estimation of the parameters allows early dosage regimen adjustments, and hence, better pain management."( Continuous perineural infusions of bupivacaine for prolonged analgesia--a rapid two-point method for estimating individual pharmacokinetic parameters.
Denson, DD; Finnsson, RA; Myers, JA; Raj, PP; Thompson, GA; Thurman, BH, 1984
)
1
" Adapting dosage to size (0."( [Hyperbaric spinal anesthesia with 0.5 percent bupivacaine in traumatological and orthopedic surgery].
Boittiaux, P; Scherpereel, P; Snauwaert, F, 1984
)
0.52
"75% bupivacaine hydrochloride with hyaluronidase in adequate dosage greatly reduces the need for a seventh nerve block, thus reducing patient discomfort."( A technique of retrobulbar block with paralysis of orbicularis oculi.
Gills, JP; Loyd, TL, 1983
)
0.82
" They experienced much less pain, labour was not prolonged, dosage of bupivacaine was not increased, the forceps delivery rate was lower and there were fewer persistent malrotations."( Second stage of labour with or without extradural analgesia.
Phillips, KC; Thomas, TA, 1983
)
0.5
" These results demonstrate that the blood concentrations of the three local anaesthetics following caudal administration are all below the toxic levels in spite of application of the maximum dosage recommended for adults."( Blood concentrations of lidocaine, mepivacaine and bupivacaine during caudal analgesia in children.
Takasaki, M, 1984
)
0.52
" Dosage can be calculated on this basis for operations on the perineum, lower and groin with 97 to 98% confidence."( Caudal analgesia in children. Five hundred cases for procedures below the diaphragm.
McGown, RG, 1982
)
0.26
"75% bupivacaine must frequently be augmented to provide adequate analgesia for cesarean section in thin parturients (BMI below 28) whereas it is too high a dosage for obese patients."( Obesity and the cephalad spread of analgesia following epidural administration of bupivacaine for Cesarean section.
Hodgkinson, R; Husain, FJ, 1980
)
1.04
" The reduced dosage of local anaesthetic improves neonatal status and reduces the necessity of extractional aids."( [Epidural morphine as adjunct to epidural anaesthesia in obstetrics (author's transl)].
Börner, U; Brähler, A; Hempelmann, G; Müller, H; Stoyanov, M, 1981
)
0.26
" In 63 patients bupivacaine 50 mg or less was adequate, while in 33 the dosage was between 60 and 75 mg."( Low i.v. regional analgesia with bupivacaine for hand surgery.
Aronson, HB; Ashur, H; Drexler, H; Rousso, M; Vatashsky, E, 1981
)
0.89
" It is concluded that local anaesthetic techniques using the amide-linked local anaesthetics administered in conventional dosage are safe to use in patients known to be genetically susceptible to malignant hyperthermia."( Response of mhs swine to i.v. infusion of lignocaine and bupivacaine.
Harrison, GG; Morrell, DF, 1980
)
0.51
" The present studies were performed to determine whether different study designs using different iv dosage regimens could influence the pharmacokinetic parameters determined for either bupivacaine enantiomer."( Pharmacokinetics of bupivacaine enantiomers in sheep: influence of dosage regimen and study design.
Mather, LE; Plummer, JL; Rutten, AJ, 1994
)
0.8
" Lignocaine infusions in the dosage range of 20 to 40 micrograms."( The safety of continuous pleural lignocaine after thoracotomy in children and adolescents.
Balsara, RK; Lear, BR; Pasquariello, CA; Schwartz, RE; Stayer, SA, 1995
)
0.29
" When using local corticosteroid injections to treat interdigital neuromas, the physician should be familiar with the properties and recommended dosage of the given steroid."( Interdigital neuroma. Local cutaneous changes after corticosteroid injection.
Holder, J; Reddy, PD; Ruotolo, C; Zelicof, SB, 1995
)
0.29
" The thiopental requirements were determined by titration; the midazolam requirements were determined from dose-response curves obtained with bolus injections of predetermined doses of the drug."( Subarachnoid bupivacaine blockade decreases midazolam and thiopental hypnotic requirements.
Finger, J; Kissin, I; Shagal, M; Tverskoy, M,
)
0.5
"86 micrograms ml-1) or induction of anaesthesia a cumulative dose-response curve of vecuronium was established to achieve a 95% depression of the twitch response."( The effect of epidural bupivacaine on vecuronium-induced neuromuscular blockade in children.
Meretoja, OA; Rosenberg, PH; Taivainen, T, 1994
)
0.6
"With the dosage regimen used in this study, an initial epidural bolus with continuous infusion technique generates a steady state plasma concentration of alfentanil that is below levels associated with direct respiratory depression."( Plasma concentration profile of epidural alfentanil. Bolus followed by continuous infusion technique in the parturient: effect of epidural alfentanil and fentanyl on fetal heart rate.
Blass, NH; Christmas, JT; Moore, CH; Wilhite, AO,
)
0.13
" A tetracaine dose-response curve for HVA-ICa indicated an apparent dissociation constant of 79."( Local anesthetics depress the calcium current of rat sensory neurons in culture.
Muteki, T; Sugiyama, K, 1994
)
0.29
"Time and dose-response functions of 4 concentrations of epidural bupivacaine (0."( Quantitative sensory examination of epidural anaesthesia and analgesia in man; dose-response effect of bupivacaine.
Arendt-Nielsen, L; Brennum, J; Horn, A; Nielsen, PT; Secher, NH, 1994
)
0.74
"A sensitive analytical procedure for bupivacaine dosing in plasma samples by reversed-phase high-performance liquid chromatography is described."( High-performance liquid chromatographic determination of bupivacaine in plasma samples for biopharmaceutical studies and application to seven other local anaesthetics.
Chevanne, F; Le Corre, P; Le Guévello, P; Le Verge, R, 1993
)
0.8
" Dose-response curves were plotted for each drug."( Duration of spinal anaesthesia is determined by the partition coefficient of local anaesthetic.
Benita, S; Golomb, E; Grant, GJ; Langerman, L, 1994
)
0.29
" The results suggest that further consideration is necessary on agents selection and dosage adjustment for the postoperative epidural analgesia."( [Postoperative pain relief by continuous epidural infusion: a comparison of three solutions].
Hayashi, H; Inoue, T; Kanoh, T; Nishiuchi, T; Takeda, K; Tamura, H, 1993
)
0.29
"We compared the hemodynamic stability after spinal anesthesia with two different dosing regimens in the elderly."( Incremental dosing versus single-dose spinal anesthesia and hemodynamic stability.
Gerber, H; Jöhr, M; Mueller-Duysing, S; Schnider, TW, 1993
)
0.29
" Bupivacaine-induced side effects were absent below a daily dosage of 30 mg by continuous infusion."( Long-term intrathecal infusion of morphine and morphine/bupivacaine mixtures in the treatment of cancer pain: a retrospective analysis of 51 cases.
Crul, BJP; De Bock, M; Van Dongen, RTM, 1993
)
1.44
" At high K+ concentration, both local anaesthetics induced effects similar to those observed with low K+, but the dose-response curves for contractility and dV/dtmax were shifted leftward."( [The potential dependence of the effect of bupivacaine and ropivacaine on the heart. In-vitro studies on the effect of local anesthetics on the force of contraction and the action potential in left guinea pig atria].
Gödicke, J; Petry, A; Wulf, H, 1993
)
0.55
" Responses to dosing were assessed by comparing heart rate, blood pressure, and respiratory rate before and after administration."( Cardiorespiratory responses to epidural analgesia in the awake child: a retrospective review of postoperative patients.
Nichols, DG; Tobias, JD; Wetzel, RC, 1993
)
0.29
" Thus, epidural BUP-MS appears to provide adequate postoperative analgesia while preventing withdrawal in opioid-dependent patients, if three times the normal dosage and duration of therapy are employed."( A comparison of postoperative epidural analgesia between patients with chronic cancer taking high doses of oral opioids versus opioid-naive patients.
Bacon, DR; de Leon-Casasola, OA; Donaparthi, S; Lema, MJ; Myers, DP; Peppriell, J; Rempel, J, 1993
)
0.29
" The results of our study show that despite applying the same dosage of epidural bupivacaine significantly higher plasma concentrations were seen after short periods of continuous infusion in infants up to 4 mo than in children older than 9 mo."( Bupivacaine plasma concentrations during continuous epidural anesthesia in infants and children.
Bachmann, B; Benzer, A; Frischhut, B; Innerhofer, P; Luz, G; Menardi, G, 1996
)
1.96
" Fifteen epidural initially were dosed with bupivicaine (1 to 2 mg/kg) alone or in combination with fentanyl (1 to 2 micrograms/kg)."( Continuous thoracic epidural infusions for postoperative analgesia after pectus deformity repair.
Abajian, JC; Dicker, R; McBride, WJ; Vane, DW, 1996
)
0.29
" The purpose of this double-blind study was: to investigate the dose-response relationship of increasing doses of ropivacaine on the quality of anaesthesia and the duration of both motor and sensory blockade, and to compare these results with an established local anaesthetic, bupivacaine."( A double-blind comparison of ropivacaine 0.5%, 0.75%, 1.0% and bupivacaine 0.5%, injected epidurally, in patients undergoing abdominal hysterectomy.
Chan, V; Finucane, BT; Friedlander, M; McKenna, J; Milner, AL; Muzyka, D; O'Callaghan-Enright, S; Reid, D; Sandler, AN, 1996
)
0.71
" Midazolam dose-response curves were obtained by probit analysis."( Effect of epidural bupivacaine block on midazolam hypnotic requirements.
Finger, J; Fleyshman, G; Kissin, I; Shifrin, V; Tverskoy, M,
)
0.46
"The hypnotic dose-response of propofol was compared with its combination with either bupivacaine-induced spinal block or intramuscular bupivacaine 12."( Effect of bupivacaine-induced spinal block on the hypnotic requirement of propofol.
Bachrak, L; Ben-Shlomo, I; Fleyshman, G; Tverskoy, M, 1996
)
0.92
" The optimized methods show good linearity, precision (RSD < 2%) and accuracy (bias < 2% for dosage forms)."( Validation of high-performance liquid chromatographic methods on two silica base-deactivated reversed phases for the determination of chloroprocaine and bupivacaine.
Brun, F; Veuthey, JL, 1996
)
0.49
" However, few dose-response data are available to guide the selection of reasonable doses of bupivacaine for different ambulatory procedures."( Dose-response characteristics of spinal bupivacaine in volunteers. Clinical implications for ambulatory anesthesia.
Allen, HW; Liu, SS; Neal, JM; Pollock, JE; Ware, PD, 1996
)
0.78
" Dose-response relationships were determined by linear regressions."( Dose-response characteristics of spinal bupivacaine in volunteers. Clinical implications for ambulatory anesthesia.
Allen, HW; Liu, SS; Neal, JM; Pollock, JE; Ware, PD, 1996
)
0.56
"These dose-response data may guide the selection of reasonable doses of bupivacaine for various outpatient procedures, although individual responses vary."( Dose-response characteristics of spinal bupivacaine in volunteers. Clinical implications for ambulatory anesthesia.
Allen, HW; Liu, SS; Neal, JM; Pollock, JE; Ware, PD, 1996
)
0.79
" The greater degree of separation between motor and sensory blockade seen with ropivacaine relative to bupivacaine is more apparent at the lower end of the dosage scale."( Ropivacaine. A review of its pharmacology and therapeutic use in regional anaesthesia.
Faulds, D; Markham, A, 1996
)
0.51
" The dose-response of BAB administered epidurally and intrathecally as a solution was studied in rats to define the local anesthetic properties in an established animal model."( Epidural and intrathecal n-butyl-p-aminobenzoate solution in the rat. Comparison with bupivacaine.
Breimer, DD; Grouls, RJ; Hellebrekers, LJ; Korsten, HH; Meert, TF, 1997
)
0.52
" The dose-response relation was determined and median effective dose values were calculated."( Epidural and intrathecal n-butyl-p-aminobenzoate solution in the rat. Comparison with bupivacaine.
Breimer, DD; Grouls, RJ; Hellebrekers, LJ; Korsten, HH; Meert, TF, 1997
)
0.52
" Five patients showed symptoms of compression of the cauda equina or spinal cord shortly after the start of combined IT administration of morphine and bupivacaine in a dosage usually not associated with neurologic symptoms."( Neurological impairment during long-term intrathecal infusion of bupivacaine in cancer patients: a sign of spinal cord compression.
Crul, BJ; van Dongen, RT; van Ee, R, 1997
)
0.73
" We are looking forward to seeing that with the addition of epinephrine to the anesthetic solution and a considerable increase of dosage and/or volume of bupivacaine may provide a better and longer pain relief, about which further studies are needed."( Interpleural bupivacaine for pain relief after transthoracic endoscopic sympathectomy for primary hyperhidrosis.
Ho, ST; Lee, SC; Lieou, FJ; Wang, JJ, 1996
)
0.86
" The result strongly suggests a synergy from this combination that warrants a formal study of the dose-response relationship involved in this treatment and the mechanism by which this effect is achieved."( Epidural coadministration of ketamine, morphine and bupivacaine attenuates post-herpetic neuralgia--a case report.
Cherng, CH; Ho, ST; Liaw, WJ; Shen, TT; Wong, CS, 1996
)
0.54
"25% at a dosage of 1 mL."( [Evaluation of 2 dosages of fentanyl in caudal anesthesia. A prospective randomized double-blind study].
Atallah, T; Chelbi, S; Gharsallah, A; Hmouda, H; Kachoukh, M; Said, R; Souguir, S, 1996
)
0.29
"8 mmHg: group II) and dosage of ephedrine administered (14."( Direction of injection does not affect the spread of spinal bupivacaine in parturients.
Drolet, P; Girard, M; Massé, E, 1997
)
0.54
"3 to 26 mg/kg) were selected based upon the proposed human dosage and the known pharmacological activity of the compounds."( Toxicity of bupivacaine and ropivacaine in relation to free plasma concentrations in pregnant rats: a comparative study.
Arvidsson, T; Böö, EL; Danielson, MK; Danielsson, BR; Halldin, MM, 1997
)
0.68
" In the in vivo study, the dose-response curve for the 50% lethal dose (LD50) of bupivacaine was determined for rats."( The effects of verapamil and nimodipine on bupivacaine-induced cardiotoxicity in rats: an in vivo and in vitro study.
Adsan, H; Onaran, O; Tulunay, M, 1998
)
0.79
"It is concluded that a lower dosage of bupivacaine combined with sufentanil in epidural analgesia significantly improves the obstetric outcome as compared to a higher dosage of bupivacaine with adrenaline using intermittent bolus technique."( Obstetric outcome following epidural analgesia with bupivacaine-adrenaline 0.25% or bupivacaine 0.125% with sufentanil--a prospective randomized controlled study in 1000 parturients.
Ekblom, A; Ekman-Ordeberg, G; Irestedt, L; Olofsson, C, 1998
)
0.82
"Lipid infusion shifts the dose-response to bupivacaine-induced asystole in rats."( Pretreatment or resuscitation with a lipid infusion shifts the dose-response to bupivacaine-induced asystole in rats.
Cwik, MJ; Garcia-Amaro, MF; Ramaraju, GA; VadeBoncouer, T; Weinberg, GL, 1998
)
0.79
" Two techniques frequently used to treat this pain were compared: (1) withdrawal of the catheter 1 cm and repeated dosing with additional local anesthetic, and (2) repeated dosing with additional local anesthetic without any catheter manipulation."( Treatment of incomplete analgesia after placement of an epidural catheter and administration of local anesthetic for women in labor.
Andres, LA; Beilin, Y; Bernstein, HH; Zahn, J; Zenzen, WJ; Zucker-Pinchoff, B, 1998
)
0.3
"Case 1: A 72-year-old 84-kg white man with cancer of the bladder and bone metastases had intense back and leg pain that was treated with intrathecal morphine for 6 months at an increasing dosage up to 10 mg twice daily."( Respiratory depression following administration of intrathecal bupivacaine to an opioid-dependent patient.
Barjhoux, CE; Danel, VC; Lemoigne, AH; Mallaret, MP; Piquet, CY; Vincent, FH, 1998
)
0.54
"The local anesthetic, bupivacaine, was loaded into Lipospheres in several dosage forms, characterized, and measured for in vitro release."( Liposphere local anesthetic timed-release for perineural site application.
Domb, AJ; Masters, DB, 1998
)
0.61
" The duration of analgesia was nearly equivalent in all sufentanil-alone groups (83, 102, and 99 minutes); a dose-response effect was more apparent in the bupivacaine group (35, 42, and 74 minutes; P = ."( Intrathecal sufentanil and epidural bupivacaine for labor analgesia: dose-response of individual agents and in combination.
Abouleish, A; Camann, W; Datta, S; Eisenach, J; Hood, D,
)
0.6
" The failure rate, sensory and motor blockade, success rate by changing to lidocaine and its dosage were recorded."( Clinical study of failure in continuous spinal anesthesia with bupivacaine.
Kung, CC; Lin, SY; Sun, WZ; Tang, CS; Wu, TJ, 1998
)
0.54
"The dosage of local anaesthetic and the time the patient must be kept in the lateral decubitus position for a unilateral spinal anaesthesia is not known."( Unilateral spinal anaesthesia with hyperbaric bupivacaine.
Boyaci, A; Ersoy, O; Esmaoğlu, A; Güler, G; Talo, R; Tercan, E, 1998
)
0.56
"125% behaves in a dose-response fashion allowing for the determination of equipotent dose of each."( Determination of the analgesic dose-response relationship for epidural fentanyl and sufentanil with bupivacaine 0.125% in laboring patients.
Gadalla, F; Herman, NL; Koff, HD; Reynolds, JE; Rubin, JD; Sheu, KL; Van Decar, TK, 1998
)
0.52
" In addition, the most current and efficacious dosage regimen for the rectal administration of acetaminophen (40."( Blocks and other techniques pediatric surgeons can employ to reduce postoperative pain in pediatric patients.
Broadman, LM, 1999
)
0.3
" Dose-response relations were assessed with analysis of variance, paired t tests, or Spearman rank correlation."( Dose-response effects of spinal neostigmine added to bupivacaine spinal anesthesia in volunteers.
Burkhead, DL; Hodgson, PS; Liu, SS; Moore, JM; Trautman, WJ, 1999
)
0.55
" However, its relative potency to bupivacaine and its dose-response characteristics are unknown."( Hyperbaric spinal ropivacaine: a comparison to bupivacaine in volunteers.
Kopacz, DJ; Liu, SS; McDonald, SB; Stephenson, CA, 1999
)
0.84
"Our results show that high doses of epidural clonidine potentiate general anesthetics and provide more efficient postoperative analgesia than the two bupivacaine dosage regimens investigated."( Epidural clonidine or bupivacaine as the sole analgesic agent during and after abdominal surgery: a comparative study.
De Kock, M; Gautier, P; Jonniaux, M; Lavand'homme, P; Pavlopoulou, A, 1999
)
0.82
" No significant difference in observed maximum concentration of drug after dosing or area under the plasma drug concentration versus time curve were seen."( Clinical effects and maternal and fetal plasma concentrations of 0.5% epidural levobupivacaine versus bupivacaine for cesarean delivery.
Bader, AM; Camann, WR; Datta, S; Nephew, E; Tsen, LC, 1999
)
0.53
" Most support the assumption that the total dosage is more important than the volume."( Low-dose bupivacaine: a comparison of hypobaric and near isobaric solutions for arthroscopic surgery of the knee.
Korkeila, JE; Kuusniemi, KS; Pihlajamäki, KK; Pitkänen, MT, 1999
)
0.72
" The availability of a ready to use parental dosage form of morphine and bupivacaine is comfortable for health care workers."( Long-term stability of morphine and bupivacaine mixture for spinal use.
Beelen, M; Burger, DM; Essink-Tjebbes, CM; Hekster, YA; Wuis, EW, 1999
)
0.81
" The major metabolite recovered from beta-glucuronidase-treated equine urine after dosing with bupivacaine is a hydroxybupivacaine, either 3-hydroxybupivacaine, 4-hydroxybupivacaine, or a mixture of the two."( Bupivacaine in the horse: relationship of local anaesthetic responses and urinary concentrations of 3-hydroxybupivacaine.
Boyles, J; Carter, WG; Dirikolu, L; Harkins, JD; Karpiesiuk, W; Lehner, A; Tobin, T; Woods, WE, 1999
)
1.96
" The epidural catheter can be dosed intermittently for parturients in whom labor is prolonged, who require surgical manipulation for vaginal delivery, or who require cesarean section for delivery."( Spinal and combined spinal epidural techniques for labor analgesia: clinical application in a small hospital.
Harris, LG, 1998
)
0.3
"In the research of new dosage forms improving the therapeutic index of local anesthetics, we studied cyclodextrins, cyclic oligosaccharides forming soluble inclusion complexes with various lipophilic drugs."( [Biopharmaceutics of local anesthetic-cyclodextrin complexes following loco-regional administration].
Chevanne, F; Dollo, G; Fréville, JC; Le Corre, P; Leverge, R, 2000
)
0.31
" Medical management failed and a lumbar epidural dosed with bupivacaine was used."( Resolution of refractory symptoms of secondary erythermalgia with intermittent epidural bupivacaine.
Green, CR; Stricker, LJ,
)
0.6
" An increase in daily opioid dosage did not relieve the pain but caused unacceptable side effects of nausea, vomiting, and sedation."( Continuous brachial plexus block at the cervical level using a posterior approach in the management of neuropathic cancer pain.
Dzoljic, M; Pijl, AJ; van der Vegt, MH; Vranken, JH; Zuurmond, WW,
)
0.13
" However, its clinical efficacy relative to bupivacaine and its dose-response characteristics, in spinal anesthesia, must first be known."( Hyperbaric spinal levobupivacaine: a comparison to racemic bupivacaine in volunteers.
Alley, EA; Kopacz, DJ; Liu, SS; McDonald, SB, 2002
)
0.89
" Pharmacokinetic parameters were not significantly different and there was no evidence of chiral inversion after dosing with S-bupivacaine."( Comparative efficacy and pharmacokinetics of racemic bupivacaine and S-bupivacaine in third molar surgery.
Fawcett, JP; Kennedy, JM; Kumar, A; Kumara, GM; Ledger, R; Patel, MJ; Zacharias, M,
)
0.59
"Successful spinal anesthesia in premature and former premature infants depends on close attention to preoperative assessment, patient positioning during and immediately after anesthetic induction, drug dosing and perioperative monitoring."( [Spinal anesthesia in premature infants--indications, technical aspects and results].
Erez, I; Freud, E; Gutermacher, M; Jedeikin, R; Lazar, L; Litmanowitz, I; Shenkman, Z; Shorer, S, 2002
)
0.31
" No significant correlation was found between Bupivacaine dosage and parameter alteration."( Effect of bupivacaine application on cholinesterase activities, total protein- and albumin concentration in serum and cerebrospinal fluid.
Bauer, HI; Kluge, HH; Kluge, WH; König, U; Lange, M; Venbrocks, RA, 2002
)
0.98
" However, patients might have a better outcome with a reduction of morphine dosage and administration of a muscle relaxant of shorter duration of action than pancuronium."( A randomized trial of caudal block with bupivacaine 4 mg x kg-1 (1.8 ml x kg-1) plus morphine (150 microg x kg-1) vs general anaesthesia with fentanyl for cardiac surgery.
Castillo-Zamora, C; Nava-Ocampo, AA; Rojas-Pérez, E, 2003
)
0.59
" The mean dosage and the total amount of Pethidine at 24 hours were significantly lower in G2 compared with G1."( Postoperative pain relief after laparoscopic cholecystectomy: a randomised prospective double-blind clinical trial.
Goroshina, J; Lepner, U; Samarütel, J, 2003
)
0.32
" A dose-response relationship was observed both with regard to median duration of postoperative analgesia (0."( A comparison of three different concentrations of levobupivacaine for caudal block in children.
Codipietro, L; De Negri, P; Eksborg, S; Grossetti, R; Italiano, S; Ivani, G; Lonnqvist, PA; Mossetti, V; Rosso, F; Tonetti, F, 2003
)
0.57
" The author tested the anaesthetic in 100 patients using the same dosage as in hitherto commonly used bupivacaine."( [Chirocaine in ophthalmology].
Mazal, Z, 2003
)
0.53
" The incidence of intraoperative supplemental analgesic and hypotension and the dosage of ephedrine used to treat hypotension were greater in the patients anesthetized with tetracaine 10 mg than in those anesthetized with bupivacaine 10 mg, which is equipotent to tetracaine 10 mg."( [Spinal anesthesia using hyperbaric bupivacaine HCl for cesarean section].
Fukumitsu, K; Haruna, J; Hirao, O; Kawaraguchi, Y; Kinouchi, K; Kitamura, S; Matsuda, Y; Miyamoto, Y; Nakao, F; Taniguchi, A, 2003
)
0.78
" After the neurolytic block, the total dosage of morphine and diclofenac remained unchanged for 2 months."( Application of a mandibular nerve block using an indwelling catheter for intractable cancer pain.
Kohase, H; Shibaji, T; Suzuki, N; Umino, M, 2004
)
0.32
" Dry emulsions could be promising dosage forms to optimize the disposition of epidurally administered LAs."( Bupivacaine containing dry emulsion can prolong epidural anesthetic effects in rabbits.
Chevanne, F; Dollo, G; Le Corre, P; Le Verge, R, 2004
)
1.77
" The observed complexation may substantially modify properties of bupivacaine hydrochloride dosage forms with sufficient concentration of cyclodextrin but bupivacaine cations are readily released from the weak cyclodextrin complexes by dilution."( Bupivacaine hydrochloride complexation with some alpha- and beta-cyclodextrins studied by potentiometry with membrane electrodes.
Bieliková, Z; Demko, M; Kaclík, P; Kopecký, F; Vojteková, M, 2004
)
2
" PCA has been shown to provide more effective analgesia than IM dosing, and PCA administration is preferred over IM dosing by both patients and nurses."( The use of the pain pump and patient-controlled analgesia in joint reconstruction.
Colwell, CW, 2004
)
0.32
" This report does not suggest the routine use of low-dose spinal anesthesia without supplements, but illustrates the wide variability in dosage and sensitivity to spinal anesthetics, and suggests that further research is needed in this area, particularly in morbidly obese parturients."( Very low-dose spinal anesthesia for cesarean section in a morbidly obese preeclamptic patient and its potential implications.
Pan, PH; Reyes, M, 2004
)
0.32
" In general, a dose-response gradient was seen in the EDLA group for 5 of 7 variables when the curves expressing effect over time for the different concentrations were evaluated."( Bupivacaine in microcapsules prolongs analgesia after subcutaneous infiltration in humans: a dose-finding study.
Hammer, NA; Holte, K; Kehlet, H; Lacouture, PG; Lillesø, J; Pedersen, JL; Werner, MU, 2004
)
1.77
"We examined the dose-response relationship of intrathecal clonidine at small doses (( Small-dose intrathecal clonidine and isobaric bupivacaine for orthopedic surgery: a dose-response study.
Aeschbach, A; Gurzeler, JA; Kindler, CH; Schneider, MC; Strebel, S, 2004
)
0.79
" In this respect, further studies related to dosage of intrathecal levobupivacaine in obstetric labor analgesia will be beneficial in substantiating this point."( Intrathecal labor analgesia using levobupivacaine 2.5 mg with fentanyl 25 microg--would half the dose suffice?
Chan, SY; Chiu, JW, 2004
)
0.83
"Continuous spinal anaesthesia with spinal catheters allows incremental dosing of local anaesthetic and, consequently, less haemodynamic changes."( Minimum effective local anaesthetic dose of isobaric levobupivacaine and ropivacaine administered via a spinal catheter for hip replacement surgery.
Aantaa, R; Jalonen, J; Olkkola, KT; Sell, A, 2005
)
0.57
" Both groups were prescribed hydrocodone to use in the postoperative period at the prescribed dosage as needed for pain."( Local anesthetic infusion pumps improve postoperative pain after inguinal hernia repair: a randomized trial.
Gamberdella, M; Read, B; Sanchez, B; Tatevossian, R; Waxman, K, 2004
)
0.32
"The groups were similar with respect to age, weight and dosage of local anaesthetic."( Pharmacokinetics of 0.5% levobupivacaine following ilioinguinal-iliohypogastric nerve blockade in children.
Ala-Kokko, TI; Alahuhta, S; Karinen, J; Kiviluoma, K; Räihä, E, 2005
)
0.62
"In this prospective, randomised, double-blind study, we compared the effects of two dosage regimens."( Effects of a height and weight adjusted dose of local anaesthetic for spinal anaesthesia for elective Caesarean section.
Boyne, I; Brown, A; Hannah, P; Harten, JM; Varveris, D, 2005
)
0.33
"375% Isobaric bupivacaine used during contiuous spinal anesthesia in the supine position produces a suitable and a more "controllable" anesthesia, but a minimum dosage of 10 approximately 12."( [Clinical research of hyperbaric, isobaric, and hypobaric solutions of bupivacaine in continuous spinal anesthesia].
Bai, NY; Guo, QL; Yang, HW, 2005
)
0.92
"Bupivacaine lipid microparticles were prepared and evaluated as a parenteral sustained-release dosage form for postoperative pain management."( Effect of solid state transition on the physical stability of suspensions containing bupivacaine lipid microparticles.
Bandopadhyay, R; Deng, JS; Li, LC; Song, JF; Wurster, DE; Zhu, L, 2005
)
2
"This study illustrates that whilst low doses of intrathecal bupivacaine can be effectively used for Caesarean section, at such doses EVE does not appear to offer reliable or clinically relevant reductions in dosing with intrathecal bupivacaine."( Effect of epidural volume extension on dose requirement of intrathecal hyperbaric bupivacaine at Caesarean section.
Beale, N; Columb, MO; Evans, B; Lyons, G; Plaat, F; Stocks, GM, 2005
)
0.8
" The myocardial depressant potential of these drugs in sublethal dosage is unknown."( The myocardial and vascular effects of bupivacaine, levobupivacaine, and ropivacaine using pressure volume loops.
Royse, AG; Royse, CF, 2005
)
0.6
"Intermittent epidural bolus dosing is a method of drug delivery that can prolong the duration of labour analgesia induced by a combined spinal epidural (CSE)."( Automated regular boluses for epidural analgesia: a comparison with continuous infusion.
Lim, Y; Ocampo, C; Sia, AT, 2005
)
0.33
"The analgesic effect was monitored by the VAS, and the requirement for PCEA dosing and additional analgesics was recorded."( A prospective, double-blind, randomized, placebo-controlled study of dexmedetomidine as an adjunct to epidural analgesia after thoracic surgery.
Frumento, RJ; Joshi, RR; Playford, HR; Saldana-Ferretti, B; Sladen, RN; Wagener, G; Wahlander, S, 2005
)
0.33
" However, the frequency of postoperative opioid dosing can be minimized and may be a factor when contemplating supplementary use of epidural or intra-articular injections as part of a balanced analgesic approach."( Comparison of perioperative analgesic protocols for dogs undergoing tibial plateau leveling osteotomy.
Harvey, RC; Hoelzler, MG; Lidbetter, DA; Millis, DL,
)
0.13
" Intrathecal drug delivery systems can be highly effective in a variety of patient settings, including cases of refractory pain, diminished performance status, poor tolerability of oral medications, polyanalgesia for complex pain, and inadequate dosing due to addiction concerns."( Intrathecal drug delivery for the management of cancer pain: a multidisciplinary consensus of best clinical practices.
Boortz-Marx, R; Du Pen, S; Friehs, G; Gordon, M; Halyard, M; Herbst, L; Kiser, J; Stearns, L,
)
0.13
" The dosage required for peripheral nerve blockade in humans would cause unacceptable cardiovascular side effects."( Efficacy of lidocaine or bupivacaine combined with ephedrine in rat sciatic nerve block.
Gerner, P; Greco, WR; Hung, YC; Kau, YC; Wang, GK; Zizza, AM; Zurakowski, D,
)
0.43
" Furthermore, the cardiovascular side effects will limit the maximal tolerable dosage of ephedrine."( Efficacy of lidocaine or bupivacaine combined with ephedrine in rat sciatic nerve block.
Gerner, P; Greco, WR; Hung, YC; Kau, YC; Wang, GK; Zizza, AM; Zurakowski, D,
)
0.43
"Continuous spinal anaesthesia with spinal catheters allows incremental dosing of the local anaesthetic and, consequently, less haemodynamic change."( Isobaric bupivacaine via spinal catheter for hip replacement surgery: ED50 and ED95 dose determination.
Aantaa, R; Jalonen, J; Olkkola, KT; Sell, A, 2006
)
0.75
" Labour analgesia and surgical anesthesia were provided with a lumbar epidural dosed with varying concentrations of bupivacaine."( Cesarean section in a patient with familial cardiomyopathy and a cardioverter-defibrillator.
Dolak, JA; Frost, DA, 2006
)
0.54
" Although minimum local analgesic concentration studies suggested that they are less potent than bupivacaine, full dose-response studies have not been performed."( Determination of the full dose-response relation of intrathecal bupivacaine, levobupivacaine, and ropivacaine, combined with sufentanil, for labor analgesia.
Deprest, J; Dreelinck, R; Dubois, J; Kumar, A; Lewi, L; Van de Velde, M; Vandermeersch, E, 2007
)
0.8
" Group-specific dose-response curves were constructed using a probit regression model."( Determination of the full dose-response relation of intrathecal bupivacaine, levobupivacaine, and ropivacaine, combined with sufentanil, for labor analgesia.
Deprest, J; Dreelinck, R; Dubois, J; Kumar, A; Lewi, L; Van de Velde, M; Vandermeersch, E, 2007
)
0.58
"This full dose-response study suggests that ropivacaine and levobupivacaine are of similar potency, whereas bupivacaine is more potent than both other drugs."( Determination of the full dose-response relation of intrathecal bupivacaine, levobupivacaine, and ropivacaine, combined with sufentanil, for labor analgesia.
Deprest, J; Dreelinck, R; Dubois, J; Kumar, A; Lewi, L; Van de Velde, M; Vandermeersch, E, 2007
)
0.82
" Dose-response curves were established and the respective ED50 (50% effective dose) values were determined for each agent alone."( Antinociceptive synergy between the cannabinoid receptor agonist WIN 55,212-2 and bupivacaine in the rat formalin test.
Chung, RK; Han, JI; Kang, S; Kim, CH; Kim, DY; Lee, GY; Lee, H, 2007
)
0.57
" The mean dosage of meperidine used was 76."( The effect of tramadol or clonidine added to intraperitoneal bupivacaine on postoperative pain in total abdominal hysterectomy.
Karamanlioglu, B; Memis, D; Pamukçu, Z; Tükenmez, B; Turan, A,
)
0.37
" The collected parameters were patient demographic data (sex, age, body weight, height, ASA status), operative data (type of operation, emergency status, position and duration of operation), anesthetic data (type and dosage of local anesthetic agents used, intravenous fluid, vasoactive and sedative agents, highest sensory level of spinal blockage, usage and doses of spinal opioids)."( Prospective study of hypotension and bradycardia during spinal anesthesia with bupivacaine: incidence and risk factors, part two.
Chinachoti, T; Tritrakarn, T, 2007
)
0.57
" Dose-response analysis revealed significantly increased sensitivity to bupivacaine toxicity during fatty acid metabolism, indicated by lower V50 doses for both heart rate (70."( Metabolic context affects hemodynamic response to bupivacaine in the isolated rat heart.
Di Gregorio, G; Edelman, LB; Kelly, K; Ripper, R; Weinberg, GL, 2008
)
0.83
" The initial dose was 10 mg of bupivacaine or 20 mg of ropivacaine; the dosing intervals were 1 mg and 2 mg, respectively."( Median effective local anesthetic doses of plain bupivacaine and ropivacaine for spinal anesthesia administered via a spinal catheter for brachytherapy of the lower abdomen.
Chiari, A; Deusch, E; Heinzl, H; Kozek-Langenecker, SA; Michalek-Sauberer, A,
)
0.67
" However, no data exist to assess the dose-response characteristics of IT fentanyl when added to bupivacaine in infants."( Dose-response study of intrathecal fentanyl added to bupivacaine in infants undergoing lower abdominal and urologic surgery.
Batra, YK; Lokesh, VC; Panda, NB; Rajeev, S; Rao, KL, 2008
)
0.81
" Our objective was to apply patient control to paravertebral analgesia and evaluate the efficacy and tolerability of two distinct dosing regimens."( The feasibility of patient-controlled paravertebral analgesia for major breast cancer surgery: a prospective, randomized, double-blind comparison of two regimens.
Buggy, DJ; Burlacu, CL; Freir, NM; McElwain, J; Moriarty, DC; Sessler, DI, 2008
)
0.35
" The dosage of PCA drug 0-4 h after operation of the C2 was significantly higher than that of the C4 group."( [Effects of epidural clonidine pretreatment in epidural patient-controlled analgesia using sufentanil combined with levobupivacaine].
Ruan, XC; She, SZ; Su, J; Xie, XQ; Xu, LX, 2008
)
0.55
" However, no reports of levobupivacaine concentrations have been published with this dosing scheme."( Pharmacokinetics of levobupivacaine (2.5 mg/kg) after caudal administration in children younger than 3 years.
Cortínez, LI; Fuentes, R; Muñoz, HR; Ostermann, P; Solari, S; Vega, M, 2008
)
0.95
" The muscle strips were then exposed to cumulative concentrations of bupivacaine and levobupivacaine and dose-response curves were generated."( A comparison of the inhibitory effects of bupivacaine and levobupivacaine on isolated human pregnant myometrium contractility.
Briggs, LP; Campion, DP; Carey, MF; Collins, CB; Fanning, RA; Keely, S; O'Connor, JJ, 2008
)
0.84
" Before extrapolating these results to human cartilage, other factors including underlying cartilage injury or disease, decreased chondrocyte density, and increased bupivacaine dosing need to be taken into account."( Long-term effects of bupivacaine on cartilage in a rabbit shoulder model.
Bach, BR; Chubinskaya, S; Cole, BJ; Gomoll, AH; Kang, RW; Williams, JM; Yanke, AB, 2009
)
0.87
" Both drugs were tested on C2C12 myoblasts and an analysis was performed using propidium iodide staining followed by an imaging processing routine to obtain quantitative dose-response profiles in the gradient maker."( A microfluidic gradient maker for toxicity testing of bupivacaine and lidocaine.
Ahluwalia, A; Marano, M; Tirella, A; Vozzi, F, 2008
)
0.59
"5% bupivacaine for pain control after video-laparoscopic cholecystectomy at its optimal dosage of 2 mg/kg infiltrated in the muscular fasciae of the trocars, or positioned in the gallbladder soaking a sheet of regenerated oxidized cellulose (Tabotamp)."( Effectiveness for pain after laparoscopic cholecystectomy of 0.5% bupivacaine-soaked Tabotamp placed in the gallbladder bed: a prospective, randomized, clinical trial.
Feroci, F; Kröning, KC; Scatizzi, M, 2009
)
1.21
" Therefore, we performed a prospective, randomized, double-blind study to determine the minimum local analgesic concentrations of a caudal single shot of ropivacaine and levobupivacaine in children and to describe the upper dose-response curve."( Relative analgesic potencies of levobupivacaine and ropivacaine for caudal anesthesia in children.
Astuto, M; Disma, N; Donath, S; Duffy, C; Frawley, G; Fumagalli, R; Gullo, A; Ingelmo, P; Rosano, G, 2009
)
0.82
"We performed a two-stage prospective, randomized, double-blind study comparing the dose-response curves of caudal ropivacaine and levobupivacaine in children."( Relative analgesic potencies of levobupivacaine and ropivacaine for caudal anesthesia in children.
Astuto, M; Disma, N; Donath, S; Duffy, C; Frawley, G; Fumagalli, R; Gullo, A; Ingelmo, P; Rosano, G, 2009
)
0.83
" Patients in whom failure was obviously due to technical problems or inadequate dosage were excluded."( Bupivacaine concentrations in lumbar cerebrospinal fluid in patients with failed spinal anaesthesia.
Hampl, KF; Hauenstein, L; Ruppen, W; Seeberger, MD; Steiner, LA, 2009
)
1.8
"Under the conditions of this study, we have shown that when phenylephrine or ephedrine were used to prevent post-spinal hypotension, the dosing requirement of hyperbaric bupivacaine was similar for intrathecal anaesthesia."( Effect of i.v. phenylephrine or ephedrine on the ED50 of intrathecal bupivacaine with fentanyl for caesarean section.
Barnes, J; Belavadi, P; Columb, MO; Hennebry, MC; Lyons, G; Stocks, GM; Wray, S, 2009
)
0.78
"To determine effective spinal anesthetic dosing of hyperbaric bupivacaine for patients undergoing high-dose-rate (HDR) brachytherapy for prostate cancer."( Saddle block analgesia for high-dose-rate brachytherapy: A prospective study.
Clarke, HA; Kay, J; Lam-McCulloch, J; Tarshis, J,
)
0.37
" Guidelines for lipid application exist; however, experimental evidence of efficacy at recommended dosing is lacking."( Evaluation of the Association of Anaesthetists of Great Britain and Ireland lipid infusion protocol in bupivacaine induced cardiac arrest in rabbits.
Cave, G; Harvey, MG; Winterbottom, T, 2009
)
0.57
" This study provides an excellent platform on which to build future trials that could include increased baseline dosing for the epidural medications, radiographic confirmation of catheter placement, and dual catheter techniques toward the goal of improving pain control in these patients."( Epidural analgesia compared with intravenous analgesia after pediatric posterior spinal fusion.
Burke, CN; Caird, MS; Farley, FA; Gauger, VT; Kostrzewa, AJ; Voepel-Lewis, TD; Wagner, DS, 2009
)
0.35
" The dose for the first patient in each group was 8 mg, and the dosing increment was set at 1 mg."( The median effective dose of bupivacaine, levobupivacaine, and ropivacaine after intrathecal injection in lower limb surgery.
Fong, SY; Gin, T; Lee, YY; Liu, JT; Ngan Kee, WD, 2009
)
0.64
" In phase 2, a further 70 patients were randomly allocated to receive spinal anaesthesia with doses in the upper dose-response range to define the ED95."( Relative potencies of bupivacaine, levobupivacaine, and ropivacaine for neonatal spinal anaesthesia.
Frawley, G; Ingelmo, P; Smith, KR, 2009
)
0.67
" Cumulative levobupivacaine dose-response curves over a range of 10(-6) to 3 x 10(-4) M were constructed in 1) aortic rings with no drug pretreatment; 2) endothelium-denuded rings pretreated with quinacrine dihydrochloride (nonspecific phospholipase A(2) inhibitor: 2 x 10(-5), 4 x 10(-5) M), nordihydroguaiaretic acid (NDGA) (lipoxygenase inhibitor: 10(-5), 3 x 10(-5) M), indomethacin (nonspecific cyclooxygenase inhibitor: 10(-5) M), AA-861 (5-lipoxygenase inhibitor: 10(-5), 5 x 10(-5) M), fluconazole (cytochrome P450 epoxygenase inhibitor: 10(-5) M), verapamil (10(-5) M), or calcium-free solution; and 3) endothelium-intact rings pretreated with N(omega)-nitro-L-arginine methyl ester (L-NAME) (nitric oxide synthase inhibitor: 5 x 10(-5) M), indomethacin, or fluconazole."( The direct effect of levobupivacaine in isolated rat aorta involves lipoxygenase pathway activation and endothelial nitric oxide release.
Choi, YS; Hah, YS; Hwang, EM; Jeong, YS; Lee, SH; Ok, SH; Park, JY; Shin, IW; Sohn, JT, 2010
)
1.01
" A preliminary study was used to guide the dosing schedule for the main study in which patients were divided into three groups according to their BMI (Group A, BMI >27 kg m(-2); Group B, BMI 24-27 kg m(-2); Group C, BMI <24 kg m(-2))."( Effect of body mass index on the ED50 volume of bupivacaine 0.5% for supraclavicular brachial plexus block.
Gupta, PK; Hopkins, PM; Pace, NL, 2010
)
0.62
" Morphine at a dosage of 10 mg showed the best and most long-lasting analgesic efficiency."( Analgesic effects of intra-articular morphine in patients with temporomandibular joint disorders: a prospective, double-blind, placebo-controlled clinical trial.
Mühling, J; Wiechnik, J; Ziegler, CM, 2010
)
0.36
" In this experiment, sedated rabbits were resuscitated from bupivacaine-induced asystole with intravenous lipid according to the Association of Anaesthetists of Great Britain and Ireland's guideline, or by identical lipid dosing with hypertonic saline: 6 mEq x kg(-1) 21% sodium chloride."( Effect of hypertonic saline on electrocardiography QRS duration in rabbit model of bupivacaine toxicity resuscitated by intravenous lipid.
Cave, G; Desmet, J; Harvey, M; Lahner, D; Prince, G, 2010
)
0.83
"The potencies of bupivacaine and ropivacaine have been compared using up-and-down methodology, but their complete dose-response curves have not been compared."( Determination and comparison of graded dose-response curves for epidural bupivacaine and ropivacaine for analgesia in laboring nulliparous women.
Gin, T; Khaw, KS; Lee, A; Ng, FF; Ngan Kee, WD, 2010
)
0.93
" Response was defined by the percentage decrease in pain score from baseline at 30 min, and dose-response data were analyzed by using nonlinear regression."( Determination and comparison of graded dose-response curves for epidural bupivacaine and ropivacaine for analgesia in laboring nulliparous women.
Gin, T; Khaw, KS; Lee, A; Ng, FF; Ngan Kee, WD, 2010
)
0.59
"Ropivacaine is less potent than bupivacaine, but otherwise they have similar dose-response characteristics."( Determination and comparison of graded dose-response curves for epidural bupivacaine and ropivacaine for analgesia in laboring nulliparous women.
Gin, T; Khaw, KS; Lee, A; Ng, FF; Ngan Kee, WD, 2010
)
0.88
" Dosing regimens, volumes of injection, and injection schedules varied greatly."( Patterns of use of peripheral nerve blocks and trigger point injections among headache practitioners in the USA: Results of the American Headache Society Interventional Procedure Survey (AHS-IPS).
Ashkenazi, A; Blumenfeld, A; DePalma, T; Grosberg, B; Lipton, RB; Napchan, U; Narouze, S; Nett, B; Rosenthal, B; Tepper, S, 2010
)
0.36
"To observe the motor and sensorial block characteristics with different dosage of levobupivacaine during spinal block for the patients undergoing day-case knee arthroscopy."( Comparison of the effects of intrathecal different dosage of levobupivacaine in elective day-case arthroscopy of the knee.
Mehmet, Y; Mustafa, A; Onur, O; Sibel, AM, 2010
)
0.82
"Tricyclic antidepressants (TCA) have potent local anesthetic properties and may produce a long-lasting pain blockade that could be of interest in relieving chronic pain states such as neuropathic pain, but there are only few data comparing their dose-response curves of analgesic activity under the same experimental conditions."( Analgesic and antiallodynic effects of antidepressants after infiltration into the rat.
del Valle, J; Domenech, J; Escribano, E; Garcia, X; Queralt, J, 2010
)
0.36
"This prospective randomized double-blind dose-response study aimed to determine the ED₅₀ and ED₉₅ of intrathecal levobupivacaine combined with morphine and sufentanil for elective Caesarean delivery."( ED₅₀ and ED₉₅ of intrathecal levobupivacaine with opioids for Caesarean delivery.
Allaouchiche, B; Boselli, E; Bouvet, L; Chassard, D; Da-Col, X; Daléry, F; Dantony, E; Ruynat, L, 2011
)
0.86
"First, dose-response curves for dextromethorphan, dextrorphan, and bupivacaine (n = 8 at each testing point) were determined for cutaneous analgesia on the rat back, and equipotent doses were calculated."( Systemic dextromethorphan and dextrorphan are less toxic in rats than bupivacaine at equianesthetic doses.
Chen, YC; Chen, YW; Hung, CH; Liu, TY; Wang, JJ, 2011
)
0.84
" We investigated the effect of the addition of clonidine to the MLAC of levobupivacaine in a randomized controlled dose-response trial."( Effect of epidural clonidine on minimum local anesthetic concentration (ED50) of levobupivacaine for caudal block in children.
Alberighi, OD; Disma, N; Frawley, G; Mameli, L; Montobbio, G; Pistorio, A; Tuo, P, 2011
)
0.82
" We hypothesized that BMI-related inverse dosing of plain bupivacaine according to low, normal, and high BMI would result in no difference in block extent."( The effect of body mass index on the spread of spinal block in patients with rheumatoid arthritis.
Kuusniemi, KS; Leino, KA; Pälve, HK; Tiusanen, HT; Tuppurainen, TT, 2011
)
0.61
"Despite three-step dosing of plain bupivacaine inversely related to BMI (low, normal, or high), comparable block extent was not achieved because of greater spread in the high-BMI group."( The effect of body mass index on the spread of spinal block in patients with rheumatoid arthritis.
Kuusniemi, KS; Leino, KA; Pälve, HK; Tiusanen, HT; Tuppurainen, TT, 2011
)
0.65
" This dose-response study suggests that doses of intrathecal bupivacaine less than 10 mg may not adequately ensure successful intraoperative anesthesia."( ED(50) and ED(95) of intrathecal bupivacaine in morbidly obese patients undergoing cesarean delivery.
Atkinson Ralls, L; Carvalho, B; Collins, J; Drover, DR; Riley, ET, 2011
)
0.89
"The presence of cases of subtotal anaesthetic coverage (with necessity to recur to general anaesthesia), and others with good anaesthetic coverage, but difficultly treatable hypotensions show that the best dosage of these local anaesthetics is to be found yet."( [Ropivacaina 0.5% vs Levobupivacaina 0.5 endoscopic urological surgery].
Baldini, C; Fasciolo, A,
)
0.13
" Pretreatment with Intralipid® shifted the dose-response to bupivacaine-induced asystole in rats."( [Bupivacaine toxicity and propofol anesthesia : animal study on intravascular bupivacaine injection].
Bettschart-Wolfensberger, R; Frotzler, A; Kutter, AP; Martin Jurado, O; Mauch, J; Spielmann, N; Weiss, M, 2011
)
1.52
" Except for granulomatous inflammation, there were no differences in overall incidence or severity of histologic changes in the sites dosed to DB, saline or B(sol)."( The safety and tolerability evaluation of DepoFoam bupivacaine (bupivacaine extended-release liposome injection) administered by incision wound infiltration in rabbits and dogs.
Brubaker, AN; Cole, PI; Haan, D; Nelson, KG; Newton, PE; Ott, LR; Rebelatto, MC; Richard, BM; Ross, PE, 2011
)
0.62
" The dose of intrathecal hyperbaric bupivacaine was decided by using the up-and-down method with an initial dose of 9 mg and dosing change of 1 mg."( ED50 of hyperbaric bupivacaine with fentanyl for cesarean delivery under combined spinal epidural in normotensive and preeclamptic patients.
Kakkar, A; Kumar, S; Salhotra, R; Sethi, AK; Tyagi, A,
)
0.73
" The primary outcome was the dosage of local anesthetic that was used."( Obstetric outcomes and maternal satisfaction in nulliparous women using patient-controlled epidural analgesia.
Haydon, ML; Larson, D; Nageotte, MP; Preslicka, CW; Reed, E; Shrivastava, VK, 2011
)
0.37
"05) vs bupivacaine HCl on Days 1 and 5 and mean AUC NRS-R scores were significantly lower through Days 2-5; a dose-response trend was demonstrated."( A randomized, double-blind, dose-ranging study comparing wound infiltration of DepoFoam bupivacaine, an extended-release liposomal bupivacaine, to bupivacaine HCl for postsurgical analgesia in total knee arthroplasty.
Bramlett, K; Jones, K; Onel, E; Viscusi, ER, 2012
)
1.06
"In order to reduce postoperative opioid requirement, extrapleural local anaesthetic infusion dosing recommendations and guidelines for extrapleural catheter insertion were developed in our institution for 'extubatable' neonates requiring short-gap neonatal tracheo-oesophageal fistula/oesophageal atresia repair (via thoracotomy) and audited prospectively."( Audit of extrapleural local anaesthetic infusion in neonates following repair of tracheo-oesophageal fistulae and oesophageal atresia via thoracotomy.
Chalkiadis, GA; Clarnette, TD; Dowden, SJ; McNally, CM; Palmer, GM; Penrose, S; Smith, KR; Thalayasingam, P; Tingay, DG, 2012
)
0.38
" However, even with identical drug dosage and administration mode, the extent of drug distribution in vivo is highly variable and difficult to control."( The frequency and magnitude of cerebrospinal fluid pulsations influence intrathecal drug distribution: key factors for interpatient variability.
Hettiarachchi, HD; Hsu, Y; Linninger, AA; Zhu, DC, 2012
)
0.38
" Hyperbaric levobupivacaine seems to be suitable, but the optimal dosage needs further investigation."( Clinical characteristics of spinal levobupivacaine: hyperbaric compared with isobaric solution.
Chompubai, P; Permpolprasert, L; Sanansilp, V; Suksopee, P; Trivate, T; Visalyaputra, S; von Bormann, B, 2012
)
0.99
" Using a rat model via intrathecal injection, we tested spinal blockades of motor function and nociception by promazine, chlorpromazine or bupivacaine, and so were dose-response studies and durations."( Promazine and chlorpromazine for prolonged spinal anesthesia in rats.
Chen, YC; Chen, YW; Chu, CC; Kan, CD; Wang, JJ, 2012
)
0.58
"We investigated the safety and efficacy of the bilateral periarticular multimodal drug injection (PMDI) at a reduced dosage in patients undergoing simultaneous bilateral total knee arthroplasty (SBTKA)."( Use of reduced-dose periarticular injection for pain management in simultaneous bilateral total knee arthroplasty.
Chang, CB; Jeon, YT; Kang, YG; Kim, TK; Koh, IJ; Song, J, 2012
)
0.38
" However, the optimal dosing regimen remains unclear."( Closed-loop double-vasopressor automated system to treat hypotension during spinal anaesthesia for caesarean section: a preliminary study.
Sia, AT; Sng, BL; Tan, HS, 2012
)
0.38
" These results suggest that administration of NSAIDs into surgical wounds may be an analgesic alternative to higher systemic dosing of NSAIDs."( Postoperative subcutaneous instillation of low-dose ketorolac but not hydromorphone reduces wound exudate concentrations of interleukin-6 and interleukin-10 and improves analgesia following cesarean delivery.
Angst, MS; Carvalho, B; Lemmens, HJ; Ting, V, 2013
)
0.39
"Describing the relationship between magnitude of response, probability of response, dose and time is difficult using traditional two-dimensional dose-response curves."( Multi-dimensional response-probability-dose curves for bupivacaine and ropivacaine epidural labour analgesia.
Lee, A; Ngan Kee, WD, 2013
)
0.64
" Further studies are necessary to confirm these findings in order to determine adequate local anaesthetic dosing for thoracic epidural analgesia in obese patients."( Postoperative epidural analgesia in obese patients undergoing liver resection surgery.
Bellamy, M; Biercamp, C; Hudson-Phillips, S; Kocarev, M; Milan, Z; Pane, H; Procter, H; Rajasekar, N; Simpson, R, 2013
)
0.39
" A continual reassessment method statistical program created a dose-response curve, which would shift direction depending on the success or failure of the block."( Application of the continual reassessment method to dose-finding studies in regional anesthesia: an estimate of the ED95 dose for 0.5% bupivacaine for ultrasound-guided supraclavicular block.
Chevret, S; Gupta, PK; Hopkins, PM; Kant, A; Zohar, S, 2013
)
0.59
" IFE therapy is being recommended by US PCCs; protocols and dosing regimens are nearly uniform."( Lipid rescue 911: Are poison centers recommending intravenous fat emulsion therapy for severe poisoning?
Christian, MR; Mycyk, MB; Pallasch, EM; Wahl, M, 2013
)
0.39
"This prospective randomized single-blinded study was conducted to determine whether there were differences in consumption, demand dosing and postoperative analgesia quality between PCEA using ropivacaine and levobupivacaine."( The effectiveness of patient-controlled epidural analgesia with ropivacaine 0.165% with fentanyl 2.0 miroc g/ml or levobupivacaine 0.125% with fentanyl 2.0 micro g/ml as a method of postoperative analgesia after major orthopaedic surgery.
Misiran, KB; Yahaya, LS, 2013
)
0.78
"The optimal dosing regimens of lipid emulsion, epinephrine, or both are not yet determined in neonates in cases of local anaesthetic systemic toxicity (LAST)."( Resuscitation with lipid, epinephrine, or both in levobupivacaine-induced cardiac toxicity in newborn piglets.
Allaouchiche, B; Cejka, JC; Chassard, D; de Queiroz Siqueira, M; Heilporn, A; Leveneur, O; Musard, H; Rhondali, O, 2014
)
0.65
"The aim of this study was to compare the effect of the same dosage but different concentrations and volumes of levobupivacaine used for axillary block on the onset and intensity of the block."( Comparison of the efficacy of different concentrations and volumes of levobupivacaine in axillary brachial plexus blockade.
Izdes, S; Kanbak, O; Ozcan, E; Ozturk, L, 2014
)
0.84
"Decreasing the concentration and increasing the volume of levobupivacaine without changing its dosage prolongs the duration of analgesia, although it delays the onset and decreases the intensity of sensory and motor block in axillary block."( Comparison of the efficacy of different concentrations and volumes of levobupivacaine in axillary brachial plexus blockade.
Izdes, S; Kanbak, O; Ozcan, E; Ozturk, L, 2014
)
0.87
" Dose-response curves for individual drugs were fitted to a hyperbolic dose-response model using nonlinear regression."( Synergistic interaction between fentanyl and bupivacaine given intrathecally for labor analgesia.
Khaw, KS; Lee, A; Ng, FF; Ng, KK; Ngan Kee, WD; So, R, 2014
)
0.66
"The derived dose-response models for individual drugs (doses in micrograms) at 15 min were: Effect = 100 × dose / (13."( Synergistic interaction between fentanyl and bupivacaine given intrathecally for labor analgesia.
Khaw, KS; Lee, A; Ng, FF; Ng, KK; Ngan Kee, WD; So, R, 2014
)
0.66
"0625% bupivacaine + 2 μg/ml fentanyl + 2 mg morphine in 15 mL saline were given to Group bupivacaine-fentanyl-morphine (Group BFM) with no test dosing from the needle."( Maternal and neonatal effects of adding morphine to low-dose bupivacaine for epidural labor analgesia.
Ahiskalioglu, A; Aksoy, M; Alici, HA; Celik, M; Dostbil, A; Erdem, AF,
)
0.85
"In this study we compared the effect of 2 enantiomers; namely racemic preparation of bupivacaine with pure formulation of its levorotatory form levobupivacaine on the dosage requirements for general anesthesia propofol in a series of 273 patients admitted to hospital of China for nephrectomy."( The effect of L-bupivacaine on BIS levels in the maintenance doses of propofol and fentanyl during general anesthesia in Chinese people.
Cai, M; Li, X, 2014
)
0.97
" This may be due to the current lack of information concerning the dose-response relationship of seated time and rates of hypotension."( The median effective seated time for hypotension induced by spinal anesthesia at Cesarean delivery with two doses of hyperbaric bupivacaine: a randomized up-down sequential allocation study.
Bourrassa-Blanchette, S; El Mouallem, E; El-Bahrawy, A; Hatzakorzian, R; Kaufman, I; Li-Pi-Shan, W; Moore, A, 2014
)
0.61
"Current knowledge on local anesthetic dosage for the TAP block in pediatric patients is very limited."( Dose effect of local anesthetics on analgesic outcomes for the transversus abdominis plane (TAP) block in children: a randomized, double-blinded, clinical trial.
De Oliveira, GS; Suresh, S; Taylor, LJ, 2015
)
0.42
"2%; n=22) reported using bupivacaine in their wetting solutions (bupivacaine group) and provided a dosage range of 62."( Local anesthetic use in tumescent liposuction: an American Society of Plastic Surgeons survey.
Daniali, LN; Hsia, HC; Lee, ES; Paik, AM, 2015
)
0.72
"Single administration of intra-articular (IA) bupivacaine for pain relief after arthroscopic knee surgery is effective, but its active duration and dose-response relationship is unclear."( Single administration of intra-articular bupivacaine in arthroscopic knee surgery: a systematic review and meta-analysis.
Liu, SD; Meng, QJ; Qu, HZ; Sun, QB; Zhang, Z, 2015
)
0.94
" Meta-regression and subgroup analyses were carried out to assess the effects of various treatment factors on efficacy and to evaluate the dose-response relationship of bupivacaine."( Single administration of intra-articular bupivacaine in arthroscopic knee surgery: a systematic review and meta-analysis.
Liu, SD; Meng, QJ; Qu, HZ; Sun, QB; Zhang, Z, 2015
)
0.88
" The analgesic effect of single-administration IA bupivacaine may be associated with the effect of concomitant administration of epinephrine and concentration of bupivacaine, and no dose-response relationship was identified."( Single administration of intra-articular bupivacaine in arthroscopic knee surgery: a systematic review and meta-analysis.
Liu, SD; Meng, QJ; Qu, HZ; Sun, QB; Zhang, Z, 2015
)
0.94
"0001), and the total opioid dosage consumed was greater in the RWI group (105."( Comparison of Local Infiltration Analgesia to Bupivacaine Wound Infiltration as Part of a Multimodal Pain Program in Total Hip Replacement.
Barrington, JW; Emerson, RH; Lovald, S; Olugbode, O; Ong, K; Watson, H, 2015
)
0.68
"Eighty-four women undergoing elective caesarean sections were randomly assigned to seven groups, receiving intrathecally isobaric bupivacaine in a dosage of 6, 7, 8, 9, 10, 11 or 12 mg (n=12 per group), respectively."( [ED50 of Intrathecal Isobaric Bupivacaine with Epidural Volume Extension for Cesarean Delivery].
Ma, YS; Ni, J; Wu, L; Xiong, YQ; Zeng, K, 2015
)
0.91
"After intrathecally injecting the rats with five different doses of each drug, the dose-response curves of ifenprodil and bupivacaine were constructed to obtain the 50% effective dose (ED50)."( Ifenprodil for prolonged spinal blockades of motor function and nociception in rats.
Chen, YW; Chiu, CC; Hung, CH; Wang, JJ; Wang, JN, 2016
)
0.64
"5% dosage of plain bupivacaine, which should provide a minimum upper block level (T12) and a suitable upper block level (T10) for lower limb surgeries."( Abdominal girth and vertebral column length can adjust spinal anesthesia for lower limb surgery, a prospective, observational study.
Wei, CN; Yan, M; Zhou, QH; Zhu, B, 2016
)
0.76
"Our data indicated that vertebral column length and abdominal girth were strongly correlated with the dosage of intrathecal plain bupivacaine for the loss of pinprick discrimination at T12 and T10."( Abdominal girth and vertebral column length can adjust spinal anesthesia for lower limb surgery, a prospective, observational study.
Wei, CN; Yan, M; Zhou, QH; Zhu, B, 2016
)
0.64
" These patients had a significant reduction in the frequency and dosage of analgesics."( [THE FIRST CLINICAL EXPERIENCE IN THE CELIAC PLEXUS BLOCKADE UNDER ENDOSCOPIC ULTRASOUND NAVIGATION IN PATIENTS WITH PANCREATIC CANCER].
Abuzarova, GR; Karpova, ES; Pavlov, PV; Pirogov, SS; Sarmanaeva, RR; Sokolov, VV, 2015
)
0.42
" Recommendations regarding the maximum allowable doses of local anaesthetics should consider population analysis to determine safer dosage ranges."( Levobupivacaine absorption pharmacokinetics with and without epinephrine during TAP block: analysis of doses based on the associated risk of local anaesthetic toxicity.
Altermatt, FR; Araneda, A; Cortínez, LI; Corvetto, MA; Echevarría, GC; Miranda, P, 2016
)
0.99
" Simulations showed that the plasma concentrations would be below the toxic limit after repeated dosing every second hour with 25 mg bupivacaine for five days."( Absorption of Bupivacaine after Administration of a Lozenge as Topical Treatment for Pain from Oral Mucositis.
Andersen, O; Jacobsen, J; Jensen, AB; Jensen, K; Kreilgaard, M; Kristensen, CA; Mogensen, S; Petersen, J; Sveinsdóttir, K; Sverrisdóttir, E; Treldal, C, 2017
)
1.02
"Levobupivacaine at a higher dosage provided longer duration of spinal anesthesia with better safety profile in sequential bilateral TKA."( Levobupivacaine vs racemic bupivacaine in spinal anesthesia for sequential bilateral total knee arthroplasty: a retrospective cohort study.
Chen, CK; Lau, FC; Lee, WG; Phui, VE, 2016
)
1.55
" The total postoperative analgesic dosage of morphine was significantly higher in the B group (0."( Dexmedetomidine decreases the required amount of bupivacaine for ultrasound-guided transversus abdominis plane block in pediatrics patients: a randomized study.
Alia, DA; El Metainy, SA; Raof, RA; Wahab, MA, 2017
)
0.71
"The addition of intradural morphine allows a reduction in the dosage of local anesthetic improves short-term postoperative analgesia and is associated with less motor blockade."( Intraspinal administration of morphine hydrochloride combined with low doses of bupivacaine in hemorrhoidectomy: a clinical randomized trial.
de Abajo Iglesias, FJ; Rodríguez-Miguel, A; Ruiz-Castro, M; San José Santos, M, 2017
)
0.68
"Treated CDCs demonstrated a dose-response effect for chondrocyte viability when treated with bupivacaine, ropivacaine, and liposomal bupivacaine."( Chondrotoxicity of Liposomal Bupivacaine in Articular Chondrocytes: Preliminary Findings.
Cameron, CD; Chuang, AH; Johnson, PC; Shaw, KA; Zumbrun, S, 2017
)
0.97
" Meta-analysis suggests that higher-dose neuraxial techniques increase external cephalic version success to a greater extent than lower-dose techniques, but no randomized study has evaluated the dose-response effect."( Effect of Intrathecal Bupivacaine Dose on the Success of External Cephalic Version for Breech Presentation: A Prospective, Randomized, Blinded Clinical Trial.
Bauchat, JR; Chalifoux, LA; Farrer, J; Gerber, SE; Higgins, N; McCarthy, RJ; Peralta, FM; Sullivan, JT; Toledo, P, 2017
)
0.77
"This was a retrospective analysis of data previously collected during dose-response studies of levobupivacaine and ropivacaine spinal anesthetics."( Infant spinal anesthesia: Do girls need a larger dose of local anesthetic?
Frawley, G; Huque, MH, 2017
)
0.67
" The dosage of anesthetics in each patient was calculated according to the standard up-down sequential allocation method of Dixon."( Effect of Baricity of Bupivacaine on Median Effective Doses for Motor Block.
Chen, C; Chen, MQ; Li, L, 2017
)
0.77
"Bupivacaine, levobupivacaine, and ropivacaine are often given intrathecally for labor analgesia, but limited data are available for their dose-response properties in this context."( Dose-Response Curves for Intrathecal Bupivacaine, Levobupivacaine, and Ropivacaine Given for Labor Analgesia in Nulliparous Women.
Khaw, KS; Koo, AGP; Ng, FF; Ngan Kee, WD; Tang, SPY,
)
1.85
" Logistic sigmoidal dose-response curves were fitted to the data using nonlinear regression, and D50 values were calculated for each drug."( Dose-Response Curves for Intrathecal Bupivacaine, Levobupivacaine, and Ropivacaine Given for Labor Analgesia in Nulliparous Women.
Khaw, KS; Koo, AGP; Ng, FF; Ngan Kee, WD; Tang, SPY,
)
0.4
" In addition, liposomal bupivacaine may have a dose-dependent effect, and weight-based dosing should be investigated."( Liposomal Bupivacaine May Benefit Select Reduction Mammaplasty Patients.
Boukovalas, S; Kalaria, SS; Li, RT; Padilla, PL; Phillips, LG; Tran, JP, 2018
)
1.19
" Local anesthetics have been commonly used in interventional procedures for alleviating pain, but local anesthetics may have negative impact on MSC dosing because of cytotoxicity or other biological effects."( Cytotoxicity of Local Anesthetics in Mesenchymal Stem Cells.
Erwin, PJ; Nie, H; Qu, W; Smith, J; van Wijnen, AJ; Wang, Z; Wu, T, 2018
)
0.48
"The administration of prophylactic phenylephrine infusion results in higher intrathecal hyperbaric bupivacaine dosing requirements in parturients undergoing cesarean delivery."( Comparison of the ED50 and ED95 of Intrathecal Bupivacaine in Parturients Undergoing Cesarean Delivery With or Without Prophylactic Phenylephrine Infusion: A Prospective, Double-Blind Study.
Chen, X; Drzymalski, D; Liu, L; Wang, L; Xiao, F; Zhang, Y, 2018
)
0.95
" Formulations of Gelfoam® and BP-PLGA microparticles (GelBP), with three targeted dosing profiles (0."( A moldable sustained release bupivacaine formulation for tailored treatment of postoperative dental pain.
Haines, LG; Harrington, JM; Johnson, LM; Nackley, AG; O'Buckley, SC; Rothrock, GD; Shepherd, SD, 2018
)
0.77
"The mechanism of drug release from complex dosage forms, such as multivesicular liposomes (MVLs), is complex and oftentimes sensitive to the release environment."( Probing the mechanism of bupivacaine drug release from multivesicular liposomes.
Chen, L; Choi, S; Dong, Y; Koo, B; Kozak, D; Manna, S; Oktem, B; Petrochenko, P; Wang, Y; Wu, Y; Xu, X; Zheng, J, 2019
)
0.82
" Dose-response was considered as the total amount of correction, divided by recession performed in millimeters, associated with bupivacaine injection in the antagonist muscle."( Bupivacaine injection combined with recession of antagonist rectus muscle to treat sensory strabismus.
Allemann, N; Hopker, LM; Modelli, R, 2019
)
2.16
"Bupivacaine injection in the antagonist of a recessed extraocular muscle (EOM) appears to add an effect to the standard dose-response of a muscle recession."( Bupivacaine injection combined with recession of antagonist rectus muscle to treat sensory strabismus.
Allemann, N; Hopker, LM; Modelli, R, 2019
)
3.4
"Subarachnoid administration of liposomal bupivacaine in pigs exhibited a dose-response effect, and resulted in longer duration of neuraxial block than bupivacaine hydrochloride without histological evidence of neurotoxicity."( Neurological and histological outcomes after subarachnoid injection of a liposomal bupivacaine suspension in pigs: a pilot study.
Cvetko, E; Damjanovska, M; Hadzic, A; Kuroda, MM; Sega Jazbec, S; Seliskar, A; Stopar Pintaric, T; Zel, J, 2019
)
1
" Whether there is a height-based dosing algorithm of local anaesthetic in spinal anaesthesia for caesarean section that can provide sufficient anaesthesia with less hypotension without prophylactic fluid preloading and vasopressors is unclear."( Height-based dosing algorithm of bupivacaine in spinal anaesthesia for decreasing maternal hypotension in caesarean section without prophylactic fluid preloading and vasopressors: study protocol for a randomised controlled non-inferiority trial.
Hai, C; Huang, B; Huang, Q; Li, Y; Zhang, Z; Zheng, Z, 2019
)
0.8
" The Pediatric Regional Anesthesia Network (PRAN) data lend itself to explore whether different medical practice patterns exist and if there are nerve blocks with more local anesthetic dosing variation than others."( Variation Between and Within Hospitals in Single Injection Caudal Local Anesthetic Dose: A Report From the Pediatric Regional Anesthesia Network.
Bosenberg, A; Flack, S; Franklin, AD; Hoyt, M; Krane, EJ; Polaner, DM; Sethna, NF; Taenzer, AH; Walker, BJ, 2020
)
0.56
"Wide variation in caudal local anesthetic dosing and administered volume exists."( Variation Between and Within Hospitals in Single Injection Caudal Local Anesthetic Dose: A Report From the Pediatric Regional Anesthesia Network.
Bosenberg, A; Flack, S; Franklin, AD; Hoyt, M; Krane, EJ; Polaner, DM; Sethna, NF; Taenzer, AH; Walker, BJ, 2020
)
0.56
" However, Group F required less dosage of ephedrine for stable hemodynamics and longer time to use the primary postoperative analgesic in comparison to Group B (p<0."( Effects of Intrathecal Bupivacaine and Bupivacaine Plus Fentanyl in Elderly Patients Undergoing Total Hip Arthroplasty.
Peng, X; Wang, H; Xiao, Y; Zhan, L; Zhao, B, 2019
)
0.82
" Further clinical studies with larger numbers of patients should be performed to define optimal dosages, concentration, and application method and dose-response relationship."( Bupivacaine injection for comitant horizontal strabismus: clinical and radiological results.
Altinsoy, Hİ; Ceylan, OM; Karaca, U; Mutlu, FM, 2020
)
2
" This study looks to establish a safe and efficacious fixed bupivacaine dosing algorithm in intrathecal pumps for cancer patients."( Evaluation of Fixed Intrathecal Bupivacaine Infusion Doses in the Oncologic Population.
Baig, E; Chen, GH; Clement, K; Gulati, A; Laufer, I; Magram, YC; Spiegel, MA, 2020
)
1.08
"A bupivacaine dosing algorithm was developed using data from 120 previous patients who underwent IDDS placement at Memorial Sloan Kettering Cancer Center."( Evaluation of Fixed Intrathecal Bupivacaine Infusion Doses in the Oncologic Population.
Baig, E; Chen, GH; Clement, K; Gulati, A; Laufer, I; Magram, YC; Spiegel, MA, 2020
)
1.56
" Pruritus, hypotension, motor block, maternal satisfaction, delivery mode, decreased fetal heart rate, total bupivacaine dose and breastfeeding scores were not significantly different among the 3 groups except the sufentanil dosage and incidence of mild drowsiness and fever (the B1S10 group had significantly higher fever than the other groups)."( A Randomized Controlled Comparison of Epidural Analgesia Onset Time and Adverse Reactions During Labor With Different Dose Combinations of Bupivacaine and Sufentanil.
Huang, S; Lu, Y; Wang, T; Yu, X; Zhou, P, 2020
)
0.97
" Simplifying local anesthesia mixtures and using dilute concentrations will minimize dosing errors and decrease risk of local anesthesia toxicity."( Local Anesthetic Facelift.
DeJoseph, LM; Pou, JD, 2020
)
0.56
" Neonatal drug exposure was modeled by calculating milk/plasma area under the curve (AUC) ratios, neonatal dosage, and relative neonatal dosage of bupivacaine at each sampling time."( Bupivacaine Pharmacokinetics and Breast Milk Excretion of Liposomal Bupivacaine Administered After Cesarean Birth.
Al-Kofahi, M; Karanam, A; Mustafa, HJ; Schaefer, M; Todd, MM; Wong, HL, 2020
)
2.2
" Neonatal dosage ranged between a mean of 355."( Bupivacaine Pharmacokinetics and Breast Milk Excretion of Liposomal Bupivacaine Administered After Cesarean Birth.
Al-Kofahi, M; Karanam, A; Mustafa, HJ; Schaefer, M; Todd, MM; Wong, HL, 2020
)
2
" The primary end point was total postsurgical opioid consumption (oral morphine equivalent dosing [MED]) through 72 hours."( Transversus Abdominis Plane Block With Liposomal Bupivacaine for Pain After Cesarean Delivery in a Multicenter, Randomized, Double-Blind, Controlled Trial.
Bao, X; Carvalho, B; Cole, NM; Gadsden, JC; Habib, AS; Horn, JL; Kett, A; Nedeljkovic, SS; Renfro, L; Song, J; Vallejo, MC; Yang, J, 2020
)
0.81
"Low concentrations of morphine are required for safe dosing for intrathecal injections."( Measurement of drug concentration and bacterial contamination after diluting morphine for intrathecal administration: an experimental study.
de Bruijn, B; Koning, MV; Koopman, SA; Liefers, WJ; Ruijgrok, EJ; Teunissen, AJW, 2020
)
0.56
"Variation of local anesthetic dosing has been reported for adult peripheral nerve blocks (PNBs) and infant caudal blocks."( Variation in pediatric local anesthetic dosing for peripheral nerve blocks: an analysis from the Pediatric Regional Anesthesia Network (PRAN).
Bosenberg, A; Flack, SH; Franklin, A; Herrick, M; Hoyt, M; Polaner, DM; Ramamurthi, RJ; Taenzer, AH; Walker, B, 2020
)
0.56
"Considerable variation in dosing exists in all age groups and in all block types."( Variation in pediatric local anesthetic dosing for peripheral nerve blocks: an analysis from the Pediatric Regional Anesthesia Network (PRAN).
Bosenberg, A; Flack, SH; Franklin, A; Herrick, M; Hoyt, M; Polaner, DM; Ramamurthi, RJ; Taenzer, AH; Walker, B, 2020
)
0.56
"Localized delivery to oral mucositis ulcerations requires specialized dosage forms, (e."( Enhanced drug loading of in situ forming gels for oral mucositis pain control.
Burgess, DJ; Lalla, RV; Li, T, 2021
)
0.62
"The intrathecal hyperbaric bupivacaine dosage for cesarean section is difficult to predetermine."( A prediction model using machine-learning algorithm for assessing intrathecal hyperbaric bupivacaine dose during cesarean section.
Chang, XY; Wang, LY; Wei, CN; Zhou, QH, 2021
)
1.14
" Voluntary Paracetamol intake via drinking water reached the target dosage of 200 mg/kg in most animals."( Lidocaine and bupivacaine as part of multimodal pain management in a C57BL/6J laparotomy mouse model.
Arras, M; Durst, MS; Jirkof, P; Palme, R; Talbot, SR, 2021
)
0.98
"The main objective of the study was to evaluate the safety, efficacy by pain assessment, to analyze drug dosage changes, to report adverse events (AEs) and conversion ratios switching from ropivacaine to bupivacaine."( First Evaluation Switching From Ropivacaine to Highly Concentrated Bupivacaine in Intrathecal Mixtures for Cancer Pain.
Bellanger, M; Bienfait, F; Boré, F; Delorme, T; Dupoiron, D; Jaoul, V; Jubier-Hamon, S; Lebrec, N; Pluchon, YM; Robert, J; Seegers, V; Sorrieul, J, 2021
)
1.05
" As this respiratory distress was attributed to a large pleural effusion, a pigtail catheter was inserted in the intensive care unit with submaximally dosed lidocaine infiltration."( Multiple myeloma and malignant lesions: a potential risk factor for local anesthetic systemic toxicity.
Barney, T; Jayaraman, AL; Lim, VM, 2021
)
0.62
"5% (5 mg/ml) was used for and dosage was calculated based on the patient's weight with no more than 2 mg/kg."( Surgeon-administered ilio-inguinal and pudendal nerve blocks for major vulval surgery: An observational study with visual analogue pain scoring.
Gleeson, N; Maguire, PJ; Shahabuddin, Y, 2022
)
0.72
"Medication errors include the indirect dosing of drugs."( Accuracy of Spinal Anesthesia Drug Concentrations in Mixtures Prepared by Anesthetists.
Heesen, M; Schwappach, D; Steuer, C; Wiedemeier, P, 2022
)
0.72
" There was a dose-response effect in reducing total opioid usage and the proportion of rescue opioid use between the 150 mg and 300 mg HYR-PB21 groups, with bupivacaine HCl as a reference group."( Local infiltration of HYR-PB21, a sustained-release formulation of bupivacaine, provides analgesia and reduces opioid requirement after haemorrhoidectomy: a randomised controlled trial.
Cui, J; Gao, S; Huang, W; Sun, J; Wang, Z; Xu, Q; Yu, Y; Yu, Z; Zhang, S; Zheng, Y, 2022
)
1.15
" Further studies are needed to determine the optimal dosing schedule of LE treatment for non-local anesthetic drug toxicity."( Mechanisms underlying lipid emulsion resuscitation for drug toxicity: a narrative review.
Lee, SH; Sohn, JT, 2023
)
0.91
" It reduces opioid use after surgery and manages pain better than BVC alone over 72 h, and overcomes surgical site inflammation with a new synergistic mode of action that combines BVC with a low dosage of MLX."( Manipulation and Processing of Spectral Signals for the Assay of the Newly Authorized Mixture of Bupivacaine/Meloxicam Using Fully Green Solvents and a Comparative Green Evaluation Supporting the Greenness and Sustainability of the Developed Smart Spectro
Bahgat, EA; Eissa, MS; Hashem, H; Kamel, EB; Saleh, H, 2023
)
1.13
" Larger studies are needed to confirm the findings, with accurate records of the dosage and administration route of local anesthetics."( Postmortem concentrations of ropivacaine, bupivacaine, and lidocaine in femoral venous blood after hip fracture surgery.
Kriikku, P; Nurkkala, J; Ojanperä, I; Oura, P; Virtanen, A, 2023
)
1.17
"When the dose of bupivacaine was adjusted by using the height based dosing algorithm, except for weight (P < 0."( Anesthesia characteristic of an algorithm of bupivacaine dose based on height in caesarean section under spinal anesthesia: a retrospective cohort study.
Huang, B; Huang, J; Huang, Q; Wen, G, 2023
)
1.51
" It is reasonable that the bupivacaine dose is adjusted by using this dosing algorithm based on height."( Anesthesia characteristic of an algorithm of bupivacaine dose based on height in caesarean section under spinal anesthesia: a retrospective cohort study.
Huang, B; Huang, J; Huang, Q; Wen, G, 2023
)
1.47
" The intraoperative remifentanil dosage was significantly greater in groups M and C than in group B (P<0."( Comparison of intrathecal low-dose bupivacaine and morphine with intravenous patient control analgesia for postoperative analgesia for video-assisted thoracoscopic surgery.
Guo, M; Liu, F; Tang, S; Wang, L; Wang, Y; Yang, D; Zhang, J, 2023
)
1.19
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Drug Classes (3)

ClassDescription
piperidinecarboxamide
aromatic amideAn amide in which the amide linkage is bonded directly to an aromatic system.
tertiary amino compoundA compound formally derived from ammonia by replacing three hydrogen atoms by organyl groups.
[compound class information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Pathways (1)

PathwayProteinsCompounds
Bupivacaine Action Pathway3111

Protein Targets (4)

Inhibition Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Potassium channel subfamily K member 3Homo sapiens (human)IC50 (µMol)41.00000.00700.89855.1000AID1525553
Potassium channel subfamily K member 3Rattus norvegicus (Norway rat)IC50 (µMol)41.00000.41000.41000.4100AID1525578
Potassium channel subfamily K member 9Rattus norvegicus (Norway rat)IC50 (µMol)100.00000.03600.03600.0360AID1525579
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Activation Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Potassium channel subfamily K member 2Homo sapiens (human)EC50 (µMol)113.00000.18702.72248.1800AID1802150
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Biological Processes (19)

Processvia Protein(s)Taxonomy
potassium ion transportPotassium channel subfamily K member 3Homo sapiens (human)
chemical synaptic transmissionPotassium channel subfamily K member 3Homo sapiens (human)
response to xenobiotic stimulusPotassium channel subfamily K member 3Homo sapiens (human)
monoatomic ion transmembrane transportPotassium channel subfamily K member 3Homo sapiens (human)
negative regulation of cytosolic calcium ion concentrationPotassium channel subfamily K member 3Homo sapiens (human)
regulation of resting membrane potentialPotassium channel subfamily K member 3Homo sapiens (human)
cellular response to zinc ionPotassium channel subfamily K member 3Homo sapiens (human)
cellular response to hypoxiaPotassium channel subfamily K member 3Homo sapiens (human)
cochlea developmentPotassium channel subfamily K member 3Homo sapiens (human)
potassium ion transmembrane transportPotassium channel subfamily K member 3Homo sapiens (human)
stabilization of membrane potentialPotassium channel subfamily K member 3Homo sapiens (human)
cardiac ventricle developmentPotassium channel subfamily K member 2Homo sapiens (human)
G protein-coupled receptor signaling pathwayPotassium channel subfamily K member 2Homo sapiens (human)
memoryPotassium channel subfamily K member 2Homo sapiens (human)
response to mechanical stimulusPotassium channel subfamily K member 2Homo sapiens (human)
response to axon injuryPotassium channel subfamily K member 2Homo sapiens (human)
negative regulation of cardiac muscle cell proliferationPotassium channel subfamily K member 2Homo sapiens (human)
cellular response to hypoxiaPotassium channel subfamily K member 2Homo sapiens (human)
potassium ion transmembrane transportPotassium channel subfamily K member 2Homo sapiens (human)
cochlea developmentPotassium channel subfamily K member 2Homo sapiens (human)
positive regulation of cellular response to hypoxiaPotassium channel subfamily K member 2Homo sapiens (human)
negative regulation of DNA biosynthetic processPotassium channel subfamily K member 2Homo sapiens (human)
stabilization of membrane potentialPotassium channel subfamily K member 2Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Molecular Functions (6)

Processvia Protein(s)Taxonomy
monoatomic ion channel activityPotassium channel subfamily K member 3Homo sapiens (human)
open rectifier potassium channel activityPotassium channel subfamily K member 3Homo sapiens (human)
potassium channel activityPotassium channel subfamily K member 3Homo sapiens (human)
potassium ion leak channel activityPotassium channel subfamily K member 3Homo sapiens (human)
S100 protein bindingPotassium channel subfamily K member 3Homo sapiens (human)
outward rectifier potassium channel activityPotassium channel subfamily K member 3Homo sapiens (human)
outward rectifier potassium channel activityPotassium channel subfamily K member 2Homo sapiens (human)
potassium ion leak channel activityPotassium channel subfamily K member 2Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Ceullar Components (9)

Processvia Protein(s)Taxonomy
plasma membranePotassium channel subfamily K member 3Homo sapiens (human)
synapsePotassium channel subfamily K member 3Homo sapiens (human)
plasma membranePotassium channel subfamily K member 3Homo sapiens (human)
endoplasmic reticulum membranePotassium channel subfamily K member 2Homo sapiens (human)
plasma membranePotassium channel subfamily K member 2Homo sapiens (human)
cell surfacePotassium channel subfamily K member 2Homo sapiens (human)
apical plasma membranePotassium channel subfamily K member 2Homo sapiens (human)
neuronal cell bodyPotassium channel subfamily K member 2Homo sapiens (human)
calyx of HeldPotassium channel subfamily K member 2Homo sapiens (human)
astrocyte projectionPotassium channel subfamily K member 2Homo sapiens (human)
voltage-gated potassium channel complexPotassium channel subfamily K member 2Homo sapiens (human)
plasma membranePotassium channel subfamily K member 2Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Bioassays (108)

Assay IDTitleYearJournalArticle
AID540210Clearance in human after iv administration2008Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 36, Issue:7
Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
AID540212Mean residence time in human after iv administration2008Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 36, Issue:7
Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
AID588212Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in rodents2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID1215122Percentage unbound in solid supported porcine brain membrane vesicles at 5 uM by TRANSIL assay2011Drug metabolism and disposition: the biological fate of chemicals, Feb, Volume: 39, Issue:2
Brain tissue binding of drugs: evaluation and validation of solid supported porcine brain membrane vesicles (TRANSIL) as a novel high-throughput method.
AID1215126Ratio of fraction unbound in Wistar rat brain homogenate at 5 uM after 5 hrs by equilibrium dialysis method to fraction unbound in solid supported porcine brain membrane vesicles at 5 uM by TRANSIL assay2011Drug metabolism and disposition: the biological fate of chemicals, Feb, Volume: 39, Issue:2
Brain tissue binding of drugs: evaluation and validation of solid supported porcine brain membrane vesicles (TRANSIL) as a novel high-throughput method.
AID1525578Inhibition of rat TASK1 expressed in African green monkey COS7 cells by outside-out patches based electrophysiology assay2019Journal of medicinal chemistry, 11-27, Volume: 62, Issue:22
TASK Channels Pharmacology: New Challenges in Drug Design.
AID425652Total body clearance in human2009Journal of medicinal chemistry, Aug-13, Volume: 52, Issue:15
Physicochemical determinants of human renal clearance.
AID625281Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for cholelithiasis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1079942Steatosis, proven histopathologically. Value is number of references indexed. [column 'STEAT' in source]
AID450269Displacement of [3H]-BTX-B from neuronal voltage-gated sodium channel in rat cerebral cortex synaptoneurosomes2009Bioorganic & medicinal chemistry, Oct-01, Volume: 17, Issue:19
Ligand-based design and synthesis of novel sodium channel blockers from a combined phenytoin-lidocaine pharmacophore.
AID613104Increase in membrane fluidity in DPH-labeled liposomal membrane containing 40 mol% cholesterol assessed as change in DPH fluorescence polarization at 200 uM after 5 mins by spectrofluorometry relative to control2011Bioorganic & medicinal chemistry, Jun-01, Volume: 19, Issue:11
Stereostructure-based differences in the interactions of cardiotoxic local anesthetics with cholesterol-containing biomimetic membranes.
AID625291Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for liver function tests abnormal2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID588213Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in non-rodents2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID444054Oral bioavailability in human2010Journal of medicinal chemistry, Feb-11, Volume: 53, Issue:3
Physicochemical space for optimum oral bioavailability: contribution of human intestinal absorption and first-pass elimination.
AID1525556Inhibition of human TASK3 expressed in Xenopus oocytes at 100 uM by whole cell patch clamp assay relative to control2019Journal of medicinal chemistry, 11-27, Volume: 62, Issue:22
TASK Channels Pharmacology: New Challenges in Drug Design.
AID1220555Fraction unbound in Sprague-Dawley rat brain homogenates at 1 uM after 6 hrs by equilibrium dialysis method2011Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 39, Issue:7
Species independence in brain tissue binding using brain homogenates.
AID1079938Chronic liver disease either proven histopathologically, or through a chonic elevation of serum amino-transferase activity after 6 months. Value is number of references indexed. [column 'CHRON' in source]
AID312896Partition coefficient, log P by UPLC method2008Journal of medicinal chemistry, Feb-14, Volume: 51, Issue:3
High-throughput log P determination by ultraperformance liquid chromatography: a convenient tool for medicinal chemists.
AID1220557Fraction unbound in Hartley guinea pig brain homogenates at 1 uM after 6 hrs by equilibrium dialysis method2011Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 39, Issue:7
Species independence in brain tissue binding using brain homogenates.
AID1215121Fraction unbound in Wistar rat brain homogenate at 5 uM after 5 hrs by equilibrium dialysis method2011Drug metabolism and disposition: the biological fate of chemicals, Feb, Volume: 39, Issue:2
Brain tissue binding of drugs: evaluation and validation of solid supported porcine brain membrane vesicles (TRANSIL) as a novel high-throughput method.
AID467611Dissociation constant, pKa of the compound2009European journal of medicinal chemistry, Nov, Volume: 44, Issue:11
Prediction of volume of distribution values in human using immobilized artificial membrane partitioning coefficients, the fraction of compound ionized and plasma protein binding data.
AID1220554Fraction unbound in Wistar Han rat brain homogenates at 1 uM after 6 hrs by equilibrium dialysis method2011Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 39, Issue:7
Species independence in brain tissue binding using brain homogenates.
AID539464Solubility of the compound in 0.1 M phosphate buffer at 600 uM at pH 7.4 after 24 hrs by LC/MS/MS analysis2010Bioorganic & medicinal chemistry letters, Dec-15, Volume: 20, Issue:24
Experimental solubility profiling of marketed CNS drugs, exploring solubility limit of CNS discovery candidate.
AID444055Fraction absorbed in human2010Journal of medicinal chemistry, Feb-11, Volume: 53, Issue:3
Physicochemical space for optimum oral bioavailability: contribution of human intestinal absorption and first-pass elimination.
AID1079943Malignant tumor, proven histopathologically. Value is number of references indexed. [column 'T.MAL' in source]
AID444057Fraction escaping hepatic elimination in human2010Journal of medicinal chemistry, Feb-11, Volume: 53, Issue:3
Physicochemical space for optimum oral bioavailability: contribution of human intestinal absorption and first-pass elimination.
AID444051Total clearance in human2010Journal of medicinal chemistry, Feb-11, Volume: 53, Issue:3
Physicochemical space for optimum oral bioavailability: contribution of human intestinal absorption and first-pass elimination.
AID1079940Granulomatous liver disease, proven histopathologically. Value is number of references indexed. [column 'GRAN' in source]
AID312895Partition coefficient, log P of the compound2008Journal of medicinal chemistry, Feb-14, Volume: 51, Issue:3
High-throughput log P determination by ultraperformance liquid chromatography: a convenient tool for medicinal chemists.
AID425653Renal clearance in human2009Journal of medicinal chemistry, Aug-13, Volume: 52, Issue:15
Physicochemical determinants of human renal clearance.
AID625283Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for elevated liver function tests2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1079931Moderate liver toxicity, defined via clinical-chemistry results: ALT or AST serum activity 6 times the normal upper limit (N) or alkaline phosphatase serum activity of 1.7 N. Value is number of references indexed. [column 'BIOL' in source]
AID625282Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for cirrhosis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID444052Hepatic clearance in human2010Journal of medicinal chemistry, Feb-11, Volume: 53, Issue:3
Physicochemical space for optimum oral bioavailability: contribution of human intestinal absorption and first-pass elimination.
AID1525559Inhibition of rat TASK3 expressed in African green monkey COS7 cells at 100 uM by outside-out patches based electrophysiology assay relative to control2019Journal of medicinal chemistry, 11-27, Volume: 62, Issue:22
TASK Channels Pharmacology: New Challenges in Drug Design.
AID625288Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for jaundice2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1079937Severe hepatitis, defined as possibly life-threatening liver failure or through clinical observations. Value is number of references indexed. [column 'MASS' in source]
AID467613Volume of distribution at steady state in human2009European journal of medicinal chemistry, Nov, Volume: 44, Issue:11
Prediction of volume of distribution values in human using immobilized artificial membrane partitioning coefficients, the fraction of compound ionized and plasma protein binding data.
AID613105Binding affinity to DPH-labeled liposomal membrane without cholesterol assessed as increase in membrane fluidity by measuring decrease in DPH fluorescence polarization after 5 mins by spectrofluorometry2011Bioorganic & medicinal chemistry, Jun-01, Volume: 19, Issue:11
Stereostructure-based differences in the interactions of cardiotoxic local anesthetics with cholesterol-containing biomimetic membranes.
AID243422log (1/Km) value for human liver microsome cytochrome P450 3A42005Bioorganic & medicinal chemistry letters, Sep-15, Volume: 15, Issue:18
Modeling K(m) values using electrotopological state: substrates for cytochrome P450 3A4-mediated metabolism.
AID444058Volume of distribution at steady state in human2010Journal of medicinal chemistry, Feb-11, Volume: 53, Issue:3
Physicochemical space for optimum oral bioavailability: contribution of human intestinal absorption and first-pass elimination.
AID625280Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for cholecystitis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID613103Cardiotoxicity in dog assessed as total plasma concentration causing cardiovascular collapse measured after 20 mins2011Bioorganic & medicinal chemistry, Jun-01, Volume: 19, Issue:11
Stereostructure-based differences in the interactions of cardiotoxic local anesthetics with cholesterol-containing biomimetic membranes.
AID539477Solubility of the compound in water at pH 7.42010Bioorganic & medicinal chemistry letters, Dec-15, Volume: 20, Issue:24
Experimental solubility profiling of marketed CNS drugs, exploring solubility limit of CNS discovery candidate.
AID1079945Animal toxicity known. [column 'TOXIC' in source]
AID467612Fraction unbound in human plasma2009European journal of medicinal chemistry, Nov, Volume: 44, Issue:11
Prediction of volume of distribution values in human using immobilized artificial membrane partitioning coefficients, the fraction of compound ionized and plasma protein binding data.
AID625284Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatic failure2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1079932Highest frequency of moderate liver toxicity observed during clinical trials, expressed as a percentage. [column '% BIOL' in source]
AID1215125Percentage unbound in solid supported porcine brain membrane vesicles at 5 uM using four compound cocktail after 5 hrs by TRANSIL assay2011Drug metabolism and disposition: the biological fate of chemicals, Feb, Volume: 39, Issue:2
Brain tissue binding of drugs: evaluation and validation of solid supported porcine brain membrane vesicles (TRANSIL) as a novel high-throughput method.
AID1512641Dissociation constant, pKa of compound2018Journal of medicinal chemistry, 06-14, Volume: 61, Issue:11
Small Molecule Mitochondrial Uncouplers and Their Therapeutic Potential.
AID1079949Proposed mechanism(s) of liver damage. [column 'MEC' in source]
AID748681Antiarrhythmic index, ratio of LD50 for Swiss albino mouse to ED50 for calcium chloride-induced Swiss albino mouse2013European journal of medicinal chemistry, May, Volume: 63Synthesis, local anaesthetic and antiarrhythmic activities of N-alkyl derivatives of proline anilides.
AID748682Antiarrhythmic activity in iv dosed Swiss albino mouse assessed as inhibition of calcium chloride-induced cardiac arrhythmia after 15 mins2013European journal of medicinal chemistry, May, Volume: 63Synthesis, local anaesthetic and antiarrhythmic activities of N-alkyl derivatives of proline anilides.
AID1220559Fraction unbound in cynomolgus monkey brain homogenates at 1 uM after 6 hrs by equilibrium dialysis method2011Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 39, Issue:7
Species independence in brain tissue binding using brain homogenates.
AID588210Human drug-induced liver injury (DILI) modelling dataset from Ekins et al2010Drug metabolism and disposition: the biological fate of chemicals, Dec, Volume: 38, Issue:12
A predictive ligand-based Bayesian model for human drug-induced liver injury.
AID227699Virtual screen for compounds with anticonvulsant activity2003Bioorganic & medicinal chemistry letters, Aug-18, Volume: 13, Issue:16
Topological virtual screening: a way to find new anticonvulsant drugs from chemical diversity.
AID613109Cardiotoxicity in dog assessed as free plasma concentration causing cardiovascular collapse measured after 20 mins2011Bioorganic & medicinal chemistry, Jun-01, Volume: 19, Issue:11
Stereostructure-based differences in the interactions of cardiotoxic local anesthetics with cholesterol-containing biomimetic membranes.
AID625286Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatitis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1079941Liver damage due to vascular disease: peliosis hepatitis, hepatic veno-occlusive disease, Budd-Chiari syndrome. Value is number of references indexed. [column 'VASC' in source]
AID748687Surface anesthetic effect in New Zealand white rabbit assessed as time duration2013European journal of medicinal chemistry, May, Volume: 63Synthesis, local anaesthetic and antiarrhythmic activities of N-alkyl derivatives of proline anilides.
AID748680Anesthetic effect in Wistar rat assessed as duration of blockage of muscle contraction by infiltration local anaesthetic activity assay2013European journal of medicinal chemistry, May, Volume: 63Synthesis, local anaesthetic and antiarrhythmic activities of N-alkyl derivatives of proline anilides.
AID625290Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for liver fatty2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID625279Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for bilirubinemia2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1525553Inhibition of human TASK1 expressed in Xenopus oocytes by whole cell voltage clamp assay2019Journal of medicinal chemistry, 11-27, Volume: 62, Issue:22
TASK Channels Pharmacology: New Challenges in Drug Design.
AID588209Literature-mined public compounds from Greene et al multi-species hepatotoxicity modelling dataset2010Chemical research in toxicology, Jul-19, Volume: 23, Issue:7
Developing structure-activity relationships for the prediction of hepatotoxicity.
AID1220556Fraction unbound in CD-1 mouse brain homogenates at 1 uM after 6 hrs by equilibrium dialysis method2011Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 39, Issue:7
Species independence in brain tissue binding using brain homogenates.
AID540209Volume of distribution at steady state in human after iv administration2008Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 36, Issue:7
Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
AID409954Inhibition of mouse brain MAOA2008Journal of medicinal chemistry, Nov-13, Volume: 51, Issue:21
Quantitative structure-activity relationship and complex network approach to monoamine oxidase A and B inhibitors.
AID1215128Ratio, ratio of fraction unbound in solid supported porcine brain membrane vesicles at 5 uM dosed as discrete compounds after 5 hrs by TRANSIL assay to fraction unbound in solid supported porcine brain membrane vesicles at 5 uM using four compound cocktai2011Drug metabolism and disposition: the biological fate of chemicals, Feb, Volume: 39, Issue:2
Brain tissue binding of drugs: evaluation and validation of solid supported porcine brain membrane vesicles (TRANSIL) as a novel high-throughput method.
AID1220558Fraction unbound in Beagle dog brain homogenates at 1 uM after 6 hrs by equilibrium dialysis method2011Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 39, Issue:7
Species independence in brain tissue binding using brain homogenates.
AID625289Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for liver disease2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID748686Anesthetic effect in Wistar rat assessed as time taken for blockage of muscle contraction by infiltration local anaesthetic activity assay2013European journal of medicinal chemistry, May, Volume: 63Synthesis, local anaesthetic and antiarrhythmic activities of N-alkyl derivatives of proline anilides.
AID1129361Unbound fraction in HEK293 cell homogenate at 0.1 uM by equilibrium dialysis based UPLC-MS/MS analysis2014Journal of medicinal chemistry, Apr-10, Volume: 57, Issue:7
A high-throughput cell-based method to predict the unbound drug fraction in the brain.
AID1079947Comments (NB not yet translated). [column 'COMMENTAIRES' in source]
AID1079948Times to onset, minimal and maximal, observed in the indexed observations. [column 'DELAI' in source]
AID540213Half life in human after iv administration2008Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 36, Issue:7
Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
AID1079933Acute liver toxicity defined via clinical observations and clear clinical-chemistry results: serum ALT or AST activity > 6 N or serum alkaline phosphatases activity > 1.7 N. This category includes cytolytic, choleostatic and mixed liver toxicity. Value is
AID1079944Benign tumor, proven histopathologically. Value is number of references indexed. [column 'T.BEN' in source]
AID1525579Inhibition of rat TASK3 expressed in African green monkey COS7 cells by outside-out patches based electrophysiology assay2019Journal of medicinal chemistry, 11-27, Volume: 62, Issue:22
TASK Channels Pharmacology: New Challenges in Drug Design.
AID1079935Cytolytic liver toxicity, either proven histopathologically or where the ratio of maximal ALT or AST activity above normal to that of Alkaline Phosphatase is > 5 (see ACUTE). Value is number of references indexed. [column 'CYTOL' in source]
AID625285Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatic necrosis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1220560Fraction unbound in human occipital cortex at 1 uM after 6 hrs by equilibrium dialysis method2011Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 39, Issue:7
Species independence in brain tissue binding using brain homogenates.
AID748685Anesthetic effect in Wistar rat assessed as duration of complete blockage of muscle contraction by infiltration local anaesthetic activity assay2013European journal of medicinal chemistry, May, Volume: 63Synthesis, local anaesthetic and antiarrhythmic activities of N-alkyl derivatives of proline anilides.
AID588211Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in humans2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID444053Renal clearance in human2010Journal of medicinal chemistry, Feb-11, Volume: 53, Issue:3
Physicochemical space for optimum oral bioavailability: contribution of human intestinal absorption and first-pass elimination.
AID444050Fraction unbound in human plasma2010Journal of medicinal chemistry, Feb-11, Volume: 53, Issue:3
Physicochemical space for optimum oral bioavailability: contribution of human intestinal absorption and first-pass elimination.
AID613108Binding affinity to DPH-labeled liposomal membrane containing 20 mol% cardiolipin 40 mol% cholesterol assessed as increase in membrane fluidity by measuring decrease in DPH fluorescence polarization at 200 uM after 5 mins by spectrofluorometry2011Bioorganic & medicinal chemistry, Jun-01, Volume: 19, Issue:11
Stereostructure-based differences in the interactions of cardiotoxic local anesthetics with cholesterol-containing biomimetic membranes.
AID205267Inhibition of binding of Batrachotoxinin [3H]BTX-B to high affinity sites on voltage dependent sodium channels in a vesicular preparation from guinea pig cerebral cortex1985Journal of medicinal chemistry, Mar, Volume: 28, Issue:3
[3H]Batrachotoxinin A 20 alpha-benzoate binding to voltage-sensitive sodium channels: a rapid and quantitative assay for local anesthetic activity in a variety of drugs.
AID625287Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatomegaly2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1061889Displacement of [3H]BTX-B from neuronal voltage-gated sodium channel in rat cerebral cortex synaptoneurosomes after 60 mins by scintillation counting2014Bioorganic & medicinal chemistry, Jan-01, Volume: 22, Issue:1
A highly predictive 3D-QSAR model for binding to the voltage-gated sodium channel: design of potent new ligands.
AID444056Fraction escaping gut-wall elimination in human2010Journal of medicinal chemistry, Feb-11, Volume: 53, Issue:3
Physicochemical space for optimum oral bioavailability: contribution of human intestinal absorption and first-pass elimination.
AID625292Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) combined score2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1079939Cirrhosis, proven histopathologically. Value is number of references indexed. [column 'CIRRH' in source]
AID1079946Presence of at least one case with successful reintroduction. [column 'REINT' in source]
AID205268Inhibition of binding of Batrachotoxinin [3H]BTX-B to high affinity sites on voltage dependent sodium channels in a vesicular preparation from guinea pig cerebral cortex at 10 uM1985Journal of medicinal chemistry, Mar, Volume: 28, Issue:3
[3H]Batrachotoxinin A 20 alpha-benzoate binding to voltage-sensitive sodium channels: a rapid and quantitative assay for local anesthetic activity in a variety of drugs.
AID540211Fraction unbound in human after iv administration2008Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 36, Issue:7
Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
AID1512637Toxicity in rat2018Journal of medicinal chemistry, 06-14, Volume: 61, Issue:11
Small Molecule Mitochondrial Uncouplers and Their Therapeutic Potential.
AID1079936Choleostatic liver toxicity, either proven histopathologically or where the ratio of maximal ALT or AST activity above normal to that of Alkaline Phosphatase is < 2 (see ACUTE). Value is number of references indexed. [column 'CHOLE' in source]
AID748683Toxicity in iv dosed Swiss albino mouse after 72 hrs2013European journal of medicinal chemistry, May, Volume: 63Synthesis, local anaesthetic and antiarrhythmic activities of N-alkyl derivatives of proline anilides.
AID613107Binding affinity to DPH-labeled liposomal membrane containing 40 mol% cholesterol assessed as increase in membrane fluidity by measuring decrease in DPH fluorescence polarization at 200 uM after 5 mins by spectrofluorometry2011Bioorganic & medicinal chemistry, Jun-01, Volume: 19, Issue:11
Stereostructure-based differences in the interactions of cardiotoxic local anesthetics with cholesterol-containing biomimetic membranes.
AID613106Binding affinity to DPH-labeled liposomal membrane containing 5 to 45 mol% cholesterol assessed as increase in membrane fluidity by measuring decrease in DPH fluorescence polarization after 5 mins by spectrofluorometry2011Bioorganic & medicinal chemistry, Jun-01, Volume: 19, Issue:11
Stereostructure-based differences in the interactions of cardiotoxic local anesthetics with cholesterol-containing biomimetic membranes.
AID1079934Highest frequency of acute liver toxicity observed during clinical trials, expressed as a percentage. [column '% AIGUE' in source]
AID1159607Screen for inhibitors of RMI FANCM (MM2) intereaction2016Journal of biomolecular screening, Jul, Volume: 21, Issue:6
A High-Throughput Screening Strategy to Identify Protein-Protein Interaction Inhibitors That Block the Fanconi Anemia DNA Repair Pathway.
AID1802150TREK1 Assay from Article 10.1111/cbdd.12810: \\Identification of the first in silico-designed TREK1 antagonists that block channel currents dose dependently.\\2016Chemical biology & drug design, Dec, Volume: 88, Issue:6
Identification of the first in silico-designed TREK1 antagonists that block channel currents dose dependently.
AID1346684Human Kv1.5 (Voltage-gated potassium channels)1997Circulation research, Dec, Volume: 81, Issue:6
Molecular determinants of stereoselective bupivacaine block of hKv1.5 channels.
AID1346692Mouse Kv4.3 (Voltage-gated potassium channels)2007American journal of physiology. Heart and circulatory physiology, May, Volume: 292, Issue:5
W-7 modulates Kv4.3: pore block and Ca2+-calmodulin inhibition.
AID1346692Mouse Kv4.3 (Voltage-gated potassium channels)2006British journal of pharmacology, Nov, Volume: 149, Issue:6
Pharmacological and molecular evidence for the involvement of Kv4.3 in ultra-fast activating K+ currents in murine portal vein myocytes.
AID1346758Human Nav1.5 (Voltage-gated sodium channels)2015Anesthesia and analgesia, Jun, Volume: 120, Issue:6
A Comparative Analysis of Bupivacaine and Ropivacaine Effects on Human Cardiac SCN5A Channels.
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (11,629)

TimeframeStudies, This Drug (%)All Drugs %
pre-19902163 (18.60)18.7374
1990's2755 (23.69)18.2507
2000's2847 (24.48)29.6817
2010's2911 (25.03)24.3611
2020's953 (8.20)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 86.80

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be very strong demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index86.80 (24.57)
Research Supply Index9.79 (2.92)
Research Growth Index4.64 (4.65)
Search Engine Demand Index162.85 (26.88)
Search Engine Supply Index2.00 (0.95)

This Compound (86.80)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials4,843 (37.35%)5.53%
Reviews423 (3.26%)6.00%
Case Studies1,560 (12.03%)4.05%
Observational89 (0.69%)0.25%
Other6,053 (46.68%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (1687)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
"Analgesic Efficacy of Combined Transversus Abdominis Plane Block and Posterior Rectus Sheath Block in Patients Undergoing Laparoscopic Appendectomy" [NCT06088082]Phase 3100 participants (Anticipated)Interventional2023-10-01Active, not recruiting
Comparison of Ultrasound-Guided Lateral and Medial Approaches to Costoclavicular Brachial Plexus Block in Pediatric Patients Undergoing Unilateral Upper Exremity Surgery: A Randomized Controlled Double-Blinded Study [NCT04786756]55 participants (Actual)Interventional2020-01-01Completed
Ultrasound-guided Shoulder PENG Block Versus Suprascapular Nerve Block for Postoperative Analgesia in Shoulder Arthroscopy; A Prospective Randomized Controlled Study [NCT05666076]74 participants (Anticipated)Interventional2022-11-14Recruiting
Single-Injection Bupivacaine HCl Plus Either Single-Injection Liposomal Bupivacaine Interscalene Nerve Block or a Continuous Interscalene Nerve Block For Major Shoulder Arthroscopy [NCT03816982]48 participants (Actual)Interventional2019-10-11Completed
Comparison of Vasopressor Boluses for Management of Hypotension After Spinal Anesthesia [NCT03712111]Phase 486 participants (Anticipated)Interventional2018-11-21Recruiting
Exparel (Bupivacaine Liposome Injectable Suspension) for Distal Upper Extremity Blocks in Orthopedic Surgery [NCT02058303]Phase 490 participants (Actual)Interventional2014-02-28Terminated(stopped due to PI leaving instutition)
Evaluation of the Minimum Effective Concentration of Bupivacaine (EC50) in Femoral Block for Analgesia by Ultrasound After Knee Surgery [NCT02124005]Phase 445 participants (Actual)Interventional2013-07-31Completed
Post Operative Pain Control Among Intrathecal 0.1 mg Morphine, Femoral Nerve Block, or Periarticular Infiltration of 20 mL of 0.25% Bupivacaine in Patients Post Intramedullary Hip Screw [NCT01219088]Phase 480 participants (Anticipated)Interventional2010-09-30Recruiting
A Randomized Double Blind Cross-over Trial of Continuous Intrathecal Infusion for Assessing Patients With Chronic Non-cancer Pain Who Would Benefit From Treatment With Intrathecal Drug Delivery System (IDDS) Implant [NCT03523000]Phase 436 participants (Actual)Interventional2017-10-18Completed
The Efficacy of Bupivacaine Alone and in Combination With Lidocaine at Performing Caudal Block on Analgesia in Pediatric Patients Underwent Circumcision: A Historical Cohort Study [NCT03911648]86 participants (Actual)Observational2018-07-01Completed
Evaluation of Diaphragm Movement After an Interscalene Block [NCT03636542]Phase 426 participants (Actual)Interventional2018-08-01Completed
The Use of Exparel (Liposomal Bupivacaine) for Bilateral TAP (Transversus Abdominis Plane) Blocks in Open Abdomen Surgery for Postoperative Pain Control [NCT03878888]Phase 452 participants (Actual)Interventional2019-01-15Completed
Comparing the Efficacy of Local Anesthetics in Mohs Surgery [NCT03871478]105 participants (Anticipated)Interventional2019-10-01Recruiting
Erector Spinae Plane Block For Analgesia Following Video-Assisted Thoracoscopic Surgery : A Multi-Center Randomized Controlled Trial [NCT03860480]52 participants (Anticipated)Interventional2018-11-29Recruiting
A Prospective, Randomized Analysis of Epidural Anesthesia Using Programmed Intermittent Epidural Boluses Versus Continuous Epidural Infusion in Patients Undergoing Abdominal Surgery. [NCT03307174]Phase 4120 participants (Actual)Interventional2016-04-14Completed
Caudal Versus Intravenous Magnesium Sulfate In The Prevention OF Emergence Agitation After Sevoflurane Anesthesia For Lower Abdominal Surgeries In Children. [NCT03846284]93 participants (Actual)Interventional2017-10-08Active, not recruiting
A Randomized, Control Study to Evaluate Dosing Strategies for Automated Mandatory Intermittent Boluses Technique for Epidural Labour Analgesia [NCT01205360]0 participants (Actual)Interventional2010-08-31Withdrawn
A Phase-4, Multicenter, Randomized, Active-Controlled Study to Evaluate the Efficacy and Safety of EXPAREL When Administered Via Fascia Iliaca Compartment Block Versus Fascia Iliaca Compartment Block With Continuous Infusion of Ropivacaine Per Standard of [NCT03955458]Phase 40 participants (Actual)Interventional2019-08-26Withdrawn(stopped due to Recruitment difficulties)
Analgesic Efficacy of Ultrasound-guided Single Shot Subcostal Transversus Abdominis Plane (TAP) Block After Laparoscopic Gastric Bypass. [NCT01308554]Phase 480 participants (Actual)Interventional2011-02-28Completed
General vs. Intrathecal Anesthesia Fort Total Knee Arthroplasty; a Randomized Clinical Trial [NCT01312298]120 participants (Actual)Interventional2011-08-31Completed
The Time Required to Remain Sitting After Spinal Anesthesia for 50% of Patients to Not Experience Hypotension [NCT01561274]Phase 250 participants (Actual)Interventional2012-03-31Completed
Bupivacaine in the Treatment of Postoperative Pain of Impacted Third Molar Extraction. A Randomized Clinical Trial. [NCT03950700]Phase 440 participants (Actual)Interventional2019-06-01Completed
Short-term Efficacy of Stellate Ganglion Block to Reduce Hot Flushes [NCT03756272]76 participants (Actual)Interventional2017-09-01Completed
A Comparative Study Between Lumbar Epidural Analgesia Versus Local Analgesia With Dexmedetomidine Infusion in Endoscopic Lumbar Discectomy [NCT05850455]78 participants (Actual)Interventional2023-05-20Completed
Erector Spinae Plane Block for Congenital Hip Dislocation Surgery: Randomized Controlled Double Blind Study [NCT03949686]60 participants (Actual)Interventional2019-04-22Completed
Periarticular Injection With Bupivacaine For Post-Operative Pain Control In Total Knee Replacement: A Prospective Randomized Double-Blind Controlled Trial [NCT01364194]Phase 460 participants (Actual)Interventional2010-03-31Completed
Comparative Study Between Dexmedetomidine and Fentanyl as Adjuvants to Bupivacaine for Post-operative Epidural Analgesia in Abdominal Surgeries [NCT05323214]Phase 475 participants (Anticipated)Interventional2021-08-01Recruiting
A Comparative Study Between Dexamethasone and Ketamine as Adjuvants to Bupivacaine for Incisional Infiltration in Pediatric Abdominal Operations [NCT05190952]150 participants (Actual)Interventional2020-12-05Completed
Comparative of Postoperative Pain Control at 24 and 48 Hours Between Intrathecal 0.1 mg. of Morphine or Local Infiltration of 20 ml. of 0.25% Bupivacaine in Patients Post Hip Hemiarthroplasty Under Spinal Anesthesis [NCT01219062]Phase 410 participants (Actual)Interventional2010-09-30Terminated(stopped due to Surgeon team were not happy with the study protocol, the periarticular injection of local anesthetics)
Clinical Evolution of Hemiparetic Shoulder Pain With a Capsular Pattern in a Subacute Stroke Population Following Physiotherapy Coupled With Cortisone Infiltration and Mild Arthrographic Distension Versus Physiotherapy Alone : A Pragmatic Study [NCT05845125]Phase 450 participants (Anticipated)Interventional2023-05-31Not yet recruiting
The Effect of Surgical Repair of Chest on Postural Stability Among Patients With Pectus Excavatum [NCT05844800]43 participants (Actual)Interventional2011-01-31Completed
Mepivacaine vs. Bupivacaine Spinal: Effect on Return of Motor Function, Time to Ambulation, and Length of Stay in Total Knee Arthroplasty [NCT05765682]160 participants (Anticipated)Interventional2023-03-13Recruiting
The Effects of Anesthetic Method on Cerebral Oxygen Saturation in Geriatric Patients Undergoing Transurethral Surgery [NCT01147146]64 participants (Actual)Interventional2010-06-30Completed
Preoperative Peripheral Nerve Blocks Attenuate Intraoperative Surgical Stress and Postoperative Pain in Patients Undergoing Orthopedic Surgery [NCT03913650]60 participants (Actual)Interventional2017-05-15Completed
Ultrasound Guided Fascia Iliaca Nerve Block With Bupivacaine and Adjuvant Ketamine vs. Bupivacaine Alone in Patients With Hip or Femur Fracture: a Double Blind Randomized Clinical Trial (BupiKet) [NCT03909594]Phase 40 participants (Actual)Interventional2022-01-01Withdrawn(stopped due to The COVID Pandemic delayed start of study and currently the investigators are not interested in conducting the study.)
Intrathecal Injection of Pethidine and Dexamethasone Versus Intrathecal Injection of Bupivacaine in Lower Extremity Orthopedic Surgeries: Comparative Study [NCT05303311]Phase 2/Phase 346 participants (Actual)Interventional2021-01-15Active, not recruiting
Double-blind Comparison of Intrapleural Bupivacaine and Saline for Ipsilateral Shoulder Pain After Thoracotomy in Patients Receiving Thoracic Epidural Analgesia [NCT03862404]Phase 442 participants (Actual)Interventional2017-07-01Completed
Bupivacaine Versus Lidocaine Infiltration for Postoperative Pain in Thyroid Surgery: A Randomized Controlled Trial [NCT04427904]Phase 2210 participants (Anticipated)Interventional2022-06-01Recruiting
Norepinephrine for Management of Post-spinal Anesthesia Hypotension During Cesarean Delivery: a Comparison of Two Bolus Doses [NCT03792906]Phase 4110 participants (Actual)Interventional2019-01-18Completed
A 12-Week, Randomized, Double-Blind, Placebo-Controlled, Parallel Group Study of the Efficacy and Safety of Bupivacaine TTS (Bupivacaine Patch) in Patients With Chronic Low Back Pain [NCT01096966]Phase 2263 participants (Actual)Interventional2010-03-31Completed
Comparison of Erector Spinae Plane Block With Transversus Abdominus Plane Block for Peri-operative Pain Management in Pediatric Open Pyeloplasty Cases [NCT03790566]40 participants (Anticipated)Interventional2019-02-20Recruiting
COMPARISON OF TRANSVERSUS ABDOMINIS PLANE BLOCK, LOCAL ANESTHETIC INJECTION TO THE PORT SITES AND INTRAPERITONEAL LOCAL ANESTHESIA APPLICATIONS IN POSTOPERATIVE PAIN MANAGEMENT IN PATIENTS WITH LAPAROSCOPIC APPENDECTOMY [NCT03790020]Phase 43 participants (Actual)Interventional2018-11-01Completed
Parallel Study to Evaluate the Pharmacokinetics, Dose Proportionality, Safety and Tolerability of GTX-101 (Bupivacaine Hydrochloride Metered Dose Spray) and Subcutaneous Injectable Bupivacaine in Healthy Subjects [NCT05517486]Phase 148 participants (Actual)Interventional2022-07-26Active, not recruiting
Determination of ED50 and ED95 of Isobaric Bupivacaine for Post-Partum Bilateral Tubal Ligation [NCT03779568]33 participants (Actual)Interventional2019-02-25Completed
Role of Adjuvant Dexamethasone for Erector Spinae Plane Block for Postoperative Analgesia in Patients Undergoing Total Abdominal Hysterectomy: A Randomized, Double-blind Controlled Trial [NCT03769818]150 participants (Actual)Interventional2019-01-01Completed
Bladder Capacity as an Objective Measure of Response to Intravesical Treatment of Newly Diagnosed Interstitial Cystitis: a Prospective, Randomized Trial [NCT05223244]Phase 483 participants (Actual)Interventional2011-10-01Completed
Effect of Addition of 0.5 Mol/L Mannitol to 0.5% Bupivacaine on IANB Success and Post-endodontic Pain in Mandibular Molars With Irreversible Pulpitis: A Randomized Clinical Trial [NCT03749408]Phase 2/Phase 360 participants (Actual)Interventional2012-12-31Completed
Effects of a Surgical Site Injection on Pain Scores and Narcotic Use After Orthopaedic Trauma Surgery [NCT03693404]Phase 4190 participants (Actual)Interventional2018-12-01Completed
Spinal Anesthesia in Caesarean Section: Comparison Between Levobupivacaine and Hyperbaric Bupivacaine [NCT03743870]250 participants (Anticipated)Observational2018-06-01Recruiting
Pediatric Postoperative Analgesia With Quadratus Lumborum Block And Dexamethasone As An Adjuvant In Two Routes With Bupivacaine. Prospective Controlled Clinical Trial [NCT04963816]3 participants (Actual)Interventional2021-06-16Completed
Prolonging the Interscalene Brachial Plexus Block by Adding Liposomal Bupivacaine or Preservative Free Dexamethasone to Bupivacaine: a Non-inferiority Trial [NCT04047446]Phase 4112 participants (Actual)Interventional2019-07-11Completed
Prospective Randomized Controlled Trial Comparing Liposomal Bupivacaine to Bupivacaine Interscalene Blocks for Total Shoulder Arthroplasty Surgery; a Pilot Study [NCT03587636]Phase 277 participants (Actual)Interventional2018-09-17Completed
A Randomized Controlled Trial Comparing a Periarticular Injection to a Popliteal Block for Pain Control in Ankle/Hindfoot Osteotomy or Fusion and Ankle Fractures [NCT04575688]Phase 4100 participants (Anticipated)Interventional2021-07-13Enrolling by invitation
A Multicenter Study to Evaluate the Pharmacokinetics and Safety of EXPAREL for Postsurgical Analgesia in Pediatric Subjects Aged 6 to Less Than 17 Years [NCT03682302]Phase 398 participants (Actual)Interventional2019-04-02Completed
Comparison of Intra-articular Dexmedetomidine and Magnesium in Postoperative Pain [NCT03479216]Phase 462 participants (Actual)Interventional2018-03-26Completed
Transmuscular Quadratus Lumborum Block Plus Pericapsular Injection vs Pericapsular Injection for Patients Undergoing Primary Hip Arthroscopy [NCT04353414]Phase 4104 participants (Actual)Interventional2020-08-01Completed
Interscalene Block With and Without Liposomal Bupivacaine in Shoulder Surgery [NCT03728946]100 participants (Actual)Interventional2018-11-21Completed
Minimally Invasive Thoracic Surgery Intercostal Nerve Block Trial - Liposomal Bupivacaine Versus Standard Bupivacaine [NCT03508830]Phase 391 participants (Actual)Interventional2018-12-30Completed
Concentration-Volume Relationship of Bupivacaine in Femoral Nerve Block Efficiency for Postoperative Analgesia in Primary Total Knee Arthroplasty: A Randomized Controlled Double Blind Clinical Trial [NCT03623230]Phase 463 participants (Actual)Interventional2018-08-10Completed
Continuous Infusion of Local Anesthetic for Optimal Post Operative Pain Control Following Hemorrhoidectomy: A Randomized Double-blind Controlled Trial [NCT01099605]Phase 442 participants (Anticipated)Interventional2010-04-30Recruiting
A Phase 2b, Randomized, Double-Blind, Saline Placebo- and Active-Controlled, Multicenter Study of HTX-011 Via Infiltration for Postoperative Analgesia in Subjects Undergoing Total Knee Arthroplasty [NCT03015532]Phase 2285 participants (Actual)Interventional2017-01-13Completed
A Phase 3, Randomized, Double Blinded, Active Controlled, Multicenter Study to Evaluate the Efficacy, Safety, and Pharmacokinetics of EXPAREL Admixed With Bupivacaine vs. Bupivacaine Only Administered as Combined Sciatic (in Popliteal Fossa) and Adductor [NCT03954639]Phase 30 participants (Actual)Interventional2020-06-15Withdrawn(stopped due to Sponsor Decision.)
Ilioinguinal/Iliohypogastric vs. Quadratus Lumborum Nerve Blockade for Elective Open Inguinal Herniorrhaphy [NCT03007966]Phase 260 participants (Actual)Interventional2017-01-30Completed
Anesthesia With Peribulbar Block: Lidocaine-bupivacaine vs Lidocaine-bupivacaine-fentanyl [NCT03713762]Phase 370 participants (Actual)Interventional2009-10-01Completed
Prospective Comparative Study Between Ultrasound-guided Continuous Erector Spinae Plane Block and the Use of Intravenous Patient Controlled Analgesia for Management of Pain in Patients With Multiple Fracture Ribs [NCT05975294]60 participants (Anticipated)Interventional2023-08-31Not yet recruiting
Single Injection Interscalene Brachial Plexus Nerve Block With Adjuvants vs. Liposomal Bupivacaine Interscalene Brachial Plexus Nerve Block for Total Shoulder Arthroplasty [NCT03845894]Phase 425 participants (Actual)Interventional2020-03-03Terminated(stopped due to feasibility)
A Randomized Controlled Trial (RCT) Comparing Presacral Nerve Block Versus Sham Block on Post-operative Pain in Women Undergoing Total Laparoscopic Hysterectomy. [NCT03646006]Phase 460 participants (Anticipated)Interventional2018-08-01Recruiting
Prospective Study of Liposomal Bupivacaine for Pain Control of Split Thickness Skin Graft Donor Sites [NCT03854344]Phase 475 participants (Anticipated)Interventional2019-03-18Recruiting
Interscalene Single Shot With Plain Bupivacaine Versus Liposomal Bupivacaine for Arthroscopic Shoulder Surgery [NCT03638960]Phase 480 participants (Anticipated)Interventional2019-02-21Recruiting
ED50 and ED95 of Intrathecal Bupivacaine With or Without Epinephrine for Total Knee Replacement Arthroplasty [NCT01264575]162 participants (Actual)Interventional2009-12-31Completed
Is Lidocaine Really Guilty? A Prospective, Randomized, Double Blind Comparison of the Incidence of TNS After Intrathecal Lidocaine Administration vs. Intrathecal Bupivacaine in Patients Undergoing Spinal Anesthesia [NCT03862287]160 participants (Anticipated)Interventional2018-11-01Recruiting
Single-Shot Liposomal Bupivacaine vs. Liposomal Bupivacaine Combined With Dexamethasone Following Anterior Cruciate Ligament Reconstruction: A Prospective Randomized Controlled Trial [NCT06006624]Phase 4154 participants (Anticipated)Interventional2023-08-21Enrolling by invitation
A Randomized Clinical Trial of Single Dose Liposomal Bupivacaine Delivered Via VATS Intercostal Nerve Block vs. Continuous Bupivacaine Infusion Delivered Via Indwelling Subscapular Catheter After Surgical Stabilization of Rib Fractures [NCT03305666]Phase 436 participants (Actual)Interventional2017-10-05Completed
Adding Ketamine to Low Dose Bupivacaine in Saddle Block for Perianal Surgery [NCT03264430]Early Phase 160 participants (Actual)Interventional2017-01-01Active, not recruiting
Does the Use of Bupivacaine Soaked Vaginal Packing Following Vaginal Surgery Decrease Postoperative Pain? [NCT03266926]140 participants (Actual)Observational [Patient Registry]2017-02-01Completed
Comparison Between Epidural and Patient Controlled Analgesia on Immunological and Inflammatory Systems Following Radical Retropubic Prostatectomy [NCT01367418]Phase 326 participants (Actual)Interventional2010-09-30Completed
Preoperative Analgesia by Infiltration of the Pudendal Nerve Prior to Sacrospinous Ligament Suspension: The PAIN-S Trial [NCT04733560]50 participants (Anticipated)Interventional2021-04-01Recruiting
Combined Colloids And Crystalloids Versus Crystalloids in Women With Preeclampsia Undergoing Cesarean Delivery Under Spinal Anesthesia: A Randomized Controlled Trial [NCT03252496]140 participants (Actual)Interventional2017-08-19Completed
Efficacy of Regional Analgesia Techniques (Quadratus Lumborum Block and Transversus Abdominis Plane Block) in Acute and Chronic Pain Treatment in Patients After Cesarean Delivery [NCT03244540]Phase 4105 participants (Actual)Interventional2017-09-04Completed
Preoperative Interscalene Nerve Block Plus Postoperative Local Intra-operative Analgesic Injection vs Preoperative Interscalene Nerve Block Plus Postoperative Saline Injection in Patients Undergoing Shoulder Arthroplasty: a Randomized Trial [NCT03253198]156 participants (Actual)Interventional2016-08-31Completed
Fixed Dose Versus Height - Adjusted Dose of Intrathecal Hyperbaric Bupivacaine With Opioid for Cesarean Delivery: a Prospective Double-blinded Randomized Trial [NCT03231436]140 participants (Actual)Interventional2017-07-24Completed
The Effect of Caudal Anesthesia Block on Perioperative Pain Control and Reduction of the Anesthetic Agent in Pediatric Infra-umbilical Surgery: A Prospective Randomized Trial Study [NCT05581940]72 participants (Actual)Observational [Patient Registry]2020-01-05Completed
Ultrasound Guided Transversus Abdominis Plane Block Versus Caudal Block in Inguinal Hernia Repair Surgery in Pediatrics [NCT03701126]44 participants (Anticipated)Interventional2018-11-01Not yet recruiting
A Phase 2, Randomized, Double-blind, Placebo-Controlled Efficacy, Pharmacokinetics and Safety Study of CA-008 in Subjects Undergoing Complete Abdominoplasty [NCT03789318]Phase 254 participants (Actual)Interventional2018-12-03Completed
Liposomal Bupivacaine Reduces Opiate Consumption After Rotator Cuff Repair in a Randomized Control Trial [NCT03692546]50 participants (Actual)Interventional2017-02-01Completed
Randomized Control Trial of Ultrasound-Guided Erector Spinae Block Versus Shoulder Periarticular Anesthetic Infiltration for Pain Control After Arthroscopic Shoulder Surgery [NCT03691922]62 participants (Actual)Interventional2019-07-06Completed
Effect of Programmed Intermittent Epidural Bolus Delivery Rate on the Quality of Labour Analgesia: A Randomized Clinical Trial [NCT03712735]Phase 4390 participants (Actual)Interventional2018-10-23Completed
The Effect Of Erector Spinae Plane Block On Postoperative Pain Management In Lumbar Disc Hernia Repair Operation [NCT03744689]60 participants (Actual)Interventional2019-10-01Completed
A Comparative Study of Fractionated Vs Single Dose Injection for Spinal Anesthesia During Caesarean Section in Patients With Pregnancy-Induced Hypertension [NCT03693638]42 participants (Actual)Interventional2018-01-01Completed
Analgesic Efficacy of Liposomal Bupivacaine in Total Knee Arthroplasty [NCT02426164]Phase 40 participants (Actual)Interventional2015-06-30Withdrawn(stopped due to Could not receive facility approval)
Randomized, Placebo-controlled Trial of Erector Spinae Plane Blocks (ESPB) for Perioperative Pain Management for Minimally Invasive (MIS) Lumbar Spine Surgery [NCT05029726]Phase 4125 participants (Anticipated)Interventional2022-02-01Recruiting
Height Adjusted Versus Standardized Dose of Bupivacaine in Spinal Anesthesia for Caesarean Delivery - A Randomized Double-blind Interventional Study [NCT05233462]250 participants (Anticipated)Interventional2022-02-01Not yet recruiting
Prospective Randomized Trial of EUS Guided Celiac Plexus Block for Chronic Pancreatitis [NCT02399800]1 participants (Actual)Interventional2014-12-31Terminated(stopped due to Low enrollment)
Effects of Local Wound Infiltration With Ketamine Versus Dexmedetomidine Added to Bupivacaine on Inflammatory Cytokines Response After Total Abdominal Hysterectomy [NCT03164590]Phase 460 participants (Actual)Interventional2017-06-01Completed
Effectiveness of Corticosteroid vs. Ketorolac Shoulder Injections: A Prospective Double-Blinded Randomized Trial [NCT04115644]Phase 482 participants (Actual)Interventional2017-05-01Terminated(stopped due to Covid-19 and we failed to submit annual report for 2017 and 2018)
A Randomized Controlled Clinical Trial of Intrathecal Chloroprocaine vs. Bupivacaine for Cervical Cerclage [NCT03305575]Phase 410 participants (Actual)Interventional2017-10-13Completed
Liposomal Bupivicaine (Exparel) for Pain Control During Care of Rib Fractures [NCT02390440]Phase 40 participants (Actual)Interventional2015-04-30Withdrawn(stopped due to Did not obtain an IND.)
Hemodynamic Stability of Bupivacaine With and Without Adrenaline for Paracervical Block for Cervical Conization During General Anesthesia: A Randomized Controlled Double Blinded Study [NCT02368054]Phase 434 participants (Actual)Interventional2015-05-31Completed
Does the Use of a Nerve Stimulator Improve the Outcome of Ultrasound-Guided Supraclavicular Block (Anesthesia) for Upper Extremity Surgery? [NCT03112642]100 participants (Anticipated)Interventional2013-11-30Recruiting
Effect of Dexmedetomidine as an Adjuvant to Bupivacaine in Ultrasound Guided Transversus Abdominis Plane Block Versus Caudal Block for Post-operative Analgesia in Children Undergoing Congenital Inguinal Hernia Repair [NCT04926454]Phase 1/Phase 250 participants (Anticipated)Interventional2020-09-22Recruiting
The Effect of Adding Ketorolac to Bupivacaine in Superficial Cervical Plexus Block in Thyroid Surgery. [NCT05180214]Phase 246 participants (Actual)Interventional2021-01-17Completed
Treatment of Headache With Occipital Nerve Blocks: Comparison Trial of Anesthetic With or Without Dexamethasone [NCT05732532]Phase 4120 participants (Anticipated)Interventional2023-02-17Recruiting
Multimodal Intrathecal Analgesia for Cesarean Section [NCT05186454]Phase 260 participants (Anticipated)Interventional2021-05-23Recruiting
Spinal Anesthesia for Enhanced Recovery After Liver Surgery [NCT03715517]128 participants (Anticipated)Interventional2018-10-04Recruiting
Prospective, Randomized, Controlled Comparison of Local Anesthetic Infusion Pump Versus DepoFoam Bupivacaine For Pain Management After Abdominoplasty and TRAM Flap Breast Reconstruction. [NCT02542956]Phase 40 participants (Actual)Interventional2014-10-31Withdrawn
Perioperative Respiratory and Analgesic Effects of Ultrasound-Guided Extrafascial Versus Intrafascial Interscalene Brachial Plexus Block in Patients Undergoing Shoulder Arthroscopy [NCT05222334]50 participants (Anticipated)Interventional2022-02-01Not yet recruiting
Wound Infiltration With Liposomal Bupivacaine With or Without Intrathecal Analgesia in Laparotomy for Gynecological Malignancy: A Randomized Controlled Trial [NCT04258631]Phase 4104 participants (Actual)Interventional2020-07-09Completed
A Phase 3, Randomized, Double Blind, Saline Placebo and Active Controlled, Multicenter Study of HTX 011 Via Local Administration for Postoperative Analgesia and Decreased Opioid Use Following Unilateral Simple Bunionectomy [NCT03295721]Phase 3412 participants (Actual)Interventional2017-10-24Completed
Effect of Unilateral Ultrasound-Guided Subcostal Transversus Abdominis Plane Block in Patients Undergoing Laparoscopic Sleeve Gastrectomy [NCT03856788]Phase 443 participants (Actual)Interventional2018-12-10Completed
A Phase 3, Randomized, Double Blind, Saline Placebo and Active Controlled, Multicenter Study of HTX 011 Via Local Administration for Postoperative Analgesia and Decreased Opioid Use Following Unilateral Open Inguinal Herniorrhaphy [NCT03237481]Phase 3418 participants (Actual)Interventional2017-07-31Completed
The Hemodynamic Effects of Different Volumes of Bupivacaine 0.25% Caudal Blocks in Pediatrics Undergoing Lower Abdominal Surgeries as Measured by Electrical Cardiometry: A Randomized Controlled Study [NCT05133687]Phase 3105 participants (Actual)Interventional2021-11-01Completed
Comparison of Intrathecal Versus Epidural Fentanyl: Effect of Neuraxial Route of Administration on Fetal Bradycardia in Labor Combined Spinal Epidural Analgesia [NCT03623256]Phase 4558 participants (Anticipated)Interventional2019-10-28Recruiting
Pudendal Block Using Liposomal Bupivacaine vs. Standard Treatment During Sacrospinous Ligament Fixation: a Prospective Randomized Clinical Trial [NCT03664986]Phase 488 participants (Anticipated)Interventional2018-09-24Recruiting
The Effect of Liposomal Bupivacaine on Post Operative Pain and Narcotic Use After Bariatric Surgery [NCT03196505]Phase 4231 participants (Actual)Interventional2017-12-04Completed
A Multicenter, Randomized, Double-blind, Active-controlled Study to Evaluate the Safety and Efficacy of EXPAREL When Administered Via Infiltration Into the Transversus Abdominis Plane (TAP) Versus Bupivacaine Alone in Subjects Undergoing Elective Cesarean [NCT03176459]Phase 4186 participants (Actual)Interventional2017-06-01Completed
Comparison of General Anesthesia and Combined General Thoracic Epidural Anesthesia on End Tidal Volatile Anesthetic Concentration in Cases Which Depth of Anesthesia is Adjusted Using Entropy Monitoring; A Prospective Trial [NCT04203290]44 participants (Actual)Interventional2019-12-19Completed
Continuous Epidural Fentanyl Infusion Step-down Tapering Dose; Sole Intraoperative Analgesic Modality for Precious Single Kidney Patient. [NCT03606902]50 participants (Actual)Interventional2018-04-10Completed
Hyperbaric Bupivacaine Versus Hyperbaric Prilocaine 2% for Cesarean Section Under Spinal Anesthesia: a Randomised Clinical Trial [NCT02973048]Phase 340 participants (Actual)Interventional2018-03-12Completed
Subrectal and Subcutaneous Wound Infiltration With Bupivacaine Versus Pethidine for Postcesarean Section Pain Relief: a Randomized Clinical Trial [NCT03652116]Phase 2/Phase 378 participants (Actual)Interventional2017-04-21Completed
Combined Platelet Rich Plasma Intra-articular Shoulder Injection and Stellate Ganglion Block. A New Technique for Management of Chronic Post-mastectomy Shoulder Pain Syndrome [NCT03586154]Phase 470 participants (Actual)Interventional2017-08-01Completed
Protocol for a Single Center Randomized Controlled Trial of Liposomal Bupivacaine Intercostal Nerve Blockade Versus Continuous Thoracic Epidural for Regional Analgesia in Patients With Multiple Rib Fractures [NCT03574376]Phase 4258 participants (Anticipated)Interventional2018-08-29Recruiting
Ultrasound-guided (US) Serratus Anterior Plane Block (SAPB) for Acute Rib Fractures in the Emergency Department (ED) [NCT03619785]Phase 470 participants (Anticipated)Interventional2018-11-06Recruiting
Effects of Stellate Ganglion Block (SGB) on Vasomotor Symptoms in Women Receiving Anti-Estrogen Therapy for Breast Cancer [NCT02513329]Phase 237 participants (Actual)Interventional2015-07-31Completed
A DOUBLE-BLIND RANDOMIZED TRIAL ASSESSING THE ASSOCIATION BETWEEN TYPE OF LOCAL ANESTHESIA TREATMENT AND POSTOPERATIVE PAIN IN PATIENTS IN HAVING UNDERGONE ARRHYTHMIA SURGERY [NCT01300377]300 participants (Actual)Interventional2008-11-30Completed
Phase IV, Randomized, Parallel Designed, Single Blinded Study, Comparing the Standard and Minidose Spinal Anesthesia Using Marcaine Spinal 0.5% Heavy With Addition of Fentanyl During Cesarean Section [NCT01303731]Phase 4100 participants (Anticipated)Interventional2011-02-28Not yet recruiting
Effect of the Addition of Dexmedetomidine to Bupivacaine During Supraclavicular Brachial Plexus Blockade for Forearm Surgery. [NCT02049970]Phase 444 participants (Actual)Interventional2014-01-31Completed
Caudal Extradural Catheterization in Pediatric Renal Transplant: Effect on Perioperative Hemodynamics and Pain Scoring. [NCT02037802]60 participants (Actual)Interventional2014-03-31Completed
Erector Spinae Plane Block Versus Thoracic Epidural Block as Analgesic Techniques for Chest Trauma [NCT03797079]50 participants (Actual)Interventional2019-01-20Completed
A Non-Inferiority Phase 3 Comparative Study Between a Heavy Levobupivacaine in 50% Enantiomeric Excess (Bupivacaine S75:R25) and Heavy Racemic Bupivacaine for Cesarean Operation [NCT01303107]Phase 30 participants (Actual)InterventionalWithdrawn(stopped due to The Sponsor has no interest in continuing the study.)
A Randomized, Multi-center, Double-blind, Placebo-controlled Trial of Paracervical Block Before Total Laparoscopic Hysterectomy for Postoperative Pain Control (PALAPA): [NCT03792009]86 participants (Anticipated)Interventional2019-02-21Recruiting
Dual TAP Block Characteristics - Evaluation of Local Anesthetic Distribution by MR Scanning [NCT01305603]10 participants (Actual)Interventional2011-02-28Completed
Local Sensory Nerve Block in the Treatment of Vestibular Migraine [NCT05472675]36 participants (Anticipated)Interventional2022-06-01Recruiting
Randomized Trial Comparing Bupivacaine vs Lipossomic Extended Release Bupivacaine for Postoperative Pain Control After Minimally Invasive Thoracic Surgery [NCT03560362]Phase 1/Phase 250 participants (Anticipated)Interventional2015-07-09Recruiting
Trigger-point Blockade in Persistent Pain After Laparoscopically Assisted Groin Hernia Repair [NCT02065804]Phase 314 participants (Actual)Interventional2013-10-31Completed
Role of Co-administered Dexmedetomidine Or Clonidine With Bupivacaine for Transversus Abdominis Plane Block in Patients Undergoing Elective Caesarean Section: A Randomized, Double-blind Controlled Trial [NCT03770013]150 participants (Actual)Interventional2019-01-01Completed
Application of Combined Lumbar Plexus and Sciatic Nerve Block in Unilateral Knee Replacement [NCT02084368]Phase 434 participants (Actual)Interventional2014-01-31Completed
Intrathecal Plain Bupivacaine, Ropivacaine and Levo-bupivacaine With or Without Fentanyl for Elective c Section. [NCT01582607]Phase 2/Phase 3130 participants (Anticipated)Interventional2010-01-31Recruiting
Daily Activity Quantification and Gait Pattern Analysis Before and After Intra-articular Injection of Viscosupplement Among Hip Osteoarthritis Patients [NCT02086474]Phase 438 participants (Actual)Interventional2014-05-31Completed
Comparative Evaluation of Different Doses of Magnesium Sulphate in Oblique Subcostal TAP Block for Laparoscopic Cholecystectomy: a Randomized Double-blind Controlled Study [NCT06148168]Phase 2/Phase 372 participants (Anticipated)Interventional2024-01-01Not yet recruiting
Pre-Operative Stellate Ganglion to Prevent Post-Operative Atrial Fibrillation [NCT05656170]0 participants (Actual)Interventional2023-10-01Withdrawn(stopped due to Unable to begin study)
Effectiveness of Corticosteroid vs Ketorolac Shoulder Injections: a Prospective Double-Blinded Randomized Trial [NCT04895280]Phase 4400 participants (Anticipated)Interventional2024-04-30Not yet recruiting
Effectiveness of Transversus Abdominis Plane Block Versus Quadratus Lumborum Technique in Patients After Cesarean Section [NCT02804126]Phase 4232 participants (Actual)Interventional2017-06-01Completed
Programmed Intermittent Epidural Bolus for Labor Analgesia During First Stage of Labor: A Sequential Allocation Trial to Determine the Optimum Interval Time Between Boluses of a Fixed Volume of 2.5ml of Bupivacaine 0.25% Plus Fentanyl 8 mcg/ml [NCT03735771]20 participants (Actual)Interventional2018-12-03Completed
Clinical Trial With Lozenges as Local Anesthetic Treatment for Head/Neck Cancer Patients With Oral Mucositis [NCT02252926]Phase 270 participants (Actual)Interventional2014-09-30Completed
[NCT02253784]90 participants (Actual)Interventional2014-10-31Completed
A Phase 1b/2, Randomized, Blinded, Active-Controlled Study of Escalating Doses of HTX-034 for Postoperative Analgesia in Subjects Undergoing Unilateral, First Metatarsal Bunionectomy With Osteotomy and Internal Fixation [NCT04398329]Phase 1/Phase 273 participants (Actual)Interventional2020-05-18Completed
Evaluation of Abdominal Wall Block With Liposomal Bupivacaine for Post-Operative Analgesia in Donor Nephrectomy [NCT03294109]Phase 4146 participants (Actual)Interventional2018-01-01Completed
Analgesic Effect of Intrathecal Morphine Combined With Low Dose Local Anesthetics on Postoperative Analgesia After Liver Resection: A Randomized, Controlled Preliminary Study [NCT05208801]90 participants (Actual)Interventional2018-11-19Completed
Postoperative Analgesic Effects of Dexmedetomidine Added to Bupivacaine for Transversus Abdominis Plane Block for Lower Abdominal Surgery [NCT02064530]Phase 490 participants (Anticipated)Interventional2014-02-28Completed
Erector Spinae Plane Block Impact on Quality of Recovery After Lumbar Spinal Decompression Surgery; a Comparative Study Between Addicts and Non-addicts [NCT04943549]Phase 460 participants (Actual)Interventional2021-06-01Completed
Erector Spinae Plane Block for Postoperative Analgesia in Pediatric Patients Undergoing Cardiac Surgery: A Double-Blind, Randomized, Controlled Study [NCT03627897]Phase 440 participants (Actual)Interventional2019-08-01Completed
Preemptive Nebulized Bupivacaine for Pain Control After Cleft Palate Repair in Children: A Randomized Double Blind Controlled Trial [NCT04928352]Phase 390 participants (Anticipated)Interventional2021-06-14Recruiting
Liposomal Bupivacaine (Exparel) for Postoperative Pain Control for Open and Laparoscopic Abdominal Hernia Repair [NCT02128646]Phase 440 participants (Actual)Interventional2014-04-30Completed
Success of External Cephalic Version With Immediate Spinal Anesthesia Versus Spinal Anesthesia When Attempt Without Anesthesia Has Failed: A Randomized Controlled Trial [NCT03106753]Phase 434 participants (Actual)Interventional2017-04-12Terminated(stopped due to Interim analysis to assess concern for spinal anesthesia and increased cesarean delivery rate.)
A Randomized, Double-blinded, Placebo-controlled Trial of the Effects of Infusing Local Anesthesia on Post-operative Pain During Laparoscopic Inguinal Hernia Repair [NCT02055053]Phase 470 participants (Actual)Interventional2013-08-31Completed
Selective Unilateral Spinal Anesthesia Versus Selective Sensory Spinal Anesthesia for Knee Arthroscopy Surgery [NCT01356797]Phase 454 participants (Actual)Interventional2011-05-31Completed
The Effect of Intraperitoneal Injection of Magnesium Sulphate Versus Dexmedetomidine as an Adjuvant to Bupivacaine on Postoperative Analgesia in Patients Undergoing Abdominal Aortic Surgery [NCT05577260]50 participants (Anticipated)Interventional2022-10-01Enrolling by invitation
Evaluation of Variation of Ventilation and Pulmonary Aeration Using Electrical Impedance Tomography in Patients With Interscalene Brachial Plexus Block for Shoulder Surgery [NCT03577860]40 participants (Anticipated)Interventional2018-05-17Recruiting
Randomized Control Trial for an Opioid Free Analgesic Pathway Post Cesarean Delivery [NCT03545516]Phase 2540 participants (Anticipated)Interventional2018-09-17Not yet recruiting
General Anesthesia With or Without Local Ear Block in Middle Ear Surgeries; A Randomised, Double-blind Trial [NCT03569046]80 participants (Actual)Interventional2018-07-06Completed
Para-Vertebral Dexmedetomidine in Video-Assisted Thoracic Surgeries for Acute and Chronic Pain Prevention; A Randomized Double Blinded Clinical Trial [NCT03632161]60 participants (Actual)Interventional2017-02-01Completed
Laparoscopically Guided Rectus Sheath Block in Pediatric Appendicitis - a Randomized Control Trial [NCT04717193]Phase 2100 participants (Anticipated)Interventional2021-05-28Recruiting
A Randomized Controlled Trial of Combined Spinal Epidural Versus Dural Puncture Epidural Techniques for Labor Analgesia [NCT05068661]Phase 4100 participants (Anticipated)Interventional2021-11-21Recruiting
Efficacy of Median Nerve Hydrodissection by Hyalase Versus Midazolam in the Treatment of Carpal Tunnel Syndrome: A Randomized, Clinical Trial. [NCT05344495]Early Phase 1100 participants (Anticipated)Interventional2022-01-10Recruiting
Can Caudal Dexmedetomidine Provide Effective Analgesia During Pediatric Inguinoscrotal Surgery? [NCT05902780]50 participants (Anticipated)Interventional2023-09-01Not yet recruiting
The Analgesic Effect of Continuous Subacromial Bupivacaine Infusion After Arthroscopic Shoulder Surgery: a Randomized Controlled Trial [NCT01377415]90 participants (Anticipated)Interventional2009-01-31Completed
Prospective, Randomized Comparison of Postoperative Pain Control Results of Peri-articular Local Injection and Intra-capsular Injectinon of Bupivacaine Liposome Injectable Suspension After Total Knee Arthroplasty [NCT02166632]50 participants (Actual)Interventional2014-04-30Completed
Bupivicaine Extended-Release Liposome Injection Versus Marcaine for Early Post-Operative Pain Control Following Wrist Operations [NCT02052180]70 participants (Anticipated)Interventional2013-05-31Enrolling by invitation
[NCT01378949]90 participants (Anticipated)Interventional2011-09-30Not yet recruiting
Erector Spinae Plane Block Versus Thoracic Paravertebral Block on Postoperative Pain for Video Assisted Thoracoscopic Surgery [NCT03538496]60 participants (Actual)Interventional2017-12-01Completed
Ultrasound-Guided Erector Spinae Plane Block Versus Intercostal Nerve Block For Postoperative Pain Control in Video-Assisted Thoracoscopic Surgery: A Prospective, Double Blind Randomized Controlled Trial [NCT03902782]100 participants (Anticipated)Interventional2019-06-26Recruiting
Can Topical Administration of Bupivacaine Reduce Pain After Tonsillectomy? [NCT04825704]Phase 384 participants (Actual)Interventional2021-10-27Completed
The Effect of BMI on Median Effective Dose (ED50) of Intrathecal Hyperbaric Bupivacaine for Total Knee Replacement Arthroplasty [NCT01291186]108 participants (Actual)Interventional2010-01-31Completed
Development of Effective, Opioid Sparing Techniques for Peri-operative Pain Management of Transgender Patients Undergoing Gender Affirming Surgeries [NCT04979338]Phase 3640 participants (Anticipated)Interventional2021-11-11Recruiting
Analgesic Effect Of Intra-articular Dexamethasone Versus Fentanyl Added as an Adjuvant to Bupivacaine for Postoperative Pain Relief in Knee Arthroscopic Surgery [NCT03847792]87 participants (Actual)Interventional2019-03-31Completed
How Low Can we go: A Double-blinded Randomized Controlled Trial to Compare Bupivacaine 5 mg and Bupivacaine 7.5 mg for Spinal Anesthesia in Cesarian Delivery in Indonesian Population [NCT03834454]112 participants (Actual)Interventional2013-10-01Completed
Comparison of Bupivacaine vs Lidocaine on Inflammatory Regulation Following Endodontic Surgery: A Double-Blind, Randomized, Controlled Clinical Trial [NCT01060774]Phase 411 participants (Actual)Interventional2008-07-31Completed
The Effect of Bupivacaine (Marcaine) in Reducing Early Post Tonsillectomy Pain [NCT01582022]Phase 40 participants InterventionalNot yet recruiting
A Placebo-controlled, Double-blinded, Randomized Pilot Study of Bupivacaine Liposome Injectable Suspension (EXPAREL) for Minimally Invasive Supracervical Hysterectomies Postsurgical Analgesia [NCT03769714]Phase 456 participants (Anticipated)Interventional2018-10-01Recruiting
Role of Co-administered Dexamethasone in Transversus Abdominis Plane Block After Cesarean Section: A Randomized, Double-blind Controlled Trial [NCT03767920]120 participants (Actual)Interventional2019-01-01Completed
[NCT01040273]Phase 2/Phase 30 participants Interventional2009-12-31Not yet recruiting
A Prospective Randomized Controlled Trial Examining the Effectiveness of a Single Shot of Liposomal Bupivicaine for Reducing Post-operative Pain and Narcotic Use in Outpatient Rotator Cuff Surgery [NCT03822182]Phase 478 participants (Actual)Interventional2018-10-24Completed
Comparison Between Ipack Block and Periarticular Infiltration in Total Knee Arthroplasty - a Randomized Control Trial [NCT03653416]Phase 499 participants (Actual)Interventional2018-03-01Completed
Laparoscopic Assisted Plane Block (LAPB) Trial: Bupivacaine Versus Liposomal Bupivacaine Versus Standard Local Anesthesia for Post-operative Analgesia [NCT03730402]Phase 434 participants (Actual)Interventional2019-02-04Terminated(stopped due to There were not enough attendings/residents working on the study throughout the COVID-19 pandemic in order to enroll the number of patients required to meet statistical significance.)
Comparing Liposomal Bupivacaine to Bupivacaine Interscalene Blocks for Arthroscopic Rotator Cuff Repair Surgery: A Randomized Controlled Trial [NCT03587584]Phase 480 participants (Actual)Interventional2018-07-25Completed
Dexmedetomidine for Programed Intermittent Epidural Boluses Versus Continuous Epidural Infusion for Labour Epidural Analgesia: A Randomized Controlled Double-blind Trial [NCT05781854]Phase 2/Phase 360 participants (Anticipated)Interventional2023-05-01Not yet recruiting
Analgesic Efficacy of Adding Dexmedetomidine VS Magnesium Sulphate as Adjuvants With Bupivacaine in Ultrasound-guided Erector Spinae Plane Block for Post Thoracotomy Pain [NCT05851768]60 participants (Anticipated)Interventional2023-05-15Recruiting
A Randomized, Double Blind, Placebo-controlled Study of the Effects of Stellate Ganglion Block on Neural Activity and Symptoms in Participants With Post-traumatic Stress Disorder [NCT05391971]Phase 4127 participants (Anticipated)Interventional2022-07-27Recruiting
The Utility of Long-acting Local Anesthetic Agents in Reducing Post-operative Opioid Requirements Following Rhinoplasty: A Multi-institutional, Randomized, Single Blinded Clinical Trial [NCT04377204]Early Phase 15 participants (Actual)Interventional2020-06-01Completed
"Transversus Abdominis Plane Block for Pain Relieve in Children Undergoing Inguinal Surgical Procedures: How Does it Compare With the Gold Standard Caudal Blockade" [NCT00970086]Phase 422 participants (Actual)Interventional2009-08-31Terminated(stopped due to Groin surgery was changed to a laparoscopic technique; recruitable patients ceased.)
Prospective Randomized Trial of Liposomal Versus Plain Bupivacaine in Minimally Invasive General Surgery Procedures [NCT02875288]60 participants (Anticipated)Interventional2015-12-31Recruiting
Improving Combined Spinal-epidural Anesthesia for Decreasing Hypotension in Pregnant Women Without Prophylactical Prehydration and Vasopressors [NCT03497364]930 participants (Anticipated)Interventional2018-05-01Recruiting
Comparison of Conventional Dose Spinal Anesthesia With Low-dose Spinal Anesthesia and Femoral Blockade Combination in Outpatient Knee Arthroscopy [NCT02322372]Phase 450 participants (Actual)Interventional2014-07-31Completed
A Placebo-controlled (Part 1) or Active-controlled (Part 2) Trial of SABER® -Bupivacaine for the Management of Postoperative Pain Following Laparoscopic Cholecystectomy (PERSIST) [NCT02574520]Phase 3399 participants (Actual)Interventional2015-11-30Completed
Ultrasound Guided Dorsal Penile Block vs Neurostimulator Guided Pudendal Block in Children Undergoing Hypospadias Surgery: A Prospective, Randomized, Double-Blind Trial [NCT03496740]36 participants (Actual)Interventional2018-04-15Completed
Infra-orbital Nerve Block for Post Operative Analgesia in Young Children Undergoing Pediatric Cleft Lip Surgery. [NCT02514980]Phase 2/Phase 330 participants (Actual)Interventional2015-08-31Completed
Analgesic Efficiency of Superficial Serratus Plane Block for Modified Radical Mastectomy and Axillary Lymph Node Disection: Randomized Controlled Study [NCT03341234]48 participants (Actual)Interventional2016-11-01Completed
A Multicentre Double-blind Randomised Controlled Trial to Assess the Clinical- and Cost-effectiveness of Facet-joint Injections in Selected Patients With Non-specific Low Back Pain: a Feasibility Study [NCT03339362]Phase 49 participants (Actual)Interventional2015-07-31Completed
Comparative Study Between Dexmedetomidine and Fentanyl as an Adjuvant to Intra-articular Bupivacaine for Postoperative Analgesia After Knee Arthroscopy. [NCT04442906]45 participants (Actual)Interventional2020-07-01Completed
Inter-semispinal Plane (ISP) Block for Postoperative Analgesia Following Cervical Spine Surgery: A Prospective Randomized Controlled Trial [NCT06003933]50 participants (Actual)Interventional2023-03-03Completed
Randomized Study Of Cranial Blocks For Postoperative Anesthesia To Reduce Pain And Postoperative Opioid Usage [NCT04749797]Phase 411 participants (Actual)Interventional2020-09-02Terminated(stopped due to PI left institution)
Comparison of the Analgesic Efficacy of Three Different Concentrations of Bupivacaine in Ultrasound Guided Erector Spinae Plane Block in Hip Surgeries: Randomized Control Trial [NCT04442750]100 participants (Anticipated)Interventional2020-06-22Recruiting
Ultrasound-assisted Versus Conventional Landmark-guided Paramedian Spinal Anesthesia in Elderly Patients [NCT03316352]80 participants (Actual)Interventional2017-10-24Completed
Diluting With Cerebrospinal Fluid Versus Traditional Intrathecal Administration: Antishivering Effects [NCT02189655]0 participants (Actual)Interventional2016-03-31Withdrawn
An Analysis of the Functional Benefit, Narcotic Use and Time to Discharge Readiness Following the Implementation of a Comprehensive Pain Management Protocol for Primary Total Knee Arthroplasty [NCT02474654]Phase 4220 participants (Actual)Interventional2015-07-31Completed
Evaluation of Deep Topical Fornix Nerve Block Versus Topical Anaesthesia in Patients Undergoing Implantable Contact Lens Procedure [NCT02196441]102 participants (Anticipated)Interventional2014-08-31Not yet recruiting
Cardiovascular Effects of Intrathecal Hyperbaric Prilocaine or Bupivacaine in Surgery Under Spinal Anesthesia: A Multicenter Prospective Pilot Study Based on Non- Invasive Haemodynamic Monitoring [NCT05751148]60 participants (Anticipated)Interventional2023-03-22Recruiting
A Randomized Controlled Trial of cryoSPHERE (CRYOS/CRYOS-L) Ablation of Intercostal Nerves for Post-Operative Pain Management in Opioid-Tolerant Patients Undergoing Robotic-Assisted Thoracoscopic Surgery [NCT05276258]75 participants (Anticipated)Interventional2023-02-01Enrolling by invitation
Efficacy of Liposomal Bupivacaine in Arthroscopic Rotator Cuff Repair [NCT03738696]Phase 463 participants (Actual)Interventional2019-12-15Completed
Evaluation of Local Anlagesia Into the Trocar Site During Operative Laparosocpy [NCT00728559]120 participants (Anticipated)Interventional2010-09-30Not yet recruiting
Effective Pain Management During Shoulder Replacement Surgery With Either Continuous Ropivacaine Interscalene Nerve Block or Local Infiltration With EXPAREL After Single Shot Injection Ropivacaine Interscalene Nerve Block [NCT03474510]Phase 40 participants (Actual)Interventional2018-03-17Withdrawn(stopped due to Investigator Decision)
Caudal Epidural Block Versus Topical Ketamine Application for Postoperative Pain Relief After Elective Inguinal Herniotomy [NCT02462174]Phase 2/Phase 380 participants (Actual)Interventional2015-05-31Completed
The Influence of Bupivacaine Temperature on Supraclavicular Plexus Block Characteristics [NCT03265886]90 participants (Actual)Interventional2017-10-01Completed
A Multicenter, Randomized, Double-Blind, Controlled Trial Comparing Local Infiltration Analgesia With EXPAREL to Local Infiltration Analgesia Without EXPAREL to Manage Postsurgical Pain Following Total Knee Arthroplasty [NCT02713490]Phase 4140 participants (Actual)Interventional2016-04-18Completed
A Multicenter, Randomized, Controlled Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Analgesic Effect of the INL-001 Bupivacaine Hydrochloride (HCl) Collagen-Matrix Implant in Children 2 to <17 Years of Age Following Open Inguinal Herni [NCT03262688]Phase 3159 participants (Anticipated)Interventional2017-06-16Recruiting
Spinal Morphine (0.05 mg) Provides an Effective Pain Control in Patients Undergoing Transurethral Resection of Prostate Gland- a Randomized Double-blinded Control Trial [NCT02458742]80 participants (Actual)Interventional2015-06-30Completed
Efficacy of Pain Management in Different Concentrations of Bupivacaine in Periarticular Injection and Plasma Concentrations of Bupivacaine in Patients Undergoing Bilateral Knee Arthroplasty [NCT03249662]60 participants (Actual)Interventional2017-09-27Completed
Efficacy and Safety of Low Dose Atracurium Added to Lidocaine, Bupivacaine and Hyaluronidase Mixture in Percaruncular Peribulbar Anesthesia for High Myopes Undergoing Phacoemulsification: A Randomized Controlled Trial. [NCT03243500]Phase 491 participants (Actual)Interventional2015-05-01Completed
Liposomal Bupivacaine (Exparel ® ) Plus 0.5% Bupivacaine HCL Versus 0.5% Bupivacaine HCL for Interscalene Nerve Block (ISB) for Patients Undergoing Total Shoulder Arthroplasty(TSA) [NCT03913091]Phase 4184 participants (Actual)Interventional2019-03-01Completed
Ultrasound Guided Transversus Abdominis Plane(TAP) Block in Intensive Care Unit(ICU) for Postoperative Analgesia After Open Colon Resection: a Double Blind Randomized Controlled Trial [NCT03198338]46 participants (Anticipated)Interventional2017-07-01Recruiting
Pharmacokinetics and Breast Milk Excretion of Liposomal Bupivacaine After TAP Block in Patients Undergoing Cesarean Section Delivery [NCT03526419]30 participants (Actual)Observational2019-02-01Completed
Hemodynamic Effects of Supine Position Versus Left Lateral Tilted Position During Cesarean Delivery: a Randomized Controlled Trial. [NCT03182114]Phase 4450 participants (Anticipated)Interventional2017-06-12Recruiting
Optimal Injection Site for Serratus Anterior Plane Block in Reconstructive Breast Surgery (Randomized, Pilot Study) [NCT03183596]Phase 30 participants (Actual)Interventional2019-12-31Withdrawn(stopped due to Principal investigator determination)
The Use of Propofol/Ketamine Anesthesia With Bispectral Monitoring (PKA-BIS) Versus Inhalational Anesthetics in Rhytidoplasty - A Prospective, Double-blinded, Randomized Comparison Study [NCT02410460]30 participants (Actual)Interventional2013-09-30Completed
Preventive Intramuscular Phenylephrine in Elective Cesarean Section Under Spinal Anesthesia: A Randomized Controlled Tiral [NCT03507387]99 participants (Actual)Interventional2018-04-01Completed
Comparing Efficacy and Safety of Three Regional Anesthesia Regimens in Total Hip and Knee Arthroplasty: A Double Blind Randomized Control Trial [NCT04257682]Phase 4135 participants (Anticipated)Interventional2022-09-30Not yet recruiting
A Phase 4, Randomized, Open-Label Study of the Pharmacokinetics and Tolerability of Bupivacaine HCl Following One of Two Routes of Administration in Subjects Undergoing Augmentation Mammoplasty [NCT03705065]Phase 430 participants (Actual)Interventional2018-09-19Completed
Comparison Between Transversus Abdominis Plane Block and Wound Infiltration for Analgesia After Cesarean Delivery [NCT02691572]80 participants (Actual)Interventional2016-02-29Completed
Fascia Iliaca Block for Analgesia in Unilateral Direct Anterior Approach Total Hip Arthroplasty [NCT03691337]Phase 475 participants (Actual)Interventional2018-05-15Completed
The Effect of Body Mass Index, Intra-abdominal Pressure, Abdominal Girth and Waist Circumference on Sensory Block Level After Single-shot Spinal Anesthesia for Cesarean Section [NCT03164096]Phase 4100 participants (Anticipated)Interventional2017-06-01Recruiting
Understanding Disorder-specific Neural Pathophysiology in Laryngeal Dystonia and Voice Tremor [NCT05216770]Early Phase 1165 participants (Anticipated)Interventional2022-03-24Recruiting
Use of Intrathecal Fentanyl and Development of Hyperalgesia in Patients Undergoing Elective Cesarean [NCT02387060]Phase 480 participants (Anticipated)Interventional2014-08-31Recruiting
A Double Blinded Randomized Controlled Study of Topical Anaesthetics Oxybuprocaine Versus Bupivacaine 0.5% in Intravitreal Injections [NCT05069350]Early Phase 1100 participants (Actual)Interventional2021-09-01Completed
A Phase 2B, Randomized, Controlled Study of HTX-011 Administered Via Pectoral Nerve Block in Subjects Undergoing Upper Extremity Surgery for Augmentation Mammoplasty [NCT03011333]Phase 2243 participants (Actual)Interventional2017-01-14Completed
Effect of the Height of the Operating Table During Spinal Anesthesia [NCT02373410]60 participants (Anticipated)Interventional2014-09-30Recruiting
Adductor Canal Block With Liposomal Bupivacaine (Exparel) Versus Femoral Nerve Catheter for Anterior Cruciate Ligament Reconstruction: A Prospective Randomized Trial [NCT05161221]Phase 3154 participants (Anticipated)Interventional2021-12-06Enrolling by invitation
Evaluation of the Analgesic Effect of Dexmedetomidine Versus Fentanyl as Adjuvants to Epidural Bupivacaine in Patients Undergoing Lumbar Spine Surgeries [NCT03463083]60 participants (Actual)Interventional2018-03-04Completed
Caudal Dexmetedomedine Versus Magnesium in Orthopedic Pediatric Surgeries [NCT03460041]Phase 436 participants (Anticipated)Interventional2017-12-01Recruiting
Effect of Transversus Abdominis Plane (TAP) Block and the Perioperative Stress Response: Randomized Control Trial in Patient Undergoing Total Abdominal Hysterectomy in a Tertiary Care Hospital of Pakistan [NCT03443271]Phase 450 participants (Actual)Interventional2016-06-17Completed
Stellate Ganglion Block for Major Depressive Disorder: A Randomized Controlled Pilot Trial [NCT04727229]Phase 410 participants (Actual)Interventional2021-09-23Completed
Efficiency of Erector Spinae Plane Block For Patients Undergoing Percutaneous Nephrolithotomy: A Prospective, Randomized, Controlled, Single Blind Study [NCT03652103]Phase 464 participants (Actual)Interventional2018-09-05Completed
Onset and Duration of Forearm Nerve Blockade Performed With a Single Distal Injection Versus Sequential Injections at Distal and Proximal Locations Alongside the Nerves: A Blinded Randomized [NCT03649763]Phase 436 participants (Actual)Interventional2018-03-07Completed
Ultrasound-Guided Versus Conventional Method for Caudal Block in Children [NCT03427437]275 participants (Actual)Interventional2017-02-01Completed
Comparison of Thoracic Epidural and Intravenous Analgesia From the Perspective of Recovery of Respiratory Function at Early Post-thoracotomy Period in Lung Cancer Surgery [NCT03643757]62 participants (Actual)Interventional2015-08-01Completed
Prospective, Randomized, Blinded Comparison of Bupivacaine Versus Liposomal Bupivacaine For Breast Pain Management After Unilateral, Immediate Breast Reconstruction [NCT03393117]Phase 20 participants (Actual)Interventional2018-03-30Withdrawn(stopped due to No accrual)
Bupivacaine For Postoperative Pain Control [NCT02353676]100 participants (Anticipated)Interventional2015-01-31Not yet recruiting
Comparison of the Effect of a Single Shot Saphenous Block With Plain Bupivacaine vs. Protracted Bupivacaine Mixture as a Supplement to Continuous Sciatic Catheter After Major Ankle and Foot Surgery [NCT02346110]Phase 440 participants (Actual)Interventional2015-04-30Completed
Effect of Magnesium Sulfate When Added to TAP Block With Bupivacaine in Patients Undergoing Laparoscopic Cholecystectomy. [NCT03612947]Phase 260 participants (Actual)Interventional2018-09-03Completed
An Exploratory Phase I Randomized, Single-site, Double-blind, Active-controlled, Parallel-group, Single-administration, Dose-escalation Trial to Investigate the Safety and Tolerability of Neosaxitoxin Alone and in Combination With Bupivacaine (With and Wi [NCT03399435]Phase 1242 participants (Actual)Interventional2018-01-30Terminated(stopped due to The sponsor decided to stop further dosing of healthy volunteers after reviewing the obtained efficacy data. The decision is not related to any safety concern.)
Laparoscopic Guided Transversus Abdominis Plane Block for Postoperative Analgesia After Pediatric Laparoscopic Surgery. [NCT03388671]Phase 2/Phase 344 participants (Anticipated)Interventional2017-12-25Recruiting
Comparison of Transversalis Fascia Plane Block and Erector Spinae Plane Blocks in Cesarean Section [NCT05117307]60 participants (Anticipated)Interventional2021-12-01Recruiting
Determining Plasma Bupivacaine Levels Following Pectoral Nerve Blocks: A Prospective Observational Study [NCT03059498]Early Phase 120 participants (Actual)Interventional2017-06-06Completed
Effects of Anesthetic Blockades on Pain Modulation in Migraine [NCT02188394]Phase 236 participants (Actual)Interventional2014-07-31Completed
Efficacy and Safety of Transversus Abdominis Plane Blocks Versus Thoracic Epidural Anesthesia in Patients Undergoing Major Abdominal Resections: A Prospective, Randomized Controlled Trial [NCT02197988]75 participants (Actual)Interventional2013-12-03Completed
The Effect of Protracted Saphenous Nerve and Obturator Nerve Block Versus Saphenous Nerve Block Versus Local Infiltration Analgesia on Opioid Consumption, Pain, Block Duration of Action and Mobilization After Total Knee Arthroplasty. [NCT02067078]Phase 475 participants (Actual)Interventional2014-02-28Completed
Erector Spinae Regional Anesthesia for Pain Control in the Emergency Department [NCT05794828]Early Phase 140 participants (Anticipated)Interventional2023-09-15Recruiting
Transabdominal Plane (TAP) Blocks for Inguinal Hernia Repairs [NCT05672680]Phase 2/Phase 3100 participants (Actual)Interventional2019-12-09Completed
Ultrasound-guided Ilioinguinal/Iliohypogastric Nerve Block Compared to Posterior Quadratus Lumborum Block in Patients Undergoing Inguinal Hernia Repair [NCT05559437]Phase 160 participants (Actual)Interventional2022-10-01Completed
Evaluation of the Addition of Liposomal Bupivacaine to the Erector Spinae Plane (ESP) Block to Multilevel Lumbar Spinal Fusion Surgery [NCT05417113]Phase 48 participants (Anticipated)Interventional2022-08-31Enrolling by invitation
The Effects of Different Dose Levels of Peri-neural Dexmedetomidine on the Pharmacodynamic and Side Effects Profiles of Bupivacaine-induced Ultrasound-guided Femoral Nerve Block [NCT02089932]Phase 460 participants (Actual)Interventional2014-02-28Completed
A Prospective Randomized Controlled Study on the Role of Restoring Liver-Diaphragm Surface Tension and Pain Control at Port Sites in Optimizing Pain Management Following Laparoscopic Cholecystectomy [NCT05214157]804 participants (Actual)Interventional2020-03-20Completed
Efficacy of Transnasal Sphenopalatine Ganglion Block Using TX360® Device for Children and Adolescents With Chronic Daily Headaches: A Single Center, Prospective, Randomized, Double Blind, Placebo-controlled Study Assessing the Efficacy of the Transnasal S [NCT05213065]120 participants (Anticipated)Interventional2022-02-05Not yet recruiting
The Effect of Liposomal Bupivacaine on the Quality of Recovery in Patients Undergoing Shoulder Arthroscopy [NCT04461028]Phase 3200 participants (Anticipated)Interventional2019-02-21Recruiting
The Efficacy of Adding Dexmedetomidine Perineurally to Bupivacaine in Ultrasound Guided Fascia Iliaca Block Versus Intravenously Infused Dexmedetomidine on Hemodynamic Stability Intraoperatively and Postoperative Analgesia Following Hip Arthroscopy [NCT04917029]88 participants (Actual)Interventional2021-05-18Completed
Erector Spinae Plane Block Versus Perioperative Intravenous Lidocaine for Postoperative Pain Control in Patients Undergoing Thoracotomy: A Prospective, Randomized, Double-blind Controlled Clinical Trial [NCT04221880]60 participants (Actual)Interventional2021-09-29Completed
Evaluation of Cardiac Arrhythmias in Patients Undergoing Kidney Cancer Surgery Depending on the Anaesthesia Method [NCT02988219]Phase 450 participants (Actual)Interventional2010-06-30Completed
A Randomized Control Trial Comparing Analgesic Benefits of Ultrasound-guided Single vs Continuous Quadratus Lumborum Blocks vs Intrathecal Morphine for Post Cesarean Section Pain [NCT04368364]Phase 43 participants (Actual)Interventional2020-05-22Terminated(stopped due to Study was stopped early due to a conflicting study in the same patient population at the study location.)
[NCT02282774]Phase 380 participants (Actual)Interventional2013-12-31Completed
Ultrasound Guided Continuous Suprascapular Nerve Block With Oral Gabapentin For Pain Management In Patients With Frozen Shoulder [NCT05037994]40 participants (Actual)Interventional2021-04-01Completed
Preoperative Paravertebral Block in Cancer Surgery of the Lung: ParaSOL a Prospective Randomized Controlled Clinical Trial [NCT04209868]Phase 2/Phase 3100 participants (Anticipated)Interventional2019-02-01Recruiting
A Comparison Of Distal Peripheral Nerve Blockade Versus Traditional Proximal Approaches For Hand Surgery [NCT02112006]60 participants (Actual)Interventional2014-04-30Completed
Serratus Plane Block for Postoperative Pain Control After Breast Surgery [NCT02865928]Phase 490 participants (Anticipated)Interventional2017-09-05Recruiting
Comparison of the ED95 Dose of 0.075% and 0.1% Bupivacaine for Labour Analgesia in Primigravida. [NCT02116842]Phase 4100 participants (Anticipated)Interventional2012-12-31Recruiting
To Determine the Effectiveness of Saddle Block vs Spinal Anesthesia in TURP [NCT05285800]Phase 360 participants (Actual)Interventional2021-09-06Completed
Intrathecal Atropine Versus Preoperative Intravenous Ondasetron for Prevention of Postoperative Nausea and Vomiting Due to Intrathecal Morphine in Perineal Surgery [NCT05137288]100 participants (Anticipated)Interventional2021-12-01Not yet recruiting
Pain Management in Cardiac Implantable Electronic Device Insertion; Effectiveness of Bupivacaine, Ketorolac, Ketamine, vs Bupivacaine Alone in Reducing Postoperative Pocket Pain [NCT05575999]Phase 1200 participants (Anticipated)Interventional2023-04-30Not yet recruiting
Bupivacaine Liposomal Injection (Exparel) for Postsurgical Analgesia in Patients Undergoing Laparoscopic Bariatric Surgery: A Randomized, Double-Blind, Controlled Trial [NCT02969187]Phase 4126 participants (Actual)Interventional2016-11-30Completed
An Open-label Safety and Pharmacokinetic Study of INL-001 in Adults Following Open Ventral Hernia Repair, Abdominoplasty, Open Abdominal Hysterectomy, Laparoscopic-assisted Colectomy, and Reduction Mammoplasty [NCT04785638]Phase 3100 participants (Actual)Interventional2021-04-14Completed
Hemodynamic Safety of Isobaric Levobupivacaine Versus Isobaric Bupivacaine for Subarachnoid Anesthesia in Patients Over 65 Years Undergoing Hip Surgery [NCT03843970]Phase 4150 participants (Anticipated)Interventional2018-06-14Recruiting
Genicular Nerve Blocks for Arthroscopic Anterior Cruciate Knee Surgery: a Randomized Controlled Trial [NCT05720949]Phase 4192 participants (Anticipated)Interventional2023-01-12Recruiting
Comparison of the Analgesic Effects of Oblique Subcostal, Posterior or Dual Transversus Abdominis Plane (TAP) Block in Patients Undergoing Laparoscopic Cholecystectomy [NCT04693156]71 participants (Actual)Interventional2021-02-01Completed
Comparison Between the Analgesic Effects of Ultrasound-guided Unilateral Quadratus Lumborum Block (Lateral Approach) Versus Erector Spinae Plane Block in Patients Undergoing Unilateral Lower Abdominal Surgery [NCT05524038]48 participants (Anticipated)Interventional2021-01-01Recruiting
Clinical And Anatomic Study Of An Ultrasound-Guided Selective Block Of The Superior Trunk Of The Brachial Plexus. Description Of A New Approach [NCT03512990]10 participants (Anticipated)Interventional2018-04-09Recruiting
Effects of Thoracic Paravertebral Blockade on Acute and Chronic Pain After Video Assisted Thoracoscopic Surgery (VATS) - A Randomized, Clinical Trial [NCT02302586]Phase 460 participants (Actual)Interventional2014-09-30Completed
Evaluation of the Duration of Bupivacaine Spinal Block as the Primary Anesthetic for Orthopedic Procedures With and Without Epinephrine Wash [NCT02619409]30 participants (Actual)Interventional2016-02-11Completed
A Prospective Randomized Controlled Trial to Evaluate the Efficacy of an Interscalene Brachial Plexus Block and Multimodal Analgesia With and Without Liposomal Bupivacaine for Postoperative Pain Control in Total Shoulder Arthroplasty [NCT05068960]Phase 4150 participants (Anticipated)Interventional2021-03-01Recruiting
Does Long-Acting Liposomal Bupivacaine Provide Improved Pain Relief Over Bupivicaine Alone in Carpal Tunnel Release? [NCT02141178]0 participants (Actual)Interventional2015-05-31Withdrawn(stopped due to No IRB approval)
Comparative Study of Bupivacaine Versus Bupivacaine-Dexmedetomidine in Ultrasound Guided Serratus Plane Block for Patients Undergoing Modified Radical Mastectomy [NCT03498092]150 participants (Actual)Interventional2016-08-08Completed
Evaluation of Pectoral Nerve Blocks II for Augmentation Mammoplasty Surgeries. Prospective, Randomized, Double-blind Study [NCT03488888]40 participants (Anticipated)Interventional2017-11-03Recruiting
Comparison Between Ultrasound-guided Pectoral Nerves Block Type II and Intercostobrachial Nerve Block as a Supplement to Supraclavicular Block for Anesthesia of Proximal Arteriovenous Access in End-stage Renal Disease Patients [NCT04988776]Phase 1/Phase 240 participants (Actual)Interventional2020-02-01Completed
Analgesic Efficacy of Adding SCB With Low Concentration Bupivacaine Combined With Dexamethasone to ACB and Periarticular Injection on Postoperative Pain After TKA: Randomized Controlled Study [NCT03486548]Phase 450 participants (Anticipated)Interventional2018-04-30Not yet recruiting
Efficacy of Magnesium Sulfate Added to Bupivacaine in Suprascapular Nerve Block on Duration of Analgesia Following Shoulder Arthroscopy: a Prospective Randomized Controlled Study [NCT03602469]60 participants (Anticipated)Interventional2018-07-31Not yet recruiting
A Multicenter, Double Blinded, Randomized Controlled Trial of Levator Muscle Blocks Following Posterior Colporrhaphy Surgery to Reduce Post-operative Pain. [NCT03067168]128 participants (Actual)Interventional2017-05-15Active, not recruiting
Status Migrainosus - Differentiating Between Responders and Non-responders in the Setup of Real-life Clinical Practice [NCT03066544]Phase 1/Phase 250 participants (Anticipated)Interventional2016-11-30Recruiting
The Effect of Local Wound Infiltration Versus Caudal Block on Wound Infection and Healing After Inguinal Herniotomy Paediatrics [NCT03563625]50 participants (Actual)Interventional2017-11-04Completed
Dexmedetomidine as an Adjuvant to Bupivacaine in Transversus Abdominis Plane Block for Laparoscopic Cholecystectomy: Multicentre Study [NCT02031510]Phase 1/Phase 2195 participants (Actual)Interventional2014-01-31Completed
The Value of Adding Pecto-intercostal Fascial Plane Block on the Postoperative Analgesia and Recovery Profile After Off-Pump Coronary Artery Bypass Surgery [NCT05774249]40 participants (Actual)Interventional2023-03-20Completed
Dexmedetomidine Combined With Bupivacaine for Erector Spinae Plane Block Versus Bupivacaine Alone for Postoperative Pain Control of Posterior Lumbosacral Spine Fixation Surgeries [NCT05590234]Phase 1/Phase 290 participants (Actual)Interventional2022-11-15Completed
Efficacy of Preventive Ketamine on Postoperative Pain: A Randomized, Double-blind Trial of Patients Undergoing Laparoscopic Sleeve Gastrectomy [NCT04908579]Phase 490 participants (Anticipated)Interventional2021-06-15Recruiting
Effect of Addition of Fentanyl or Dexamethasone or Both to Bupivacaine in Paravertebral Block for Patients Undergoing Major Breast Surgery [NCT03480308]1 participants (Anticipated)Interventional2018-04-01Recruiting
Evaluation of Postoperative Pain After Tension-free Obturator Tape Operation (TVT-O) With or Without Local Anesthetic [NCT03479996]22 participants (Actual)Interventional2018-11-13Completed
Which Combination of Local Anesthesia is Superior for Postoperative Pain After Carpal Tunnel Surgery?: A Prospective Randomized Study. [NCT05697276]82 participants (Actual)Interventional2022-09-13Completed
Ultrasound Guided Modified Versus Conventional Serratus Anterior Plane Block as a Preemptive Analgesia for Unilateral Video-Assisted Thoracoscopic Surgery [NCT05661253]99 participants (Anticipated)Interventional2022-12-02Recruiting
A Phase 3, Multicenter, Randomized, Double-Blind, Parallel Group Study of the Efficacy and Safety of a Single Administration of F14 for Postoperative Analgesia in Patients Undergoing Unilateral Total Knee Replacement [NCT05603832]Phase 3151 participants (Actual)Interventional2022-11-17Active, not recruiting
Effects of Anesthetic Technique on Natural Killer Cell Population and Cytotoxicity [NCT02669186]20 participants (Anticipated)Interventional2019-07-10Enrolling by invitation
A Double-Blinded Randomized Controlled Trial Comparing the Adductor Canal Catheter (ACC) and Local Infiltration of Analgesia (LIA) Following Primary Total Knee Arthroplasty [NCT02603900]Phase 40 participants (Actual)Interventional2015-10-31Withdrawn
The Comparison Between Dexamethasone and Morphine as an Adjuvant to Epidural Bupivacaine for Post-operative Analgesia in Lower Extremity Surgery [NCT03051022]64 participants (Actual)Interventional2016-05-01Completed
Comparing 1% Spinal Chloroprocaine to Low-dose Bupivacaine Using the Epidural Volume Extension Technique for Post-Partum Tubal Ligation [NCT03993314]Phase 215 participants (Actual)Interventional2019-08-13Terminated(stopped due to Lack of recruitment due to COVID-19 pandemic; chloroprocaine shortage)
Hemodynamic Effects of Low Dose Spinal Anesthesia for Cesarean Section [NCT02036697]30 participants (Actual)Interventional2013-11-30Terminated(stopped due to Difficulty with patient recruitment.)
Comparision of the Use in Marcaine and Chloroprocaine in Rachianesthesia for the Surgical Correction of Inguinal Hernia. [NCT02049255]Phase 450 participants (Actual)Interventional2013-11-30Completed
The Effect of Pre-incisional Anterior Scalp Block on Intraoperative Opioid Consumption in Adult Patients Undergoing Elective Craniotomy to Remove Tumor: A Prospective Randomized Controlled [NCT02057367]Phase 4100 participants (Actual)Interventional2013-03-31Completed
Adductor Canal Block: Single Injection vs Catheter for Pain Management of Total Knee Arthroplasty - A Randomized, Unblinded, Non-Inferiority Trial [NCT02798835]Phase 4180 participants (Actual)Interventional2016-07-31Completed
Pilot Study of Liposomal Bupivacaine Redosing in Patients Undergoing Major Gynecologic Procedures: A Quality Improvement Project in Post-operative Pain [NCT04849858]Phase 345 participants (Anticipated)Interventional2019-05-20Recruiting
MIDCAB (Mid-Calf Block) for Foot Surgery: A Pilot Study [NCT05368012]Phase 420 participants (Actual)Interventional2022-07-21Completed
Comparison of Post-Operative Analgesia With Peri Tract Local Anesthesia Infiltration and Oral Analgesia Versus Post-Operative Intravenous Analgesia After Percutaneous Nephrolithotomy. [NCT04835116]Phase 468 participants (Actual)Interventional2019-04-11Completed
A Comparative Study Between the Effect of Addition of MgSO4 or Dexamethasone to Bupivacaine on the Prolongation of Ultrasound-guided Quadratus Lumboram Block [NCT05397236]66 participants (Actual)Interventional2021-06-01Completed
Evaluation of the Feasibility of Depomedrol Added to Bupivacaine in Ultrasound-guided Genicular Nerve Block in the Combination With Adductor Canal Block for Postoperative Analgesia and Rehabilitation After Reconstructive Knee Surgery. [NCT05893771]48 participants (Actual)Interventional2023-06-07Completed
Investigating the Minimum Number of Needling Required to Optimize Trigger Point Injections Outcome [NCT04732507]Phase 2300 participants (Anticipated)Interventional2021-04-20Enrolling by invitation
A Phase 2, Randomized, Pilot Study to Investigate the Safety, Efficacy, Pharmacokinetics and Bioavailability of HTX-011, HTX-002, or HTX-009 Administered Via Injection and/or Topical Application Following Unilateral Open Inguinal Herniorrhaphy [NCT02504580]Phase 2463 participants (Actual)Interventional2015-07-31Completed
Erector Spinae Plane Block Versus Quadratus Lumborum Block for Postoperative Analgesia in Children Undergoing Low Abdominal Surgery: A Randomized Controlled Trial [NCT03463382]60 participants (Actual)Interventional2018-03-12Completed
Three-level Injection Paravertebral Block Using Paravertebral Catheter Compared to General Anesthesia in Mastectomy Surgery [NCT02065947]Phase 1/Phase 260 participants (Actual)Interventional2013-10-31Completed
Analgesic Efficacy of Trans Abdominis Plane Block in Women Undergoing Cesarean Section: a Randomized Study. [NCT04809532]60 participants (Anticipated)Interventional2021-02-25Recruiting
Efficacy of the Liposomal Bupivacaine for Postoperative Pain Control in Urologic Procedures [NCT02805504]Phase 4140 participants (Actual)Interventional2016-07-11Completed
[NCT02076945]75 participants (Actual)Interventional2014-02-28Completed
Anterior Ethmoidal Nerve Block in Prevention of Postoperative Agitation Following Nasal Surgeries With Nasal Packs Under General Anesthesia: A Double Blind Randomized Control Trial [NCT03427502]100 participants (Actual)Interventional2018-06-01Completed
Comparison of Local Anesthetic Infiltration, Trasversalis Fascia Block or Spinal Anesthesia for Inguinal Hernia Repair [NCT03128216]48 participants (Anticipated)Interventional2017-04-30Not yet recruiting
Randomized Clinical Trial Examining Use of Adjunct EXPAREL for Post-tonsillectomy Pain Management in Adults [NCT03420638]Phase 438 participants (Anticipated)Interventional2018-02-15Recruiting
Ultrasound Guided Anterior Quadratus Lumborum Block for Postoperative Pain After Percutaneous Nephrolithotomy: Randomized Controlled Trial [NCT03425162]60 participants (Actual)Interventional2018-02-12Completed
Impact of Guideline Recommendations for Post-caesarean Analgesia on Pain, Nausea and Pruritus [NCT05659823]Phase 4108 participants (Actual)Interventional2020-11-02Completed
Intrathecal Fentanyl Versus Intravenous Granisetron for the Prevention of Perioperative Nausea and Vomiting During Cesarean Delivery Under Spinal Anesthesia [NCT05474001]90 participants (Anticipated)Interventional2022-06-01Recruiting
Single-injection Ultrasound-guided Erector Spinae Plane Block for Postoperative Analgesia in Patients Undergoing Open Radical Prostatectomy: A Prospective Randomized Sham-controlled Trial [NCT04337060]52 participants (Actual)Interventional2020-05-01Completed
Evaluation of the Analgesic Efficacy of Dexmedetomidine as an Adjuvant to Local Anesthesia in Quadratus Lumborum Block After Cesarean Delivery: A Randomized Controlled Trial. [NCT04748224]50 participants (Actual)Interventional2020-02-02Completed
Intraperitoneal Instillation of Bupivacaine With Either Magnesium Sulphate or Nalbuphine for Postoperative Pain Control in Laparoscopic Hysterectomy: a Prospective, Randomized, Double-blinded Trial. [NCT03393572]Phase 480 participants (Actual)Interventional2018-01-03Completed
Effect of Pregabalin or Adductor Canal Block on Postoperative Analgesia After Arthroscopic Anterior Cruciate Ligament Reconstruction (ACL) [NCT03530280]51 participants (Actual)Interventional2018-06-01Completed
The Effects of Single-dose Rectal Midazolam Application on Post-operative Recovery, Sedation, and Analgesia in Children Given Caudal Anesthesia Plus Bupivacaine [NCT02127489]Phase 440 participants (Actual)Interventional2005-06-30Completed
Randomized Placebo-controlled Analysis of Superior Laryngeal Nerve Block for Neurogenic Cough [NCT04468542]Phase 365 participants (Anticipated)Interventional2021-01-12Recruiting
Speeding Recovery From Pain and Opioid Use After Mastectomy and Breast Reconstruction Surgery [NCT03388814]Early Phase 10 participants (Actual)Interventional2018-11-30Withdrawn(stopped due to Lack of Funding)
The Effects of Sufentanil or Morphine Added to Hyperbaric Bupivacaine in Spinal Anaesthesia for Elective Caesarean Section [NCT03386630]Phase 466 participants (Actual)Interventional2018-03-28Completed
Ultrasound-guided Transverses Abdominis Plane Block in Inguinal Herniorrhaphy: Randomized Controlled Clinical Trial [NCT02299908]Phase 440 participants (Anticipated)Interventional2014-11-30Not yet recruiting
Effect of Sympathetic Blockade on the Success and Survival of Arteriovenous Fistula [NCT02305992]0 participants (Actual)Interventional2015-12-31Withdrawn(stopped due to Looking for funding opportunities)
Effects of Thoracic Epidural Analgesia and Surgery on Lower Urinary Tract Function: A Randomized, Controlled Study [NCT01220362]40 participants (Actual)Interventional2010-10-31Completed
Erector Spinae Plane Block Versus Thoracic Epidural Analgesia in Patients With Multiple Fracture Ribs [NCT03853330]108 participants (Actual)Interventional2019-12-01Completed
Comparison Between Perineural and Systemic Effect of Dexamethasone as an Adjuvant for Prolongation of the Interscalene Brachial Plexus Block. [NCT02190760]90 participants (Anticipated)Interventional2014-09-30Not yet recruiting
The Efficacy Of Nalbuphine Versus Fentanyl As Additives To Bupivacaine In Spinal Anaesthesia For Internal FixationI Of Tibia [NCT03535792]50 participants (Actual)Interventional2017-11-04Completed
Is it Feasible to Conduct a Randomised Controlled Trial (RCT) of the Transverse Abdominis Plane (TAP) Block Versus Anaesthetic Injections to the Wound Site for Patients Requiring Laparoscopic Cholecystectomy? [NCT03532906]60 participants (Actual)Interventional2018-07-01Completed
Efficacy of Extended-Release Liposomal Bupivacaine for Post-Operative Pain Management Following Urogynecologic Surgery: A Prospective, Randomized, Double-Blinded, Placebo-Controlled Trial [NCT02287246]Phase 4120 participants (Anticipated)Interventional2014-10-31Recruiting
Spinal Bupivacaine/Morphine in Laparoscopic Gastro-intestinal Surgery [NCT02284282]56 participants (Actual)Interventional2014-08-31Completed
Erector Spinae Plane Block vs. Usual Care for ED Patients With Mechanical Back Pain: A Randomized Controlled Trial [NCT05982483]30 participants (Actual)Interventional2019-09-08Completed
Efficacy and Safety of Bilateral Recto-Intercostal Fascial Plane Block on Perioperative Analgesia in Epigastric Hernia Repair : A Randomized Controlled Trial [NCT06092073]40 participants (Anticipated)Interventional2023-10-21Recruiting
Clinical Effectiveness of Pre-incision Versus Post-incision Local Anesthetic During Laparoscopic/Robotic Sacrocolpopexy [NCT04996251]Phase 4129 participants (Actual)Interventional2021-07-30Completed
Continuous Local Infusion of Anesthetic at the Incisional Site for Scoliosis Surgery [NCT00508066]Phase 460 participants (Actual)Interventional2007-05-31Completed
Comparison of Plasma Concentrations of Lidocaine and Bupivacaine After Ultrasound-guided Axillary Approach to Brachial Plexus Block Used With Different Dilute Mixture Solutions for Upper Limb Trauma Surgery [NCT03527836]30 participants (Anticipated)Interventional2017-03-17Enrolling by invitation
Comparison Between Hemodynamic Effect of Bilateral Infraorbital Block Versus Intranasal Application of Bupivacaine in Patients Undergoing Transsphenoidal Pituitary Adenoma Resection.A Comparative Randomized Controlled Study [NCT05301634]Phase 356 participants (Anticipated)Interventional2022-04-02Recruiting
Liposomal Bupivacaine Versus 0.25% Bupivacaine Hydrochloride for Postoperative Analgesia After Breast Reduction Surgery: A Prospective, Single Blind, Non-randomized Controlled Trial [NCT05891613]Phase 442 participants (Anticipated)Interventional2023-12-31Not yet recruiting
An Analysis of Photoplethysmographic Signal in Diagnostic Lumbar Sympathetic Block for Complex Regional Pain Syndrome [NCT01134289]Phase 325 participants (Anticipated)Interventional2009-09-30Recruiting
Hypotension in Spinal Anesthesia for Total Knee Joint Arthroplasty: a Comparison of Taylor's Approach With Paramedian Lumbar Approach [NCT02302378]30 participants (Actual)Interventional2015-01-31Completed
Use of Local Anesthetic (0.25% Bupivacaine) for Pain Control in Pediatric Cardiac Catheterization: A Randomized Controlled Trial. [NCT01133119]Phase 2140 participants (Anticipated)Interventional2010-02-28Completed
Nalbuphine Versus Midazolam as an Adjuvant to Intrathecal Bupivacaine for Postoperative Analgesia in Patients Undergoing Cesarean Section [NCT03918187]Phase 190 participants (Actual)Interventional2019-04-10Completed
Transversus Abdominis Plane Block Versus Wound Infiltration for Analgesia After Cesarean Delivery: A Randomized Controlled Trial [NCT03498118]120 participants (Actual)Interventional2018-01-01Completed
Comparison Of The Effects Of Two Different Low-Doses Of Isobaric Bupivacaine On Intraoperative Hemodynamics In Spinal Anesthesia During Cesarean Section: A Randomized Controlled Trial [NCT05136040]80 participants (Actual)Interventional2018-10-15Completed
4-drug Nerve Block Versus Plain Local Anesthetic for Knee and Hip Arthroplasty Analgesia in Veterans [NCT02891798]Phase 398 participants (Actual)Interventional2016-10-31Completed
The Effect of Local Infiltration of Liposomal Bupivacaine on Opioid Consumption at Time of Cesarean Delivery: A Randomized Controlled Trial [NCT03907813]Phase 40 participants (Actual)Interventional2019-05-01Withdrawn(stopped due to change in design)
Comparing Bupivacaine, Lidocaine, and a Combination of Bupivacaine and Lidocaine for Labor Epidural Activation: A Prospective, Randomized, Double-Blind Study [NCT03103100]Phase 375 participants (Actual)Interventional2015-10-08Completed
Dexmedetomidine Added to Bupivacaine Versus Bupivacaine inTransincisionalU/S Guided Quadratus Lumborum Block in Open Renal Surgeries , A New Technique :Prospective, Randomized Double- Blinded Study [NCT03869047]Phase 480 participants (Actual)Interventional2019-03-06Completed
Analgesic Control Following Knee Arthroscopy: Results of a Randomised , Double-blinded Trial Comparing a Hyaluronic Acid Supplement to Bupivacaine [NCT01169389]98 participants (Actual)Interventional2009-01-31Completed
Protracted Mixture of Local Anesthetics for Major Foot and Ankle Surgery. A Randomized Double-blind, Controlled Study Comparing Bupivacaine-Epinephrine 0.5% Versus Bupivacaine-Epinephrine 0.5% With Dexamethasone [NCT02526199]Phase 456 participants (Actual)Interventional2015-08-31Completed
Comparison of Post-operative Analgesic Effects of Two Doses of Dexamethasone Added to Bupivacaine in Ultrasound-guided Transversusabdominis Plane (TAP) Block for Inguinal Hernia Repair [NCT03863977]Phase 2/Phase 390 participants (Actual)Interventional2019-03-15Completed
An Open, Randomised, Parallel Group Controlled, Single Centre Safety Study to Assess the Safety and Efficacy of Tri-Solfen in Providing Anaesthesia Prior to Surgical Debridement of Leg Ulcers and Post-operative Pain Relief [NCT03865147]Phase 290 participants (Anticipated)Interventional2019-01-15Recruiting
Unilateral vs. Bilateral Pudendal Nerve Block for Post-Episiotomy Pain Relief: A Randomized Clinical Trial [NCT03944291]Phase 3102 participants (Actual)Interventional2019-05-01Completed
Clinical Trials With a Local Anesthetic Lozenge for the Treatment of Oral Mucosal Pain in Burning Mouth Syndrome, Sjögrens Syndrome and Lichen Planus. [NCT01584947]Phase 231 participants (Actual)Interventional2012-04-30Terminated(stopped due to Because of a very slow patient recruitment.)
Utility of Exparel Based Erector Spinae Plane Block for Elective 1 and 2 Level Posterior-based Lumbar Fusion: A Randomized Control Trial [NCT06107660]Phase 4100 participants (Anticipated)Interventional2023-12-31Not yet recruiting
Obstetric Liposomal Bupivacaine Via Surgical Transversus Abdominis Plane Block for Post Cesarean Pain Control: a Single-blind Pilot Randomized Controlled Trial [NCT04897841]Phase 460 participants (Actual)Interventional2021-10-11Completed
Pain Control After Total Knee Arthroplasty: A Prospective, Double-blind Randomized Controlled Trial Examining the Benefit of a Combined Adductor-canal Nerve Block With Periarticular Infiltration Versus Periarticular Injection Alone [NCT02740192]Early Phase 1128 participants (Actual)Interventional2016-04-30Completed
Pain Managment After VATS to Reduce Postoperative Pain and Improve Pulmonary Function [NCT05282251]Early Phase 150 participants (Anticipated)Interventional2022-04-01Not yet recruiting
Quadratus Lumborum Block Versus Control for Total Hip Arthroplasty [NCT03408483]Phase 2/Phase 380 participants (Actual)Interventional2018-04-01Completed
Randomized, Double Blind Trial of Thoracolumbar Interfascial Plane Block and Erector Spinae Plane Block for Adult Spinal Surgery [NCT03931343]60 participants (Anticipated)Interventional2020-12-31Not yet recruiting
Effects of Intranasal Injection of Dexmedetomidine Plus Bupivacaine on Anesthesia & Analgesia in Septoplasty Surgeries [NCT03926663]Phase 440 participants (Anticipated)Interventional2019-07-20Recruiting
A Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of a 300-mg Dose of the INL-001 (Bupivacaine Hydrochloride) Implant in Patients Undergoing Abdominoplasty [NCT04785625]Phase 3366 participants (Actual)Interventional2021-04-29Completed
Four Quadrants Transverse Abdominus Plane (4Q-TAP) Block With Plain and Liposomal Bupivacaine vs. Thoracic Epidermal Analgesia (TEA) in Patients Undergoing Cytoreductive Surgery With Hyperthermic Intraperitoneal Chemotherapy (CRS-HIPEC) on an Enhanced Rec [NCT03359811]Phase 375 participants (Actual)Interventional2017-11-27Completed
Is Elective Caesarean Sections for Predicting Post-spinal Hypotension Role of Overactive Bladder? [NCT05624671]143 participants (Actual)Interventional2019-08-01Completed
Phrenic Afferences In Organic and Metabolic Illness: Central Sensitization [NCT05605639]Phase 460 participants (Anticipated)Interventional2022-11-17Recruiting
Does Caudal Block Increase the Incidence of Urethrocutaneous Fistula Formation Following Hypospadias Repair in Infants? A Multi-center Prospective Randomized Trial. [NCT02861950]Phase 4490 participants (Anticipated)Interventional2017-05-24Active, not recruiting
Comparing the Effect of Three Different Volumes of Bupivacaine in Infiltration Between Popliteal Artery and Capsule of Knee Block Following Adductor Canal Block in Total Knee Arthroplasty, Prospective Randomized Control Trial. [NCT05438992]105 participants (Anticipated)Interventional2022-07-15Not yet recruiting
Ultrasonography for Fluid Assessment in Parturients With Preeclampsia Undergoing Elective Cesarean Section Under Spinal Anesthesia [NCT04370847]100 participants (Actual)Observational2020-06-01Completed
Assessing the Efficacy of Virtual Reality Analgesia (VRA) in Adult Patients for Pain Control During Spinal Injections (SI) [NCT03787147]Phase 20 participants (Actual)Interventional2020-11-30Withdrawn(stopped due to Never started the study cause of the lack of funding)
Minimal Opioid Use After Total Hip Replacement (THR): a Blinded Randomized Placebo-controlled Study [NCT03090152]Phase 4180 participants (Actual)Interventional2017-03-08Completed
Evaluation of Postoperative Analgesic Effects of Bilateral Suprazygomatic Maxillary Nerve Block Using Bupivacaine and Dexmedetomidine in Children Undergoing Cleft Palate Repair Under General Anesthesia:Randomized Controlled Trial [NCT03412474]Phase 280 participants (Actual)Interventional2018-01-14Completed
Intercostal Liposomal Bupivacaine for the Management of Blunt Chest Wall Trauma [NCT02749968]Phase 2100 participants (Actual)Interventional2018-03-09Completed
Does the Addition of Liposomal Bupivacaine to the Adductor Canal Block Impact Narcotic Use After Primary Total Knee Arthroplasty: a Prospective, Blind Randomized Control Trial [NCT04539730]Phase 40 participants (Actual)Interventional2021-12-01Withdrawn(stopped due to Did not acquire funding to pursue study)
PECS Block vs. Multimodal Analgesia for Prevention of Persistent Postoperative Pain in Breast Surgery [NCT03084536]Phase 2134 participants (Actual)Interventional2017-06-07Completed
A Prospective, Randomized, Single-Blind, Active Control Trial to Compare Safety and Effectiveness Of Liposomal Bupivacaine (Exparel) to Standard Bupivacaine HCl (Marcaine) for Pain Management in Patients Undergoing Video-Assisted Thoracoscopic Lobectomy [NCT03682224]Phase 357 participants (Actual)Interventional2018-07-05Completed
The Effect of Adding Dexamethasone Versus Magnesium Sulphate Versus Dexmedetomidine to Bupivacaine in Ultrasound Guided Adductor Canal Block for Post-operative Analgesia Following Anterior Cruciate Ligament Repair [NCT04892420]Phase 2120 participants (Actual)Interventional2021-06-09Completed
Double-Blinded Randomized Control Trial Comparing Liposomal Bupivacaine and Bupivacaine Hydrochloride in Transversus Abdominis Plane Blocks Prior To DIEP Flap for Breast Reconstruction [NCT03700970]Phase 460 participants (Actual)Interventional2019-06-13Completed
The Role of Regional Anesthesia to Reduce Opioid Requirements Following Functional Endoscopic Sinus Surgery (FESS) [NCT03757715]Phase 446 participants (Actual)Interventional2019-05-20Completed
TAP Blocks Performed With Bupivacaine Versus Liposomal Bupivacaine in Colorectal Surgery Patients: A Prospective, Cluster Randomized Trial [NCT03638635]Phase 463 participants (Actual)Interventional2018-05-14Terminated(stopped due to Lack of personnel available to complete study.)
Does Continuous Wound Infusion of 0.2% Bupivacaine Provide Superior Analgesia Compared to Standard Opioid-based Therapy in Patients Following Axillary Clearance Surgery? [NCT01314144]Phase 342 participants (Anticipated)Interventional2010-08-31Recruiting
Effects of Continuous Femoral Nerve Block Versus Single-Injection Femoral Nerve Block With Intravenous Patient Controlled Analgesia Versus Intravenous Patient Controlled Analgesia on Knee Pain and Function After Total Knee Replacement [NCT01187537]200 participants (Actual)Interventional2009-07-31Completed
Surgical Site Infiltration Using Ketamine Versus Bupivacaine for Analgesia in Post-operative Appendectomy Operation [NCT05097118]Early Phase 160 participants (Actual)Interventional2021-09-01Completed
ENHANCED RECOVERY AFTER ORTHOGNATHIC SURGERY USING LIPOSOMAL BUPIVACAINE: A RANDOMIZED CONTROL TRIAL [NCT03844451]Phase 475 participants (Anticipated)Interventional2019-05-17Recruiting
A Phase 2, Randomized, Double-blind, Placebo-controlled Safety, Pharmacokinetics and Efficacy Study of CA-008 in Subjects Undergoing Bunionectomy [NCT03599089]Phase 2147 participants (Actual)Interventional2018-07-09Completed
Randomized Clinical Trial: Transverse Abdominis Plane Block Versus no Block in Laparoscopic Ventral Hernia Repair [NCT03342040]90 participants (Actual)Interventional2017-10-15Completed
Evaluation of Intraoperative, Local Site Injections of Liposomal Bupivacaine as an Alternative to Standard Local Anesthetics in Patients Undergoing Total Hip Arthroplasty [NCT03341104]173 participants (Actual)Observational2013-01-01Completed
Comparison of General Anesthesia and Combined Spinal-epidural Anesthesia on Postoperative Outcomes in Patients Undergoing Transabdominal Cervico Isthmic Cerclage (TCIC) [NCT03636048]20 participants (Actual)Interventional2018-08-01Terminated(stopped due to not enough participants)
Comparative Study of Mid-thoracic Spinal Versus Epidural Anesthesia for Open Nephrectomy in Patients With Obstructive/Restrictive Lung Disease: A Randomized Controlled Study [NCT03324490]60 participants (Actual)Interventional2017-11-01Completed
Role of Wound Installation With Bupivacaine Through Surgical Drains in Postoperative Analgesia in Modified Radical Mastectomy [NCT03799757]Phase 4168 participants (Actual)Interventional2016-01-31Completed
COMPARISON OF INTRAOPERATIVE TRANSVERSUS ABDOMINIS PLANE BLOCK, LOCAL ANESTHESIA APPLICATION TO THE PORT SITES AND INTRAPERITONEAL LOCAL ANESTHETIC APPLICATIONS IN POSTOPERATIVE PAIN MANAGEMENT IN LAPAROSCOPIC CHOLECYSTECTOMY PATIENTS [NCT03790007]Phase 43 participants (Actual)Interventional2018-11-01Completed
Liposomal Bupivacaine To Control Post-Operative Pain Following Buccal Mucosal Graft Harvesting [NCT03720223]Phase 350 participants (Anticipated)Interventional2015-01-20Completed
Comparative Study of Non-inferiority Between Heavy Levobupivacaine With Enantiomeric Excess of 50% (Bupivacaine S75: R25) and Heavy Racemic Bupivacaine (Bupivacaine S50: R50) in Spinal Anesthesia for Orthopedic Procedures in the Lower Limbs. [NCT01308047]Phase 30 participants (Actual)InterventionalWithdrawn(stopped due to The Sponsor has no interest in continuing the study.)
A Prospective Randomized Trial Comparing Femoral Nerve Black to Intraoperative Local Anesthetic Injection of Liposomal Bupivacaine (Exparel) in Total Knee Replacement [NCT02473198]Phase 3312 participants (Anticipated)Interventional2014-01-31Active, not recruiting
Optimizing Postoperative Pain Control After Laparoscopic Colorectal Surgery by Supplementing Ultrasound-guided Erector Spinae Plane Block With Ketamine or Transdermal Fentanyl Patch [NCT06007378]120 participants (Anticipated)Interventional2023-09-05Recruiting
Hybrid Anesthesia for Ambulatory Knee Arthroscopy Using Intrathecal Prilocaine and Adductor Canal Block vs Intrathecal Bupivacaine Alone: a Randomized Controlled Trial [NCT05609565]Phase 480 participants (Anticipated)Interventional2022-11-15Recruiting
Efficacy of Combined Periportal and Preperitoneal Local Anesthetic Infiltration (CPPLAI) in Laparoscopic Sleeve Gastrectomy Patients [NCT04680923]120 participants (Actual)Interventional2020-12-08Completed
A Pilot Study: A Comparison of Liposomal Bupivacaine to Bupivacaine HCl in Transversus Abdominis Planus Block for Abdominal Gynecologic Surgery [NCT03304444]Phase 3128 participants (Anticipated)Interventional2016-08-31Recruiting
Does Single Dose Dexmedetomidine for Procedural Sedation Reduce Post-operative Pain in Total Knee Arthroplasty? A Randomized Control Study [NCT02466022]Phase 354 participants (Actual)Interventional2015-06-30Completed
Prospective Study on Endoscopic Ultrasound (EUS) Celiac Bloc Efficacy in Chronic Pancreatitis [NCT01318590]Phase 32 participants (Actual)Interventional2011-11-18Terminated(stopped due to Closed by CHUM REB for incomplete documentation of research activities.)
Different Approaches of Spinal Anesthesia in Patients Undergoing Cesarean Section: Midline, Paramedian and Taylors Approach [NCT05637645]200 participants (Anticipated)Interventional2022-11-22Recruiting
Liposomal Bupivacaine vs. Bupivacaine Hydrochloride and Lidocaine During Suburethral Sling Placement: a Randomized Control Trial [NCT02875015]57 participants (Actual)Interventional2016-04-30Completed
The Effect of Neuraxial Analgesia on Maternal Breastfeeding [NCT01074190]345 participants (Actual)Interventional2010-01-31Completed
Comparison of Trigger Point Injections Versus Traditional Therapies in the Management of Postsurgical Pain in Patients Who Had Anterior Cervical Surgery [NCT04640896]Phase 460 participants (Anticipated)Interventional2020-11-05Recruiting
Intrathecal Bupivacaine-Dexmedetomidine Compared to Intrathecal Bupivacaine-Neostigmine in Elective Caesarean Sections, Randomized Clinical Trial [NCT06055101]54 participants (Actual)Interventional2019-01-03Completed
A Randomized Blinded Controlled Trial of EXPAREL vs 1% Lidocane as Local Anesthetic in Patients Undergoing Pleuroscopy With Pleural Biopsy and Indwelling Pleural Catheter Placement [NCT05044468]Phase 280 participants (Anticipated)Interventional2021-03-23Recruiting
Effect of Lidocaine 5% Patch Supplementation to Intra-articular Bupivacaine Dexmedetomidine After Arthroscopic Knee Surgery Under General Anesthesia [NCT04322760]40 participants (Actual)Interventional2016-12-01Completed
Effectiveness of Subarachnoid Hyperbaric Bupivacaine on Mean Arterial Blood Pressure in Pregnant Patients With Obesity Operated by Cesarean Section [NCT04205344]Phase 440 participants (Actual)Interventional2017-02-01Completed
Spinal Analgesia for Laparoscopic Abdominoperineal Rectal Amputation Using an Enhanced Recovery After Surgery Program: a Randomized Double-blind Placebo-controlled Trial [NCT05406765]Phase 410 participants (Actual)Interventional2022-01-01Completed
Efficacy of Popliteal Block and Bupivacaine Concentration Used for Analgesia in Foot and Ankle Surgery [NCT04294732]Phase 468 participants (Actual)Interventional2018-04-01Completed
A Randomized Controlled Trial of Port Site Subcutaneous Injection of Bupivacaine to Determine the Effectiveness of Postoperative Pain Relief After Laparoscopic Cholecystectomy [NCT05264805]Phase 3166 participants (Anticipated)Interventional2022-03-31Not yet recruiting
Transversus Abdominis Plane (TAP) Block With Different Bupivacaine Concentrations in Pediatric Patients Undergoing Unilateral Inguinal Hernia Repair Surgery: A Prospective Randomised Double-Blinded Study [NCT04202367]74 participants (Actual)Interventional2016-11-01Completed
A Randomized, Prospective Trial Comparing Peri-articular Injection Utilizing a Pain Cocktail With and Without Exparel [NCT02571283]Phase 40 participants (Actual)Interventional2015-10-31Withdrawn(stopped due to PI decided to focus on more current topics of interest.)
Evaluation of Liposomal Bupivacaine Compared to Usual Care and Its Effects on Pain for Cardiac Surgery [NCT04065919]Phase 4300 participants (Anticipated)Interventional2019-10-01Enrolling by invitation
Use of Regional Anesthesia in Hip Arthroscopy [NCT02674113]0 participants (Actual)Interventional2015-10-31Withdrawn(stopped due to determined not to be feasible at our site)
Ultrasound-Guided Bilateral Thoracic Paravertebral Blocks as an Adjunct to General Anaesthesia in Patients Undergoing Reduction Mammoplasty: A Historical Cohort Study [NCT02671851]64 participants (Actual)Observational2014-01-31Completed
Effects of Addition of Magnesium Sulfate in Spinal Anesthesia on Surgeon Satisfaction and Postoperative Pain in Gynecologic Laparoscopic Surgeries. [NCT02671227]Phase 250 participants (Anticipated)Interventional2016-08-31Completed
The Effect of Caudal Block on Optic Nerve Sheath Diameter in Pediatric Patients [NCT05216211]60 participants (Actual)Interventional2021-12-09Completed
Comparison of Local Anesthetic Dose in IPACK (Interspace Between the Popliteal Artery and the Posterior Capsule of the Knee) Block Performed for Postoperative Analgesia in Knee Artroplasty Operations [NCT05963139]112 participants (Anticipated)Interventional2023-08-01Recruiting
Ultrasound Guided Pectoral Nerve Block Using Bupivacaine Versus Bupivacaine and Dexmedetomidine as a Supplement to General Anesthesia in Modified Radical Mastectomy [NCT04284098]45 participants (Anticipated)Interventional2020-03-01Not yet recruiting
Does the Reduction of Local Anesthetic Dose Provide Surgical Anesthesia While Avoiding Maternal Hypotension in Obese Pregnant for C/S by Single Shot Spinal Anesthesia? [NCT02563795]100 participants (Actual)Observational [Patient Registry]2015-05-31Completed
Bilateral Superficial Cervical Plexus Block Combined With Intravenous Sedation Versus General Anesthesia in Selected Patients for Thyroid/Parathyroid Surgery ; a Prospective Randomized Control Trial [NCT04051099]52 participants (Anticipated)Interventional2018-03-01Recruiting
Pediatric Tonsillectomy Pain Reduction Study, a Randomized, Placebo Controlled, Double-Blind Clinical Trial Using Clonidine and Local Anesthetics [NCT00678379]Phase 3120 participants (Actual)Interventional2008-04-30Completed
Dose and Concentration Relationship of Bupivacaine for Pericapsular Nerve Group Block in Hip Surgery [NCT05400148]112 participants (Anticipated)Observational2022-11-01Recruiting
The Use of Liposomal Bupivacaine Interscalene Brachial Plexus Block for Rotator Cuff Surgery: A Randomized, Double Blind, Clinical Trial [NCT04047745]132 participants (Anticipated)Interventional2019-09-30Not yet recruiting
A Phase 1, Pilot, Open Label, Study to Evaluate the Pharmacokinetics, and Safety, of EXPAREL Administered as Pectoral Plane Block in Women Undergoing Breast Augmentation Surgery [NCT04293809]Phase 130 participants (Actual)Interventional2019-12-19Completed
Comparative Effect of 0.2 or 0.3 Spinal Morphine and 0.25 or 0.5 % Bupivacaine for Femoral Nerve Block After Total Knee Replacement [NCT00795223]Phase 4160 participants (Actual)Interventional2008-10-31Completed
Quality of Analgesia After Interscalene Block With Bupivacaine and Exparel® vs. Bupivacaine Alone After Arthroscopic Shoulder Surgery [NCT02554357]50 participants (Actual)Interventional2015-07-31Completed
Efficacy of Dexmedetomidine as an Adjuvant to Local Anesthetic Agent in Scalp Block and Scalp Infiltration to Control Post Craniotomy Pain [NCT02866409]Phase 2150 participants (Actual)Interventional2013-11-30Completed
The Role of Epidural Opioids in Pain Management After Abdominal Surgery in Adult Patients - a Randomized Clinical Trial [NCT04251962]Phase 4135 participants (Actual)Interventional2020-08-01Completed
Spinal Anesthesia for Cesarean Delivery: Bupivacaine With or Without Fentanyl [NCT00808327]140 participants (Actual)Interventional2009-01-31Completed
Comparison of the Analgesic Efficacy of Ultrasound-guided Paravertebral Block and Mid-point Transverse Process Pleura Block in Mastectomy Surgery [NCT05332028]Phase 464 participants (Actual)Interventional2020-03-26Completed
Analgesic Benefit of Locally Injected Bupivacaine on Perineal Pain Among Women With Epidural Anesthesia After a Vaginal Delivery: a Randomized, Single-masked, Controlled Trial [NCT03672500]23 participants (Actual)Interventional2018-09-14Terminated(stopped due to Recruitment issues)
Thoracic Paravertebral Block in Postoperative Pain Management After Renal Surgery [NCT02840526]58 participants (Actual)Interventional2013-05-31Completed
Selective Spinal Anesthesia Using Hyperbaric Prilocaine 2% Provides Better Perioperative Hemodynamic Stability for Patients With Peripheral Vascular Disease and Cardiac Dysfunction Undergoing Lower Limb Vascular Surgery [NCT05877690]80 participants (Anticipated)Interventional2023-10-31Recruiting
Comparing the Effects of Levobupivacaine and Bupivacaine in Anorectal Surgery Under Saddle Spinal Anesthesia [NCT04245774]Phase 460 participants (Actual)Interventional2007-11-21Completed
Effects of Sleep Quality on Melatonin Levels and Inflammatory Response After Major Abdominal Surgery in an Intensive Care Unit [NCT02824770]40 participants (Anticipated)Interventional2017-01-01Recruiting
Effectiveness of Serratus Anterior Muscle Plane Block With Thoracic Paravertebral Block For Unilateral Mastectomies [NCT02822196]Phase 40 participants (Actual)Interventional2018-12-31Withdrawn(stopped due to Critical study personnel left the institution)
Multimodal Drug Infiltration in Total Knee Arthroplasty: Is Posterior Capsular Infiltration Worth the Risk? A Prospective, Double-Blind, Randomized Controlled Trial [NCT02860949]Phase 290 participants (Actual)Interventional2014-04-30Completed
Intrathecal 60mg Prilocaine, Hyperbaric 40mg 9-chloroprocaine and 10.5mg Bupivacaine Each With Added Sufentanil (2µg) for Elective Ambulatory Umbilical and Unilateral Inguinal Herniorrhaphy [NCT02813382]101 participants (Actual)Observational2015-08-31Completed
Randomized Double-blind Trial Comparing the Post-operative Analgesic Efficacy of Local Wound Infiltration With Bupivacaine Alone to Bupivacaine With Clonidine in Posterior Spine Surgeries [NCT01902108]Phase 4225 participants (Actual)Interventional2013-01-31Completed
Direct Versus Ultrasound Guided PECS Block Effect on Controlling Postmastectomy Pain: A Prospective, Randomized, Single Blinded, Controlled Study. [NCT05825430]60 participants (Actual)Interventional2023-04-15Completed
Evaluation of the Effect of Ultrasound-guided PENG Block on Postoperative Analgesia Management in Patients Undergoing Transcatheter Aortic Valve Implantation: A Randomized, Prospective Study [NCT05904912]40 participants (Actual)Interventional2023-06-10Completed
Effects of Corticosteroid Injection Plus Reparel™ Knee Sleeve on Knee Osteoarthritis: A Randomized Clinical Trial [NCT04859764]74 participants (Anticipated)Interventional2022-06-29Recruiting
A Randomized, Single-Blinded, Placebo-Controlled Study Evaluating Postoperative Non-Opioid Pain Management Utilizing Local Anesthetics Coupled With Modulated Coagulation [NCT04814433]Phase 45 participants (Actual)Interventional2021-03-24Terminated(stopped due to Both lack of enrollment as well as study staff turnover)
Ultrasound Guided Transversus Abdominalis Plane Block ( TAPB) Versus Quadratus Lumborum Type II Block (QLBII) in Perioperative Analgesia for Kidney Transplantation Procedure: Clinical Randomized Multicenter Study [NCT02783586]Phase 4104 participants (Actual)Interventional2016-04-08Completed
A Multicenter Randomized Controlled Trial in Elderly Patients With Hip Fractures Comparing Continuous Fascia Iliaca Compartment Block to Systemic Opioids and Its Effect on Delirium Occurrence [NCT02689024]Phase 4239 participants (Actual)Interventional2016-05-31Terminated(stopped due to recruitment too slow; intervention was standard care in patients who were not included; acute care pathways changed due to policy regarding hip fracture patients)
Ultrasound-guided Specific Blocks of the Distal Tibial and Deep Peroneal Nerves at the Level of the Ankle With a Mixture of Bupivacaine + Liposome Bupivacaine v Bupivacaine Alone v General Anesthesia [NCT03106545]Phase 240 participants (Actual)Interventional2017-01-02Completed
Peri-neural Dexmedetomidine as an Adjuvant to Bupivacaine-induced Paravertebral Block in Patients Undergoing Thoracotomy [NCT02397603]Phase 240 participants (Actual)Interventional2015-02-28Completed
Comparison of the Efficacy of Different Local Anesthetic Dosage in Suprascapular and Axillary Blocks in Shoulder Arthroscopy Surgeries [NCT04947007]132 participants (Actual)Interventional2021-07-15Completed
A Phase 2, Randomized, Controlled, Multicenter, Evaluation of the Efficacy and Safety of Locally Administered HTX-011, HTX-002, or HTX-009 for Postoperative Analgesia Following Bunionectomy [NCT02762929]Phase 2430 participants (Actual)Interventional2016-05-31Completed
The Impact of Adding Ultrasound Guided Bilateral Suprazygomatic Maxillary Nerve Block to General Anesthesia on Systemic Inflammatory Response in Cleft Palate Surgeries ; A Randomized Control Trial [NCT05495750]Phase 430 participants (Anticipated)Interventional2022-06-24Recruiting
Efficacy of Regional Adductor Canal Block Using Extended Release Liposomal Bupivacaine in Total Knee Arthroplasty: A Randomized Prospective Study [NCT03541265]70 participants (Actual)Interventional2016-05-01Completed
The Efficacy of Intravenous Dexamethasone on the Duration of Analgesia of Ultrasound Guided Axillary Brachial Plexus Block in Pediatric Patients Undergoing Below Elbow Orthopaedic Surgeries: A Randomized Control Trial [NCT05466500]60 participants (Anticipated)Interventional2022-07-26Recruiting
The Effects of Different Anesthetic Techniques on QT, Corrected QT (QTc), and P Wave Dispersions in Cesarean Section [NCT03134677]Phase 490 participants (Actual)Interventional2014-07-23Completed
Randomized Prospective Clinical Trial of Erector Spinae Plane (ESP) Versus Paravertebral Nerve (PVB) Blockade for Acute Unilateral Rib Fracture Pain [NCT03540095]7 participants (Actual)Interventional2018-07-23Terminated(stopped due to Due to staffing issues, we are unable to enroll patients at the clinical site assigned. The study is terminated.)
Analgesic Benefit of PECS Blocks for Biceps Tenodesis Shoulder Surgery [NCT02741713]Phase 340 participants (Actual)Interventional2016-04-30Completed
Prospective Analgesic Compound Efficacy (PACE) Study [NCT02403687]300 participants (Actual)Observational [Patient Registry]2015-06-30Completed
Comparison of Caudal Bupivacaine Alone With Bupivacaine Plus Two Doses of Dexmedetomidine for Postoperative Analgesia in Pediatric Patients Undergoing Infra-umbilical Surgery: A Randomized Controlled Double Blinded Study [NCT02385435]Phase 2/Phase 391 participants (Actual)Interventional2014-01-31Completed
Efficacy of Local Anesthetic Injection Into Both Angles of the Rectus Sheath Incision for Postoperative Cesarean Delivery Analgesia. [NCT02285491]Early Phase 1225 participants (Actual)Interventional2014-11-30Completed
The Assessment of Bupivacaine-tramadol and Levobupivacaine-tramadol Combinations for Preemptive Caudal Anaesthesia in Children: a Randomized, Double-blind, Prospective Study [NCT01974843]68 participants (Actual)Observational [Patient Registry]2011-01-31Completed
Randomized Controlled Trial Comparing Multimodal Pain Protocol Versus Hydrocodone-Acetaminophen for Post-Operative Pain Management in Orthopaedic Surgery Patients [NCT05690282]Phase 4100 participants (Anticipated)Interventional2021-05-17Active, not recruiting
Double-Blinded Randomized Controlled Study Investigating the Efficacy of Exparel (Liposomal Bupivacaine) for Postoperative Pain Relief in Mandibular Third Molar Extractions [NCT05374499]Phase 440 participants (Anticipated)Interventional2022-09-01Active, not recruiting
Stellate Ganglion Blockade for the Prevention of Atrial Fibrillation After Cardiac Surgery: A Randomized Placebo-Controlled Trial [NCT05357690]Phase 2/Phase 3220 participants (Anticipated)Interventional2023-04-19Recruiting
Fentanyl Versus Midazolam as an Adjunct to Intrathecal Bupivacaine for Postoperative Analgesia in Children Undergoing Infraumbilical Surgery [NCT03592537]Phase 2/Phase 390 participants (Actual)Interventional2018-08-15Completed
Randomized Trial of Bupivacaine as Adjuvant for Post-operative Pain in Mohs Micrographic Surgery [NCT04362566]Phase 4174 participants (Actual)Interventional2020-07-30Completed
Comparative Evaluation of Newer Congeners i.e. Levobupivacaine and Ropivacaine With Bupivacaine, in Lumbar Epidural Anaesthesia for Hip Surgeries [NCT02513433]90 participants (Actual)Interventional2012-12-31Completed
A Comparative Study of Ultrasound Guided PECS Block Using Bupivacaine Adenosine Versus Bupivacaine Magnesium Sulphate: A Randomised Controlled Trial. [NCT03344679]90 participants (Actual)Interventional2015-02-01Completed
A Randomized Controlled Trial Comparing the Adductor Canal Catheter (ACC) and Intra-articular Catheter (IAC) Following Primary Total Knee Arthroplasty [NCT02497911]Phase 4110 participants (Anticipated)Interventional2014-01-31Enrolling by invitation
Norepinephrine Versus Phenylephrine Continuous Variable Infusion for Prevention of Post-spinal Hypotension During Cesarean Delivery: A Randomized Controlled Double-blinded Trial [NCT03328533]Phase 4123 participants (Actual)Interventional2017-11-10Completed
Pharmacokinetics and Dynamics of Dexmedetomidine as Adjuvant in TAP Block for Patient Undergoing Lower Abdominal Surgery [NCT03328299]Phase 2/Phase 324 participants (Actual)Interventional2017-11-11Completed
Comparison of Plasma Concentration And Efficacy Of Liposomal Bupivacaine And Plain Bupivacaine After Intercostal Injections For Pain Management After Thoracoscopy [NCT03737292]Phase 440 participants (Anticipated)Interventional2019-04-09Recruiting
Pericapsular Nerve Group Block (PENG): A Randomized, Triple-Masked, Placebo-Controlled Clinical Trial [NCT05118620]Phase 40 participants (Actual)Interventional2021-12-09Withdrawn(stopped due to Lack of staff to enroll)
Comparison of the Volume Dependent Effect of Pericapsular Nerve Block in Patients Operated for Femur Fracture: A Randomized Prospective Study [NCT05256056]60 participants (Actual)Interventional2022-02-25Completed
Comparison Between Peri Tonsillar Infiltration of Ketamine or Bupivacaine for Post Tonsillectomy Analgesia [NCT05341323]Phase 480 participants (Actual)Interventional2022-04-02Completed
Post-operative Analgesia Efficacy Using Ultrasound-guided Transmuscular Quadratus Lumborum Block Versus Ultrasound-guided Quadratus Lumborum Type II Block. [NCT03100994]Phase 4180 participants (Anticipated)Interventional2017-03-28Recruiting
The Effect of Peritubal Infiltration With Bupivacaine Around Nephrostomy Tract on Postoperative Pain Control After Percutaneous Nephrolithotomy [NCT04160936]50 participants (Actual)Interventional2018-02-10Completed
Trigger-point Blockade in Persistent Pain After Open Groin Hernia Repair [NCT02065219]Phase 320 participants (Actual)Interventional2013-11-30Completed
Assessment of Intercostal Block Scheduling in Preventing Acute Surgical and Post-surgical Pain in Thoracoscopic Surgery [NCT02469610]Phase 465 participants (Actual)Interventional2015-06-30Completed
Randomized Control Trial to Assess the Efficacy of Preoperative Erector Spinae Blocks on Cardiac Surgery Postoperative Outcomes [NCT06077422]Phase 2/Phase 3120 participants (Anticipated)Interventional2024-01-02Not yet recruiting
Superficial Cervical Plexus Block and Quality of Recovery After Thyroidectomy: A Randomized Controlled Trial [NCT06002152]Phase 2160 participants (Anticipated)Interventional2023-11-27Recruiting
Testing the Feasibility of Using Ropivacaine in Spinal Anesthesia for Patients With Lower Back Surgery [NCT05824338]Early Phase 145 participants (Anticipated)Interventional2024-01-01Not yet recruiting
Locally Administered Bupivacaine Hydrochloride for Post-operative Pain Control in Cutaneous Surgery: A Randomized Controlled Trial [NCT04260854]Phase 1100 participants (Anticipated)Interventional2023-11-30Not yet recruiting
Ultrasound Guided Modified Thoracolumbar Interfascial Plane Block for Spinal Surgery: A New Approach [NCT03079076]Phase 440 participants (Actual)Interventional2017-03-15Completed
Adjuncts to Caudal Block in Pediatrics [NCT03261921]Phase 163 participants (Actual)Interventional2016-06-05Completed
Comparison of Different Protocols of Phenylephrine Infusion for Prophylaxis Against Post-spinal Hypotension During Cesarean Delivery [NCT03248817]Phase 4255 participants (Anticipated)Interventional2017-09-28Recruiting
A Prospective, Randomized Trial of Liposomal Bupivacaine Compared to Conventional Bupivacaine on Pain Control and Post-Operative Opioid Use in Receiving Adductor Canal Blocks for Total Knee Arthroplasty [NCT05635916]Phase 480 participants (Actual)Interventional2022-09-22Completed
[NCT02060591]0 participants Interventional2014-01-31Recruiting
Exparel Use for Popliteal Nerve Block in Postoperative Pain Control; After Ankle Fracture Fixation or Ankle Fusion Surgery: a Case Series [NCT02072135]4 participants (Actual)Interventional2014-02-28Completed
Pain Control in Bariatric Patients: A Prospective Trial Comparing the Effectiveness of EXPAREL(R) Versus the On-Q(R) Pain Ball [NCT02142829]Phase 4101 participants (Actual)Interventional2012-11-30Completed
Nalbuphine as Adjuvant During Bilateral Suprazygomatic Maxillary Nerve Block for Pediatric Cleft Palate Repair: A Prospective, Randomized Comparative, Controlled Double-blind Study. [NCT06100315]60 participants (Anticipated)Observational2023-12-31Not yet recruiting
Laparoscopic vs Ultrasound-Guided Transversus Abdominis Plane Block vs Laparoscopic Intraperitoneal Instillation of Local Anesthetic in Pediatrics Undergoing Inguinal Hernia Repair: A Randomized Controlled Trial [NCT06098105]66 participants (Anticipated)Interventional2023-10-24Recruiting
A Randomized Controlled Trial of Bupivacaine for Local Pain Control Following Perineal Laceration Repair in Patients With Pre-existing Epidural Analgesia [NCT05972681]60 participants (Anticipated)Interventional2023-12-31Not yet recruiting
Regional Nerve Blocks to Improve Analgesia and Recovery in Older Adults Undergoing Spinal Fusion [NCT05461092]Early Phase 150 participants (Anticipated)Interventional2024-01-01Not yet recruiting
Hypobaric Rather Than Isobaric Bupivacaine to Prevent Anesthesia-induced Hypotension in Patients Undergoing Surgical Repair of Hip Fracture Under Continuous Spinal Anesthesia: a Prospective Randomized Controlled Study. [NCT02428257]120 participants (Anticipated)Interventional2015-06-30Not yet recruiting
Efficiency of Thoracolumbar Interfascial Plane Block in Lumbar Disk Surgery [NCT03180099]Phase 450 participants (Anticipated)Interventional2017-11-10Recruiting
Presurgical Adductor Canal Block (ACB) Versus ACB and Distal (Intermuscular) Saphenous Nerve Block in Patients Undergoing Anterior Cruciate Ligament Repair Under General Anaesthesia: Randomised Controlled Trial. [NCT04443634]88 participants (Anticipated)Interventional2020-06-25Recruiting
Sciatic Popliteal Nerve Block in Foot Surgery: Lidocaine Versus Bupivacaine in Ambulatory Continuous Block With Elastomeric Pump [NCT02121119]Phase 470 participants (Actual)Interventional2013-09-30Completed
Comparison of the Impacts of Ultrasound-guided Pericapsular Nerve Group (PENG) Block Applied in Different Volumes on Postoperative Pain in Hip Replacement Surgeries: A Randomized Clinical Trial [NCT06166602]50 participants (Anticipated)Interventional2023-06-20Recruiting
Marcaine Post-Operative Pain Study [NCT04494880]Early Phase 122 participants (Actual)Interventional2020-12-09Completed
Effects of Thoracic Epidural Administered Ropivacaine Versus Bupivacaine on Lower Urinary Tract Function: A Randomized, Controlled Study [NCT02414373]Phase 442 participants (Actual)Interventional2015-04-30Completed
A Phase 4, Randomized, Blinded, Active-Controlled Study of HTX-011 in Subjects Undergoing Abdominoplasty (Cohort 2) [NCT06109428]Phase 430 participants (Actual)Interventional2021-10-12Completed
A Phase 4, Randomized, Blinded, Active-Controlled Study of HTX-011 in Subjects Undergoing Total Shoulder Arthroplasty (TSA) [NCT06109415]Phase 430 participants (Actual)Interventional2021-10-20Completed
Effects of Intrathecal Dexmedetomidine as an Adjuvant to Low Dose Hyperbaric 0.5% Bupivacaine on Hemodynamic Parameters in Patients Undergoing Transurethral Resection of the Prostate [NCT05993975]Phase 4108 participants (Actual)Interventional2021-07-20Completed
The Evaluation of Post-operative Pain Control With a TAP Block Using Exparel vs. Marcaine for Hernia Repairs [NCT05177991]Early Phase 1200 participants (Anticipated)Interventional2022-03-01Recruiting
Comparison Between Ultrasound Guided Erector Spinae Plane Block and Paravertebral Block on Acute and Chronic Postmastectomy Pain [NCT04498234]108 participants (Anticipated)Interventional2020-05-01Recruiting
The Use of Intralipid® 20% Solution to Reverse the Anesthetic Effect of Local Anesthetics: a Proof of Concept Study in Volunteers [NCT03968822]Phase 418 participants (Anticipated)Interventional2019-07-26Recruiting
Comparison of Laparoscopically Assisted Transversus Abdominis Plane Block Using Liposomal Bupivacaine With Pre-incisional Bupivacaine for Post-operative Pain Control in Patients Undergoing Laparoscopic or Robotic Hysterectomy [NCT02400645]Phase 169 participants (Actual)Interventional2015-03-31Terminated(stopped due to It was determined that one member of the team had falsified data.)
Postoperative Pain Management With a Continuous Femoral Nerve Block in Patients With a Tibial Plateau Fracture [NCT02168959]Early Phase 15 participants (Actual)Interventional2013-02-28Completed
Erector Spinae Plane Block Versus Serratus Plane Block on Postoperative Opioid Consumption for Modified Radical Mastectomy and Axillary Lymph Node Dissection [NCT03538483]60 participants (Actual)Interventional2017-12-01Completed
Ultrasound-guided Quadratus Lumborum Block Using Bupivacaine Versus Bupivacaine - Dexamethasone as Postoperative Analgesia in Laparoscopic Cholecystectomy [NCT05918796]Phase 160 participants (Actual)Interventional2023-06-15Completed
Sphenopalatine Ganglion Block for Treatment of Postdural Puncture Headache: A Prospective Randomized Double Blind Placebo Controlled Study [NCT02181205]0 participants (Actual)Interventional2014-11-30Withdrawn(stopped due to no eligible participant , technical difficulty, feasiblity)
PROUD Study - Preventing Opioid Use Disorders [NCT04766996]Phase 457 participants (Actual)Interventional2021-05-17Terminated(stopped due to Loss of surgery team member deemed the study procedures impossible to achieve, and no replacement could be found in a timely manner to complete trial as initially planned.)
A Prospective Randomized Controlled Double-Blind of Post-Operative Analgesic Effects of Local Wound Infiltration With Ketorolac After Inguinal Herniorrhaphy [NCT03534505]10 participants (Actual)Interventional2018-07-01Terminated(stopped due to cannot enroll patient)
Analgesic Efficacy of Erector Spinae Block , Quadratus Lumborum Block and Intrathecal Morphine for Post Operative Pain Relief After Cesarean Section, A Prospective Randomized Single-Blind Controlled Study [NCT06088420]120 participants (Anticipated)Interventional2023-10-31Recruiting
Patient Quality of Recovery From Mastectomy With and Without PECS Block With Liposomal Bupivacaine [NCT05795413]800 participants (Anticipated)Observational2023-04-25Recruiting
A Randomized Controlled Trial of Endoscopic Ultrasound Guided Celiac Plexus Neurolysis (EUS-CPN) With and Without Bupivacaine [NCT04951804]180 participants (Anticipated)Interventional2021-10-07Recruiting
The Effect of Intraoperative Hypotension on Postoperative Cognitive Functions in Cesarean Section Operations [NCT05843838]150 participants (Anticipated)Interventional2023-07-10Recruiting
Pectoral Nerve Blocks (PECs) for Cardiovascular Implantable Electronic Device Placement: A Pilot Study [NCT05283980]Phase 2/Phase 362 participants (Anticipated)Interventional2022-11-17Recruiting
An Investigation of the Influence of Different Intrathecal Opioids on the Post-operative Pain Experiences of Woman at Rahima Moosa Mother and Child Hospital [NCT02577809]Phase 4100 participants (Actual)Interventional2015-07-31Completed
Programmed Intermittent Epidural Bolus (PIEB) Compared to Continuous Epidural Infusion (CEI) Relative Efficacy and Mechanism of Efficacy For Labor Anlagesia: A Minimal Local Analgesic Concentration (MLAC) Study [NCT02573597]Phase 431 participants (Actual)Interventional2015-10-31Terminated(stopped due to Difficulty in recruitment)
A Retrospective Case-controlled Study of the Association Between Request to Discontinue Second Stage Labor Epidural Analgesia and Risk of Instrumental Vaginal Delivery [NCT00443560]2,162 participants (Actual)Observational2006-01-31Completed
Intraoperative Autonomic Neural Blockade (ANB) Comparison Between Different Local Anesthetic Combinations. A Randomized Clinical Trial Protocol [NCT06137924]Phase 3150 participants (Anticipated)Interventional2023-12-02Not yet recruiting
Comparing the Postoperative Analgesic Effects of Bupivacaine Liposome Serrate Anterior Plane Block (SAPB) Versus Traditional Thoracic Paravertebral Block (TPVB): A Randomized, Double-blinded Non-inferiority Clinical Trial [NCT06135545]168 participants (Anticipated)Interventional2023-08-18Recruiting
A Randomized Comparative Study on the Effect of Using Intrathecal Hyperbaric Prilocaine Plus Fentanyl Compared to Hyperbaric Bupivacaine Plus Fentanyl on the Motor Block in Women Undergoing Caesarean Section Under Spinal Anesthesia [NCT06133881]Phase 440 participants (Anticipated)Interventional2023-12-01Not yet recruiting
Midazolam as an Adjuvant to Bupivacaine in Quadratus Lumborum Block After Caesarean Section; Does it Offer Better Pain Control? a Randomized Double Blind Clinical Trial [NCT05261672]60 participants (Anticipated)Interventional2022-03-15Recruiting
The Effect of the Popliteal Plexus Block on Postoperative Opioid Consumption, Pain, Muscle Strength and Mobilization After Total Knee Arthroplasty - a Randomized, Controlled, Blinded Study [NCT04854395]Phase 4165 participants (Actual)Interventional2021-04-09Completed
Efficacy of Laparoscopic-assisted Transversus Abdominus Plane (TAP) Block in Minimally Invasive Gynecologic Surgeries: A Prospective, Randomized Control Trial. [NCT04345341]Phase 280 participants (Actual)Interventional2020-11-01Completed
Evaluating the Use of Enhanced Recovery Strategies and Paravertebral Block in Elective Breast Reduction and Breast Augmentation [NCT03187080]Phase 4296 participants (Anticipated)Interventional2024-01-31Suspended(stopped due to per Research Hold)
Stellate Ganglion Blockade for the Management of Vasomotor Symptoms [NCT02907983]Phase 2160 participants (Anticipated)Interventional2018-07-10Suspended(stopped due to IRB Audit Review)
Comparison of Hyaluronic Acid and Corticosteroid Intra-articular Injections for the Treatment of Osteoarthritis of the Hip Controlled With Intra-articular Injections With Bupivacaine [NCT01079455]Phase 3489 participants (Anticipated)Interventional2010-05-31Not yet recruiting
Awake Caudal Catheter Infusion Versus General Anesthesia and Single-dose Caudal Injection for Preterm NICU Patients Undergoing Inguinal Herniorraphy. [NCT05919732]Phase 440 participants (Actual)Interventional2016-03-08Completed
A Phase 2 Multicenter, Randomized, Double-blind, Parallel-group, Active-control, Dose-ranging Study to Evaluate the Safety, Efficacy, and Comparative Systemic Bioavailability of a Single Administration of SKY0402 Via Local Infiltration for Prolonged Posto [NCT00485693]Phase 2138 participants (Actual)Interventional2007-06-30Completed
Efficacy of Bupivacain Local Infiltration for the Management of Pain During Cesarean Section. Randomized, Single Blind, Controlled Trial [NCT05404490]202 participants (Anticipated)Interventional2022-06-01Recruiting
A Study of Hyaluronan (Synvisc) for the Treatment of Osteoarthritis in the Thumb: Randomized Control Trial [NCT00398866]Phase 3200 participants (Actual)Interventional2006-08-31Completed
Comparison of Onset of Action Between 2% Lidocaine Plus 0.5% Bupivacaine and 0.5% Bupivacaine in Brachial Plexus Anesthesia for Creation of Arteriovenous Fistula in ESRD Patient [NCT00993746]Phase 490 participants (Anticipated)Interventional2009-10-31Recruiting
Analgesic Efficacy of Fascia Iliaca Compartment Block With Bupivacaine Versus Bupivacaine With Dexamethasone or Magnesium Sulphate for Dynamic Hip Screw Surgeries Randomized Double Blinded Comparative Study [NCT03957499]Phase 160 participants (Anticipated)Interventional2019-05-31Recruiting
Comparison of the Efficacy Intravenous Remifentanil PCA and Epidural PCEA for Labor Analgesia [NCT00801047]Phase 450 participants (Actual)Interventional2010-02-28Completed
Assessment of Postoperatory Pain After Laparoscopic Tubal Ligation by Electrocoagulation With Bupivacaine or Placebo [NCT00810563]46 participants (Anticipated)Interventional2008-08-31Recruiting
Liposomal Bupivacaine Pharmacokinetic Study After Median Sternotomy Incision Infiltration in a Pediatric Cardiac Surgery [NCT04685421]Phase 115 participants (Actual)Interventional2021-07-15Terminated(stopped due to PI, Christopher Tirotta, no longer at NCH as of 5-26-23.)
A Phase 2, 2-Part, Open-Label, Dose-Finding and Double-Blind Study to Assess the Pharmacokinetics, Pharmacodynamics, and Safety of HTX-011 for Postoperative Analgesia in Adolescents and Children (≥3 to <17 Years of Age) Undergoing Unilateral Open Inguinal [NCT03922048]Phase 20 participants (Actual)Interventional2023-07-31Withdrawn(stopped due to Withdrawn due to lack of enrollment.)
Comparison Of Greater Occipital Nerve Block With Lidocaine And Bupivicaine Alone Or With Steroids In a Chronic Headache Population [NCT00203294]45 participants (Actual)Interventional2005-06-30Completed
Effects of Intrathecal Dexmedetomidine on the Perioperative Clinical Profile of Bupivacaine-induced Spinal Anesthesia for Cesarean Section [NCT02365857]Phase 4120 participants (Actual)Interventional2014-12-31Completed
Efficacy Of Ultrasound Guided Stellate Ganglion Block To Relieve Vasospasm Following Clipping Of Cerebral Aneurysm [NCT02775318]Phase 120 participants (Actual)Interventional2014-09-30Completed
Dexamethasone Plus Bupivacaine Versus Bupivacaine in Bilateral Trans-incisional Paravertebral Block in Lumbar Spine Surgeries, a Randomized Clinical Trial. [NCT04783194]50 participants (Actual)Interventional2021-03-15Completed
Minimum Effective Volume of Local Anesthetic for Peribulbar Block.Does it Differ With the Eyeball Axial Length? [NCT04036201]121 participants (Actual)Interventional2019-07-31Completed
[NCT02768376]60 participants (Anticipated)Interventional2016-03-31Recruiting
The Comparison of Low Thoracic Paravertebral Block Versus Peritubal Infiltration in Patients Undergoing Percutaneous Nephrolithotomy [NCT02764008]Phase 460 participants (Actual)Interventional2016-05-31Completed
Effectiveness of Caudal Epidural Block on Intraoperative Blood Loss During Hypospadias Repair; A Randomized Clinical Trial [NCT02752308]Phase 2/Phase 360 participants (Actual)Interventional2014-09-30Completed
Local Intraoperative Analgesic Injection Versus Single Injection Interscalene Nerve Block in Patients Undergoing Shoulder Arthroplasty (TSA): A Randomized Trial [NCT02695758]156 participants (Actual)Interventional2014-12-31Completed
Comparing Combined Adductor Canal & Sciatic Nerve Block and Femoral & Sciatic Nerve Block for Postoperative Analgesia in Patients Undergoing Total Knee Replacement Surgery; A Prospective, Randomized, Controlled Study [NCT05648708]68 participants (Anticipated)Interventional2022-11-14Recruiting
The Analgesic Efficacy of Magnesium Sulfate as an Adjuvant to Continuous Presternal Bupivacaine Infusion Through a Single Catheter After Cardiac Surgery; A Prospective Randomized Double Blind Study. [NCT02731950]40 participants (Actual)Interventional2015-04-30Completed
Use of a Dual-agent Local Analgesic (Bupivacaine-meloxicam) for Abdominal Incisions in Patients Undergoing Retropubic Mid-urethral Sling Surgery [NCT05702827]Phase 3126 participants (Anticipated)Interventional2023-01-23Recruiting
The Motor Effect of 0.25%Bupivacaine Ultrasound Guided Axillary Block Versus 0.19% Bupivacaine Ultrasound Guided Axillary Block in Pediatrics Undergoing Below Elbow Orthopedic Surgeries: A Randomized Controlled Trial [NCT05386095]60 participants (Actual)Interventional2022-05-29Completed
Office-Based Superior Laryngeal Nerve (SLN) Block for Treatment of Neurogenic Cough [NCT04642352]50 participants (Anticipated)Observational2022-01-03Recruiting
Adductor Canal Block for Postoperative Analgesia After Anterior Cruciate Ligament Reconstruction: Comparison Between 3 Bupivacaine Volumes and Doses [NCT02805920]90 participants (Actual)Interventional2016-08-30Completed
Optimal Anesthetic for Corticosteroid Injections for Knee Osteoarthritis. [NCT05906433]Phase 175 participants (Anticipated)Interventional2023-06-01Recruiting
Intraoperative and Postoperative Effects of Adjuvant Dexmedetomidine and Tramadol in Subcostal Transversus Abdominis Plan Block [NCT05905757]60 participants (Actual)Interventional2022-03-01Completed
Analgesic Efficacy of Combined Lumbar Erector Spinae Plane Block and Pericapsular Nerve Group Block in Patients Undergoing Hip Surgeries [NCT05930171]Phase 424 participants (Actual)Interventional2023-02-01Completed
Effectiveness of Intraoperative Exparel, a Bupivacaine Liposome Injectable Suspension, for Postoperative Pain Control in Total Knee Arthroplasty: A Prospective, Randomized, Double Blind, Controlled Study [NCT02808728]Phase 4100 participants (Actual)Interventional2014-05-31Active, not recruiting
The Use of Very Low Dose Caudal Morphine for Postoperative Pain Management in Out Patients [NCT00938821]33 participants (Actual)Observational2010-01-31Completed
The Efficacy of Local Infiltration Analgesia for Postoperative Pain Management and Functional Recovery After Total Knee Arthroplasty: Peripheral Nerve Blocks With and Without Local Infiltration Analgesia [NCT04258241]80 participants (Anticipated)Interventional2020-03-06Recruiting
Peripheral Nerve Stimulation of Genicular Nerves Versus Conventional Therapy With Intra-articular Steroid Injection for Chronic Knee Pain: A Prospective, Randomized Pilot Study [NCT06004882]45 participants (Anticipated)Interventional2023-08-10Recruiting
Clonidine for Intra-oral Infra-orbital Nerve Block During Pediatric Cleft Lip Revision Surgeries: Randomized Controlled Double-blind Study [NCT05790044]86 participants (Anticipated)Interventional2023-10-01Not yet recruiting
Use of Liposomal Bupivacaine (Exparel) In Expedited Recovery Following Lower Extremity Amputation [NCT04360421]Phase 47 participants (Actual)Interventional2020-04-21Terminated(stopped due to PI left institution)
Double Blind Randomized Trial of Post-operative Cesarean Continuous Infusion of Bupivacaine Versus Placebo for Local Incisional Pain Control [NCT05131178]100 participants (Anticipated)Interventional2021-11-07Recruiting
A Randomized, Single-blinded, Prospective Study of Postsurgical Pain Control After Open Reduction and Internal Fixation of Lower Extremity Fractures With Liposomal Marcaine. [NCT02214810]Phase 1/Phase 20 participants (Actual)Interventional2015-01-31Withdrawn
Efficacy of Multimodal Peri- and Intraarticular Drug Injections in Total Knee Arthroplasty [NCT00562627]Phase 4102 participants (Actual)Interventional2007-11-30Completed
Glossopharyngeal Nerve Block on Post Tonsillectomy Pain Among Egyptian Children [NCT05109416]Phase 1/Phase 2210 participants (Actual)Interventional2021-10-17Completed
Greater Occipital Nerve Block for Migraine Prophylaxis [NCT00915473]Phase 470 participants (Actual)Interventional2009-06-30Completed
Continuous Thoracic Paravertebral Analgesia for Video-assisted Thoracoscopic Surgery (VATS): Analgesic Effectiveness and Role in Fast-track Surgery [NCT02670759]14 participants (Actual)Interventional2016-03-31Terminated(stopped due to A 30% decrease in opioid use was obeserved in the paravertebral analgesia group.)
Subarachnoid Block With Ultrasound-Guided Transversalis Fascia Plane Block for Cesarean Sections: A Randomized Placebo-Controlled Double-Blind Study [NCT04172727]Phase 460 participants (Actual)Interventional2019-01-01Completed
A Clinical and Pharmacokinetic Study to Evaluate the Influence of Two Bupivacaine Concentrations on Peak Plasma After Ultrasound-guided Axillary Brachial Plexus Block [NCT02755532]30 participants (Actual)Interventional2014-01-31Completed
The Effect on Outcome of Adding Magnesium Sulphate to Bupivacaine in the Ultrasound-guided Supraclavicular Brachial Plexus Block Anesthesia [NCT02752334]Phase 260 participants (Actual)Interventional2015-09-30Completed
Comparison of Analgesic Efficacy of Ultrasound Guided Erector Spinae Plane Block With Port Site Infiltration Following Laparoscopic Cholecystectomy [NCT04167176]44 participants (Actual)Interventional2020-09-15Completed
Oblique Subcostal Transverses Abdominal Plane Block in Laparoscopic Cholecystectomy [NCT02707250]Phase 2/Phase 3120 participants (Anticipated)Interventional2015-03-31Recruiting
The Comparison of Lateral Sagittal vs Costoclavicular Brachial Plexus Block in Children [NCT04215614]60 participants (Actual)Interventional2020-01-02Completed
Effect of Intrapartum Epidural Fentanyl Upon Breastfeeding in the Immediate Postpartum Period: a Randomized, Controlled, Double-blinded Study [NCT01497509]0 participants (Actual)Interventional2012-05-31Withdrawn(stopped due to Study never started)
A Pilot Randomized Controlled Trial of Efficacy of Perineural Local Anesthetics and Steroids for Chronic Post-traumatic Neuropathic Pain in the Ankle and the Foot: The PREPLAN Study [NCT02680548]Early Phase 18 participants (Actual)Interventional2015-11-30Completed
Epidural Analgesia Use in Pancreatic Resections [NCT02681796]Phase 123 participants (Actual)Interventional2016-06-07Completed
A Phase I, Single Centre, Randomized, Double-blinded, Placebo-controlled, Single Ascending Dose-Escalation, Study to Evaluate the Safety, Tolerability, Pharmacokinetic and Pharmacodynamic Profile of HYR-PB21 and Liposome Bupivacaine in Healthy Volunteers [NCT04169256]Phase 132 participants (Actual)Interventional2020-03-03Completed
Liposomal Bupivacaine/Bupivacaine A Single-Dose Bilateral Rectus Sheath Blocks Vs. Ropivacaine in Bilateral RS Blocks And Catheters, Comparing Pain Scores And Opioid Use Following Open Abdominal Vascular Surgery [NCT05972018]Phase 450 participants (Anticipated)Interventional2023-10-18Recruiting
Ultrasonographic Evaluation of the Effectiveness of Stellate Ganglion Block in Patients With Breast Cancer Related Lymphedema [NCT04165512]22 participants (Anticipated)Interventional2020-01-07Enrolling by invitation
[NCT02802683]Phase 472 participants (Actual)Interventional2015-09-30Completed
The Analgesic Efficacy of Continuous Sub-fascial Bupivacaine Infusion and Lidocaine Patches in Post-cesarean Patients With Opiate Use Disorder: A Comparative Efficacy Analysis [NCT04033562]Phase 42 participants (Actual)Interventional2020-01-15Terminated(stopped due to limited enrollment and unable to enroll subjects to reach statistical significance)
Impact of Analgesia on Success of External Version: Comparison of Spinal Anesthesia Versus Sedation; Prospective, Controlled, Randomized Study [NCT02801201]Phase 3200 participants (Anticipated)Interventional2016-05-31Recruiting
A Phase 1, Open Label Study to Evaluate the Pharmacokinetics and Safety of EXPAREL® Following Subcutaneous Administration in Healthy Chinese Subjects [NCT04158102]Phase 120 participants (Actual)Interventional2019-11-07Completed
Evaluation of Ultrasound-Assisted Thoracic Epidural Placement in Patients Undergoing Upper Abdominal and Thoracic Surgery: A Randomized, Double-Blind Study [NCT02785055]70 participants (Actual)Interventional2009-04-30Completed
Effects of Preoperative Fasting on ECG and Vital Parameters in Patients Undergoing Orthopedic and Urologic Surgery [NCT02773199]100 participants (Actual)Observational2016-05-31Completed
The Influence of Local Infiltration Analgesia by Catheter in Postoperative Control Pain After Total Hip Replacement [NCT02630160]Phase 4100 participants (Actual)Interventional2013-03-31Completed
Fascia Iliaca Compartment Block in Proximal End Femur Fractures, Does it Make a Difference? [NCT02696915]60 participants (Actual)Interventional2015-01-31Completed
Combination of Dexamethasone and Bupivacaine Versus Bupivacaine Alone in Combined Femoral and Sciatic Nerve Block for Intraoperative and Postoperative Analgesia in Patients Undergoing Lower Limb Vascular Surgeries [NCT02576782]Phase 463 participants (Actual)Interventional2013-06-30Completed
Analgesia for 2nd Trimester Termination of Pregnancy: a Randomized Controlled Trial of Intravenous Versus Epidural Patient Controlled Analgesia [NCT01563835]42 participants (Actual)Interventional2012-03-31Terminated(stopped due to Recruitment difficulty)
Efficacy of Paracervical Block in Laparoscopic Myomectomy: a Randomized Controlled Trial (PALM) [NCT04068766]62 participants (Anticipated)Interventional2019-08-23Recruiting
Comparison of the Effects of Serratus Plane Block and Erector Spinae Plane Block on Postoperative Analgesia in Patients Undergoing Unilateral Breast Surgery [NCT04218149]Phase 470 participants (Actual)Interventional2019-05-01Completed
Pharmacological or Non-Pharmacological Management of Maternal Hypotension During Elective Cesarean Section Under Subarachnoid Anesthesia: a Randomized, Controlled Trial [NCT00991627]Phase 436 participants (Anticipated)Interventional2009-09-30Completed
Quadratus Lumborum Block After Cesarean Section: Analgesic Efficacy of Different Concentrations of Local Anesthetics. A Randomized Clinical Trial [NCT05643846]196 participants (Anticipated)Interventional2023-02-28Not yet recruiting
Postoperative Analgesic Effects of Using Bupivacaine Alone or Added Dexmedetomidine for Ultrasound Guided Thoracic Paravertebral Block in Thoracotomy [NCT02544893]Phase 493 participants (Actual)Interventional2015-09-30Completed
Surgical Anesthesia for Elective Hip Surgery - Hemodynamic Effect of Lumbosacral Plexus Blockade Compared to Spinal Anesthesia [NCT02544269]Phase 48 participants (Actual)Interventional2016-06-01Terminated(stopped due to After pilot study no difference in the primary end point was found between the two primary. Non-inferiority trial not deemed feasible.)
Modified Versus Conventional Thoracolumbar Interfascial Plane Block for Perioperative Analgesia in Lumber Spine Surgery. A Randomized Controlled Study. [NCT05880017]60 participants (Anticipated)Interventional2022-12-01Recruiting
Effect of Erector Spinae (ESP) Block on Opioid Reduction and Enhanced Recovery After Posterior Cervical Spine Surgery [NCT04646707]52 participants (Anticipated)Interventional2020-02-17Recruiting
Erector Spinae Plane Block in Different Volumes on Postoperative Pain Control Following Breast Surgery: A Randomized, Prospective Study [NCT05232084]40 participants (Actual)Interventional2022-01-27Completed
Does the Addition of Epinephrine to Bilateral Ultrasound Guided Pterygopalatine Ganglion Block Reduce Bleeding During Functional Endoscopic Sinus Surgery (FESS)? A Pilot Study [NCT03970655]Phase 1/Phase 280 participants (Anticipated)Interventional2019-09-25Recruiting
An Open-Label Study of Intraoperative CA-008 Administration in Subjects Undergoing Bunionectomy [NCT03885596]Phase 236 participants (Actual)Interventional2019-03-25Completed
A Single-center, Randomized, Single-blind Pilot Study to Evaluate Intravenous Methadone Versus EXPAREL Erector Spinae Plane Blockade in Pediatric Subjects Undergoing Adolescent and Juvenile Idiopathic Scoliosis Correction [NCT05730920]Phase 430 participants (Anticipated)Interventional2022-10-19Recruiting
Does Continuous Subcutaneous Paravertebral Infusion of Bupivicaine With the ON-Q Pain Relief System vs. Standard IV Pain Management Decrease Ventilator Dependence in Trauma Patients With Multiple Rib Fractures [NCT00880529]Phase 42 participants (Actual)Interventional2009-02-28Terminated(stopped due to low enrollment, 2 pts enrolled no data every analyzed investigator left the institution)
Effects of Volume and Dose of Local Anaesthetic Solution in Epidural Steroidal Injections for Patients With Chronic Lower Back Pain [NCT00887003]252 participants (Actual)Interventional2005-05-31Completed
Effect of Adding Magnesium Sulphate to Bupivacaine in Ultrasound Guided Pericapsular Nerve Group Block for Post Operative Analgesia in Hip Joints Surgeries [NCT06180031]Phase 2/Phase 362 participants (Anticipated)Interventional2024-01-01Not yet recruiting
Evaluation of Adding Magnesium Sulfate to (Fentanyl/Bupivacaine)Bi-mixture as an Adjuvant to Local Anesthesia in Caudal Block Among Pediatrics in Lower Abdominal Urological Surgeries. a Prospective Randomized Comparative Study [NCT06162806]50 participants (Anticipated)Interventional2023-12-14Recruiting
The Efficacy of Liposomal Bupivacaine in the Management of Post-operative Pain Following Septorhinoplasty: A Double-blinded, Prospective Clinical Trial [NCT05964868]Phase 372 participants (Anticipated)Interventional2024-01-31Not yet recruiting
Intrathecal Injection of Hyperbaric Bupivacaine Versus a Mixture of Hyperbaric and Isobaric Bupivacaine in Patients Undergoing Lower Abdominal Surgery: A Randomized Controlled Trial [NCT06050044]50 participants (Actual)Interventional2022-05-01Completed
Transversus Abdominis Plane (TAP) Block and Erector Spinae Plane (ESP) Block Comparison on Postoperative Pain and the Need for Morphine in Gynecological Surgery Patients Who Underwent Median Incision in Hasan Sadikin General Hospital [NCT06044779]40 participants (Actual)Interventional2022-12-27Completed
A Randomized, Controlled, Observer-blinded Pilot Trial of Laparoscopic Large Volume, Multisite Transversus Abdominal Plane (TAP) Block With Liposomal Bupivacaine in Patients Undergoing Minimally Invasive Hysterectomy for Endometrial Cancer [NCT05763667]Phase 315 participants (Anticipated)Interventional2023-12-01Not yet recruiting
Analgesic Effect of an Obturator Nerve Block Combined With a Femoral Nerve Block Compared With Femoral Nerve Block Alone in Patients With Hip Fracture [NCT02540837]Phase 490 participants (Anticipated)Interventional2015-10-31Recruiting
Benefit of Intraoperative TAP Blocks for Kidney Transplantation- a Randomized, Placebo Controlled Trial [NCT05280197]224 participants (Actual)Interventional2022-01-08Active, not recruiting
A Multicenter, Prospective, Active Controlled, Real World, Phase 4 Study of EXPAREL in Multimodal Regimens Compared With Standard of Care for Postsurgical Pain Management in Subjects Undergoing Lumbar Posterior Spine Surgeries (FUSION) [NCT03927911]Phase 465 participants (Actual)Interventional2019-07-31Terminated(stopped due to Due to protocol feasibility given the rapid evolution of medical practice for spinal procedure. Data from approximately 65 FUSION study subjects will be analyzed with the intent to create either a future study or registry for this patient population.)
Comparison of Transcutaneous Pulsed Radiofrequency Therapy and Greater Occipital Nerve Block Efficiency in Migraine Headache [NCT05499689]60 participants (Anticipated)Interventional2021-06-22Active, not recruiting
Comparing Analgesic Effects of Ultrasound-Guided Caudal and Erector Spinae Plane Blocks in Pediatric Patients Undergoing Upper Abdominal Surgery: A Randomized Controlled Double-Blinded Study [NCT04204343]60 participants (Actual)Interventional2019-01-01Completed
A Phase 1, Pilot, Open Label, Dose Escalation Study to Evaluate the Pharmacokinetics, Pharmacodynamics and Safety, of EXPAREL Administered as Sciatic Nerve Block (In Popliteal Fossa), for Postsurgical Analgesia in Subjects Undergoing Bunionectomy [NCT04002089]Phase 145 participants (Actual)Interventional2019-07-26Completed
Efficacy of Preoperative Lidocaine Spray and Local Aensthetics-soaked Nasal Packings on Postoperative Pain After Nasal Closed Reduction [NCT03733275]33 participants (Actual)Interventional2018-12-03Completed
The Effect Of An Anesthetic Procedure On Post Operative Pain Management In Carpal Tunnel Release [NCT03729375]Phase 152 participants (Actual)Interventional2018-10-04Completed
Local Anesthetic Response in Ehlers-Danlos Syndrome (EDS) and Healthy Volunteers [NCT04036305]230 participants (Anticipated)Observational2019-07-26Enrolling by invitation
The Effects of Colloid Pre-Loading on D-Dimer of the Mother and Her Baby During Cesarean Section Under Spinal Anesthesia for Mild Preeclampsia [NCT02622126]Phase 260 participants (Actual)Interventional2016-01-31Completed
Erector Spinae Plane Block Versus Transforaminal Epidural Injection in Chronic Discogenic Low Back Pain [NCT04212845]60 participants (Anticipated)Interventional2020-01-02Recruiting
Programmed Intermittent Epidural Bolus for Labor Analgesia During First Stage of Labor: A Sequential Allocation Trial to Determine the Optimum Interval Time Between Boluses of a Fixed Volume of 10 ml of Bupivacaine 0.0625% Plus Fentanyl 2 mcg/ml. [NCT02550262]40 participants (Actual)Interventional2015-09-30Completed
Post-Operative Pain Control Using Direct Continuous Bupivacaine Infusion After Pelvic Organ Prolapse Repair [NCT00695240]Phase 2/Phase 380 participants (Anticipated)Interventional2007-04-30Recruiting
Nalbuphine as an Adjuvant to Caudal Bupivacaine for Postoperative Analgesia in Children Undergoing Hypospadias Repair [NCT02618876]60 participants (Actual)Interventional2015-11-30Completed
Post-operative Epidural Analgesia After Minimally Invasive Lumbar Decompression and Fusion [NCT00644111]32 participants (Actual)Interventional2008-02-29Completed
Prospective, Randomized, Double-blind Trial of Continuous Infusion of 0.5% Bupivacaine be Elastomeric Pump for Prospective Pain Management After Laparoscopic Ventral Hernia Repair. [NCT00472134]100 participants (Actual)Interventional2005-12-31Completed
Prospective Randomized Study Comparing 0, 1, and 2 Diagnostic Lumbar Medial Branch (Facet Joint) Blocks Before Radiofrequency Denervation in Patients With Chronic Low Back Pain: A Cost: Benefit Analysis. [NCT00484159]151 participants (Actual)Interventional2007-02-28Completed
Comparison of the Analgesic Duration of 0.5% Bupivacaine With 1:200,000 Epinephrine Versus 0.5% Ropivicaine Versus 1 % Ropivicaine for Low Volume Ultrasound-guided Interscalene Brachial Plexus Block [NCT02643563]60 participants (Actual)Interventional2016-01-31Completed
Ultrasound Guided Transversus Thoracic Muscle Plane Block for Open Heart Surgery: Randomized Controlled Double Blind Study [NCT04094532]48 participants (Actual)Interventional2019-10-01Completed
Liposomal Bupivacaine Versus Standard Bupivacaine Hydrochloride In Colorectal Surgery [NCT03702621]Phase 390 participants (Actual)Interventional2018-08-30Completed
Comparison of Clonidine and Morphine Plus Bupivacaine in Caudal Peridural Anesthesia for Postoperative Analgesia After Pediatric Urogenital Surgery [NCT00672347]Phase 1/Phase 280 participants (Actual)Interventional2008-07-31Completed
Addition of Liposomal Bupivacaine to Standard Bupivacaine Versus Standard Bupivacaine Alone in the Supraclavicular Brachial Plexus Block: a Randomized Controlled Trial [NCT05118399]Phase 480 participants (Anticipated)Interventional2021-11-15Active, not recruiting
A Randomized, Double-blind Trial Comparing the Analgesic Efficacy and Side Effects of Continuous Intraarticular Infusion of Bupivacaine Versus Normal Saline in Patients Undergoing Knee and Shoulder Operations [NCT00314457]Phase 416 participants (Actual)Interventional2005-08-31Terminated(stopped due to Bupivacaine has recently been shown to inhibit osteoclast formation in vitro.)
Intraoperative Injection of Exparel Effect on Postoperative Opioid Use in Thyroid and Parathyroid Surgery [NCT04085913]Early Phase 1100 participants (Anticipated)Interventional2019-09-30Enrolling by invitation
Comparative Study Between Levobupivacaine and Bupivacaine for Nerve Block During Pediatric Primary Cleft Palate Surgery [NCT02923869]Phase 2/Phase 360 participants (Actual)Interventional2016-01-31Completed
Serum Bupivacaine Concentration Levels After Injection of the Knee Joint With a Mixture of Liposomal Bupivacaine and Free Bupivacaine During Total Knee Arthroplasty [NCT02626559]40 participants (Actual)Observational2015-11-30Completed
Effect of Laparoscopic-Guided Transversus Abdominus Plane (TAP) Block on Opioid Consumption Using Dual-Adjunct Therapy With Dexmedetomidine and Dexamethasone Versus Liposomal Bupivacaine (Exparel®) Following Minimally Invasive Colorectal Surgery: A Single [NCT05216055]Phase 20 participants (Actual)Interventional2022-04-19Withdrawn(stopped due to No Accrual. PI left Institution)
The Effect of Spinal Anesthesia Methods on Hemodynamics in Geriatric Patients [NCT05896631]80 participants (Anticipated)Interventional2023-06-08Not yet recruiting
Effect of General and Regional Anesthesia on Fracture Healing [NCT02621255]Phase 430 participants (Actual)Interventional2015-11-30Completed
Efficacy of Ultrasound-guided Bilateral Transversus Thoracic Muscle Plane Block as Postoperative Analgesia in Adult Patients Undergoing Open Heart Surgeries: a Randomized Controlled Study. [NCT04116554]Phase 470 participants (Actual)Interventional2019-12-27Completed
Perioperative Analgesic Efficiency of Ultrasound Guided Quadratus Lumborum Block Versus Epidural Analgesia in Bladder Cancer Patients Undergoing Radical Cystectomy [NCT04133051]Phase 234 participants (Actual)Interventional2018-11-15Completed
Placebo-Controlled Randomized Double Blind Trial of Blocking Greater Occipital Nerve Block With Bupivacaine Versus Saline in the Treatment of Chronic Migraine [NCT02578719]Phase 40 participants (Actual)Interventional2016-07-31Withdrawn(stopped due to Local Drug Authority didn't give permission to start.)
Prospective Randomized Controlled Clinical Trial: Superior Hypogastric Nerve Block for Pain Control After Uterine Artery Embolization: Effect of Addition of Steroids on Duration of Analgesia [NCT04126824]Early Phase 128 participants (Anticipated)Interventional2019-11-05Recruiting
A Prospective, Randomized, Double-Blind Controlled Clinical Trial to Evaluate the Post-Operative Blood Loss and Transfusion Rate Following Total Joint Arthroplasty With Intra-articular Injection of Bupivacaine and Epinephrine [NCT00737139]33 participants (Actual)Interventional2008-09-30Terminated(stopped due to Prohibitively expensive and efficacy of tranexamic acid rendered topic clinically less relevant.)
[NCT02581566]90 participants (Actual)Interventional2015-07-31Completed
The Impact of Liposomal Bupivacaine Administered Following Placement of a Transobturator Suburethral Sling for Stress Urinary Incontinence: A Randomized Placebo-controlled Trial [NCT02591888]Phase 418 participants (Actual)Interventional2015-02-28Terminated(stopped due to Difficult to enroll; since a similar research project on a different population showed no significance the study has been closed.)
Programmed Intermittent Epidural Bolus for Labor Analgesia During First Stage of Labor: A Sequential Allocation Trial to Determine the Optimum Interval Time Between Boluses of a Fixed Volume of 5 of Bupivacaine 0.125% Plus Fentanyl 2 mcg/ml. [NCT02758405]40 participants (Actual)Interventional2016-05-31Completed
Comparison Between Serratus Plane Block And Local Surgical Infiltration In Robotic Video Assisted Thoracoscopic Surgery- A Randomised Controlled Trial [NCT03642457]Phase 465 participants (Actual)Interventional2018-03-01Terminated(stopped due to PI left institution and unable to find new PI)
Changes in Cardiac Output During Cesarean Delivery Under Spinal Anesthesia. A Prospective Observational Study Using Transthoracic Echocardiography [NCT05269537]60 participants (Actual)Observational2022-03-12Completed
[NCT02700217]101 participants (Actual)Interventional2016-03-16Completed
Erector Spinae Plane Block Versus Intravenous Dexketoprofen-trometamol for Treatment of Reno-ureteral Colic: a Randomized Prospective Study [NCT04209439]Phase 440 participants (Actual)Interventional2019-01-01Completed
Ultrasound-guided Quadratus Lumborum Block for Postoperative Analgesia After Colostomy: A Randomized Controlled Trial [NCT02691403]Phase 450 participants (Anticipated)Interventional2016-03-31Not yet recruiting
Subarachnoidal Anesthesia: Dexmedetomidine vs Fentanyl Plus Hyperbaric Bupivacaine for Lower Abdomen Surgery [NCT02582372]Phase 450 participants (Actual)Interventional2014-03-31Completed
Effect of Epidural Morphine and Midazolam on Postoperative Painin Patients Undergoing Major Abdominal Cancer Surgery [NCT04033471]Phase 1/Phase 220 participants (Anticipated)Interventional2019-07-01Recruiting
A Phase II, Randomized, Single Dose, Double-blind, Placebo Controlled Study to Investigate the Efficacy and Safety Profile of the CollaRx® Bupivacaine Implant (200 mg Bupivacaine Hydrochloride) in Men After Open Laparotomy Herniorrhaphy [NCT01220024]Phase 250 participants (Actual)Interventional2010-12-02Completed
Two Syringe Spinal Anesthesia Technique for Cesarean Section: A Controlled Randomized Study of a Simple Way to Achieve More Satisfactory Block and Less Hypotension [NCT02577432]124 participants (Actual)Interventional2013-05-31Completed
Ultrasound-guided Rectus Sheath Block for Post-operative Pain Control Following Umbilical Hernia Repair [NCT00836134]40 participants (Actual)Interventional2009-02-28Completed
Can Loco-regional Anesthesia With Liposomal Bupivacaine Reduce Intra- and Post-operative Narcotic Use in Patients Undergoing Lower Extremity Revascularization? A Prospective, Triple Blinded, Randomized Trial. [NCT05992896]Phase 420 participants (Anticipated)Interventional2023-09-26Recruiting
A Randomized-Double Blinded Trial Comparing the Analgesic Efficacy and Side Effects of Rectus Sheath Block vs. Infiltration of Surgical Site for Post Operative Pain Control After Umbilical Hernia Repair Surgery [NCT00578136]52 participants (Actual)Interventional2006-11-30Completed
A Trial to Determine the Optimal Bupivacaine Dose for Initiation of Labor Epidural Pain Relief With a Lidocaine Test Dose [NCT06146842]120 participants (Anticipated)Interventional2023-12-01Not yet recruiting
A Analgesic Study of Adductor Canal &IPACK Block With Liposomal Bupivacaine in Knee Arthroplasty :A Randomized,Double-controlled,Parallel-controlled,Single-center Study [NCT06145165]Phase 190 participants (Anticipated)Interventional2023-12-01Recruiting
Ultrasound Guided Bilateral Erector Spinae Block as Analgesia for Adolescent Idiopathic Scoliosis Correction [NCT04336046]40 participants (Anticipated)Interventional2023-04-04Recruiting
"Randomized Controlled Trial of Repeat vs. Single Quadratus Lumborum Block to Reduce Opioid Prescriptions After Open Resection of Retroperitoneal Sarcoma (RESQU-SARC Trial)" [NCT04189783]Phase 2113 participants (Actual)Interventional2020-06-08Active, not recruiting
The Comparison of Intrathecal Bupivacaine With Fentanyl and Levobupivacaine With Fentanyl for Labour Analgesia [NCT04221568]Phase 170 participants (Anticipated)Interventional2020-03-01Not yet recruiting
Comparison of Postoperative Hemodynamics After High Spinal Block With or Without Intrathecal Morphine in Cardiac Surgeries. [NCT02825056]Early Phase 160 participants (Anticipated)Interventional2016-07-31Not yet recruiting
Intrathecal Atropine to Prevent Nausea and Vomiting After Spinal Anesthesia With Morphine for Elective Caesarean Section: a Randomized Controlled Trial [NCT00921102]Phase 4216 participants (Actual)Interventional2007-05-31Completed
The Effect of Local Anesthesia and Simple Maneuver on Shoulder Pain After Gynecologic Laparoscopy [NCT01039441]Phase 2291 participants (Actual)Interventional2008-12-31Completed
Liposomal Bupivacaine vs Peripheral Nerve Block [NCT03922620]Phase 41 participants (Actual)Interventional2020-01-23Terminated(stopped due to Additional published information on the topic since starting the study)
Evaluation Effect of Adding Dexmedetomidine to Bupivacaine for Paravertebral Block in Femoral Fractures [NCT02801188]88 participants (Actual)Interventional2014-10-01Completed
Comparison Between Ropivacaine and Liposomal Bupivacaine Periarticular Injections for Pain Relief After Total Knee Arthroplasty [NCT02616367]Phase 20 participants (Actual)Interventional2015-12-31Withdrawn(stopped due to Study never initiated)
Bupivacaine 1.3% Liposomal Suspension (Exparel) vs Continuous Perineural Ropivacaine Infusion in the Management of Post-operative Pain Following Total Shoulder Arthroplasty; An Open-label, Randomized, Controlled Study [NCT02787226]Phase 4100 participants (Anticipated)Interventional2014-08-31Terminated(stopped due to Low enrollment)
Analgesic Efficacy of Two Different Volumes of Local Anesthetics in Ultrasound-guided Modified Approach of Thoracolumbar Block in Patients Undergoing Lumbar Spine Surgeries; a Randomized Controlled Trial. [NCT05276908]80 participants (Actual)Interventional2022-03-03Completed
The Analgesic Effect of Ultrasound Guided Bilateral Pecto Intercostal Fascial Plane Block on Sternal Wound Pain After Open Heart Surgeries [NCT04134637]70 participants (Actual)Interventional2019-10-01Completed
A Randomized Clinical Trial of Closed Hemorrhoidectomy Under Local Perianal Block Versus Spinal Anesthesia [NCT00925912]64 participants (Actual)Interventional2006-12-31Completed
A Randomized Controlled Trial : Comparison of 4% Articaine Versus 0.5% Bupivacaine for Ambulatory Orthopaedic Surgery Under Supraclavicular Block [NCT04189198]Phase 160 participants (Actual)Interventional2019-12-30Completed
Regional Anaesthesia for Painful Injuries After Disasters (RAPID) Study: A Randomized Trial [NCT02698228]Phase 40 participants (Actual)Interventional2016-03-31Withdrawn(stopped due to Study did not occur)
The Analgesic Efficacy of Ultrasound-Guided Erector Spinae Plan Block in Patients Undergoing ESWL [NCT04213924]60 participants (Anticipated)Interventional2020-06-01Not yet recruiting
Paravertebral Block for Inguinal Hernia Repair in Elderly: Randomized Double-blinded Clinical Trial [NCT02537860]200 participants (Actual)Interventional2015-12-31Completed
Evaluation of Duration of Anesthesia and Patient Satisfaction After Retrobulbar Block Applied in Cataract Surgery [NCT04178200]80 participants (Anticipated)Observational2019-12-16Not yet recruiting
Comparison of Dexmedetomidine and Bupivacaine With Bupivacaine Alone on the Quality of Ultrasonography Guided Fascia Iliaca Compartment Block in Adults Undergoing Femur Fracture Fixation Surgery [NCT02658760]Phase 360 participants (Anticipated)Interventional2015-06-30Recruiting
Transversus Abdominis Plan Block Applied in Laparoscopic Cholecystectomies Effective By Which Method: Ultrasound or Laparoscopic? [NCT04634721]60 participants (Actual)Interventional2020-11-01Completed
Comparison of Liposomal Bupivacaine, Plain Bupivacaine, and Placebo for Transversus Abdominis Plane Blocks: A Randomized, Blinded Trial [NCT04685876]Phase 3237 participants (Anticipated)Interventional2021-06-04Recruiting
Enhanced Recovery After Cesarean Section With Low Dose Intrathecal Morphine. A Prospective Randomized Controlled Study. [NCT04618146]60 participants (Anticipated)Interventional2020-11-10Recruiting
Steroid Injection for the Treatment of Greater Trochanteric Pain Syndrome: A Randomized Controlled Trial [NCT00863889]Phase 40 participants (Actual)Interventional2009-03-31Withdrawn
Epidural Analgesia and Delivery of Second Twin: Prospective Observational Study [NCT04608006]124 participants (Actual)Observational [Patient Registry]2014-11-03Completed
Analyzing the Efficacy of Peri-operative Intercostal Nerve Blocks ICNB for Acute Postoperative Pain Control in Reconstructive Breast Surgery and Mammoplasty [NCT04606836]Phase 440 participants (Anticipated)Interventional2020-12-07Recruiting
Postoperative Pain Control After Enucleation or Evisceration, a Double-Masked Randomized Controlled Trial of Standard Versus Slow-release Bupivacaine [NCT02381353]Phase 470 participants (Anticipated)Interventional2015-02-28Recruiting
Postoperative Quality of Recovery After Transurethral Resection of the Bladder: Spinal Versus General Anesthesia [NCT02534623]70 participants (Anticipated)Interventional2015-09-30Not yet recruiting
A Comparison of the Analgesic Effects of Rectus Sheath and Transversus Thoracis Plane Blocks (ABC Blocks) Versus Saline Injection for Median Sternotomy: a Prospective, Randomized Controlled Trial. [NCT05589363]Phase 450 participants (Anticipated)Interventional2023-12-31Not yet recruiting
Plasmatic Catecholamines After Neuraxial Labor Analgesia: a Randomized Controlled Trial Comparing Epidural Versus Combined Spinal-epidural [NCT02666794]50 participants (Actual)Interventional2017-07-12Completed
A Randomized Control Trial Evaluating Pain Outcomes of Ketorolac Administration in Children Undergoing Circumcision [NCT04646967]Phase 2100 participants (Anticipated)Interventional2022-11-25Recruiting
Determining the Minimum Effective Volume of Local Anesthetic for Ultrasound-guided Axillary Brachial Plexus Block [NCT01421914]19 participants (Actual)Interventional2010-12-31Completed
Parturient Controlled Epidural Analgesia (PCEA) With or Without a Basal Infusion for Early Labor [NCT00871442]Phase 30 participants (Actual)Interventional2009-05-31Withdrawn(stopped due to would not substantially add to existing contributions in the literature)
Pilot Evaluation of a Stellate Ganglion Block for the Treatment of Hot Flashes [NCT00879164]Early Phase 110 participants (Anticipated)Interventional2009-04-30Completed
Prospective Randomized Control Trial Evaluating Single Shot Exparel Versus Indwelling Interscalene Catheter for Total Shoulder Replacements- A Pilot Study [NCT03827213]Phase 223 participants (Actual)Interventional2019-01-22Terminated(stopped due to Ran out of medication)
Effect of Bilateral Scalp Nerve Blocks on Post-operative Pain and Discharge Times in Patients Undergoing Supra-tentorial Craniotomy and General Anaesthesia [NCT00972790]89 participants (Actual)Interventional2010-03-31Completed
The Effectiveness of Selective Nerve Root Injections in Preventing the Need for Surgery in Patients With Lumbar Disc Herniations [NCT01073995]Phase 354 participants (Actual)Interventional2010-03-31Completed
Comparison Between Different Anaesthesia Techniques for Protecting Renal Function in Children Undergoing Radicle Nephrectomy [NCT05271253]Phase 2/Phase 375 participants (Actual)Interventional2021-04-10Completed
Comparison of Analgesic Effects of Ultrasound Guided Transversus Abdominis Plane Block With Bupivacaine and Bupivacaine With Morphine in Patient Undergoing Open Unilateral Inguinal Hernia Repair Under Spinal Anaesthesia [NCT05379374]40 participants (Actual)Interventional2018-08-18Completed
Ultrasound Guided Retrolaminar Block Versus Ilioinguinal Nerve Block for Surgery of Inguinal Hernia in Children [NCT04266132]60 participants (Anticipated)Interventional2020-05-17Recruiting
Continuous Erector Spinae Plane Local Anesthetic Infusion for Postoperative Analgesia in Pediatric Patients Undergoing Nephrectomy: Randomized Controlled Study [NCT04613830]Phase 360 participants (Actual)Interventional2020-11-20Completed
Duration of Blockade of Peripheral Nerves With Low Concentrated Bupivacaine Solution Depending of the Adjuvants [NCT04498923]68 participants (Actual)Observational2018-01-01Completed
The Evaluation of the Analgesic Effect of Intraperitoneal Bupivacaine Versus Bupivacaine With Neostigmine on Postoperative Pain in Laparoscopic Cholecystectomy:A Prospective, Randomized, Comparative, Double-blind Study. [NCT04244097]Phase 256 participants (Actual)Interventional2020-04-10Completed
Epidural Neostigmine Dose Response for the Treatment of Labor Pain [NCT00779467]Phase 1200 participants (Actual)Interventional2008-10-31Completed
Efficacy of Local Anesthetic Through Continuous Infusion Following Laparotomy Procedures. [NCT04173312]Phase 3120 participants (Anticipated)Interventional2021-01-04Recruiting
A Randomized, Phase 4 Study of the Efficacy, Safety, and Pharmacokinetics of Bupivacaine Administered as Liposomal Bupivacaine or Continuous Infusion Via Elastomeric Pump Following Unilateral Open Inguinal Herniorrhaphy [NCT04102267]Phase 432 participants (Actual)Interventional2018-07-02Completed
Double-blinded Randomized Controlled Study for Comparison of Surgical Rectus Sheath and Intrathecal Morphine for Postoperative Pain Control After Caesarean Section [NCT02790099]Phase 4144 participants (Actual)Interventional2014-09-30Completed
Comparative Evaluation of Intrathecal Bupivacaine-fentanyl and Bupivacaine-dexmedetomidine for Elective Low Segment Caesarean Section [NCT04095013]60 participants (Actual)Interventional2019-02-01Completed
Laparoscopic Transversus Abdominis Plane Block (LTAP) (Tap Block) for Appendicectomy Versus Standard Port Site Treatment [NCT05427266]172 participants (Anticipated)Interventional2022-07-31Not yet recruiting
Surgical Wound Infiltration With Sodium Diclofenac Versus Bupivacaine in the Treatment of Acute Postoperative Pain Following Appendectomy [NCT02752971]Phase 343 participants (Actual)Interventional2015-02-28Completed
Thoracic Paravertebral Block With Liposomal Bupivacaine Versus Standard Bupivacaine Combined With Dexamethasone for Postoperative Analgesia in Patients Undergoing Liver Resection [NCT06173466]96 participants (Anticipated)Interventional2023-12-15Recruiting
Influence of Anesthetic Temperature on Cephalad Sensory Blockade With Spinal Anesthesia for Cesarean Delivery [NCT00815022]400 participants (Actual)Interventional2008-12-31Completed
Pilot Study Investigating the Utility of Epidural AlloGen-LI Injection for Treatment of Spinal Stenosis Symptoms [NCT02932020]0 participants (Actual)Interventional2016-10-31Withdrawn
Preemptive Single Dose Tizanidine and Ultrasound Guided Superficial Cervical Block on Pain After Thyroidectomy [NCT02725359]Phase 460 participants (Actual)Interventional2016-04-30Completed
Postoperative Analgesic Efficacy of Transversus Abdominis Plane Block by Bupivacaine With Two Different Concentrations in Pediatric Patient Undergoing Laparoscopic Surgery [NCT02723487]Phase 260 participants (Actual)Interventional2016-04-30Completed
A Randomized Controlled Trial of ZYNRELEF Versus Standard of Care for Pain Management Following Unilateral Total Knee Arthroplasty [NCT05644496]Phase 4242 participants (Anticipated)Interventional2023-03-09Recruiting
Intraoperative Surgical Wound Infiltration vs Quadratus Lumborum (QL) Block for Post-operative Pain Control After Nephrectomy in Living Donor Kidney Transplant Patients [NCT03496610]Phase 440 participants (Actual)Interventional2021-01-25Completed
Programmed Intermittent Epidural Bolus for Labor Analgesia During First Stage of Labor: A Sequential Allocation Trial to Determine the Optimum Interval Time Between Boluses of a Fixed Volume of 5 ml of Bupivacaine 0.125% Plus Fentanyl 2 mcg/ml [NCT02887222]40 participants (Actual)Interventional2016-08-31Completed
General Anesthesia Versus Spinal Anesthesia Combined With Intrathecal Morphine in Abdominal Hysterectomy for Benign Gynecological Diseases. A Randomized Open Controlled Study. [NCT00527332]Phase 4180 participants (Actual)Interventional2007-03-31Completed
Laparoscopic Combined Hypo Gastric Neural Plexus Block and Uterosacral Nerve Block for Patients With Chronic Idiopathic Pelvic Pain [NCT05345782]60 participants (Anticipated)Interventional2022-04-20Recruiting
VaReFi Validity and Reliability of Diagnostic Findings of SI Joint Blocking [NCT01874236]Phase 428 participants (Actual)Interventional2013-04-22Terminated(stopped due to Data could not be interpreted. Re-design efforts failed.)
Perineural Dexmedetomidine as an Adjuvant to Bupivacaine-induced Ultrasound-guided Femoral Nerve Block. [NCT01964040]Phase 445 participants (Anticipated)Interventional2013-08-31Active, not recruiting
Ultrasound Guided Erector Spinae Block Using a Combination of Bupivacaine and Dexmedetomidine Versus Bupivacaine and Magnesium Sulfate for Postoperative Analgesia in Lumbar Spine Surgery [NCT05694897]52 participants (Actual)Interventional2021-07-30Completed
Comparison of the Effects of Levobupivacaine and Bupivacaine on Heart Rate Variability in Spinal Anesthesia [NCT00974961]Phase 470 participants (Anticipated)Interventional2009-09-30Recruiting
Use of Long-acting Local Analgesia in Bariatrics: A Randomized Controlled Trial [NCT03975283]Phase 480 participants (Anticipated)Interventional2019-08-31Not yet recruiting
Randomized Trial to Determine the Effect of Dorsal Penile Block on Post-Robotic Prostatectomy Foley Discomfort [NCT01565512]Phase 1/Phase 20 participants (Actual)Interventional2011-11-30Withdrawn(stopped due to Lack of funding, PI left the institution, poor enrollment)
Effect of Bilateral Ultrasound Guided Quadratus Lumborum Block Versus Lumbar Epidural Block on Postoperative Analgesia, and Inflammatory Response Following Major Lower Abdominal Cancer Surgery [NCT03958942]60 participants (Anticipated)Interventional2019-06-01Recruiting
Improved Pain Relief Using Intermittent Bupivacain Injections at the Donor Site After Breast Reconstruction With Deep Inferior Epigastric Artery Perforator (DIEP) Flap [NCT00804674]Phase 247 participants (Actual)Interventional2005-08-31Completed
Comparison of Intraoperative and Postoperative Effects of Erector Spinae Plane Block and Rectus Sheath Block [NCT05225766]60 participants (Actual)Interventional2021-02-25Completed
Efficacy and Safety of Magnesium Sulfate Added to Local Anesthetic in TAP Block for Postoperative Analgesia Following Total Abdominal Hysterectomy. [NCT02930707]Phase 2/Phase 360 participants (Actual)Interventional2016-01-31Active, not recruiting
Comparison Between Ropivacaine and Bupivacaine in Deep Topical Fornix Nerve Block Anesthesia in Patients Undergoing Cataract Surgery by Phacoemulsification. [NCT02925832]100 participants (Actual)Interventional2016-10-31Completed
Patient Controlled Epidural Infusion Vs. Continuous Epidural Infusion: Obstetrical and Neonatal Outcomes [NCT00810914]270 participants (Anticipated)Interventional2006-03-31Recruiting
Efficacy of Neostigmine as an Adjuvant to Bupivacaine in Ultrasound-guided Transversus Abdominis Plane Block as a Postoperative Analgesia After Caesarean Delivery. [NCT05785377]58 participants (Anticipated)Interventional2023-12-01Not yet recruiting
Comparison of the Time to the First Rescue Analgesic Among Parturients Receiving Intrathecal Additive Fentanyl or Intrathecal Fentanyl With TAP Block or TAP Block Alone for Elective Cesarean Sections Under Hyperbaric Bupivacaine Spinal Anesthesia [NCT05550597]93 participants (Actual)Interventional2022-08-15Completed
Combined Spinal-Epidural Versus Traditional Labor Epidural: A Randomized, Controlled Trial Comparing Maternal and Fetal Effects [NCT00151346]Phase 4127 participants (Actual)Interventional2003-10-31Completed
Safety and Efficacy of Paravertebral Morphine Versus Dexmedetomidine on Acute and Chronic Pain [NCT02935933]Phase 1/Phase 290 participants (Anticipated)Interventional2016-10-31Active, not recruiting
Does Patient-Controlled Infraclavicular Perineural Dexmedetomidine Improve Postoperative Analgesia Deadline? [NCT02550782]60 participants (Actual)Interventional2015-09-30Completed
Minimum Effective Concentration of Bupivacaine for Motor-Sparing Femoral Nerve Block [NCT02909257]Phase 431 participants (Actual)Interventional2016-09-30Terminated(stopped due to inadequate methodology to determine primary outcome)
[NCT00819962]Early Phase 142 participants (Anticipated)Interventional2014-09-30Recruiting
Low Dose Spinal Bupivacaine for Total Knee Arthroplasty and Recovery Room Wait Time [NCT00537472]140 participants (Actual)Interventional2007-10-31Completed
Comparative Study Between Ketamine-Bupivacaine Versus Bupivacaine With Intravenous Ketamine Infusion In Supraclavicular Brachial Plexus Block During Upper Limb Surgeries [NCT05315271]Early Phase 160 participants (Actual)Interventional2022-06-01Completed
Safety and Efficacy of Cervical Sympathetic Block in Patients With Cerebral Vasospasm Following Aneurysmal Subarachnoid Hemorrhage - Pilot Study [NCT00930072]Phase 27 participants (Actual)Interventional2009-04-30Terminated(stopped due to Poor Enrollment)
Retrospective Investigation of Postoperative Pain Perception After Laparoscopic Tubal Sterilization [NCT01062087]62 participants (Actual)Observational2010-01-31Completed
Ultrasound-guided Bilateral Dual Transversus Abdominis Plane (BD-TAP) Block: Description of a Novel Four-point Ultrasound-guided TAP Block Approach [NCT01040234]30 participants (Actual)Observational2009-11-30Completed
Does Ultrasound-guided Ilioinguinal-iliohypogastric Block Improve Postoperative Pain Outcome After Unilateral Inguinal Hernia Repair? [NCT01326039]Phase 460 participants (Anticipated)Interventional2010-05-31Recruiting
Double Blind, Randomized, Placebo Controlled Trial of Locally Instilled Bupivacaine in the Surgical Bed After Unilateral Mastectomy Without Reconstruction [NCT03351348]Phase 3144 participants (Anticipated)Interventional2017-11-16Recruiting
Efficacy of Intraperitoneal Local Anaesthetic Techniques During Laparoscopic Cholecystectomy: A Double Blind Randomized Controlled Trial [NCT01090882]128 participants (Actual)Interventional2009-07-31Completed
Role of Peritubal Infiltration of 0.25% Bupivacaine in Percutaneous Nephrolithotomy (PCNL) in Postoperative Pain Control [NCT02198027]Phase 468 participants (Anticipated)Interventional2014-07-31Recruiting
Effect of Local Anesthesia in Patients With Marginal Periodontitis Undergoing Scaling and Root Planning [NCT01878864]Phase 212 participants (Actual)Interventional2012-11-30Terminated(stopped due to Too slow patient inclusion and superior effect of the injection)
The Comparison of the Discharge Conditions and Efficacy of Spinal Anesthesia With Heavy Prilocaine-Fentanyl and Heavy Bupivacaine-Fentanyl in Outpatient Minor Perianal Surgery [NCT01880775]Phase 450 participants (Actual)Interventional2012-04-30Completed
Ultrasound Guided Transversus Abdominis Plane Block vs. Trigger Point Injection for Abdominal Wall Pain: A Randomized Comparative Trial [NCT01906944]Phase 262 participants (Actual)Interventional2012-01-31Completed
An Ultrasound Guided Fascia Iliaca Block Placed at the Level of the Inguinal Ligament for Analgesia After Hip Arthroplasty [NCT01911949]24 participants (Actual)Interventional2017-01-31Completed
Analgesia Requirement and Maternal Satisfaction Following Epidural PCA in Nulliparous Labor: the Effect of a Four-Fold Change in Local Anesthetic Concentration. [NCT00197327]Phase 360 participants Interventional1998-02-28Completed
The Value of Short-term Pain Relief for the Prediction of Long-term Outcome After Cervical or Lumbar Nerve Root Infiltration [NCT01945554]250 participants (Anticipated)Interventional2013-07-31Completed
A Randomised Comparison Between Combined Femoral Triangle Block+IPACK Block and Femoral Triangle Block for Anterior Cruciate Ligament Reconstruction Analgesia [NCT05068063]48 participants (Anticipated)Interventional2022-06-01Recruiting
Efficiency of Multi-Modal Anesthesia (MMA) Protocol in Pain Control and Analgesia in Patients Undergoing Posterior Lumbar Spinal Fusion Surgery [NCT05413902]Phase 4100 participants (Actual)Interventional2021-04-05Completed
Randomized Prospective Study Comparing Exparel Erector Spinae Plane Block vs Simple Bupivacaine Erector Spinae Plane Block vs Exparel Surgeon Infiltration for Postoperative Analgesia Following Video-assisted Thoracoscopic Surgery [NCT03859635]Phase 3125 participants (Actual)Interventional2019-02-07Completed
A Phase IV Randomized, Single-Blind Trial of Liposomal Bupivacaine (Exparel®) for Pain Control in Costal Cartilage Harvest [NCT05285566]Phase 460 participants (Anticipated)Interventional2022-05-04Recruiting
Steroid Injections vs. Platelet Rich Plasma Injections in Patients With Plantar Fasciitis: A Comparison of Clinical and Ultrasound Findings [NCT01957631]Phase 2/Phase 30 participants (Actual)Interventional2013-06-30Withdrawn(stopped due to Lack of funding)
Pharmacodynamic Profile of Intrathecal Hypobaric Local Anesthetics. An Observational Study [NCT06166394]60 participants (Anticipated)Observational2023-06-09Recruiting
Comparison of the Effects of Bupivacaine or Levobupivacaine on Cerebral Oxygenation During Intrathecal Anesthesia in Elderly Patients Who Underwent Hip Fracture Repair [NCT01960543]Phase 458 participants (Actual)Interventional2013-10-31Completed
Comparison of the Efficacy and Cost Analysis of Regional Anesthesia and Intravenous Fentanyl for Postoperative Pain Management in Patients Undergoing Hullax Valgus Surgery [NCT01960595]Phase 490 participants (Anticipated)Interventional2013-08-31Active, not recruiting
[NCT01961752]111 participants (Actual)Interventional2012-07-31Completed
Ultrasound Guided Transversus Abdominis Plane Block (TAPB) vs Surgical TAPB With Bupivacaine for Acute Pain Control in Cesarean Section: A Randomized Clinical Trial [NCT05750992]50 participants (Anticipated)Interventional2023-04-10Recruiting
The Effect of Topical Administration of Tranexamic Acid, Adrenaline and Bupivacain on Postoperative Bleeding and Pain in Patients Undergoing Breast Surgery. A Four-armed Placebo-controlled Double Blinded Randomized Study [NCT01964781]Phase 430 participants (Actual)Interventional2013-08-31Completed
Efficacy of Combined US-Guided Supraclavicular Block and Interscalene Analgesia Versus an Intercostobrachial Nerve Block Versus PCA With Fentanyl on Preventing Tourniquet Pain in Forearm Surgery: A Randomized Clinical Trial [NCT05602636]Phase 460 participants (Anticipated)Interventional2022-12-10Recruiting
Effect of Ilioinguinal Blockage on Postoperative Pain After Laparoscopic Inguinal Herna Repair [NCT01969006]Phase 20 participants (Actual)Interventional2014-01-31Withdrawn(stopped due to Another study has been planned, so we did not initiate this one.)
Determination of the Effective Volume of the 0.125% Bupivacaine-fentanyl 5mcg/mL Mixture Used for Epidural Analgesia in Labor [NCT01972269]80 participants (Actual)Interventional2013-10-31Completed
Prospective Randomized Controlled Trial (PRCT) Comparing Standard Analgesia With Multi-modal Targeted Operative and Port-Site Local Anesthesia for Post-Operative Pain Management in Elective Laparoscopic Cholecystectomy (LapChole) [NCT01972620]63 participants (Actual)Interventional2010-02-28Completed
A Randomized, Double-Blinded, Control Trial to Evaluate the Efficacy of Single Injection Femoral Nerve Block With Liposome Bupivacaine for Postsurgical Analgesia in Subjects Undergoing Unilateral Total Knee Arthroplasty [NCT01977339]Phase 40 participants (Actual)Interventional2015-05-31Withdrawn(stopped due to New departmental administration, loss of key study faculty)
An Evaluation of Post Caesarean-Section Pain Control Regimens: Non-Opioid Oral Regimen With and Without Transversus Abdominis Plane Block [NCT01982929]180 participants (Actual)Interventional2013-11-30Completed
Phase 3 Study Comparing Transversus Abdominis Plane Block After Caesarian Section Usin Bupivacaine 0.5% vs. Bupivacaine 0.25% vs. Placebo (Normal Saline). [NCT01986049]Phase 30 participants (Actual)Interventional2013-02-28Withdrawn(stopped due to We never collected data or started to recruit participants)
Perioperative Pain Management for Cleft Lip Repair in Children, Bilateral Infraorbital Nerve Block Versus Conventional Methods( Combined IV Fentanyl With Peri Incisional Infiltration). A Randomized Comparative Study [NCT04614259]76 participants (Anticipated)Interventional2020-11-15Not yet recruiting
Does Saphenous Nerve Block Improve Analgesia After Total Knee Replacement When Used in Combination With Local Infiltration Analgesia? A Prospective Randomised Double Blinded Trial. [NCT01991288]Phase 420 participants (Actual)Interventional2012-11-30Completed
Intraductal Liposomal Bupivacaine as a Therapeutic Trial to Determine the Contribution of Peripheral Versus Central Sensitization in the Pathogenesis of Pain in Chronic Pancreatitis- a Pilot and Feasibility Study [NCT04611958]Early Phase 10 participants (Actual)Interventional2021-07-01Withdrawn(stopped due to The FDA requirements for the IND are not feasible to complete.)
Regional Anesthesia Block of the Transversus Abdominis Plane in Children Undergoing Gastric Tube Insertion [NCT00564655]Phase 33 participants (Actual)Interventional2007-10-31Terminated
Study Phase III to Evaluate the Noninferiority of Heavy Levobupivacaine 50% Enantiomeric Excess (Levobupivacaine S75:R25) Compared to Racemic Heavy Bupivacaine (Bupivacaine S50:R50) in Spinal Anesthesia for Lower Limb Orthopedic Procedures [NCT01994967]Phase 30 participants (Actual)Interventional2016-11-30Withdrawn(stopped due to Another regulatory way was defined.)
Liposomal Bupivacaine vs Bupivacaine for Pain Control After Sternotomy [NCT04585867]Phase 180 participants (Anticipated)Interventional2017-10-11Recruiting
The Comparison of Two Different Doses of Morphine Added to Spinal Bupivacaine for Inguinal Hernia Repair. [NCT02001948]Phase 446 participants (Actual)Interventional2009-07-31Completed
Analgesic Efficacy of Transversus Abdominis Plane Block Versus Caudal Dexmedetomidine in Children Undergoing Abdominal Surgeries [NCT06183073]Phase 290 participants (Anticipated)Interventional2023-04-02Recruiting
The Effect of Dexamethasone on the Duration and Functionality of Bupivacaine Intercostal Nerve Blockade [NCT02005575]Phase 450 participants (Anticipated)Interventional2013-10-31Active, not recruiting
The Comparison of Supraperiosteal Nerve Block With Opiate Analgesia in Alleviating the Pain of Toothache [NCT00574015]Phase 418 participants (Actual)Interventional2007-12-31Completed
A Prospective Randomized Study Comparing Different Types of Local Anesthesia in Outpatient Procedural Hysteroscopy [NCT05967936]242 participants (Anticipated)Interventional2023-09-01Not yet recruiting
A Randomized Trial of a Sphenopalatine Ganglion Block With Bupivacaine for Acute Headache [NCT05707754]Phase 1220 participants (Anticipated)Interventional2023-03-06Recruiting
Dexmedetomidine as an Adjuvant to Bupivacaine in Unilateral Transversus Abdominis Plane Block in Pediatrics [NCT04539314]90 participants (Actual)Interventional2019-08-01Completed
Ketamine Versus Dexmedetomidine as an Adjuvant in Ultrasound-guided Supraclavicular Brachial Plexus Block [NCT04508894]75 participants (Actual)Interventional2019-04-21Completed
Ultrasound-guided Quadratus Luborum Block Using Bupivacaine Versus Bupivacaine-Dexamethasone for Postoperative Analgesia in Laparoscopic Cholecystectomy [NCT03956966]90 participants (Actual)Interventional2018-11-20Completed
Efficacy of Opioid-limiting Pain Management Protocol in Men Undergoing Urethroplasty [NCT03859024]Phase 460 participants (Actual)Interventional2019-03-22Completed
Comparison of the Effects of Femoral Nerve Block and Adductor Canal Block on Postoperative Analgesia in Patients Undergoing Unilateral Total Knee Arthroplasty [NCT04286035]Phase 470 participants (Actual)Interventional2019-04-02Completed
Safety and Efficacy of Ultrasound Guided Paravertebral Dexmedetomidine for Postoperative Pain Relief in Video Assisted Thoracoscopy Surgery [NCT02886429]Phase 260 participants (Anticipated)Interventional2016-08-31Completed
A Comparison of the Analgesic Efficacy of Oral Opioid Medication vs. Injected Local Anesthetic in Emergency Department Patients With Toothache [NCT02862691]Phase 22 participants (Actual)Interventional2016-08-01Terminated(stopped due to Difficulty recruiting patients)
Continuous Erector Spinae Plane Blocks to Treat Pain Following Percutaneous Nephrolithotomy: A Randomized, Placebo-controlled Clinical Trial [NCT05121168]Phase 450 participants (Anticipated)Interventional2022-03-16Enrolling by invitation
Bupivacaine Pharmacokinetics in Children Following Transversus Abdominis Plane Block [NCT02015182]20 participants (Actual)Observational2011-09-30Completed
Assessment Of Pain Subsidence And Sexual Function Amelioration Using Either Pelvic Rehabilitation Or Trigger Point Injections [NCT02022722]Phase 436 participants (Anticipated)Interventional2013-08-31Recruiting
The Comparison of Hyperbaric Bupivacaine Plus Fentanyl and Hyperbaric Levobupivacaine Plus Fentanyl Administered Intrathecally in Patients Undergoing Elective Cesarean Section [NCT02025374]Phase 460 participants (Actual)Interventional2013-08-31Completed
UROLOGICAL SURGERIES IN CHILDREN: Comparison Between 0.25% Bupivacaine and 0.25% Bupivacaine withDexmedetomidine in the Caudal Block [NCT05919173]Phase 460 participants (Actual)Interventional2021-07-10Completed
Value of IPACK Block (Interspace Between the Popliteal Artery and Capsule of Knee) With Spinal Anesthesia Versus Fentanyl Based Spinal Anesthesia on Postoperative Analgesia for Knee Arthroscopic Meniscectomy [NCT05833776]60 participants (Actual)Interventional2022-01-01Completed
A Prospective Randomized Trial Comparing Analgesic Effects of Three Ultrasound-guided Regionel Anesthetic Techniques in Pediatrics: Caudal Analgesia, Transversus Abdominis Plane and Quadratus Lumborum Blocks [NCT03780790]135 participants (Actual)Interventional2018-12-28Completed
Efficacy and Safety of Liposomal Bupivacaine for Thoracic Paravertebral Nerve Block Combined With Drainage Tube Analgesia for Postoperative Analgesia After Thoracoscopic Lobectomy [NCT06165991]Phase 4228 participants (Anticipated)Interventional2024-01-01Not yet recruiting
Motor Sparing Supraclavicular Brachial Plexus Block (MS-SCBPB): A Randomized Controlled Trial [NCT06074471]44 participants (Anticipated)Interventional2023-09-25Recruiting
A Randomize Double-Blind Control Trial Study Comparing Endoscopic Ultrasound-Guided Celiac Plexus Neurolysis W/Wo Bupivacaine In Patient Being Treated Palliatively For Pancreatic Cancer [NCT02682082]22 participants (Actual)Interventional2016-05-27Terminated(stopped due to Closed by CHUM REB for incomplete documentation of research activities.)
A Novel Application of Exparel for Postoperative Pain Management in Shoulder Arthroplasty and Humerus Fracture Fixation [NCT02472314]Phase 470 participants (Actual)Interventional2015-06-30Completed
The Comparison of the Erector Spinae Plane Block and Wound Infiltration on Postoperative Opioid Consumption in Patients Undergoing Laparoscopic Colorectal Surgery [NCT04313764]48 participants (Anticipated)Interventional2020-06-18Not yet recruiting
Evaluation of the Effect of Serratus Anterior Block and Erector Spinae Block on Postoperative Analgesia in Thoracic Surgeries [NCT04579302]90 participants (Actual)Interventional2020-11-01Completed
Phase 1, Randomized, Double-Blind, Active and Placebo Controlled, Dose Escalation Study to Evaluate the Safety, Pharmacokinetics and Pharmacodynamics of EXPAREL® Administered Via a Single Intrathecal Injection to Healthy Volunteers. [NCT04173611]Phase 120 participants (Actual)Interventional2020-06-08Terminated(stopped due to Terminated for strategic and administrative reasons)
A Randomized, Double-Blind, Placebo Controlled, Two-Way Cross-Over Study of Analgesic Efficacy of Bupivacaine Transdermal Therapeutic System in Patients With Post-Herpetic Neuralgia [NCT00478179]Phase 260 participants (Actual)Interventional2006-09-30Completed
Ultrasound-guided Ipsilateral Transverse Abdominis Plane and Ilioinguinal-iliohypogastric Nerve Block Versus Ipsilateral Illioinguinal- Illiohypogastric Nerve Block for Inguinal Hernia Repair in Patients With Liver Cirrhosis [NCT04553328]60 participants (Actual)Interventional2019-09-01Completed
Interscalene Catheter vs. Interscalene Liposomal Bupivacaine for Arthroscopic Rotator Cuff Repair [NCT04571606]80 participants (Actual)Interventional2020-10-14Completed
Bupivacaine Versus Meloxicam Infiltration on Post Cesarean Section Pain Relief [NCT04538391]105 participants (Actual)Interventional2019-03-03Completed
The Efficacy Of Magnesium In Radicular Lower Limb Pain When It Is Added To Local Anesthetics And Steroids In The Transforaminal Epidural Injections. A Comparative Study [NCT04532775]Phase 1100 participants (Anticipated)Interventional2020-08-30Not yet recruiting
Comparative Study Between Combined General Anesthesia With Peribulbar Block Versus Traditional General Anesthesia in Patients Undergoing Strabismus Surgery [NCT04549844]Phase 470 participants (Anticipated)Interventional2019-08-14Recruiting
Comparison of Effectiveness of Adding Ketamine or Neostigmine to Bupivacaine for Ultrasound Guided Serratus Anterior Plane Block in Modified Radical Mastectomy , Randomized Double Blinded Comparative Study. [NCT04544228]90 participants (Actual)Interventional2020-09-05Completed
Influence Of Low Dose Intrathecal Naloxone On Bupivacaine - Fentanyl Spinal Anaesthesia For Lower Limb Orthopedic Surgery In Elderly Patients [NCT04673812]92 participants (Actual)Interventional2020-12-10Completed
Prospective, Double-blind, Randomized Study to Evaluate a Single Shot Adductor Canal Nerve Block Versus Femoral Nerve Block Combined With LIA (Local Infiltration Analgesia): Early Postoperative Period Functional Outcomes After Total Knee Replacement [NCT02218814]106 participants (Actual)Interventional2014-08-31Completed
Efficacy of Adding Dexmedetomidine Versus Ibuprofen as an Adjuvant to Intraperitoneal Bupivacaine for Pain Control After Laparoscopic Gynecological Procedures: a Double-blind Randomized Comparative Study [NCT06046105]Phase 2/Phase 3180 participants (Anticipated)Interventional2023-09-15Not yet recruiting
Comparative Study Between Ultrasound Guided Pericapsular Nerve Block Versus iv Sedation Analgesia in Reduction of Shoulder Dislocation, Double Blinded Controlled Randomized Clinical Trial [NCT06034873]Phase 242 participants (Anticipated)Interventional2023-09-15Recruiting
Isolated Adductor Canal Block vs Adductor Canal Block With IPACK in ACL Reconstruction: A Randomized, Prospective Trial [NCT05316168]Phase 3154 participants (Anticipated)Interventional2023-09-30Enrolling by invitation
Analgesia for Video-assisted Thoracoscopic Surgeries: A Comparison Between Intercostal Blocks With Liposomal Bupivacaine and Paravertebral Blocks With Plain Bupivacaine [NCT04864210]Phase 2128 participants (Anticipated)Interventional2021-02-02Recruiting
Ultrasound-guided Pec Infiltration With Liposomal Bupivacaine for Breast Surgery: A Prospective Randomized Study [NCT03599635]Phase 4112 participants (Anticipated)Interventional2018-07-01Recruiting
A Randomized Study of Whether General or Regional Anesthesia for Patients Undergoing Elective Total Knee Arthroplasty Could Effect Length of Hospital Stay [NCT01604382]60 participants (Actual)Interventional2008-09-30Completed
The Influence of Body-mass Index on the Outcome of Spinal Anesthesia for Total Knee Replacement Arthroplasty [NCT01609517]209 participants (Actual)Observational2012-05-31Completed
Long-term Outcome After Radical Lymph Node Dissection of Malignant Melanoma. Comparison Between Regional Versus General Anesthesia With Respect to Impact of Perioperative Immunoediting and Validation of New Potential Predictive Biomarkers [NCT01588847]230 participants (Anticipated)Interventional2012-03-31Recruiting
Effects of Intravenous Local Anesthetic on Bowel Function After Colectomy [NCT00600158]Phase 345 participants (Actual)Interventional2005-04-30Completed
Clinical Outcomes of an Adductor Canal Block Versus Liposomal Bupivacaine in Total Knee Arthroplasty Patients: A Randomized Prospective Study [NCT04086186]Phase 460 participants (Actual)Interventional2017-03-22Completed
Randomized, Double-Blind, Placebo-Controlled Study of Effects of Combined Spinal Epidural Analgesia on Intrapartum Fever. [NCT00802646]0 participants (Actual)Interventional2009-06-30Withdrawn(stopped due to study moved to alternate site)
The Use of Continuous Wound Infusion Analgesia in Total Knee Arthroplasty [NCT00724074]20 participants (Anticipated)InterventionalNot yet recruiting
A Double Blinded Randomized Control Trial in Outcomes for Lumbar Decompressions With Use of Liposomal Bupivicaine [NCT04066296]Phase 2100 participants (Anticipated)Interventional2019-09-08Recruiting
Efficacy of Modified Thoracoabdominal Nerves Block Through Perichondrial Approach in Total Laparoscopic Hysterectomies on Postoperative Pain [NCT06116409]50 participants (Anticipated)Observational2023-09-01Enrolling by invitation
Effect of Bupivacaine Concentration on Ultrasound Guided Pericapsular Group Nerve Block Efficacy in Hip Surgery Patients: A Randomized Controlled Double Blinded Trial [NCT05788458]Phase 4135 participants (Actual)Interventional2023-04-01Completed
Impact of Intrathecal Morphine on Sleep Apnea Syndrome After Hip Arthroplasty Performed Under Spinal Anaesthesia [NCT02566226]Phase 460 participants (Actual)Interventional2015-11-30Completed
Prospective, Randomized, Double-Blinded, Allocation Concealed Study Comparing the Efficacy of Liposomal Bupivacaine Over Standard Bupivacaine Plus Dexamethasone in Quadriceps Sparing Femoral Nerve Block and Wound Infiltration for Primary Total Knee Arthro [NCT02624856]Phase 40 participants (Actual)Interventional2015-11-30Withdrawn(stopped due to Lack of funding)
Intraperitoneal Bupivicaine Infusion Using the On-Q Pain Pump After Laparoscopic Surgery [NCT00533845]Phase 430 participants (Actual)Interventional2007-09-30Completed
Evaluation of Anesthesia Profile in Pediatric Patients After Inguinal Hernia Repair With Caudal Block or Local Wound Infiltration [NCT02620566]Phase 1/Phase 280 participants (Actual)Interventional2015-09-30Completed
Effectiveness of Patient-Controlled Intravenous Analgesia (PCIA) With Fentanyl Background Infusion for Total Hip Replacement [NCT05429567]Phase 170 participants (Actual)Interventional2021-03-01Completed
Liposomal Bupivacaine Versus Bupivacaine for Interscalene Nerve Block for Postoperative Pain Control in Shoulder Arthroplasty/Arthroscopy: a Prospective Randomized Controlled Trial [NCT04180943]Phase 485 participants (Actual)Interventional2019-12-13Completed
Laparoscopic-assisted Transversus Abdominis Plane (TAP) Block for Laparoscopic Total Extra Peritoneal (TEP) Inguinal Hernia Repair: a Prospective, Double-blinded, Randomized, Clinical Trial [NCT02632136]Phase 386 participants (Anticipated)Interventional2015-11-30Recruiting
Efficacy of Transverses Abdominis -Plane Block With Bupivacaine Versus Bupivacaine With Morphine in Patients Undergoing Major Abdominal Cancer Surgery [NCT02566096]Phase 460 participants (Actual)Interventional2015-09-30Completed
A Prospective Randomized Case Series Comparison on the Clinical Efficacy of Exparel Local Anesthetic in Total Knee Arthroplasty Patients [NCT02765815]Phase 40 participants (Actual)Interventional2016-02-29Withdrawn(stopped due to competing protocol)
Isobaric Ropivacaine 15 mg Versus Hyperbaric Bupivacaine 12.5 mg for Spinal Anesthesia in Geriatric Patients Undergoing Total Knee Arthroplasty [NCT02764723]52 participants (Actual)Interventional2013-01-31Completed
A Comparison of Dexamethasone and Triamcinolone in Combination With Bupivacaine for Ultrasound-guided Occipital C2 Nerve Blocks: A Randomized Controlled Trial [NCT02655523]Phase 40 participants (Actual)Interventional2015-12-31Withdrawn(stopped due to lack of recruitment)
Cardiac Output Changes During Hyperbaric and Isobaric Bupivacaine in Patients Undergoing Cesarean Section: An Randomization Trials [NCT02737813]Phase 4168 participants (Actual)Interventional2016-03-29Completed
Comparison Of Immune Response And Analgesic Effects Of Caudally Administrated Tramadol In Pediatric Lower Abdominal Surgery [NCT02703415]Phase 260 participants (Actual)Interventional2016-06-30Completed
The Effect of Subsartorial Saphenous Block on Postoperative Pain Following Major Ankle and Hind Foot Surgery [NCT02697955]Phase 418 participants (Actual)Interventional2016-06-21Completed
Pre-emptive Quadratus Lumborum Block for Laparoscopic Bariatric Surgery.A Prospective Randomizes Controlled Study. [NCT04294329]30 participants (Actual)Interventional2017-08-15Completed
Mixture of Liposomal Bupivicaine and Bupivicaine Hydrogen Chloride (HCl) May Provide Faster and Longer Lasting Analgesia in Transversus Abdominis Block for Patient Having Open Abdominal Hysterectomies [NCT03250507]Phase 490 participants (Actual)Interventional2017-03-13Completed
Impact of Local Anesthetic Concentration-Volume Modifications on Ultrasound Guided Infraclavicular Nerve Block Effectiveness [NCT02820688]Phase 481 participants (Actual)Interventional2016-06-30Completed
A Multicenter, Randomized, Double-Blind, Placebo-Controlled Study Evaluating the Efficacy, Safety, and Pharmacokinetics of Brachial Plexus Block With EXPAREL for Postsurgical Analgesia in Subjects Undergoing Total Shoulder Arthroplasty or Rotator Cuff Rep [NCT02713230]Phase 3156 participants (Actual)Interventional2016-05-09Completed
Comparison of Local and Intra Venous Dexamethasone on Post Operative Pain and Recovery After Caeseream Section [NCT02784340]Phase 4120 participants (Actual)Interventional2014-05-31Completed
LAW Trial -The Impact of Local Anesthetics Infiltration in Surgical Wound of Gastrointestinal Procedures: A Blind Prospective Randomized Trial [NCT02777866]570 participants (Anticipated)Interventional2016-05-31Recruiting
Management of Postoperative Pain With Preemptive Analgesia in Cesarean Section [NCT02879435]120 participants (Anticipated)Interventional2016-06-30Recruiting
Transmuscular Quadratus Lumborum Block Block for Congenital Hip Dislocation Surgery: Randomized Controlled Study [NCT04212832]40 participants (Actual)Interventional2018-06-15Completed
Postoperative Pain After Laparoscopic Sleeve Gastrectomy: Comparison of Isolated Intravenous Analgesia, Epidural Analgesia Associated With Analgesia iv and Port-sites Infiltration With Bupivacaine Associated With Analgesia iv [NCT02662660]Phase 3147 participants (Actual)Interventional2012-01-31Completed
Efficacy of Intra-operative Subacromial Corticosteroid Injections on Surgical Outcomes After Arthroscopic Shoulder Surgery [NCT02867904]Phase 412 participants (Actual)Interventional2016-03-31Terminated(stopped due to It was difficult to recruit patients to get the appropriate sample size.)
Randomized, Placebo-Controlled Trial of Bilateral 3rd/4th Common Digital Foot Nerve Injections to Treat Restless Legs Syndrome [NCT00656110]60 participants (Anticipated)Interventional2008-04-30Recruiting
The Use of Liposomal Bupivacaine (Exparel) in Soft Tissue Sarcoma Resection [NCT03867188]Early Phase 12 participants (Actual)Interventional2019-01-14Terminated(stopped due to Enrollment of eligible subjects, delays due to the COVID-19 Virus, and lack of funding)
Does Liposomal Bupivacaine Improve Postoperative Pain Control After One Level Posterior Spinal Fusion With Instrumentation [NCT03745040]Phase 460 participants (Anticipated)Interventional2019-01-26Recruiting
The Use of Liposomal Bupivacaine in TAP Blocks for Women Undergoing Cesarean Section [NCT02847013]Phase 2/Phase 30 participants (Actual)InterventionalWithdrawn
Patient Outcomes With Periarticular Liposomal Bupivacaine Injection vs Adductor Canal Block After Primary Total Knee Arthroplasty [NCT02863120]Phase 463 participants (Actual)Interventional2016-07-31Completed
Unilateral Dual Transversus Abdominis Plane Block in Pediatric Renal Transplant: A Randomized Control Study [NCT02858622]44 participants (Actual)Interventional2016-12-31Completed
Protective Analgesia Using Bupivacaine and Conventional Release Ibuprofen Versus Bupivacaine and Sustained Release Ibuprofen for Postoperative Pain Relief in Patients Undergoing Third Molar Surgery: a Randomised Controlled Trial [NCT00895843]122 participants (Actual)Interventional2006-11-30Completed
Intrathecal Dexmedetomidine Versus Fentanyl With Bupivacaine for Postoperative Analgesia in Children Undergoing Major Abdominal Cancer Surgery [NCT02861716]Phase 260 participants (Anticipated)Interventional2016-08-31Recruiting
Prospective, Randomized, Controlled Comparison of Local Anesthetic Infusion Pump Versus DepoFoam Bupivacaine For Pain Management After Unilateral Deep Inferior Epigastic Perforator Free Flap Reconstruction [NCT04284930]Phase 421 participants (Actual)Interventional2016-02-29Completed
Optimal Pain Management After Video-Assisted Thoracic Surgery [NCT00538499]30 participants (Actual)Interventional2004-10-28Completed
Comparison of Ultrasound Guided Subcostal Transversus Abdominis Plane Block Versus Quadratus Lumborum Block for Pediatrics Undergoing Pyeloplasty. [NCT04269460]78 participants (Actual)Interventional2020-02-01Completed
Compartment Psoas Block Efficacy and Safety for Perioperative Analgesia in the Elderly With Proximal Femur Fractures: a Randomized Controlled Study [NCT04648332]90 participants (Actual)Interventional2018-01-01Completed
A Comparison of Pulsed Electromagnetic Fields (PEMF) and Pectoral (PEC) Interfascial Blocks on Postoperative Pain Reduction in Patients Undergoing Mastectomy and Tissue Expander Reconstruction [NCT03360214]Phase 460 participants (Actual)Interventional2017-07-05Completed
Trigger Point Injection for Myofascial Pain Syndrome in the Low Back (T-PIMPS): A Randomized Controlled Trial. [NCT04704297]Phase 4180 participants (Anticipated)Interventional2020-12-28Recruiting
Efficacy of Injectable Local Anesthetics on Postsurgical Analgesia Following Posterior Colporrhaphy: A Prospective, Randomized, Double-Blinded Trial [NCT04032327]Phase 2120 participants (Actual)Interventional2018-07-01Completed
Spinal Anesthesia With 5% Articaine and 0.5% Bupivacaine for Outpatient Lower Limb Surgery. A Double-Blind Randomised Clinical Trial [NCT00332735]Phase 380 participants Interventional2006-05-31Completed
[NCT01423292]Phase 356 participants (Actual)Interventional2011-08-31Completed
Pharmacokinetics of Single-Dose Liposomal Bupivacaine in Surgeon Performed Intercostal Nerve Blocks [NCT03708198]Phase 415 participants (Actual)Interventional2018-06-11Completed
Pectoral Nerve (PECS) Block for Cardiac Implantable Electronic Devices (CIED) Implantation Surgery [NCT04577690]Phase 448 participants (Anticipated)Interventional2019-12-01Recruiting
Spinal Anesthesia With Bupivacaine or 2-chloroprocaine for Outpatient Elective Surgery: a Prospective, Randomized, Double-blind Comparison. [NCT00845962]106 participants (Actual)Interventional2009-02-28Completed
The Effects of Scalp Block on Haemodynamic Response and Postoperative Pain in [NCT02852382]Phase 245 participants (Actual)Interventional2014-04-30Completed
Sympathectomy-Mediated Vasodilatation and Differential Sensory Block After Epidural Bupivacaine: a Randomized Concentration Ranging Study [NCT00197353]Phase 360 participants Interventional1999-03-31Completed
Randomized Controlled Trial of Supraclavicular Bupivacaine Vs. Supraclavicular Liposomal Bupivacaine for Distal Radius Fracture Repair [NCT06179004]Phase 3100 participants (Anticipated)Interventional2023-12-31Not yet recruiting
Acupuncture Versus Trigger Point Injection Combined With Dipyrone and Cyclobenzaprine on Pain Relief of Patients With Myofascial Pain: Randomized Clinical Study [NCT00635037]30 participants (Actual)Interventional2004-06-30Completed
Continuous Vs Single Shot Adductor Canal Block After ACL Reconstruction - A Randomized Study [NCT04101682]Early Phase 19 participants (Actual)Interventional2020-09-25Terminated(stopped due to Not enough enrollment)
Efficacy of Genicular Artery Embolization Compared to Sensory Deinnervation for the Treatment of Symptomatic Knee Osteoarthritis: a Randomized Controlled Trial [NCT06166628]150 participants (Anticipated)Interventional2023-12-01Recruiting
Comparison Of Femoral Block And Middle Adductor Canal Block In Patients With Knee Arthroplasty In Terms Of Postoperative Pain Control And Early Mobilization [NCT04768764]Phase 452 participants (Anticipated)Interventional2021-04-16Not yet recruiting
Comparative Randomized Controlled Trial Study of General Balanced Anesthesia Based on Opioid and Opioid Sparing Balanced Anesthesia for Cholecystectomy Surgery Via Laparoscopy: Intraoperative and Postoperative Outcomes [NCT02953210]Phase 440 participants (Anticipated)Interventional2016-11-30Enrolling by invitation
Comparing the Hemodynamic Effects of Epinephrine Versus Dexmedetomidine as an Adjuvant to Bupivacaine in Caudal Anaesthesia Assessed by Cardiometry: a Randomized, Double-blind, Controlled Study [NCT05860010]39 participants (Anticipated)Interventional2023-06-05Not yet recruiting
Subacromial Injection of Epinephrine Improves Visualization in Shoulder Arthroscopy [NCT05244525]Phase 460 participants (Actual)Interventional2022-03-14Completed
Thoracic Epidural Analgesia Versus Rectus Sheath Block Versus Surgeon Infiltration With Liposomal Bupivacaine or Standard Bupivacaine for Post-Operative Pain Control After Cystectomy [NCT04300231]Phase 3160 participants (Anticipated)Interventional2019-10-22Active, not recruiting
Rescue Quadratus Lumborum Blocks for Post-cesarean Pain [NCT04397458]Phase 40 participants (Actual)Interventional2022-01-01Withdrawn(stopped due to COVID-19 pandemic and competing study that took precedence)
[NCT01847339]0 participants (Actual)Interventional2013-04-30Withdrawn
Low Dose, Low Concentration Different Baricity Bupivacaine for Transuretral Prostatectomy. [NCT01861041]Phase 452 participants (Anticipated)Interventional2013-05-31Not yet recruiting
Sphenopalatine Ganglion Block in Patients Undergoing Maxillofacial Surgeries: A Randomized Double-blinded Study [NCT05854537]60 participants (Anticipated)Interventional2023-03-20Recruiting
Stellate Ganglion Block in the Treatment of Posttraumatic Stress Disorder: Outcome Evaluation, Mechanism of Action, and Integration in Care - A Phase III Randomized Controlled Trial [NCT05427500]Early Phase 118 participants (Anticipated)Interventional2022-09-01Not yet recruiting
Comparison Of Intraperitoneal Instillation Of Magnesium Sulphate and Bupivacaine Versus Intravenous Analgesia In Laparoscopic Surgeries In Pediatrics [NCT04651556]Phase 466 participants (Actual)Interventional2019-04-04Completed
REDUCE Trial: The Effects of Perineural Dexamethasone on Scalp Nerve Blocks for Relief of Postcraniotomy Pain [NCT04648358]98 participants (Anticipated)Interventional2020-12-13Recruiting
Intrathecal Midazolam is a Comparable Alternative to Fentanyl and Nalbuphine as Adjuvant to Bupivacaine in Spinal Anesthesia for Elective Cesarean Section; a Randomized Controlled Double-blind Trial [NCT04932083]100 participants (Actual)Interventional2021-06-20Completed
A Phase II, Randomized, Single-dose, Double-blind, Placebo-controlled Study to Investigate the Efficacy, Safety and Pharmacokinetic Profile of the CollaRx Bupivacaine Implant in Patients After Gastrointestinal Surgery [NCT00661466]Phase 27 participants (Actual)Interventional2008-07-24Terminated(stopped due to Business decision)
Comparison of the Effectiveness of the Ultrasound Guided Subacromial, Acromioclavicular With Subacromial Injection and Suprascapular Nerve Block in Patients With Shoulder Impingement Syndrome ; A Randomized Controlled, Single Blind, Clinical Trial [NCT05015322]Phase 488 participants (Actual)Interventional2017-01-01Completed
Two-Stage, Pilot, Prospective, Observational Study of Post-Operative Pain Management Following Spine Surgery [NCT03076710]0 participants (Actual)Observational2017-07-31Withdrawn(stopped due to No participants were identified per inclusion/exclusion criteria)
The Cardio-pulmonary and Analgesic Effects of Pre-peritoneal Infusion VS Epidural Infusion of Levo - Bupivacaine on Patients Undergoing Major Upper Abdominal Cancer Surgery [NCT04152564]60 participants (Actual)Interventional2018-10-29Completed
A Prospective Randomized Double Blind Comparison of 7,5 mg Hyperbaric Bupivacaine With 2,5mcg Sufentanyl or 50 mg Hyperbaric Prilocaine With 2,5 mcg Sufentanyl for Caesarean Sections [NCT03219086]182 participants (Actual)Interventional2017-08-01Completed
Transversus Abdominus Plane (TAP) Block Catheters vs Liposomal Bupivacaine for Pain Control After Colorectal Surgery: A Prospective Randomized Control Trial [NCT03080142]Phase 486 participants (Actual)Interventional2017-03-01Completed
Use of Perioperative Pain Blocks In Urological Surgery: A Phase III Randomized Single Blind Single Center Three Arm Non-inferiority Trial [NCT04426500]Phase 3148 participants (Actual)Interventional2019-11-11Completed
A Study of the Effect of Dexamethasone on Duration of Lower Extremity Blocks With Bupivacaine in Subjects Having ACL Repair [NCT01756560]Phase 42 participants (Actual)Interventional2013-01-31Terminated(stopped due to Unable to continue research due to time constraints)
Efficacy of Liposomal Bupivacaine for Prolonged Postoperative Analgesia in Patient Undergoing Breast Reconstruction With Tissue Expander [NCT04278846]Phase 450 participants (Actual)Interventional2014-08-22Completed
Comparison of Intra-articular Infiltration and Gabapentin With Epidural Analgesia After Total Knee Replacement Surgery [NCT01489631]81 participants (Actual)Interventional2013-03-31Completed
Local Anesthetic Use at Iliac Crest Bone Graft Site in Spinal Reconstructive Surgery [NCT01087931]40 participants (Actual)Interventional2010-04-30Completed
Use of Percutaneously-Placed Continuous Flow Bupivacaine Pain Pumps to Decrease Post-operative Pain Following Mastectomy With Immediate Reconstruction: A Prospective, Randomized, Double-Blind Clinical Trial [NCT01494259]Phase 40 participants (Actual)Interventional2016-01-31Withdrawn
Comparison of Subcostal Transversus Abdominis Block With Intraperitoneal Instillation of Bupivacaine and Dexmedetomidine for Pain Relief After Laparoscopic Cholecystectomy: A Randomized Trial [NCT04715165]Phase 280 participants (Anticipated)Interventional2021-08-07Recruiting
The Effects of High Spinal Anesthesia on Hemodynamics, Stress Response, Renal Function and Post-operative Pain Control in Patients Undergoing Aortic Valve Replacement for Aortic Stenosis [NCT00348920]14 participants (Actual)Interventional2007-02-28Completed
Determination of the Minimum Local Anesthetic Volume of 0.125% Bupivacaine in Labour Epidurals [NCT00450099]50 participants (Actual)Interventional2005-10-31Completed
The Effect of Superficial Cervical Plexus Block on Post-Thoracotomy/Scopy Ipsilateral Shoulder Pain [NCT01550302]Phase 410 participants (Actual)Interventional2013-10-31Terminated(stopped due to Unable to continue enrollment due to lack of resources (research coordinator no longer available).)
Bupivacaine Effectiveness and Safety in SABER Trial (BESST) [NCT01052012]Phase 3331 participants (Actual)Interventional2009-12-31Completed
Preventive Analgesia in Labour:A Randomised, Placebo-Controlled Study in Multiparas Undergoing Induction of Labour [NCT00465231]16 participants (Actual)Interventional2007-01-31Completed
Comparison of Doses of Dexmedetomidine With Bupivacaine in Caudal Block for Duration of Analgesia in Paediatric Infraumblical Surgeries. [NCT04700228]Phase 4162 participants (Actual)Interventional2021-02-28Enrolling by invitation
[NCT00480675]65 participants (Actual)Interventional2007-03-31Completed
Randomized, Double Blind, Controlled Trial of Two Methods of Postoperative Pain Management Following Free Transverse Rectus Abdominous Musculocutaneous (TRAM) Flap for Breast Reconstruction [NCT00500565]61 participants (Actual)Interventional2003-12-31Completed
Efficacy of Repeated Locoregional Anesthetics Blocks With Bupivacaine in Patients Suffering of Chronic Dentoalveolar Pain. (BADDAP) [NCT04207411]Phase 250 participants (Anticipated)Interventional2020-08-25Recruiting
Comparative Effect of Combined High Spinal and General Anaesthesia With General Anaesthesia Alone On Right Ventricular Function In Patients With Mitral Valvular Disease With Pulmonary Hypertension [NCT03013075]Phase 450 participants (Anticipated)Interventional2016-11-30Recruiting
Ultrasound-assisted Versus Conventional Landmark-guided Spinal Anesthesia in Patients With Abnormal Spinal Anatomy [NCT03459105]44 participants (Actual)Interventional2018-03-13Completed
The Effect of Subconjunctival Bupivacaine Injection in Squint Surgery for Postoperative Analgesia [NCT04782960]40 participants (Anticipated)Interventional2021-04-30Not yet recruiting
Evaluation of Aerosolized Bupivacaine Versus Pre-incision Lidocaine Versus Instilled Liquid Bupivacaine Versus Post-operative Bupivacaine Injection for Optimization of Post-operative Pain Control in Laparoscopic Bariatric Surgical Patients [NCT00508976]Phase 2100 participants (Actual)Interventional2007-06-30Completed
Intravenous Versus Intraperitoneal Instillation of Ondansetron for Decreasing Incidence of Nausea and Vomiting After Laparoscopic Gynecological Surgeries: A Randomized Controlled Study [NCT05317611]Early Phase 163 participants (Anticipated)Interventional2022-04-01Not yet recruiting
Large Volume Bupivacaine 0.5% Versus Small Volume in Elective Caesarean Section [NCT02937792]30 participants (Anticipated)Interventional2016-10-31Recruiting
The Effects of Bilateral Serratus Plane Block on Postoperative Opioid Consumption After Breast Reduction Surgery [NCT02930733]Phase 440 participants (Actual)Interventional2016-07-31Completed
[NCT00523289]Phase 448 participants (Anticipated)Interventional2007-10-31Active, not recruiting
Liposomal Bupivacaine Versus Bupivacaine With Fascia Iliaca Blockade for Perioperative Pain Management During Hip Arthroscopy: A Double-Blinded Prospective Randomized Control Trial [NCT02947178]Phase 474 participants (Actual)Interventional2016-03-01Completed
Effects of Local Wound Infiltration With Ketamine Versus Dexmedetomidine Added to Bupivacaine on Surgical Stress Response and Postoperative Pain in Major Abdominal Cancer Surgery [NCT02927379]Phase 390 participants (Actual)Interventional2016-06-30Completed
Effect of Adding Dexmedetomidine as Adjuvant to Bupivacaine in Ultrasound Guided Erector Spinae Plane Block for Post Modified Radical Mastectomy Pain Management [NCT06022614]60 participants (Anticipated)Interventional2023-08-15Recruiting
Ultrasound Guided Emergency Physician Performed Erector Spinae Nerve Block for Rib Fracture Analgesia [NCT04168710]Phase 1/Phase 272 participants (Anticipated)Interventional2023-11-30Not yet recruiting
Pectoral Nerve Block vs. Standard Anesthesia in Patients Undergoing Mastectomy and Immediate Breast Reconstruction: Impact on Post-operative Pain and Nausea/Vomiting [NCT02913573]Phase 260 participants (Anticipated)Interventional2016-09-30Recruiting
Liposomal Bupivacaine in Ambulatory Hand Surgery [NCT02933814]Phase 30 participants (Actual)Interventional2018-02-09Withdrawn(stopped due to Inadequate number of subjects meet study criteria)
Infrapatellar Nerve Block for Post-operative Analgesia for Knee Arthroscopy [NCT01279447]Phase 468 participants (Actual)Interventional2011-01-31Completed
Comparative Study Between the Effect of Ultrasound Guided Median Nerve Block , Radial Nerve Block and Local Infiltration on Feasibility of Radial Artery Cannulation in Patients Undergoing Major Surgeries. A Randomized Control Study [NCT05459792]126 participants (Anticipated)Interventional2022-07-18Recruiting
A Randomized Trial of CT-guided Perineural Injection With a Corticosteroid Plus a Long Acting Local Anesthetic Versus Standard Medical Management in Patients With Acute Lumbar Radiculopathy and a Corresponding Disc Herniation [NCT01267825]Phase 41 participants (Actual)Interventional2010-09-01Terminated(stopped due to Study terminated early due to low enrollment. No data collected.)
Intraoperative Retrolaminar Block as Opioid Free Anesthesia and Enhanced Recovery After Posterior Lumber Spine Discectomy: A Randomized Controlled Study [NCT05312866]72 participants (Actual)Interventional2022-05-01Completed
Efficacy of Perioperative US-Guided Serratus Anterior Plane Block Versus Thoracic Epidural in Adult Patient Undergoing Thoracotomy: A Randomized Comparative Double-Blinded Trial [NCT05672394]74 participants (Actual)Interventional2021-06-01Completed
Evaluation of a TAP Block as Part of an Enhanced Recovery Pathway in Laparoscopic Colorectal Surgery: A Prospective, Randomized, Double-blinded Multi-institution Trial [NCT01731782]79 participants (Actual)Interventional2012-07-31Completed
Evaluating and Comparing the Accuracy of Non-invasive Hemoglobin Monitoring by Spectrophotometry With and Without Digital Nerve Block in Patients Undergoing Spinal Surgery in Sina Hospital During 2016-2017 [NCT02908412]Phase 423 participants (Actual)Interventional2017-01-04Completed
Paravertebral Block, an Adjunct to General Anaesthesia for Breast Surgery? [NCT00547989]Phase 346 participants (Actual)Interventional2006-10-31Completed
Randomised Comparison Between Spinal/GA or GA Alone Following Robot-assisted Laparoscopic Prostatectomy. Stress Response, Pain, Recovery and Home Discharge [NCT03639389]Phase 3211 participants (Actual)Interventional2019-01-01Completed
Efficacy of Exparel (TM) on Post-operative Pain After Laparoscopic Gastric Bypass Using Circular EEA Stapler [NCT03187379]Phase 4102 participants (Actual)Interventional2017-06-01Completed
Comparison of the Effects of Dexamethasone and magnesıum Sulphate Used as Adjuvant in Infraclavicular Brachial Plexus Nerve Block. [NCT06085417]90 participants (Actual)Interventional2023-01-02Completed
Effect of Stellate Ganglion Block on ME/CFS Symptoms and Metabolites [NCT05664711]Phase 110 participants (Anticipated)Interventional2023-03-15Active, not recruiting
Ultrasound-Guided Single Shoot Serratus Anterior Plane Block Versus Erector Spinae Plane Block as Novel Techniques for Post-Thoracotomy Pain Control in Pediatric Cardiac Surgery and Its Effect in Ultra-Fast Track Recovery: A Prospective Randomized Trial [NCT05526469]64 participants (Actual)Interventional2022-07-24Completed
Pharmacokinetic Analysis of Bupivacaine in the Presence and Absence of Perineural Dexamethasone in Axillary Brachial Plexus Blockade for Distal Forearm and Hand Surgery [NCT05359731]Phase 420 participants (Actual)Interventional2022-06-28Completed
A Randomized Phase 2 Trial of ST-01 (Sustained-release Lidocaine Polymer Solution for Injection) in Subjects Undergoing Pelvic Surgery [NCT05193227]Phase 2120 participants (Anticipated)Interventional2021-10-27Recruiting
Influence of Continuous Bupivacaine Infusion on Tissue Oxygenation Following Colonic Surgery [NCT00557843]0 participants (Actual)Interventional2007-11-30Withdrawn(stopped due to No patients enrolled)
Continuous Wound Infiltration and 23 Hour Discharge Following Major Breast Cancer Surgery [NCT02897934]10 participants (Actual)Observational2016-08-31Completed
Implementation of Adjuvants in Intercostal Nerve Blockades for Thoracoscopic Surgery in Pulmonary Cancer Patients: A Before and After Study [NCT04633850]45 participants (Actual)Observational2020-09-08Completed
Effect of Dexmedetomedine in Subtenon's Block on Emergence Agitation in Pediatric Strabismus Surgery Under Sevoflurane Anesthesia [NCT04485273]100 participants (Actual)Interventional2019-07-01Completed
Measurement of Bupivacaine Level Following ESPB (Erector Spinae Plane Block ) as a Part of Multimodal Analgesia [NCT04239053]17 participants (Actual)Observational2021-03-12Completed
The Effect of Local Analgesia on Postoperative Gluteal Pain in Patients Undergoing Sacrospinous Ligament Fixation: A Randomized Trial [NCT03995641]Phase 419 participants (Actual)Interventional2019-02-02Terminated(stopped due to Never received appropriate formulation.)
[NCT01756586]Phase 44 participants (Actual)Interventional2013-02-28Terminated(stopped due to no logistical support to carry out the study fairly)
Is There a Relation Between Unilateral Epidural Block and Repeated Epidural Anesthesia? [NCT03806673]Phase 4140 participants (Actual)Interventional2018-02-05Completed
Double-Blind, Placebo Controlled Trial of Greater Occipital Nerve Block for the Treatment of Migraine Attacks [NCT03159000]Phase 40 participants (Actual)Interventional2017-05-01Withdrawn(stopped due to Project never started - lack of resources and no subjects enrolled)
TOTEM: Trial of TAP Block Effective Medications [NCT04382859]56 participants (Anticipated)Interventional2020-12-01Recruiting
A Phase 3, Multicenter, Randomized, Double-blind Parallel-group, Active-control Study to Evaluate the Safety and Efficacy of Local Administration of SKY0402 for Prolonged Postoperative Analgesia in Subjects Undergoing Bilateral, Cosmetic Sub-muscular Brea [NCT00813111]Phase 3136 participants (Actual)Interventional2008-11-30Terminated(stopped due to Sponsor decision, unrelated to safety)
Comparison of US-guided Single-dose Thoracic Paravertebral Block, Erector Spinae Plane Block and Serratus Anterior Plane Block in Pediatric Patients Undergoing Thoracic Surgery. [NCT05431062]60 participants (Anticipated)Interventional2022-07-01Not yet recruiting
A Comparative Study Between Analgesic Effect of Opioid Free and Opioid Based General Anesthesia Technique in Patients Undergoing Open Radical Nephrectomy Surgery.A Prospective Randomized Controlled Trial [NCT05312541]74 participants (Anticipated)Interventional2022-04-10Recruiting
ED50 and ED95 of Intrathecal Hyperbaric Bupivacaine With Fentanyl for Transurethral Prostatectomy in Elderly Patients : a Prospective Double-blinded Randomized Trial [NCT03704441]13 participants (Actual)Interventional2018-11-01Completed
Comparative Study of Magnesium Sulfate Versus Fentanyl as Adjuvants to Bupivacaine for Thoracic Epidural Analgesia in Multiple Traumatic Fracture Ribs [NCT03595397]60 participants (Anticipated)Interventional2018-07-31Not yet recruiting
Effect of Adding Dexmedetomidine Versus Magnesium Sulphate to Intrathecal Bupivacaine on Spinal Block and Neonatal Outcome in Uncomplicated Caesarean Delivery [NCT03067896]Phase 378 participants (Anticipated)Interventional2015-06-30Recruiting
Intraperitoneal Dexmedetomidine as an Adjuvant to Bupivacaine for Management of Pain in Children Undergoing Laparoscopic Appendicectomy: A Prospective Randomized Trial [NCT03067740]Phase 456 participants (Anticipated)Interventional2016-06-30Recruiting
Comparison of Spinal Tetracaine With Fentanyl and Epinephrine Versus Bupivacaine With Fentanyl and Epinephrine for Combined Spinal Epidural Labor Analgesia [NCT01005459]Phase 446 participants (Actual)Interventional2009-08-31Terminated(stopped due to feasibility /drug availability issues - No study drug sources available)
Pre-emptive Local Anaesthesia in Gynecological Laparoscopy [NCT01677143]Phase 424 participants (Actual)Interventional2013-02-28Completed
Postoperative Pain Control Using Local Wound Infiltration in Adolescent Idiopathic Surgery: A Randomized Control Trial [NCT04730531]100 participants (Anticipated)Interventional2022-06-02Recruiting
Chloroprocaine Versus Bupivacaine Spinal Anesthesia for Cervical Cerclage [NCT02862912]Phase 443 participants (Actual)Interventional2016-11-08Completed
Minimum Effective Concentration of Bupivacaine in Ultrasound-guided Axillary Brachial Plexus Block [NCT01838928]46 participants (Actual)Interventional2010-08-31Completed
Multimodal Narcotic Limited Perioperative Pain Control With Colorectal Surgery as Part of an Enhanced Recovery After Surgery Protocol: A Randomized Prospective Single- Center Trial. [NCT02958566]Phase 480 participants (Anticipated)Interventional2017-01-31Recruiting
Does Local Morphine Add to Local Anesthetics in Serratus Anterior Plane Block for Post Mastectomy Pain Has a System Analgesic Effect? A Clinical and Pharmacokinetics Study [NCT02962024]40 participants (Actual)Interventional2016-11-30Completed
Effect of Height Versus Height and Weight Based Intrathecal Bupivacaine Dose on Maternal Haemodynamics for Elective Caesarean Section in Short Stature Patients: A Randomized Trial [NCT04082676]Phase 4112 participants (Actual)Interventional2019-11-30Completed
Pain Treatment After Total Knee Replacement - Continuous Epidural Versus Intravenous Patient Controlled Analgesia With Morphine [NCT00270322]Phase 480 participants Interventional2006-01-31Terminated(stopped due to We believe regional anesth better for TKR,90% patients got epidural. Last year we started spinal morphine one shot, and found it very promissing.)
Comparison of Epidural Bupivacaine-Clonidine With Intravenous Morphine Versus Intravenous Morphine Alone for Post-Operative Pain Relief in Pediatric Patients Undergoing Lower Extremity or Pelvic Osteotomy. [NCT00287326]Phase 340 participants (Anticipated)Interventional2006-01-31Terminated(stopped due to terminated by PI)
Ultrasound-Guided Mid-Transverse Process to Pleura Block for Analgesia in Pediatric Thoracotomy: A Randomized Controlled Study [NCT05999734]50 participants (Anticipated)Interventional2023-08-31Not yet recruiting
Effectiveness of Single Shot Intra-thecal Analgesia in Multiparous Women Scheduled for Normal Vaginal Delivery. [NCT05998551]75 participants (Anticipated)Interventional2023-01-01Recruiting
A Randomized Controlled Trial of Ultrasound Guided Knee Genicular Nerve Block and Anterior Femoral Cutaneous Nerve Block for Primary Total Knee Arthroplasty [NCT05980546]Phase 4244 participants (Anticipated)Interventional2023-06-07Recruiting
A Phase 2B, Randomized, Double Blind, Active Comparator, Multicenter, Safety, and Efficacy Trial of ATX-101 in Subjects Undergoing Total Knee Arthroplasty [NCT05260008]Phase 2305 participants (Anticipated)Interventional2022-06-07Recruiting
Multimodal Management for Perioperative Analgesia in Otolaryngology - Head and Neck Free Flap Reconstructive Surgery: A Prospective Study [NCT04246697]Phase 430 participants (Actual)Interventional2019-11-01Completed
Evaluating Hemidiaphragmatic Paralysis With Prolonged Neural Blockade From an Interscalene Brachial Plexus Block [NCT04209504]60 participants (Anticipated)Observational2021-10-12Recruiting
Ultrasound Guided Subcostal Transversus Abdominis Plane (TAP) Block With Liposomal Bupivacaine vs Bupivacaine in Robotic Hysterectomy Patients: A Prospective Randomized Study. [NCT02289079]Phase 460 participants (Actual)Interventional2013-06-30Completed
The Preventive Value of Continuous Perineural Methylene Blue Infusion in Patients Undergoing Lower Limb Amputation Surgery [NCT05830630]72 participants (Anticipated)Interventional2023-05-01Recruiting
Ultrasound Guided Infraclavicular Brachial Plexus Block Using Levo-bupivacaine Alone or Combined With Dexmedetomidine for Hand and Forearm Surgeries [NCT04729868]60 participants (Actual)Interventional2017-04-01Completed
The Effect of Continuous Interscalene Brachial Plexus Block With 0.125% Bupivacaine Versus 0.2% Ropivacaine on Diaphragmatic Motility and Ventilatory Function [NCT02059070]39 participants (Actual)Interventional2012-06-30Completed
Efficacy of Peripheral Nerve Blocks for Episodic Migraine Treatment and Prophylaxis [NCT05734625]Phase 260 participants (Anticipated)Interventional2023-07-10Recruiting
Is There a Difference in the Analgesic Response to Intra-articular Bupivacaine Injection in People With Knee Osteoarthritis Pain With or Without Central Sensitisation?: a Feasibility Randomised Controlled Trial [NCT05561010]50 participants (Anticipated)Interventional2022-10-31Not yet recruiting
Effect of Intrathecal Dexamethasone on Intra-operative Hemodynamic in Elderly Patients Undergoing Urologic Endoscopic Surgery [NCT05549895]Phase 490 participants (Anticipated)Interventional2022-09-30Not yet recruiting
Genicular Nerve Block in Rheumatoid Arthritis: a Prospective Randomized Clinical Trial [NCT04361513]Phase 464 participants (Actual)Interventional2020-04-15Completed
Does Bupivacaine Infiltration Reduce Postoperative Pain in Patients With Cesarean Section? [NCT04728308]Early Phase 1300 participants (Anticipated)Interventional2021-01-10Recruiting
Determination of the Minimum Effective Volume of Local Anesthetic Using Ultrasound Guidance for Interscalene Brachial Plexus Block [NCT01244932]Phase 233 participants (Anticipated)Interventional2009-09-30Completed
Spinal Anaesthesia for Knee Arthroscopy: Does Lignocaine Shorten the Effect of Bupivacaine? [NCT01245868]Phase 460 participants (Actual)Interventional2009-11-30Completed
A Phase 1 Randomized, Controlled, Double-Blind, Single Ascending Dose Safety and Pharmacokinetic/Pharmacodynamic Study in Healthy Adult Males After LIQ865 Injection [NCT02982889]Phase 129 participants (Actual)Interventional2016-12-05Completed
Addition of a Pectoserratus Block to Interscalene Block in Patients Undergoing Total Shoulder Replacement [NCT06143306]Phase 4110 participants (Anticipated)Interventional2024-02-01Not yet recruiting
Neosaxitoxin (NeoSTX) Alone and in Combination With Bupivacaine as Prolonged Duration Local Anesthetics: A Phase I Investigator-initiated Dose Escalation Study [NCT01786655]Phase 1105 participants (Actual)Interventional2013-05-31Completed
Efficacy of Adding Dexmedetomidine to Bupivacaine in Ultrasound-guided Erector Spinae Plane Block for Postoperative Analgesia After Laparoscopic Cholecystectomy: A Prospective Randomized Trial [NCT05369468]Phase 1/Phase 260 participants (Actual)Interventional2020-01-22Completed
A Randomized Trial Evaluating Use of Long-Acting Liposomal Bupivacaine (Exparel®) in Reducing Narcotic Pain Requirements in Pediatric Patients Undergoing Minor Urologic Procedures [NCT04826484]Phase 3104 participants (Actual)Interventional2021-10-01Terminated(stopped due to Met futility threshold at interim analysis)
Randomized Double-blind Placebo Controlled Trial to Assess the Role of Intrauterine Cornual Block (ICOB) in Combination With Direct Cervical Block in Outpatient Endometrial Ablation [NCT01808898]Phase 493 participants (Actual)Interventional2013-02-28Completed
The Effectiveness of Combined U.S. Guided Erector Spinae and Pecto-intercostal Fascial Plane Blocks Versus U.S.Guided Thoracic Paravertebral Block in Controlling Perioperative Pain in Modified Radical Mastectomy, a Blinded Randomized Controlled Trial [NCT04778267]Phase 430 participants (Actual)Interventional2021-03-12Completed
Pharmacokinetics of Bupivacaine Following Bilateral Ultrasound-guided Transversus Abdominis Plane Block for Cesarean Section [NCT03006042]17 participants (Actual)Observational2014-11-30Completed
Mepivacaine vs. Bupivacaine Spinal Anesthetic in Total Knee Arthroplasty, a Randomized Controlled Clinical Trial [NCT02980926]Phase 432 participants (Actual)Interventional2016-12-31Completed
A Phase II, Randomized, Single Dose, Double-blind, Placebo-controlled Study to Investigate the Efficacy, Safety and Pharmacokinetic Profile of the CollaRx® Bupivacaine Implant in Men After Open Mesh Herniorrhaphy [NCT00626886]Phase 253 participants (Actual)Interventional2008-03-11Completed
A Phase 3, Multicenter, Randomized, Double-Blind, Parallel-Group, Active Control Study to Evaluate the Safety and Efficacy of a Single Intraoperative Administration of SKY0402 For Prolonged Postoperative Analgesia in Subject Undergoing Total Knee Arthropl [NCT00745290]Phase 3245 participants (Actual)Interventional2008-08-31Completed
The Effect of Dexamethasone on the Duration of Interscalene Nerve Blocks With Ropivacaine or Bupivacaine [NCT00801138]218 participants (Actual)Interventional2008-11-30Terminated(stopped due to A strong primary outcome crosses the efficacy boundary at the interim analysis)
Comparison of Local Anesthetic Dose in PENG (Pericapsular Nerve Group) Block Performed for Postoperative Analgesia in Total Hip Replacement Operations [NCT04900116]84 participants (Actual)Interventional2021-06-30Completed
The Effect of Preemptive Sphenopalatine Ganglion Block on Anesthetic Requirements, Postoperative Pain and Functional Patient Outcomes After Functional Endoscopic Sinus Surgery [NCT00927888]Phase 456 participants (Actual)Interventional2007-08-31Completed
An International, Randomised, Double Blinded, Multi-centre, Active- and Placebo-controlled Dose Response Trial to Evaluate the Efficacy and Safety of SABER-Bupivacaine for Postoperative Pain Control in Patients Following Arthroscopic Shoulder Surgery [NCT00993798]Phase 2107 participants (Actual)Interventional2009-04-30Completed
Determining the ED90 for Intrathecal 0.75% Hyperbaric Bupivacaine for Bilateral Tubal Ligation [NCT05017584]Phase 40 participants (Actual)Interventional2023-01-31Withdrawn(stopped due to Study halted prematurely, prior to enrollment of first participant)
Ultrasound Guided Transversus Abdominis Plane Block Using Dexmedetomidine and Bupivacaine in Children Undergoing Laparoscopic Orcheopexy: Randomized Controlled Trial [NCT03156296]Phase 280 participants (Actual)Interventional2017-06-10Completed
Erector Spinae Plane Block With Liposomal Bupivacaine for Post Cesarean Delivery Analgesia: A Pilot Study [NCT05664958]Phase 4150 participants (Anticipated)Interventional2023-04-17Recruiting
Perioperative Analgesic Effect of Preemptive Ultrasound Guided Rectus Sheath Block and Transversus Abdominis Plane Block With Dexmedetomidine vs Dexamethasone for Laparoscopic Surgery in Paediatrics [NCT04838379]90 participants (Actual)Interventional2021-04-01Completed
Examining the Efficacy of Femoral Nerve Block in Children With a Femoral Shaft Fracture [NCT01294098]2 participants (Actual)Interventional2011-02-28Terminated(stopped due to Patients were not willing to be randomized and therefore recruitment could not continue.)
Determination of the Duration of Action of a Lidocaine and a Bupivacaine Digital Nerve Block in Human Volunteers [NCT01508832]Phase 412 participants (Actual)Interventional2012-01-31Completed
Use of Paracervical Block in Laparoscopic Gynecologic Surgery: A Randomized Controlled Trial [NCT01534416]132 participants (Actual)Interventional2011-09-30Completed
Comparing Intrathecal Morphine and Erector Spinae Plane Regional Anesthesia Against Intrathecal Morphine Alone for Post-Cesarean Section Pain [NCT06114121]Phase 4100 participants (Anticipated)Interventional2024-01-10Not yet recruiting
Impact of Liposomal Bupivacaine on Post-operative Pain, Opioid Use, and Swallow Function in Transoral Robotic Surgery [NCT05862792]80 participants (Anticipated)Observational2023-06-01Recruiting
The Effect of Liposomal Bupivacaine Plus Bupivacaine Versus Bupivacaine Alone on Postoperative Opioid Use After Elective Cesarean Delivery: a Randomized Control Trial [NCT04232306]Phase 4144 participants (Anticipated)Interventional2024-02-29Not yet recruiting
The Maternal CLIMB Trial: Chloroprocaine to Reduce the Impact of Motor Block on Patient Recovery After Short Obstetric Surgery [NCT03967288]Phase 427 participants (Actual)Interventional2019-10-24Suspended(stopped due to Four patients required conversion to GETA (2 in each study arm))
Randomized, Double- Blind, Controlled Trial to Evaluate the Effect of Wound Infiltration With Bupivacaine for Post-operative Pain Relief After Laparoscopic Cholecystectomy [NCT03958513]Phase 258 participants (Actual)Interventional2019-01-01Completed
Comparison of Liposomal Bupivacaine Versus Non-liposomal Bupivacaine for Total Shoulder Arthroplasty: a Prospective, Double-blinded, Noninferiority Trial [NCT04974385]Phase 380 participants (Actual)Interventional2021-08-04Completed
Pain Relief and Progress of Labour With Remifentanil Patient-controlled Analgesia Versus Combined Spinal-epidural Analgesia in Multiparous Women: a Prospective Observational Study [NCT02963337]162 participants (Actual)Observational2017-01-01Completed
A Phase 1 Multicenter, Randomized, Double-Blind, Placebo-Controlled Trial to Evaluate the Safety and Immunogenicity of an HIV-1 Gag DNA Vaccine Administered Alone or With Escalating Doses of IL-12 DNA or IL-15 DNA Molecular Adjuvants to HIV-1 Positive Adu [NCT00195312]Phase 191 participants (Anticipated)Interventional2005-08-31Terminated
Comparison of Analgesic Effects of Magnesium Sulphate and Ketamine Added to 0.5% Bupivacaine for Erector Spinae Plane Block in Patients Undergoing Video-assisted Thoracoscopic Surgery [NCT05855798]Phase 460 participants (Actual)Interventional2023-05-10Completed
Pain Relief After Colorectal Surgery: Single-shot Spinal Combined With Painbuster® vs Painbuster® Alone. A Pilot Randomised Controlled Trial [NCT02210260]79 participants (Actual)Interventional2013-09-30Completed
Evaluation of the Efficacy of Exparel Delivered Into the Posterior Capsule During Knee Replacement [NCT02011464]Phase 420 participants (Actual)Interventional2013-12-31Completed
Implications of Different Analgesic Models on Inflammatory Markers After Laparoscopic Cholecystectomy [NCT04609033]110 participants (Actual)Interventional2020-10-24Completed
Effect of Local Anesthesia on Postoperative Pain Following Sacrospinous Ligament Fixation [NCT02890199]30 participants (Anticipated)Interventional2016-10-31Recruiting
Onset and Recovery of Ultrasound Guided Out-of-plane Versus In-plane Interscalene Block in Arthroscopic Shoulder Surgery [NCT05381389]60 participants (Actual)Interventional2018-12-01Completed
Programmed Intermittent Bolus Versus Continuous Infusion for Epidural Analgesia in Major Abdominal Surgery: a Randomized Clinical Trial [NCT04254523]88 participants (Actual)Interventional2019-11-14Completed
A Comparative Study of Dexmedetomidine Versus Fentanyl as Adjuvants to Bupivacaine in Ultrasound Guided Transversus Abdominis Plane Block in Patients Undergoing Radical Cystectomy [NCT04318158]60 participants (Anticipated)Interventional2020-04-30Not yet recruiting
Investigating the Effect of Intra-operative Infiltration With Local Anaesthesia on the Development of Chronic Postoperative Pain After Inguinal Hernia Repair. A Randomized Placebo Controlled Triple Blinded and Group Sequential Study Design [NCT00484731]404 participants (Actual)Interventional2006-07-31Completed
A Phase 3, Randomized, Double Blinded, Active Controlled, Multicenter Study to Evaluate the Efficacy, Safety, and Pharmacokinetics of EXPAREL, EXPAREL Admixed With Bupivacaine HCl vs. Bupivacaine HCl Administered as Combined Sciatic (in Popliteal Fossa) a [NCT04518462]Phase 3121 participants (Actual)Interventional2020-10-20Completed
Evaluating the Effectiveness of Local Multimodal Injection in Controlling Pain, Limiting Complications, and Reducing Cost as Compared to Regional Anesthesia for Treating Rotational Ankle Fractures. [NCT05019638]Early Phase 1200 participants (Anticipated)Interventional2021-05-15Enrolling by invitation
A Comparative Study for Evaluation of the Analgesic Profile of Ultrasound-Guided Modified Pectoral Nerves Block Versus Serratus Plane Block in Major Breast Cancer Surgery [NCT02946294]Phase 290 participants (Actual)Interventional2016-10-31Completed
A Randomized Trial Comparing Intrathecal Morphine and Intraoperative Lidocaine Infusion to Epidural Anesthesia With Postoperative PCA for Patients Undergoing Exploratory Laparotomy on the Gynecologic Oncology Service. [NCT05017246]Phase 2174 participants (Anticipated)Interventional2022-01-18Recruiting
Liposomal Bupivacaine Versus Bupivacaine for Postoperative Analgesia Following Video-assisted Thoracoscopic Surgery. [NCT03036085]Phase 2/Phase 3200 participants (Anticipated)Interventional2017-02-28Not yet recruiting
A Prospective, Randomized, Double-blind, Clinical Trial of Trigger Point Injection Therapy for the Treatment of Myofascial Pain Syndrome [NCT01520415]Phase 240 participants (Actual)Interventional2012-01-31Completed
Effect of Epidural Analgesia During Labor on Force of Maternal Push [NCT04888858]Phase 40 participants (Actual)Interventional2020-11-02Withdrawn(stopped due to The PI, Dr. Younger, left Henry Ford Health.)
Liposomal Bupivacaine Interscalene Nerve Block in Shoulder Arthroplasty: A Single Blinded Prospective Randomized Control Trial [NCT03663283]Phase 4104 participants (Actual)Interventional2018-10-29Completed
Double-Blind, Placebo Controlled Trial Of Greater Occipital Nerve Block For The Treatment Of Migraine Status [NCT00329732]2 participants (Actual)Interventional2006-03-31Terminated(stopped due to Study terminated due to inadequate recruitment)
Double Blind Sham Controlled Randomised Trial of Intraperitoneal Bupivacaine During Acute Laparoscopic Cholecystectomy [NCT01528722]42 participants (Actual)Interventional2009-01-31Completed
A Phase I Safety and Immunogenicity Trial of the Facilitated HIV-1 Gag-Pol DNA Vaccine (APL-400-047, Apollon, Inc.) Given Intramuscularly by Needle and Syringe or Biojector 2000 Needle-Free Jet Injection System in HIV-1 Uninfected Adult Volunteers [NCT00001088]Phase 140 participants Interventional1997-07-31Completed
Intraoperative Local Anesthesia for Management of Postoperative Pain Following Laparoscopic Ventral Hernia Repair: a Prospective Double-blind Randomized Trial [NCT01530815]80 participants (Anticipated)Interventional2011-08-31Recruiting
Plasma Glucose Levels With Dexamethasone as Adjuvant to Interscalene Block [NCT01538459]Phase 30 participants (Actual)Interventional2012-11-30Withdrawn
Improving Epiphora & Ptosis With Bupivacaine [NCT03266081]Phase 20 participants (Actual)Interventional2015-04-30Withdrawn(stopped due to No patients)
A Comparison of the Recovery Profiles of Bupivacaine or Bupivacaine Mixed With Lidocaine Spinal Anesthesia and Local Infiltration Anesthesia for Outpatient Herniorrhaphy [NCT01548794]Phase 493 participants (Actual)Interventional2012-03-31Completed
INTRAVENOUS Versus EPIDURAL DEXMEDETOMIDINE for ANALGESIA in NORMAL VAGINAL DELIVERY: A RANDOMIZED CONTROLED STUDY [NCT05840328]Phase 460 participants (Anticipated)Interventional2022-12-05Recruiting
Yale Steroid Enhanced Versus Exparel Nerveblock TKA Part 2 [NCT05736549]Phase 266 participants (Anticipated)Interventional2023-02-07Recruiting
Analgesic and Hemodynamic Effects of Continuous Epidural Analgesia Compared to Paravertebral Block in Liver Resection Patients [NCT02909322]Phase 450 participants (Anticipated)Interventional2016-04-30Recruiting
Influence of Surgical Pleth Index-guided Analgesia Using Different Techniques on the Perioperative Outcomes in Patients Undergoing Vitreoretinal Surgery Under General Anaesthesia: Randomised, Controlled Trial [NCT02973581]176 participants (Actual)Interventional2016-02-29Completed
Ultrasound-guided Transversus Abdominis Plane (TAP) Block Versus Local Wound Infiltration for Post-operative Analgesia After Cesarean Section Under General Anesthesia. [NCT04711096]150 participants (Anticipated)Observational [Patient Registry]2021-01-01Recruiting
Comparative, Randomized Trial of SPI-directed Intravenous Analgesia Using Metamizole With Tramadol Versus Preemptive Wound Infiltration Using 0,2 % Ropivacaine With Fentanyl or 0,2 % Bupivacaine With Fentanyl for Lumbar Discectomy [NCT02971540]132 participants (Actual)Interventional2016-02-29Completed
Analgesic Efficacy of Magnesium Sulphate as an Adjuvant to Levobupivacaine in Erector Spinae Block for Acute Pain Management in Modified Radical Mastectomy [NCT04732390]Phase 2/Phase 340 participants (Anticipated)Interventional2019-12-01Recruiting
Evaluation of a Long-Acting Local Anesthesia (Bupivacaine) and a Selective COX-2 Inhibitor (Rofecoxib) in Suppression of Central Sensitization [NCT00050362]Phase 2136 participants Interventional2002-12-31Completed
Randomized Prospective Study Comparing Paravertebral Catheters, Single Shot Paravertebral Block, Thoracic Epidural, for Postoperative Analgesia Following Video-assisted Thoracoscopic Surgery [NCT03151434]Phase 3147 participants (Actual)Interventional2017-02-07Completed
The Effectiveness of Bupivicaine Infusion Versus Intravenous Ketorolac for Postoperative Analgesia After Iliac Crest Bone Harvesting for Lefort I Osteotomy or Alveolar Cleft Repair. [NCT00405262]Phase 354 participants (Actual)Interventional2006-05-31Completed
Inhalational Anesthesia and Precipitation of Dementia: is There a Link? A Prospective, Multicenter, Randomized, Controlled Clinical Trial Comparing Two Different Anesthetic Techniques in Elderly Patients [NCT01903421]500 participants (Anticipated)Interventional2014-03-31Active, not recruiting
Decreasing Postoperative Pain Following Endometrial Ablation: A Randomized Controlled Trial [NCT02660918]84 participants (Actual)Interventional2016-04-30Completed
Analgesic Efficacy of Dexmedetomidine as Adjuvant to Levobupivacaine in Ultrasound-guided Erector Spinae Plan Block for Modified Radical Mastectomy [NCT04732377]Phase 2/Phase 340 participants (Anticipated)Interventional2020-11-01Recruiting
the Effect of Pre-sacral Nerve Block on Post-operative Pain Following Laparoscopic Hysterectomy: a Triple Blind Placebo Controlled RCT [NCT05757011]40 participants (Anticipated)Interventional2020-01-05Recruiting
ED90 for Hyperbaric Bupivacaine in Spinal Anesthesia for Cesarean Delivery in Super Obese Parturients [NCT03781388]Phase 445 participants (Actual)Interventional2019-05-01Completed
Serum Levels of Bupivacaine in Autotransfusion Drains Following Total Joint Arthroplasty [NCT02276040]26 participants (Actual)Observational2014-10-31Completed
Analgesic Efficacy of Magnesium Sulphate as an Adjuvant to Levo-bupivacine in Ultrasound Guided Erector Spinae Plan Block for Modified Radical Mastectomy [NCT04732364]Phase 2/Phase 360 participants (Anticipated)Interventional2018-04-30Enrolling by invitation
Cicatricial Analgesia Catheters Outcome on Bronchopulmonary Infection Number With Sternotomy Cardiac Operated [NCT01648777]Phase 31,502 participants (Actual)Interventional2012-03-31Completed
Effect of Rectus Sheath Block on Opioid Consumption and Serum Level of TNF-α and IL-6 After Radical Prostatectomy [NCT03074097]Phase 260 participants (Actual)Interventional2015-03-05Completed
Postoperative Pain Control in Children Undergoing Laparoscopic Appendectomy: Comparison of Peripheral Nerve Blocks to Local Anesthetic [NCT01662401]Phase 266 participants (Actual)Interventional2008-05-31Completed
Effect of Body Mass Index on the ED95 of Intrathecal Hyperbaric Bupivacaine for Elective Cesarean Section [NCT00403663]52 participants (Actual)Interventional2006-10-31Completed
Exparel Use in Peripheral Nerve Blocks and Local Infiltration for Foot and Ankle Surgery: A Randomized Controlled Trial [NCT05494645]Phase 4300 participants (Anticipated)Interventional2022-06-01Recruiting
The Use of Liposomal Bupivacaine for Pain Control Following Mastectomy and Breast Reconstruction [NCT03722927]Phase 43 participants (Actual)Interventional2018-06-14Completed
Post-Operative Pain After Laparoscopic Ventral Hernia Repair, Impact of Mesh Impregnation With Bupivacaine Solution vs. Normal Saline Solution [NCT03035617]100 participants (Anticipated)Interventional2015-11-15Recruiting
The Effect of Femoral Nerve Block on Opioid Requirements Following Femoral Fracture Fixation With Flexible Nails in the Paediatric Population: A Double Blind, Prospective Randomized Clinical Trial [NCT00175591]Phase 125 participants (Actual)Interventional2007-08-31Completed
Effect of Femoral Nerve Block on Opioid Requirements Following Anterior Cruciate Ligament Reconstruction: A Double Blind, Prospective Randomized Controlled Trial [NCT00175630]Phase 130 participants (Actual)Interventional2010-12-31Active, not recruiting
A Comparative Trial of Marcaine Administration in Laparoscopic Gynecologic Surgery Using Either a Pre- or Post-operative Injection. [NCT01861665]27 participants (Actual)Interventional2010-06-30Terminated(stopped due to Investigator no longer recruiting subjects.)
Title of Project: Liposomal Bupivacaine (Exparel) Versus Bupivacaine And Dexamethasone Intercostal Nerve Blocks For Robotic Thoracic Surgery: A Prospective Randomized Single-Blinded Clinical Trial [NCT03906617]Phase 434 participants (Anticipated)Interventional2019-04-10Recruiting
Transversus Abdominis Plane (TAP) Blocks With Ropivacaine Continuous Infusion Catheters vs Single Dose Liposomal Bupivicaine: A Prospective Randomized Control Trial for Pain Control After Renal Transplant Surgery [NCT03737604]Phase 4200 participants (Anticipated)Interventional2018-10-04Recruiting
Preoperative Regional Nerve Block to Decrease Acute and Chronic Post-Operative Pain and Narcotic Use Following Mastectomy [NCT04019834]Early Phase 121 participants (Actual)Interventional2020-07-06Completed
A Randomized Comparison Between Single- and Double-injection Ultrasound-Guided Costoclavicular Block [NCT03595514]90 participants (Anticipated)Interventional2018-07-30Recruiting
Peri-articular Injections Containing a Corticosteroid During Total Knee Arthroplasty [NCT00492973]101 participants (Actual)Interventional2006-03-31Completed
Comparative Study Between Caudal Epidural Block and Ultrasound Guided Transversus Abdominis Plane Block for Post Operative Analgesia in Children Undergoing Infraumblical Surgeries [NCT05117021]Phase 1120 participants (Anticipated)Interventional2021-11-30Recruiting
Comparison of Bilateral Transversus Abdominis Plane Block With Exparel Verus Continuous Epidural Analgesia With Bupivacaine: A Randomized, Controlled Trial [NCT02996227]532 participants (Actual)Interventional2016-12-31Completed
Effect of Caudal Nalbuphine on Postoperative Emergence Agitation in Pediatrics Undergoing Infra-umbilical Surgeries [NCT05245721]Phase 180 participants (Anticipated)Interventional2022-03-31Not yet recruiting
A Phase II, Randomized, Single-dose, Unblinded Study to Compare the Efficacy and Safety of the CollaRx Bupivacaine Implant With the ON-Q PainBuster Post-op Pain Relief System in Women Following Abdominal Hysterectomy [NCT00749749]Phase 227 participants (Actual)Interventional2008-09-10Completed
Randomized Controlled Trial of Epidural-General Anesthesia Versus General Anesthesia for Open Pancreaticoduodenectomy: Influence on Complications and Overall Two Year Survival [NCT03434678]Phase 3133 participants (Actual)Interventional2018-01-30Active, not recruiting
Evaluation of Anterior Quadratus Lumborum Block for Postoperative Analgesia in Hip Arthroscopy: A Double-Blinded Randomized Controlled Trial [NCT03432650]Phase 396 participants (Actual)Interventional2018-06-01Completed
A Comparison of Analgesic Efficacy of Ultrasound-Guided Genicular Nerve Block Versus Saline Injection for Total Knee Replacement: a Prospective, Randomized Controlled Trial [NCT03316118]Phase 42 participants (Actual)Interventional2017-10-05Terminated(stopped due to Low Enrollment)
Comparison of Two Different Norepinephrine Bolus Doses for Management of Spinal Anesthesia-Induced Hypotension in Cesarean Section: A Randomized Controlled Study [NCT05502146]Phase 4200 participants (Actual)Interventional2022-08-17Completed
Injection of 0.125% Marcaine During Mid-Urethral Sling Placement for Pain Relief: A Randomized Control Trial [NCT00746863]42 participants (Actual)Interventional2007-01-31Completed
The Effect of Ultrasound Guided Blockade of the Femoral Nerve, the Anterior Division of the Obturator Nerve, and the Lateral Femoral Cutaneous Nerve on Postoperative Pain, Morphine Consumption, and Mobilization After Total Hip Arthroplasty. [NCT01276925]81 participants (Anticipated)Interventional2011-08-31Recruiting
The Evaluation of Ultrasonography-guided Erector Spinae Plane Block in Perioperative Analgesia and Intraabdominal Tissue Oxygenation in Pediatric Patients Undergoing Lower Abdominal Surgery [NCT03808129]49 participants (Actual)Interventional2019-01-18Completed
The Effects of Triamcinolone Acetonide With Retrobulbar Anesthesia on Postoperative Pain Control Following Vitreoretinal Surgery [NCT01995045]Phase 458 participants (Actual)Interventional2012-07-31Completed
Effects of Thoracic Epidural Anesthesia With Different Local Anesthetics on Propofol Induction [NCT02000973]Phase 480 participants (Actual)Interventional2013-11-30Completed
Analgesic Benefits of Genicular Nerve Blocks of the Posterior Knee for Patients Undergoing Anterior Cruciate Ligament (ACL) Reconstruction [NCT02008617]Phase 418 participants (Actual)Interventional2013-12-31Terminated(stopped due to The study was terminated due to lack of subject recruitment)
A Phase 2 Open-Label, Parallel Group, Randomized, Dose-Finding Study to Assess the Efficacy and Safety of Intercostal SKY0402 in Subjects Undergoing Posterolateral Thoracotomy [NCT00807209]Phase 23 participants (Actual)Interventional2008-12-31Terminated(stopped due to Sponsor decision unrelated to safety)
A Retrospective Investigation of Safety and Efficacy From Increasing Concentrations of Local Anesthetic in Pediatric Femoral Nerve Blocks [NCT02501135]281 participants (Actual)Observational2015-06-30Completed
A Double-Blind, Multi-Center, Placebo-Controlled Trial of SABER-Bupivacaine for Post-Operative Pain Control and Opioid Sparing/Opioid-Related Adverse Event Reduction Following Arthroscopic Shoulder Surgery [NCT00818363]Phase 260 participants (Actual)Interventional2008-12-31Completed
Post Operative Pain Control for Distal Radius Surgery: Does Exparel Injected at the Surgery Site Improve Postoperative Pain Scores at 24 and 48 Hours ? [NCT04540848]Phase 40 participants (Actual)Interventional2021-03-01Withdrawn(stopped due to Lack of ability to communicate with the study population)
Decision Support for Intraoperative Low Blood Pressure [NCT02726620]22,435 participants (Actual)Interventional2017-01-05Completed
Evaluation of Dexamethasone Added to the Usual Infiltration With Bupivacaine in Inguinal Hernia Repair Mesh [NCT03007927]Phase 482 participants (Actual)Interventional2016-08-31Completed
Postoperative Epidural Analgesia in Spine Fusion Surgery [NCT01838707]Phase 260 participants (Actual)Interventional2007-12-31Completed
Modified Thoracoabdominal Nerve Block Through Perichondrial Approach (M-TAPA) in Comparison to Subcostal Transverse Abdominis Plane Block (TAP) in Major Abdominal Surgeries [NCT04920994]80 participants (Actual)Interventional2021-08-13Completed
Interscalene Block With Low-dose IV vs. Perineural Dexamethasone for Shoulder Arthroscopy [NCT02506660]Phase 4128 participants (Actual)Interventional2015-08-31Completed
Comparative Study on the Effect of Quadratus Lumborum Block Versus Intrathecal Morphine on the Incidence of Chronic Pain Post Caesarean Section in a University Hospital of Middle-income Country; A Randomized Control Study [NCT05602038]100 participants (Anticipated)Interventional2023-02-01Not yet recruiting
Wound Infiltration With Liposomal Bupivacaine vs. Standard Wound Infiltration With Bupivacaine in Patient's Undergoing Open Gynecologic Surgery on an Enhanced Recovery Pathway: A Single-Blinded, Randomized, Controlled Study [NCT02740114]Phase 3105 participants (Actual)Interventional2016-08-31Terminated(stopped due to Per PIs request)
Efficacy of Intranasal Approach of Sphenopalatine Ganglion Block for Nasal Surery [NCT04168879]74 participants (Actual)Interventional2019-11-10Completed
A Pilot Study Evaluating Pain Outcomes of Ketorolac Administration in Children Undergoing Circumcision [NCT02973958]Phase 130 participants (Actual)Interventional2017-02-01Completed
A Randomized Double-blinded Trial of the Effects of Bupivacaine Induced Motor Blockade on the Second Stage of Labor [NCT01621230]Phase 4481 participants (Actual)Interventional2009-09-30Completed
Ultrasound-guided Femoral Nerve Blocks in Elderly Patients With Hip Fractures: a Randomized Controlled Clinical Study [NCT01701414]Phase 238 participants (Actual)Interventional2008-11-30Completed
Is Liposomal Injection Bupivacaine (Exparel) Superior to Standard Bupivacaine for Abdominoplasty? A Randomized Controlled Trial [NCT01853176]Phase 44 participants (Actual)Interventional2013-05-31Terminated(stopped due to required documentation too onerous)
A Phase 3b, Open-Label Study of HTX-011 as Part of a Scheduled Non-Opioid Multimodal Analgesic Regimen in Subjects Undergoing Total Knee Arthroplasty [NCT03974932]Phase 3116 participants (Actual)Interventional2019-06-05Completed
Phase 4 Study Comparing of Dexamethasone to Triamcinolone for Ultrasound-guided Trigeminal Nerve Block: A Randomized Controlled Trial. [NCT02024724]Phase 460 participants (Actual)Interventional2013-11-30Completed
Liposomal Bupivacaine for Total Knee Arthroplasty Postoperative Analgesia [NCT02274870]Phase 465 participants (Actual)Interventional2014-11-30Completed
Evaluation of the Pharmacokinetics and Safety of Bupivacaine HCl Spinal Block and EXPAREL Local Infiltration in Subjects Undergoing for Unilateral Total Knee Arthroplasty [NCT02284386]Phase 415 participants (Actual)Interventional2014-12-31Completed
ED90 of Epidural Bupivacaine for the Initiation of Labor Analgesia: A Randomized Biased Coin Sequential Allocation Trial With a Lidocaine Test Dose [NCT05543694]Phase 4120 participants (Anticipated)Interventional2022-10-01Recruiting
Perineural Steroids for Saphenous Peripheral Nerve Blocks: An Equivalency Dosing Study. [NCT02462148]Phase 485 participants (Actual)Interventional2015-07-31Completed
The Effects of Systemic Steroids on the Duration of a Psoas Compartment Block. [NCT02464176]Phase 4115 participants (Actual)Interventional2015-06-30Completed
Postoperative Analgesia After Cardiac Surgery - A Double-Blind, Prospective and Randomized Comparison of Wound Infiltration With Liposomal Bupivacaine and Bupivacaine Hydrochloride [NCT03270514]Phase 360 participants (Actual)Interventional2018-11-15Completed
A Randomized, Double-blind Controlled Trial of Bupivacaine Extended-release Liposome Injection for Postsurgical Analgesia in Patients Undergoing Open-reduction Internal Fixation of the Distal Radius [NCT02515851]Phase 430 participants (Actual)Interventional2015-08-31Terminated(stopped due to Unable to find sufficient drug naive patients)
Does Selective Intraoperative Administration of Local Anesthesia in Breast Reconstruction Reduce Postoperative Pain and Opioid Requirement?: A Prospective Double-Blinded Randomized Controlled Trial [NCT02525718]Phase 247 participants (Actual)Interventional2015-08-31Completed
Liposomal Bupivacaine Versus Interscalene Nerve Block for Pain Control After Shoulder Arthroplasty: A Prospective Randomized Trial [NCT02570022]Phase 457 participants (Actual)Interventional2014-10-31Completed
A Double Blind, Randomized Clinical Trial Comparing Postoperative Narcotic Usage in Patients Receiving Periarticular Liposomal Bupivicaine vs. Those Patients Receiving Standard Periarticular Joint Injections [NCT02682498]Phase 438 participants (Actual)Interventional2013-10-31Completed
Comparison Between Combined Regional Nasal Block and General Anesthesia Versus General Anesthesia With Dexmedetomidine During Endoscopic Sinus Surgery [NCT05361642]70 participants (Anticipated)Interventional2022-02-03Recruiting
Intrathecal Dexmedetomidine Versus Midazolam as Adjuvants With Intrathecal Bupivacaine for Postoperative Analgesia in High Tibial Osteotomy. A Randomized, Prospective, Double- Blinded, Comparative Study. [NCT06082232]Phase 490 participants (Anticipated)Interventional2023-11-01Not yet recruiting
Liposomal Bupivacaine for Post-operative Pain Control in Adolescent Bariatric Patients [NCT06077214]Phase 150 participants (Anticipated)Interventional2023-01-31Recruiting
Prospective Randomized Study Comparing Suprainguinal Fascia Iliaca Block vs. Pericapsular Nerve Group Block vs. Local Anesthetic Infiltration vs. Spinal Anesthetic Without Adjuncts for Pain Control Following Total Hip Arthroplasty [NCT05062356]Phase 1240 participants (Anticipated)Interventional2021-11-04Recruiting
Effects of Stellate Ganglion Block on Hemodynamics Instability During Beating Heart Surgery [NCT03450226]40 participants (Anticipated)Interventional2018-03-31Not yet recruiting
Perioperative Analgesia for Total Hip Arthroplasty: Lumbar Plexus Block Using Shamrock Technique Versus Fascia Iliaca Block [NCT04670497]70 participants (Actual)Interventional2018-07-01Completed
Thoracic Epidural Versus General Anesthesia for Laparoscopic Cholecystectomy: A Randomized Controlled Trial [NCT04721054]82 participants (Actual)Interventional2018-10-01Completed
Ultrasound Guided Quadratus Lumborum Block Compared to Caudal Bupivacaine/ Neostigmine in Pediatric Lower Abdominal Surgeries, a Randomized Controlled Trial [NCT04720287]Phase 460 participants (Actual)Interventional2021-02-01Completed
Combined Colloid Preload And Crystalloid Coload Versus Crystalloid Coload During Spinal Anesthesia for Cesarean Delivery [NCT02961842]200 participants (Actual)Interventional2016-11-20Completed
[NCT01684774]100 participants (Anticipated)Observational2012-12-31Not yet recruiting
Ultrasound Guided Thoracic Paravertebral Blocks: An Effective Pain Control in Percutaneous Radiofrequency Ablation of Hepatic Tumors [NCT02271646]35 participants (Actual)Interventional2014-08-31Completed
Comparing the Perioperative Analgesic Effect of Two Different Volumes of Local Anesthetic Solution in Erector Spinae Plane Block in Patients Undergoing Modified Radical Mastectomy A Randomized Comparative Study [NCT05813158]Phase 2/Phase 352 participants (Actual)Interventional2022-09-09Completed
Efficacy and Safety of Dexmedetomidine to 20ml Bupivacaine in Supraclavicular Brachial Plexus Block [NCT06020781]75 participants (Anticipated)Interventional2023-10-09Recruiting
Epidural Analgesia Versus IV Meperidine for Labor Pain Control. Objective Evaluation of the Pain Intensity Influence on the Autonomic Nervous System. [NCT00296751]60 participants (Anticipated)Interventional2006-03-31Completed
A Pilot Study of Bupivacaine Infusion in Abdominal Surgery [NCT00280553]Phase 260 participants (Anticipated)Interventional2005-04-30Recruiting
The Effect of Liposomal Bupivacaine Nerve Block on Postoperative Pain After a Rotator Cuff Repair or Shoulder Arthroscopy [NCT06139666]Phase 4160 participants (Anticipated)Interventional2019-07-11Enrolling by invitation
Phrenic Afferences In Organic and Metabolic Illness: Central Sensitization - Fibromyalgia [NCT05792774]Phase 460 participants (Anticipated)Interventional2023-04-03Recruiting
Psoas Sciatic Blockade Could be a Sole Anaesthetic Technique for Total Knee Arthroplasty [NCT03088371]80 participants (Actual)Interventional2014-04-10Completed
Extended Release Local Anesthetic for Postsurgical Pain After Posterior Colporrhaphy and Perineorrhaphy: A Randomized Controlled Study [NCT03875664]Phase 472 participants (Actual)Interventional2018-07-23Completed
Evaluation of the Efficacy of Exparel Delivered Into the Hip Capsule During Hemiarthroplasty [NCT03502018]Phase 450 participants (Actual)Interventional2018-03-01Completed
Evaluation of the Intraoperative and PO Analgesic Outcome of Using Midazolam as Adjuvant to Bupivacaine Intrathecal Anesthesia for Children Undergoing Lower Abdominal Surgeries. [NCT04718259]Early Phase 1120 participants (Actual)Interventional2020-01-18Completed
Single Blinded Randomized Trial of Transversus Abdominis Plane Block Using Liposomal Bupivacaine in Metabolic and Bariatric Surgery Patients [NCT05537883]Phase 1212 participants (Anticipated)Interventional2022-11-29Recruiting
[NCT00298571]Phase 2/Phase 3100 participants (Anticipated)Interventional2006-02-28Completed
Treatment of Benign Headache in the Emergency Department Population With Lower Cervical Paraspinous Bupivacaine Injections Versus Anti-Emetic Treatment in the Emergency Department Population: Randomized Prospective Control Trial [NCT01785459]Phase 223 participants (Actual)Interventional2013-10-31Terminated(stopped due to Unable to enroll adequate number of patients.)
Liposomal Bupivacaine for Pain Control Following Anterior Cruciate Ligament Reconstruction [NCT02189317]Phase 450 participants (Actual)Interventional2014-08-31Completed
Comparison Between the Effect of Prilocaine vs Bupivacaine on Hemodynamics in Spinal Anesthesia for Geriatric Patients Undergoing Endoscopic Urological Surgeries: A Randomized Controlled Trial [NCT06165679]Phase 3112 participants (Anticipated)Interventional2023-12-15Not yet recruiting
Early Versus Late Paravertebral Block for Analgesia in Video Assisted Thoracoscopic Lung Resection. [NCT01621698]100 participants (Anticipated)Interventional2012-07-31Completed
Cukurova University Faculty of Medicine [NCT02360982]120 participants (Actual)Observational2012-03-31Completed
Plasma Concentrations of Bupivacaine After Spinal Anesthesia With Single Shot Femoral Nerve Block and Peri-articular Injection in Total Knee Arthroplasty [NCT01636869]Phase 443 participants (Actual)Interventional2012-07-31Completed
A Prospective, Randomized, Blinded, Comparative Study of Amniotic Membrane Injectable in the Treatment of Recalcitrant Plantar Fasciitis [NCT01659827]45 participants (Actual)Interventional2012-09-30Completed
Minimum Effective Volume of 0.375% Bupivacaine in Ultrasound- and Nerve Stimulator-guided Interscalene Brachial Plexus Block for Shoulder Surgery [NCT01667315]Phase 233 participants (Anticipated)Interventional2012-08-31Recruiting
Pharmacokinetic Evaluation of EXPAREL in Adults Undergoing Tonsillectomy [NCT02199574]Phase 412 participants (Actual)Interventional2014-08-31Completed
Comparison of Intrathecal Dexmedetomidine Versus Fentanyl as Adjuvants to Bupivacaine on Post-operative Urinary Retention in Knee Joint Arthroscopic Surgeries [NCT05596552]Phase 470 participants (Actual)Interventional2021-10-15Completed
Efficacy of Intraoperative Injections on Postoperative Pain Control During Total Hip Arthroplasty: A Prospective, Blinded, Randomized Controlled Study [NCT03119038]Phase 40 participants (Actual)Interventional2016-04-30Withdrawn(stopped due to Investigator no longer actively pursuing this study.)
Efficacy of Adding Dexmedetomidine as Adjuvant With Bupivacaine in Ultrasound-guided Intermediate Cervical Plexus Block for Thyroidectomy Surgery: Randomized Controlled Study [NCT05814744]60 participants (Anticipated)Interventional2023-04-30Not yet recruiting
Duration of Interscalene Nerve Blocks With Ropivacaine Alone, Ropivacaine Mixed With Dexamethasone, and Ropivacaine Alone Combined With Systemic Dexamethasone [NCT00519584]218 participants (Actual)Interventional2007-07-31Terminated(stopped due to Collected study data was not usable due to process miscommunications)
Platelet Rich Plasma vs. Corticosteroid Injection in the Treatment of Partial Thickness Rotator Cuff Tears. A Randomized, Prospective, Double Blinded Trial. [NCT01688362]Phase 112 participants (Actual)Interventional2012-11-30Terminated(stopped due to Did not meet target enrollment deadlines.)
Randomized, Double Blind, Cross Over Study Comparing Effectiveness of Traditional Opioids Versus Opioids in Admixture With Bupivacaine Upon Self-administration of Boluses Via a Personal Therapy Manager (PTM) in Intrathecal Pumps [NCT02886286]Phase 417 participants (Actual)Interventional2016-05-31Completed
Bupivacaine Digital Blocks: How Long is the Pain Relief and Temperature Elevation? [NCT01698593]44 participants (Actual)Interventional2009-07-31Completed
Patient Controlled Epidural Analgesia Versus Local Infiltration Analgesia Following Knee Arthroplasty Within an Enhanced Recovery Programme - a Randomised Controlled Trial [NCT02478372]242 participants (Actual)Interventional2010-04-30Completed
Randomized Controlled Trial Evaluating Liposomal Bupivacaine Following Abdominoplasty [NCT04254692]Phase 446 participants (Anticipated)Interventional2021-01-05Suspended(stopped due to division wide research suspension)
A Randomized Single-blinded Trial of Combined Spinal-Epidural Versus Continuous Epidural Analgesia [NCT01750099]202 participants (Anticipated)Interventional2013-02-28Completed
MCP Study, A Double-Blinded, Randomized Controlled Trial To Compare Multifidus Cervicis Plane Block (MCP) Vs. Sham Block, In Reducing Postoperative Pain And Opioid Consumption In Patients Undergoing Elective Primary Posterior Cervical Spine Fusion Surgery [NCT05996133]Phase 438 participants (Anticipated)Interventional2023-12-12Recruiting
Comparison Between Bupivacaine 0.5% Versus Bupivacaine 0.25% Plus Lidocaine 1% in Ultrasound-guided Infraclavicular Block: a Prospective Randomized Controlled Trial [NCT05834023]Phase 440 participants (Anticipated)Interventional2023-05-02Recruiting
Bupivacaine Versus Lidocaine Local Anesthesia in Elective Outpatient Hand Surgery: A Randomized Controlled Trial [NCT01751347]Phase 4135 participants (Actual)Interventional2013-02-28Completed
Sciatic Nerve Block for Ankle/Foot Surgeries. A Comparison Between a Premixed Solution of Lidocaine Plus Bupivacaine and Consecutive Infiltration of Lidocaine and Bupivacaine. A Double Blinded Randomised Controlled Prospective Study [NCT01756443]Phase 440 participants (Actual)Interventional2011-08-31Completed
Pain Control of Thoracoscopic Major Pulmonary Resection: Is Pre-emptive Local Bupivacaine Injection Able to Replace the Intravenous Patient Controlled Analgesia? [NCT01758809]86 participants (Actual)Interventional2010-12-31Completed
To Compare lidocaine2%/Clonidine in Combination With Bupivacaine 0.5 % Alone in Equal Volumes for Combined Sciatic-saphenous Nerve Block in Terms of Selectivity of Blockade [NCT01759524]Phase 430 participants (Actual)Interventional2011-10-31Completed
A Randomized Double Blind Trial Comparing the Effect of Transversus Abdominal Plane-catheter and Epidural Catheter on Postoperative Pain After Open Gynecologic Surgery [NCT01760174]0 participants (Actual)Interventional2016-01-31Withdrawn(stopped due to Because of logistic and practical reasons.)
[NCT01768780]58 participants (Anticipated)Interventional2012-12-31Recruiting
A Comparison of the Analgesic Effects of Pectointercostal Fascial Plane Block (PIFB) Alone Versus PIFB With Rectus Sheath Block (RSB) in Cardiac Surgery: a Prospective, Randomized Controlled Trial. [NCT04908449]Phase 160 participants (Anticipated)Interventional2023-06-19Recruiting
Pain Control After Total Hip Arthroplasty: A Randomized Trial Determining Efficacy of Fascia Iliaca Compartment Blocks in the Immediate Post-Operative Period [NCT03375112]Phase 4122 participants (Actual)Interventional2017-07-31Completed
RANDOMISED STUDY ABOUT POTSOTERATORY PAIN CONTROL IN LAPAROSCOPIC SIGMOIDECTOMY [NCT01825993]Phase 3225 participants (Anticipated)Interventional2013-04-30Not yet recruiting
The Effect of Dexmedetomine Premedication on the Bispectral Index Values Using Sedation With Propofol During Spinal Anesthesia on Geriatric Chronic Renal Failure Patients Undergoing Hip Fracture Surgery The Effect of Dexmedetomine Premedication on the Bis [NCT01837290]Phase 360 participants (Actual)Interventional2012-12-31Completed
Comparison of the Effects of Three Methods of Intrathecal Bupivacaine; Bupivacaine-Fentanyl and Bupivacaine-Fentanyl-Magnesium Sulfate on Sensory-Motor Blocks and Postoperative Pain in Patients Undergoing Lumbar Disk Herniation Surgery [NCT01843296]Phase 4105 participants (Actual)Interventional2012-11-30Completed
A Phase 2, Multicenter, Randomized, Double Blind, Dose Escalating/ De Escalating Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of a Single Dose of Sustained Release Encapsulated Bupivacaine (SKY0402) in the Management of Postoperative Pain [NCT01203644]Phase 276 participants (Actual)Interventional2004-12-31Completed
A Randomized, Double-Blind, Active-Control Study to Evaluate the Safety and Efficacy of a Single Local Administration of SKY0402 for Prolonged Postoperative Analgesia in Subjects Undergoing Augmentation Mammoplasty [NCT01206608]Phase 240 participants (Actual)Interventional2008-03-31Completed
Dexmedetomidine Versus Magnesium Sulphate Added to Bupivacaine in Infraorbital Nerve Block for Perioperative Analgesia in Paediatric Patients for Cleft Lip Surgery: A Prospective, Randomized Double Blinded Study [NCT05624151]Phase 375 participants (Actual)Interventional2022-11-25Completed
Does Ilioinguinal Block Provide Satisfactory Analgesia During Transcatheter Aortic Valve Implantation Procedure? A Comparative Study [NCT05220813]Phase 488 participants (Anticipated)Interventional2021-11-11Recruiting
Dexmed Vs Bupivacaine [NCT05244252]Early Phase 180 participants (Anticipated)Interventional2021-10-04Recruiting
A Multi-center Randomized Controlled Trial of Efficacy and Safety of Perineural Local Anesthetics and Steroids for Chronic Peripheral Post-traumatic Neuropathic Pain: The Resperist Study [NCT03009500]Phase 33 participants (Actual)Interventional2017-01-31Completed
Onset and Duration of Effect of Lidocaine, Bupivacaine, and Lidocaine/Bupivacaine Mixture With Epinephrine. [NCT01243112]Phase 425 participants (Actual)Interventional2010-05-31Completed
Comparison of Erector Spinae Plane Block and Pecto-Intercostal Facial Plane Block For Enhanced Recovery After Sternotomy in Adult Cardiac Surgery [NCT05475561]Phase 260 participants (Actual)Interventional2022-05-25Completed
Control of Tourniquet Pain With an Axillary Ring of Subcutaneous Local Anesthetic [NCT01829399]Phase 424 participants (Actual)Interventional2013-04-30Completed
Comparative Study of Superficial Cervical Plexus Block and Nerve of Arnold Block With Intravenous Antiemetic Drugs Dexamethasone and Ondansetron and Incidence of Post-operative Nausea Vomiting for Inner Ear Surgery [NCT02724033]Phase 437 participants (Actual)Interventional2014-05-31Terminated(stopped due to PI has left Riley Anesthesia. Lack of staff for continued recruitment)
Single-injection Modified 4 in 1 Block Versus Adductor Canal Block as Postoperative Analgesia in Total Knee Arthroplasty [NCT05447871]90 participants (Anticipated)Interventional2022-07-31Not yet recruiting
A Pain Relief Trial Utilizing the Infiltration of a Multivesicular Liposome Formulation Of Bupivacaine, EXPAREL®: A Phase 4 Health Economic Trial in Adult Patients Undergoing Open Colectomy [NCT01507220]Phase 42 participants (Actual)Interventional2012-03-31Terminated(stopped due to Slow enrollment)
A Pain Relief Trial Utilizing the Infiltration of a Multivesicular Liposome Formulation Of Bupivacaine, EXPAREL®: A Phase 4 Health Economic Trial in Adult Patients Undergoing Ileostomy Reversal [NCT01509638]Phase 447 participants (Actual)Interventional2012-03-31Completed
Ultrasound Guided Rhomboid Intercostal and Subserratus Plane Block in Breast Cancer Surgeries [NCT04336917]Phase 450 participants (Actual)Interventional2020-08-31Completed
Evaluation of the Safety and Efficacy of EXPAREL® (Bupivacaine Liposome Injectable Suspension) When Administered Via Infiltration Versus Instillation in Subjects Undergoing Bilateral Augmentation Mammoplasty [NCT01582490]Phase 419 participants (Actual)Interventional2012-04-30Completed
Preoperative Levator Ani Muscle Injection and Pudendal Nerve Block With Bupivacaine and Dexamethasone for Improved Pain Control After Vaginal Reconstructive Surgery: A Three-Arm Randomized Controlled Trial [NCT03040011]Phase 1/Phase 279 participants (Actual)Interventional2017-06-01Completed
Evaluation of PENG Block Applied in Hip Surgery in Terms of Block Duration and Postoperative Pain [NCT06132308]60 participants (Anticipated)Interventional2022-01-15Recruiting
Regional Blockade of the Sternum With Liposomal Bupivacaine Prior to Incision Decreases Opioid Use in Patients Undergoing Cardiac Surgery (Sternal Block) [NCT04333095]Phase 4100 participants (Anticipated)Interventional2020-02-06Recruiting
Bupivacaine Liposome Suspension Versus a Concentrated Multi Drug Periarticular Injection in 70 Patients Undergoing Total Knee Arthroplasty Without Femoral Nerve Block: a Double-blinded, Randomized Clinical Trial [NCT02299349]70 participants (Actual)Interventional2013-08-31Completed
Pecto-Intercostal Fascial Block for Postoperative Analgesia After Cardiac Surgery [NCT03482973]Phase 380 participants (Actual)Interventional2018-06-21Completed
The Effect of Exparel on Post Operative Pain and Narcotic Use After Colon Surgery [NCT02052557]Phase 451 participants (Actual)Interventional2013-02-28Completed
Volume Versus Concentration: A Prospective, Double Blind, Parallel Study to Compare the Clinical Effectiveness of Single Shot Quadratus Lumborum Block Using Either a High Volume/Low Concentration or Low Volume/High Concentration Injectate for Total Hip Ar [NCT04259645]Phase 460 participants (Actual)Interventional2021-04-01Completed
Postoperative Subtenons Anesthesia for Postoperative Pain in Pediatric Strabismus Surgery [NCT01812044]57 participants (Actual)Interventional2013-03-31Completed
Non-inferiority Study of Hyperbaric Novabupi® (Bupivacaine S75: R25) Compared to Hyperbaric Neocaine® (Bupivacaine S50: R50) in Spinal Anesthesia in Lower Limbs Vascular Surgery [NCT03883763]Phase 3120 participants (Anticipated)Interventional2022-04-01Recruiting
Evaluation of the Safety and Efficacy of EXPAREL® When Infiltrated Into the Transversus Abdominis Plane (TAP) for Prolonged Postoperative Analgesia in Subjects Undergoing Unilateral Abdominal Hernia Repair [NCT01801124]Phase 413 participants (Actual)Interventional2012-04-30Completed
Exparel vs. Bupivacaine Hydrochloride vs. Placebo for Transversus Abdominis Plane Blocks During Open Retromuscular Hernia Repair [NCT03541941]Phase 4164 participants (Actual)Interventional2018-07-03Completed
UCSF Sphenopalatine Ganglion Block Study- a Randomized Double Blind Placebo Controlled Trial to Compare Nasal Anesthetics for Migraine Prevention in Adults. [NCT03666663]Phase 410 participants (Actual)Interventional2019-02-01Completed
A Pain Relief Trial Utilizing the Infiltration of a Multivesicular Liposome Formulation Of Bupivacaine, EXPAREL®: A Phase 4 Health Economic Trial in Adult Patients Undergoing Open Colectomy [NCT01507233]Phase 45 participants (Actual)Interventional2012-05-31Terminated(stopped due to Slow enrollment.)
A Prospective Randomized Trial of Transversus Abdominis Plane (TAP) INtraoperative Block With Bupivacaine/Dexamethasone aGainst Liposomal Bupivacaine (Exparel®): the TINGLE Trial [NCT03723447]Phase 4102 participants (Actual)Interventional2018-10-23Completed
A Prospective Randomized-controlled Study on Effectiveness of Extended-release Liposomal Bupivacaine in Postoperative Pain Control [NCT02111746]Phase 4350 participants (Actual)Interventional2013-11-20Completed
Analgesic Efficacy of Adductor Canal Block With Bupivacaine Versus Bupivacaine and Ketamine in Total Knee Arthroplasty. [NCT05715437]Phase 460 participants (Anticipated)Interventional2023-03-31Not yet recruiting
Efficacy Of Magnesium Sulphate Versus Ketamine as an Adjuvant to Bupivacaine in Pectoral Nerve Block During Mastectomy : Comparative Controlled , Randomized Double-Blind Study [NCT05663801]Phase 272 participants (Anticipated)Interventional2023-02-28Not yet recruiting
Prospective, Randomized Clinical Trial Comparing Analgesic Efficacy of Liposomal Bupivacaine Single-Injection Interscalene Blockade to Continuous Interscalene Blockade for Patients Undergoing Primary Total Shoulder Arthroplasty [NCT05005260]Phase 488 participants (Actual)Interventional2021-10-14Completed
Continuous Standard Bupivacaine Interscalene Block Versus Single Injection Liposomal Bupivacaine Following Surgical Fixation of Proximal Humerus Fractures [NCT05084573]Phase 392 participants (Anticipated)Interventional2020-08-01Recruiting
Investigation Into the Effect of 0.25% Bupivacaine for Interscalene Peripheral Nerve Block vs 0.125% Bupivacaine on Pulmonary Function [NCT01429584]30 participants (Actual)Interventional2008-05-31Completed
Comparing the Effectiveness of Misoprostol, Oxytocin, Carbetocin, Vasopressin, Bupivacaine and Epinephrine, Combined IV TXA Acid and Ethamsylate and Peri Cervical Tourniquet for the Reduction of Blood Loss During of Abdominal Myomectomy. [NCT05806307]Phase 4105 participants (Anticipated)Interventional2023-03-15Recruiting
Subcostal TAP Block With Liposomal Bupivacaine vs Bupivacaine in Donor Nephrectomy Patients: A Prospective Randomized Study [NCT02287623]Phase 460 participants (Actual)Interventional2013-05-31Completed
Bupivacaine Application Reduces Postthyroidectomy Pain: Cerrahpaşa Experience [NCT02981095]91 participants (Actual)Interventional2010-01-31Completed
Pathophysiology of Post Amputation Pain [NCT01632709]Phase 416 participants (Actual)Interventional2012-05-31Completed
Comparative Study to Evaluate the Efficacy of Ultrasound-Guided Pericapsular Nerve Group (PENG) Block Versus Fascia Iliaca Compartment (FIC) Block on the Postoperative Analgesic Effect in Patients Undergoing Hip Surgeries Under Spinal Anesthesia. [NCT05751291]42 participants (Anticipated)Interventional2023-03-01Not yet recruiting
Ultrasound Guided PECs II (Pectoralis and Serratus Nerves) Block in Patients Undergoing a Thoracic Surgery [NCT03023982]Phase 2168 participants (Anticipated)Interventional2017-02-28Not yet recruiting
Evaluation of the Safety and Efficacy of EXPAREL(R) (Bupivacaine Liposome Injectable Suspension) When Administered Into the Transversus Abdominis Plane (TAP) for Prolonged Postoperative Analgesia in Subjects Undergoing Open Total Abdominal Hysterectomy [NCT01919606]Phase 41 participants (Actual)Interventional2012-08-31Terminated(stopped due to Lack of enrollment)
Effect of Local Anesthetic Dose on Interscalene Block for Shoulder Arthroscopy, Patient Satisfaction and Return of Handgrip Strength [NCT01701115]154 participants (Actual)Interventional2012-08-31Completed
Dose Response Study of Dexamethasone in Combination With Bupivacaine 0.25% in Ultrasound Guided Supraclavicular Brachial Plexus Nerve Block, a Randomized, Placebo Controlled Prospective Clinical Trial [NCT01690663]89 participants (Actual)Interventional2012-09-30Completed
[NCT01442558]101 participants (Actual)Interventional2011-12-31Completed
Effect of Adding Two Different Doses of Hyaluronidase to Bupivacaine in Ultrasound-Guided Transversus Abdominis Plane (TAP) Block for Post-cesarean Section Analgesia; A Randomized Controlled Double Blinded Study. [NCT05671172]90 participants (Anticipated)Interventional2022-08-15Recruiting
Topical Bupivacaine Effect On The Response To Awake Extubation During Emergence From General Anesthesia In Patients Undergoing Elective Thyroidectomy. A Randomized Controlled Study [NCT04471597]48 participants (Actual)Interventional2020-07-20Completed
LIBERATE - LIposomal Bupivacaine vERsus Adjuncts in Total shouldErs: A Randomized Controlled Trial of Injection at the Brachial Plexus [NCT03887650]Phase 490 participants (Actual)Interventional2019-03-11Completed
Randomized, Unblinded, Phase III Trial of Thoracic Epidural Analgesia Versus Four-Quadrant Transversus Abdominus Plane Block in Oncologic Open-Incision Liver Surgery [NCT03214510]Phase 396 participants (Anticipated)Interventional2017-10-04Recruiting
The Effect of Intra-articular Local Anesthetic Injection and Hematoma Aspiration on Pain and Narcotic Analgesia Use Following Tibial Plateau Fractures [NCT02951884]Phase 42 participants (Actual)Interventional2016-06-15Terminated(stopped due to The study was stopped for feasibility (low enrollment))
Liposomal Bupivacaine at Cesarean Delivery to Decrease Post-operative Pain [NCT02959996]Phase 2/Phase 380 participants (Actual)Interventional2017-03-08Completed
A Comparative Study Between Different Local Anesthetic Volumes Injected During Erector Spinae Block to Reduce Postoperative Opioid Consumption in Patients Undergoing Open Simple Nephrectomy Operations; a Randomized Controlled Trial [NCT04371341]80 participants (Actual)Interventional2020-05-12Completed
Transversus Abdominis Plane (TAP) Block for Cesarean Section [NCT01015807]90 participants (Actual)Interventional2009-11-30Completed
Morphine as an Adjunct in Sonar Guided Transversus Abdominis Plane Block for Postoperative Analgesia in Patients Undergoing Abdominal Surgery. [NCT02976597]Phase 2/Phase 390 participants (Actual)Interventional2016-11-30Completed
Does the Use of Liposomal Bupivacaine Decrease Narcotic Requirements in Geriatric Hip Fractures? A Randomized, Double Blinded Control Trial [NCT03289858]Phase 455 participants (Actual)Interventional2017-09-01Completed
A Randomized Double Blinded Controlled Trial on the Efficacy of TAP Block in Cesarean Section Patients When Compared to Placebo [NCT03493828]Phase 360 participants (Actual)Interventional2013-06-30Completed
Efficacy of Extended-Release Liposomal Bupivacaine for Post-Partum Pain Management Following Obstetrical Laceration: A Prospective, Randomized, Single-Blinded Trial [NCT03152877]120 participants (Actual)Interventional2018-03-01Completed
A Phase 2, Randomized, Single-Blind, Active-Control, Parallel Group Study to Evaluate Safety and Activity of a Single Administration of F14 for Management of Postoperative Pain in Participants Undergoing Unilateral Total Knee Replacement [NCT03541655]Phase 220 participants (Actual)Interventional2018-05-04Completed
Tenderpoint and Ultrasound Guided Nerveblocks for Persistent Pain After Breast Cancer Surgery [NCT02336529]Phase 348 participants (Anticipated)Interventional2016-07-31Not yet recruiting
Post-operative Pain Control of Testicular Sperm Extraction Using Liposomal Bupivacaine [NCT03802864]Phase 450 participants (Actual)Interventional2019-02-04Completed
Comparative Study of the Analgesic Effect of Subarachnoid or Infiltration for Hemorrhoidectomy [NCT01927874]40 participants (Actual)Interventional2013-01-31Completed
Multimodal Pain Management for Cesarean Delivery: A Randomized Control Trial [NCT02922985]Phase 4120 participants (Actual)Interventional2016-10-31Completed
Fentanyl Versus Morphine in Spinal Anesthesia for Caesarian Section - Study on Perioperative Analgesia, Side Effects and Patient 's Satisfaction [NCT05533229]160 participants (Actual)Observational2022-04-01Completed
A Phase II, Single-dose, Open-label Study to Investigate the Feasibility and Efficacy of the CollaRx® Bupivacaine Implant (200 mg Bupivacaine Hydrochloride) in Men After Laparoscopic Inguinal or Umbilical Herniorrhaphy [NCT01224145]Phase 210 participants (Actual)Interventional2011-03-22Completed
Efficacy of Liposomal Bupivacaine in Benign Soft Tissue Tumor Resection: A Randomized Controlled Trial [NCT05082441]Phase 4140 participants (Anticipated)Interventional2020-09-01Recruiting
Effectiveness of Continuous Femoral Nerve Block Versus Single Shot Femoral Nerve Block for Pain Control After Anterior Cruciate Ligament Reconstruction With Patellar Tendon Graft or Allograft [NCT01916590]7 participants (Actual)Interventional2011-07-31Terminated(stopped due to lack of patients)
Effects Of Ultrasound Guided Caudal Epidural And Transversus Abdominis Plane Block On Postoperative Analgesia In Pediatric Inguinal Hernia Repair Surgeries [NCT05286190]60 participants (Actual)Interventional2017-10-01Completed
Neuroinflammatory and Neurocognitive Effects of Spinal vs. Inhalational Anesthesia for Elective Surgery in Infants: A Randomized, Controlled, Double-Blinded Study [NCT02521831]Phase 30 participants (Actual)Interventional2015-10-31Withdrawn
A Phase 2, Multicenter, Randomized, Double Blind, Dose Escalating/ De-Escalating Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of Sustained Release Encapsulated Bupivacaine (SKY0402) Administered as a Nerve Block in the Management of Postop [NCT01206595]Phase 258 participants (Actual)Interventional2005-03-31Completed
Lumbar Erector Spinae Plane Block Versus Classic Epidural Analgesia in Labor [NCT04776512]50 participants (Anticipated)Interventional2021-03-01Not yet recruiting
Fetal Heart Rate Pattern Before, During, and After Spinal Anesthesia for Scheduled Uncomplicated Cesarean Section [NCT05776186]50 participants (Anticipated)Observational2022-11-29Recruiting
Efficacy of Liposomal Bupivacaine Versus Standard Analgesia in Pain Management of Total Joint Arthroplasty [NCT02197273]211 participants (Actual)Interventional2014-07-31Completed
A Comparison Between Phenylephrine and Norepinephrine Boluses in Prevention of Post-spinal Hypotension During Cesarean Delivery [NCT03015857]Phase 2200 participants (Actual)Interventional2017-01-31Completed
Comparison Ropivacaine and Bupivacaine in Sphenopalatine Ganglion Block for Postoperative Analgesia After Functional Endoscopic Sinus Surgery: A Randomized Controlled Trial [NCT03013361]Phase 360 participants (Actual)Interventional2013-07-31Completed
A Placebo Controlled, Prospective, Randomized Clinical Investigation of the Efficacy of Continuous Infusion Regional Anesthetic on Postoperative Pain Following Arthroscopic Anterior Cruciate Ligament Reconstruction: A Comparison of Three Catheter Placemen [NCT00178178]96 participants (Actual)Interventional2005-03-31Completed
Infiltration Between the Popliteal Artery and the Capsule of the Knee (iPACK) With Local Infiltration of Analgesia (LIA) and Adductor Canal Block (ACB) Improves Postoperative Pain in Total Knee Arthroplasty: A Randomized Controlled Trial [NCT04635176]Phase 4120 participants (Anticipated)Interventional2022-10-30Recruiting
Efficacy of Ultrasound-guided Transversalis Fascia Plane Blocks for Post-cesarean Section Analgesia: a Randomized Double Blinded Control Study [NCT03236324]Phase 2106 participants (Actual)Interventional2017-09-22Completed
LIA in Hip Arthroscopy Patients: An Extra-Capsular Approach [NCT03070054]Early Phase 174 participants (Actual)Interventional2016-06-30Completed
Efficacy of Continuous Subacromial Bupivacaine Infusion for Postoperative Analgesia After Arthroscopic Rotator Cuff Repair. [NCT01126593]96 participants (Actual)Interventional2008-12-31Completed
Is Painless ESWL Possible? Analgesic Efficacy of Ultrasound Guided Quadratus Lumborum Block During Extracorporeal Shockwave Lithotripsy [NCT03080363]Phase 440 participants (Actual)Interventional2017-03-15Completed
Investigation of the Effect of Epidural Analgesia Combined With General Anesthesia on Burst Suppression Rate in Electroencephalogram Based Anesthesia Management [NCT05688449]Phase 464 participants (Anticipated)Interventional2022-07-30Recruiting
The Analgesic Efficacy of Two Bupivacaine Concentrations for Combined Ilioinguinal and Iliohypogastric Nerve Block in Postherniorrhaphy Pain. [NCT05687981]Early Phase 190 participants (Anticipated)Interventional2023-01-31Not yet recruiting
Lumbar Plexus Block for Postoperative Pain Control After Hip Arthroscopy. A Randomized Controlled Trial [NCT01286805]Phase 483 participants (Actual)Interventional2010-05-31Completed
Single Shot Liposomal Bupivacaine (EXPAREL®)/Bupivicaine) Versus Continuous Erector Spinae Plane Block Catheter in Patients Undergoing Video Assisted Thoracoscopic (VAT) Surgery; Single Center, Non Inferiority, Open Label, Randomized Trial [NCT04559347]Phase 274 participants (Anticipated)Interventional2020-12-10Suspended(stopped due to Reviewing randomization process)
Selective Subarachnoid Anesthesia. Comparison of Hyperbaric Bupivacaine and Hyperbaric Prilocaine in Knee Arthroscopy and Inguinal Hernia Repair in Ambulatory Surgery [NCT01921231]Phase 4119 participants (Actual)Interventional2007-05-31Completed
Does Subarachnoid Administration of Hyperbaric Prilocaine Produce an Improved Recovery From Anaesthesia When Compared With Hyperbaric Bupivacaine When Used to Make Cervical Cerclage Easier in Pregnant Women at Risk of Pre-term Loss? [NCT04394533]Phase 4135 participants (Anticipated)Interventional2021-08-27Recruiting
Analgesic Effects of Trigger Point Injection Added to Caudal Epidural Steroid [NCT05792111]Phase 472 participants (Anticipated)Interventional2022-10-12Recruiting
EFFECT OF CAUDAL BUPIVACAINE VERSUS INTRAVENOUS MORPHINE ON TIME TO FIRST ANALGESIC REQUIREMENT IN PEDIATRIC SURGICAL PATIENTS; A RANDOMISED CONTROLLED TRIAL. [NCT02456142]Phase 470 participants (Actual)Interventional2015-07-31Completed
A Non-Inferiority Randomized Trial Comparing the Impact of Thoracic Epidural Analgesia Versus Surgical Site Infiltration With Liposomal Bupivicaine on the Postoperative Recovery of Patients Following Open Gynecologic Surgery [NCT04117074]Phase 3100 participants (Anticipated)Interventional2021-04-14Recruiting
A Comparison of Post-Incisional Wound Infiltration of Liposomal Bupivacaine to Plain Bupivacaine for Post-Operative Pain Control in Elective Cesarean Delivery: A Randomized Double Blind Placebo Controlled Trial [NCT03353363]Phase 4132 participants (Anticipated)Interventional2017-10-18Recruiting
Comparison of Bupivacaine to Liposomal Bupivacaine for Ultrasound Guided Periarticular Hip Infiltration for Postoperative Analgesia After Hip Arthroscopy. [NCT01907191]23 participants (Actual)Interventional2013-07-31Terminated
Safety and Efficacy of Bilateral Superficial Cervical Plexus Block in Thyroidectomy - a Double Blind Randomized Controlled Trial [NCT01454609]Phase 260 participants (Actual)Interventional2009-01-31Completed
Effectiveness of Exparel TAP Block in Breast Free Flap Reconstruction [NCT04777591]Phase 4100 participants (Anticipated)Interventional2021-03-10Not yet recruiting
A Randomized Comparison of Bupivacaine Peritoneal and Subcutaneous Infiltration Versus Diclofenac Intramuscular Injection for Postoperative Pain Relief in Patient Undergoing Cesarean Delivery [NCT03039426]Phase 4120 participants (Actual)Interventional2017-01-01Completed
A Randomized Control Trial Comparing Bilateral Superficial Cervical Plexus Block and Local Wound Infiltration in Thyroidectomy and Parathyroidectomy [NCT02205801]36 participants (Actual)Interventional2014-07-31Completed
A Pain Relief Trial Utilizing the Infiltration of a Multivesicular Liposome Formulation Of BupiVacaine, EXPAREL®: A Phase 4 Health Economic Trial in Adult Patients Undergoing Ileostomy Reversal [NCT01509807]Phase 433 participants (Actual)Interventional2012-01-31Completed
TAP (Transverse Abdominis Plane) Block With Exparel (Liposomal Bupivicaine) vs. Bupivicaine Post-op Pain Management [NCT04781075]Phase 476 participants (Actual)Interventional2017-12-01Completed
An Open-Label Cohort Study to Evaluate the Safety and Pharmacokinetics of Redosing EXPAREL Via Local Subcutaneous Infiltration in Healthy Volunteers [NCT02210247]Phase 160 participants (Actual)Interventional2014-08-31Completed
Pharmacokinetics and Pharmacodynamics for Levobupivacaine With and Without Epinephrine After Ultrasound Guided Erector Spinae Plane Block [NCT04799184]Phase 438 participants (Anticipated)Interventional2019-04-03Recruiting
The Effects of Infraorbital Nerve Block With Dexmedetomidine Added to Bupivacaine on Fentanyl Requirement During Endoscopic Transsphenoidal Approach to Remove Pituitary Tumor: Prospective Randomized Double Blinded Control Study [NCT04785222]Phase 463 participants (Anticipated)Interventional2021-07-31Not yet recruiting
A Comparison of Continuous Adductor Canal Catheter Infusion vs Continuous Femoral Nerve Catheter Infusion for Total Knee Replacement Surgery [NCT02249481]6 participants (Actual)Interventional2015-12-08Terminated(stopped due to A number of issues which impact on the ability to recruit patients to the study)
Randomized Controlled Trial Evaluating Postoperative Analgesia and Muscle Strength Between Single Versus Continuous Adductor Canal Block for Ambulatory ACL Reconstruction. [NCT02584452]59 participants (Actual)Interventional2015-11-03Completed
Effect of Dexamethasone Dose and Route on Duration of Interscalene Brachial Plexus Block for Outpatient Arthroscopic Shoulder Surgery - A Randomized Controlled Trial [NCT02426736]Phase 4280 participants (Actual)Interventional2015-06-25Completed
Norepinephrine Infusion for Prevention of Post-spinal Hypotension During Cesarean Delivery: A Randomized Controlled Dose Finding Trial. [NCT03182088]Phase 4284 participants (Actual)Interventional2017-06-15Completed
Postoperative Pain Alleviation in Patients Undergoing Cardiac Surgery; Presternal Bupivacaine and Magnesium Infiltration Versus Conventional Intravenous Analgesia [NCT03106818]90 participants (Actual)Interventional2016-07-31Completed
Intercostal Nerve Cryoablation for Postoperative Pain Management [NCT03972397]Phase 420 participants (Actual)Interventional2019-07-15Completed
Perineural Versus Intravenous Midazolam in Patients Undergoing Forearm Orthopedic Surgeries Using Supraclavicular Brachial Plexus Block [NCT03185351]Phase 290 participants (Actual)Interventional2017-06-14Completed
Onset of Sensory Blockade in Ultrasound-Guided Ankle Block With Mepivacaine Versus Bupivacaine: A Randomized Non-Inferiority Clinical Trial [NCT05425979]Phase 450 participants (Anticipated)Interventional2023-11-30Not yet recruiting
Bilateral Mid-Abdominal Transverse Abdominis Plane and Rectus Sheath Blocks Comparing The Use of Liposomal Bupivacaine/Bupivacaine vs. Regular Bupivacaine in Laparoscopic Colectomy Procedures. [NCT05224089]Phase 4114 participants (Anticipated)Interventional2022-04-27Recruiting
A Multicenter, Randomized, Double-Blind, Parallel-Group, Placebo-Controlled, Dose Ranging Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of Single Injection Femoral Nerve Block With Liposome Bupivacaine for Postsurgical Analgesia in Subjects [NCT01683071]Phase 2/Phase 3297 participants (Actual)Interventional2012-09-30Completed
Dexamethasone Versus Dexmedetomidine as Local Anesthetic Adjuvants in Ultrasound Guided Transversus Abdominis Plane Block for Total Abdominal Hysterectomies [NCT03064633]Phase 454 participants (Actual)Interventional2017-03-08Completed
Efficacy and Safety of Dexmedetomidine Added to Modified Pectoral's Block in Patient Undergoing Breast Cancer Surgery :A Comparative Study [NCT03063073]Phase 360 participants (Anticipated)Interventional2017-02-25Not yet recruiting
Postoperative Analgesia After Elective Hip Surgery - Effect of Obturator [NCT03064165]Phase 462 participants (Actual)Interventional2017-08-15Completed
The Effectiveness of Intra-articular Corticosteroid Injection in Patients With Whiplash-related Neck Pain [NCT04959721]32 participants (Anticipated)Interventional2021-07-15Not yet recruiting
A Randomized Controlled Trial of the Effectiveness of Liposomal Bupivacaine (Exparel) When Compared to Local Injection of Bupivacaine After Thoracoscopy [NCT02499159]Phase 4100 participants (Actual)Interventional2014-12-31Completed
Comparative Study Between Dexamethasone Plus Bupivacaine Versus Bupivacaine in Management of Suprazygomatic Maxillary Nerve Block in Cleft Palate Patients. [NCT05530811]34 participants (Anticipated)Interventional2023-04-01Not yet recruiting
Comparison of Efficacy and Safety of Two Different Ultrasound-Guided Suprascapular Nerve Block Techniques in Chronic Shoulder Pain: A Prospective Double-Blinded Randomized Controlled Study [NCT04938037]80 participants (Anticipated)Interventional2021-06-01Recruiting
Randomized Prospective Interventional Study: Pain Relief After Laparoscopic Primary Hiatal Hernia Repair [NCT04936711]Phase 490 participants (Anticipated)Interventional2021-05-12Recruiting
Transverse Abdominis Plane Block Using Liposomal Bupivacaine for Post-operative Cesarean Delivery Analgesia- Walking Towards Recovery [NCT04393207]Phase 4300 participants (Anticipated)Interventional2022-02-01Recruiting
Efficacy of Liposomal Bupivacaine for Pain Control After Percutaneous Nephrostolithotomy [NCT03043027]Phase 30 participants (Actual)Interventional2017-08-08Withdrawn(stopped due to cost of medicine too expensive to continue without funding)
"Prime Rib Time: Randomized Control Trial Evaluating the Use of Continuous Intercostal Nerve Blockade for Traumatic Rib Fractures" [NCT02604589]10 participants (Actual)Interventional2016-03-31Terminated(stopped due to resource reallocation)
Continuous Infusion and Intermittent Bolus Adductor Canal Block for Total Knee Arthroplasty [NCT05518513]66 participants (Anticipated)Interventional2022-11-01Not yet recruiting
Does Stellate Ganglion Blockade (SGB) in Men Treated for Prostate Cancer Improve Hot Flashes? A Pilot Prospective Cohort Study [NCT03796195]Phase 41 participants (Actual)Interventional2019-11-13Terminated(stopped due to Enrollment issues)
A Phase IV Randomize, Single-Blind, Trial of Liposomal Bupivacaine (EXPAREL®) for Pain Control in Post-Tonsillectomy Patients [NCT02444533]Phase 439 participants (Actual)Interventional2015-05-31Completed
Comparison of Two Analgesic Strategies After Scheduled Caesarean : Block of the Lumbar Region With Ropivacaine Versus Intrathecal Morphine [NCT04755712]Phase 4104 participants (Actual)Interventional2021-03-22Completed
New Bupivacaine Lozenge as Topical Anesthesia Compared to Lidocaine Pharyngeal Spray Before Upper Gastrointestinal Endoscopy in Unsedated Patients [NCT01832675]Phase 2100 participants (Actual)Interventional2012-03-31Completed
Pain Management After Total Shoulder Arthroplasty: Continuous Interscalene Block Versus Local Tissue Infiltration With Liposomal Bupivacaine [NCT03219983]Phase 422 participants (Actual)Interventional2016-11-30Terminated
A Phase 2, Randomized, Double-blind, Comparator- and Placebo-controlled Study to Evaluate the Safety, Pharmacokinetics, and Efficacy of TLC590 for Postsurgical Pain Management Following Bunionectomy [NCT03838133]Phase 2150 participants (Actual)Interventional2019-03-05Completed
Effects of Nonintubated Versus Intubated General Anesthesia on Recovery After Thoracoscopic Lung Resection: A Prospective Randomized Trial [NCT02393664]Phase 2/Phase 3300 participants (Anticipated)Interventional2015-03-31Recruiting
Femoral Nerve Block Versus. Adductor Canal Nerve Block for Peri-Operative Analgesia Following Anterior Cruciate Ligament Reconstruction: Evaluation of Post-Operative Pain and Strength [NCT03033589]80 participants (Anticipated)Interventional2016-05-31Recruiting
Comparison of Adductor Canal Block Combined With IPACK Block and Adductor Canal Block Combined With PCI for Postoperative Analgesia and Function Recovery Following Total Knee Arthroplasty:A Prospective, Double-Blind, Randomized Controlled Study [NCT05943080]159 participants (Anticipated)Interventional2023-06-01Active, not recruiting
Optimal Location of Nerve Block to Minimize Perioperative Opioid Administration in ACL Surgery: Comparing True Adductor Canal to Proximal Block [NCT03401450]Phase 469 participants (Actual)Interventional2018-02-01Completed
Comparison of 1% Chloroprocaine vs. Hyperbaric Bupivacaine Spinals in Patients Undergoing Hemorrhoidectomies in an Ambulatory Surgery Center: A Double-Blind Randomized Controlled Pilot Trial. [NCT03324984]Phase 2110 participants (Actual)Interventional2019-09-06Completed
Is Serratus Anterior Plane Block (SAPB) With Adjuvant Medications Better at Managing Post-operative Pain Than Serratus Anterior Plane Block With Bupivacaine Alone in Patients Undergoing Video-assisted Thoracoscopy? [NCT05090761]120 participants (Anticipated)Interventional2021-10-12Recruiting
Levobupivacaine Versus Liposomal Bupivacaine (Exparel®) for Treatment of Pain and Disability in Lateral Epicondylitis - Off-Label, Investigator Initiated Randomized, Controlled, Double-Blind Cross-Over Treatment Trial [NCT04382144]Phase 450 participants (Anticipated)Interventional2020-09-01Not yet recruiting
Single Dose Pharmacokinetics and Pharmacodynamics of Bupivacaine Following Transversus Abdominis Plane (TAP) Block in Neonates [NCT01557985]Phase 213 participants (Actual)Interventional2010-07-31Completed
Assessment of Sensory and Motor Block After Intrathecal Administration of Bupivacaine, Ropivacaine and Levo-bupivacaine Combined With Small Doses of Fentanyl, Followed by Administration of Normal Saline Epidurally:a Clinical Trial in Parturients Scheduled [NCT01558713]Phase 2/Phase 3120 participants (Anticipated)Interventional2010-01-31Recruiting
Transversus Abdominis Plane Blocks for Infants and Children for Postoperative Pain Control: Is it the Concentration or Volume of Local Anesthetic Solution That Improves Analgesia? [NCT01559740]Phase 236 participants (Actual)Interventional2010-07-31Completed
Comparative Study Between The Efficacy Of Quadratus Lumborum Block VS Conventional Analgesia In Patients Undergoing Open Inguinal Hernia Surgical Repair [NCT05122351]Early Phase 150 participants (Actual)Interventional2021-10-01Completed
The Efficacy of Transversalis Fascia Plane Block on Postoperative Pain in Pediatric Inguinal Hernia Repair [NCT04272320]60 participants (Actual)Interventional2021-09-29Completed
Femoral Nerve Block Using 0.25% Versus 0.5% Bupivacaine for Analgesia After Arthroscopic Anterior Cruciate Ligament Reconstruction [NCT01593566]Phase 4100 participants (Actual)Interventional2011-04-30Completed
Transversus Abdominis Bilateral Plane Block in Total Laparoscopic Hysterectomy : A Randomized Controlled Trial [NCT01596660]200 participants (Anticipated)Interventional2011-08-31Recruiting
The Analgesic Efficacy of Erector Spinae Plane Block in Ankle and Foot Surgery: A Randomized Controlled Study [NCT05708742]68 participants (Actual)Interventional2023-01-01Completed
Bupivacaine Injection of Eye Muscles to Treat Strabismus [NCT01616108]Phase 2/Phase 3120 participants (Anticipated)Interventional2012-04-30Recruiting
Interstitial Cystitis: Elucidation of the Psychophysiologic and Autonomic [NCT01616992]200 participants (Actual)Observational2009-09-30Completed
Paracervical Block (PCB) During II-trimester Abortion- A Randomized Controlled Trial [NCT01617564]112 participants (Actual)Interventional2012-05-31Completed
Comparison Between Interscalene and Combined Costoclavicular-suprascapular Blocks for Arthroscopic Shoulder Surgery [NCT04224766]50 participants (Actual)Interventional2020-04-01Completed
A Phase 2, Randomized, Controlled Evaluation of the Efficacy and Safety of HTX-011 or HTX-002 for Post-Operative Analgesia Following Abdominoplasty Surgery [NCT02689258]Phase 2277 participants (Actual)Interventional2016-02-23Completed
A Comparative Study Between Continuous Epidural Analgesia Versus Ultrasound Guided Continuous Femoral Nerve Block (CFNB) Versus Ultrasound Guided Continuous Adductor Canal Block (ACB) for Post-operative Pain Management After Total Knee Replacement (TKR). [NCT05249478]60 participants (Anticipated)Interventional2022-02-05Recruiting
Comparison of Local Anesthesia and Induced Hypotensive Anesthesia on Quality of External Dacryocystorhinostomy Operation Under General Anesthesia [NCT05241054]64 participants (Anticipated)Interventional2022-03-31Not yet recruiting
A Phase 1, Double-Blind, Active- and Placebo-Controlled Dose Escalation Study to Evaluate the Safety, Pharmacokinetics and Pharmacodynamics of Liposomal Bupivacaine 13.3 Administered Via a Single Intrathecal Injection to Healthy Volunteers [NCT05456490]Phase 154 participants (Anticipated)Interventional2023-04-18Recruiting
The Time Required to Remain Sitting After Spinal Anesthesia With Fentanyl for 50% of Patients to Not Experience Hypotension. [NCT01896960]Phase 240 participants (Anticipated)Interventional2013-07-31Recruiting
Comparison of Peritonsillar Dexamethasone-bupivacaine and Bupivacaine Infiltration for Tonsillectomy Pain Relief in Children:a Randomized,Double Blind,Controlled Study. [NCT03443778]Phase 4120 participants (Anticipated)Interventional2017-12-15Active, not recruiting
Adding Dexmedetomidine Versus Fentanyl to Bupivacaine for Epidural Analgesia in Combination With General Anesthesia for Elective Lumbar Disc Operations: Prospective, Randomized Double-blinded Study [NCT03438240]Phase 480 participants (Actual)Interventional2018-02-12Completed
Ropivacaine Versus Bupivacaine as Preemptive Analgesia in Surgical Site in Ankle Fracture Patients [NCT02949674]Phase 393 participants (Actual)Interventional2016-09-30Completed
The Efficacy and Safety of Multimodal Analgesia in Children and Adolescents After the Ravitch Procedure and Thoracotomy - a Prospective Randomized Study [NCT03444636]Phase 494 participants (Actual)Interventional2015-03-02Completed
Nalbuphine as an Adjuvant to Local Anaesthetic Mixture in Peribulbar Cataract Surgery a Randomized Controlled Study [NCT03436836]40 participants (Actual)Interventional2018-01-14Completed
Effects of Stellate Ganglion Block on Hot Flashes in Hispanic Women With Breast Cancer: A Pilot Randomized Sham-Controlled Trial [NCT03122301]Phase 22 participants (Actual)Interventional2017-06-01Terminated(stopped due to Study stopped due to inadequate enrollment.)
Contribution Of Anesthesia Technique For Post-operative Mortality Reduction After Proximal Femur Fractures Surgical Treatment - A Randomized Clinical Trial [NCT02406300]57 participants (Actual)Interventional2015-04-01Terminated(stopped due to Organizational changes made recruitment no longer possible)
Comparing the Efficacy of Combining Periarticular Local Infiltration of Analgesia and Adductor Canal Block Using Liposomal Bupivacaine and Standard Bupivacaine in Total Knee Arthroplasty - A Prospective Randomized Controlled Trial [NCT04003506]Phase 490 participants (Anticipated)Interventional2024-03-01Not yet recruiting
The Post-Operative Pain Management of Pediatric Supracondylar Elbow Fractures [NCT01328782]124 participants (Actual)Interventional2008-06-30Completed
Safety and Efficacy of Addition of Hyaluronidase to Lidocaine and Bupivacaine in Scalp Nerves Block in Elective Craniotomy Operations, Comparative Study [NCT03411330]Early Phase 164 participants (Actual)Interventional2017-01-24Completed
The Use of Transversus Abdominis Plane (TAP) Block in Autologous Breast Reconstruction Donor Site: A Randomized, Double-blind, Placebo-controlled Trial [NCT01398982]Phase 493 participants (Actual)Interventional2011-07-31Completed
Effects of Erector Spinae Plane Block on Sympathectomy in Off Pump Coronary Artery Bypass Surgery [NCT04447560]25 participants (Actual)Interventional2020-07-06Completed
Evaluating the Analgesic Efficacy of Combined Individual Nerve Block in Comparison to Interscalene Nerve Block in Patients Undergoing Shoulder Arthroscopic Assisted Adhesiolysis [NCT04709250]128 participants (Actual)Interventional2021-01-01Completed
Efficacy of Ultrasound Guided Superficial Cervical Plexus Block for Tracheal Reconstruction Surgery on Quality of Recovery: a Randomized Control Study [NCT04567992]30 participants (Actual)Interventional2020-11-01Completed
Comparison of Postoperative Analgesic Effects of Transversus Abdominis Plane Block and Quadratus Lumborum Block Type 2 [NCT03126084]Phase 490 participants (Actual)Interventional2017-05-02Completed
Preemptive Local Analgesia With Liposomal Bupivacaine in Vaginal Hysterectomy: A Randomized Controlled Study [NCT03907033]Phase 428 participants (Actual)Interventional2019-09-03Terminated(stopped due to Insufficient funding to continue with study activities)
A Phase 3, Randomized, Double-Blind, Active-Controlled, Multicenter Study to Evaluate the Efficacy, Safety, and Pharmacokinetics of EXPAREL vs. Bupivacaine HCl Administered as a Sciatic (in the Popliteal Fossa) Nerve Block for Postsurgical Analgesia in Su [NCT05157841]Phase 3185 participants (Actual)Interventional2022-02-10Completed
A Study of the Effect of Dexamethasone on Duration of Upper Extremity Blocks With Bupivacaine [NCT01756573]5 participants (Actual)Interventional2013-01-31Terminated(stopped due to Unable to continue study due to time constraints)
Parasternal Nerve Block Using Bupivacaine for Postoperative Analgesia in Children Undergoing Cardiac Surgery: A Prospective: Double-Blind, Randomized Controlled Trial [NCT02512861]Phase 493 participants (Actual)Interventional2014-04-30Completed
Laparoscopic Guided Transversus Abdominis Plane Block Versus Trocar Site Local Anesthetic Infiltration in Gynecologic Laparoscopy. [NCT02973451]Phase 280 participants (Anticipated)Interventional2016-04-30Completed
Caudal Epidural With Non Opioid Adjuvants in Lumbosacral Spine Surgery [NCT04411329]60 participants (Actual)Interventional2020-06-06Completed
A Prospective, Double Blinded, Randomized Comparison of Transversus Abdominis Plane Block Versus Local Anesthetic Infiltration for Laparoscopic Appendectomy in the Pediatric Population [NCT01575028]Phase 23 participants (Actual)Interventional2012-10-31Terminated(stopped due to The study was allowed to expire due to changes in standard care for the patient population within the NCH institution.)
A Phase 3, Randomized, Double-blind, Placebo-controlled Study to Investigate the Efficacy and Safety of the XaraColl® Bupivacaine Implant (300 mg Bupivacaine Hydrochloride) After Open Laparotomy Hernioplasty [NCT02523599]Phase 3305 participants (Actual)Interventional2015-08-31Completed
A Prospective, Randomized Trial of Liposomal Bupivacaine Compared to Continuous Nerve Catheters on Pain Control and Post-Operative Opioid Use in Receiving Popliteal Nerve Blocks for Below the Knee Amputation [NCT05140499]Phase 430 participants (Anticipated)Interventional2022-08-15Recruiting
Treatment Efficacy of Local Anesthetic/Steroid Mixture Injection for Patients With Odynophonia [NCT05178485]Phase 40 participants (Actual)Interventional2023-07-01Withdrawn(stopped due to Halted prematurely prior to enrollment of first participant)
Exparel Pericapsular Injection: A Prospective Evaluation of Postoperative Pain in Bunion Surgery, First Metatarsophalangeal Joint Fusion, and Cheilectomy [NCT02499575]2 participants (Actual)Interventional2015-07-31Terminated(stopped due to Logistical issues prevent efficient enrollment)
A Prospective Randomized Double Blind Trial to Reduce Post-Operative Pain in Implant Based Breast Reconstruction [NCT02044302]Phase 22 participants (Actual)Interventional2014-04-30Terminated
Transabdominal Plane (TAP) Blocks in Ventral Hernia Repair [NCT02007096]Phase 2127 participants (Actual)Interventional2012-08-31Completed
A Prospective, Randomized, Double-Blind Study Comparing the Efficacy of Sphenopalatine Nerve Block by Localized Mucosal Application of an Anesthetic vs Placebo for the Emergency Department Management [NCT01939314]Phase 393 participants (Actual)Interventional2012-10-31Completed
The Safety of Liposomal Bupivacaine in Simultaneous Bilateral Total Knee Arthroplasty [NCT02349542]Phase 420 participants (Actual)Interventional2015-01-31Completed
Pain Outcomes After Anterior Cruciate Ligament Reconstruction With Posterior Capsular Marcaine Injection: A Prospective Randomized Trial [NCT02826551]23 participants (Actual)Interventional2017-01-01Terminated(stopped due to Not enough data.)
Ultrasonography Versus Palpation for Spinal Anesthesia in Obese Parturients Undergoing Cesarean Delivery [NCT03792191]280 participants (Actual)Interventional2019-01-16Completed
A Comparative Study Between Postoperative Analgesia of Fascia Iliaca Compartment Block and Anterior Quadratus Lumborum Block in Proximal Femur Fracture [NCT04709211]128 participants (Actual)Interventional2021-01-10Completed
A Randomized, Controlled Trial to Evaluate Opioid Usage Associated With Femoral Continuous Perineural Infusion and Femoral Single Shot Peripheral Nerve Block After a Hamstring Autograft Anterior Cruciate Ligament Repair. [NCT02075411]Phase 31 participants (Actual)Interventional2014-03-31Terminated(stopped due to Difficult to enroll, parents/subjects prefer to choose type of anesthetic block.)
Continuous Standard Bupivacaine Versus Single Liposomal Bupivacaine Injection for Interscalene Brachial Plexus Block for Pain Management After Proximal Humerus Fracture Fixation [NCT04928664]Phase 478 participants (Anticipated)Interventional2019-06-04Recruiting
An Observational Study of the Pharmacokinetics of Adductor Canal Block Using Liposomal Bupivacaine and Standard Bupivacaine in Total Knee Arthroplasty Patients [NCT04916392]10 participants (Actual)Observational2020-09-01Completed
Local Injection of Local Anesthetic 24 Hours After Knee Replacement Surgery [NCT02420951]50 participants (Actual)Interventional2015-10-05Completed
Parasternal Intercostal Nerve Block in Post-Cardiac Surgery Patients: A Randomized, Controlled Trial of Extended-release Liposomal Bupivacaine (Exparel) Versus Placebo [NCT01826851]Phase 279 participants (Actual)Interventional2013-03-31Completed
Quadratus Lumborum II Block vs Conventional Therapy Alone For Laparoscopic Sleeve Gastrectomy [NCT04073056]Phase 441 participants (Actual)Interventional2018-08-01Completed
Intercostal Nerve Cryoablation Versus Thoracic Epidural Analgesia for Minimal Invasive Nuss Repair of Pectus Excavatum: a Randomized Clinical Trial (ICE Trial) [NCT05731973]46 participants (Anticipated)Interventional2023-03-31Not yet recruiting
ACL Repair and Multimodal Analgesia [NCT01868425]Phase 4112 participants (Actual)Interventional2013-04-30Completed
Analgesic Efficacy of Ultrasound Guided Sacral Erector Spinae Plane Block Versus Caudal Block in Pediatric Anorectal Surgery [NCT04921007]60 participants (Actual)Interventional2021-08-13Completed
The Impact of Liposomal Bupivacaine Administered Following Placement of a Retropubic Suburethral Sling for Stress Urinary Incontinence: a Randomized Placebo-controlled Trial [NCT02296099]Phase 4114 participants (Actual)Interventional2014-11-30Completed
Lumbar Plexus Block vs Fascia Iliaca Block After Hip Arthroscopy: A Non-inferiority Study [NCT02882633]50 participants (Actual)Interventional2015-11-30Completed
A Multicenter, Open-Label Study to Evaluate the Safety and Efficacy of EXPAREL When Administered Via Infiltration Into the Transversus Abdominis Plane (TAP) After Bupivacaine Spinal Anesthesia in Subjects Undergoing Elective Cesarean Section [NCT02353754]Phase 412 participants (Actual)Interventional2015-05-31Terminated(stopped due to Slow enrollment. None of the subjects received EXPAREL.)
A Randomized Control Trial on the Effect of Local Analgesia on Postoperative Gluteal Pain in Patients Undergoing Sacrospinous Ligament Colpopexy [NCT02037061]46 participants (Actual)Interventional2014-03-31Completed
Comparing Low-dose Bupivacaine With Epidural Volume Extension to Standard Bupivacaine Dosing for Short Obstetric Procedures: A Prospective, Randomized Study [NCT03110003]Phase 345 participants (Actual)Interventional2016-06-27Completed
Spinal Versus General Anesthesia With Popliteal and Adductor Canal Blocks for Ambulatory Foot and Ankle Surgery: A Double-Blinded Randomized Controlled Trial. [NCT02996591]Phase 436 participants (Actual)Interventional2017-01-31Completed
Assessing the Tolerability of Suprascapular and Median Nerve Blocks for the Treatment of Shoulder-hand Syndrome - a Feasibility Study [NCT03291197]Phase 45 participants (Actual)Interventional2017-10-15Completed
Evaluating the Addition of Obturator Nerve Block to Adductor Canal Block for Total Knee Arthroplasty [NCT03326999]Phase 460 participants (Actual)Interventional2017-12-11Completed
A Phase 2/3, Randomized, Double-blind, Comparator- and Placebo-controlled Study to Evaluate the Safety, Pharmacokinetics and Efficacy of TLC590 for Postsurgical Pain Management Following Inguinal Hernia Repair [NCT05161637]Phase 2/Phase 3415 participants (Anticipated)Interventional2023-11-30Not yet recruiting
Effect of Transversus Abdominal Plane Block Using Liposomal Bupivacaine Versus Standard Bupivacaine for Open Myomectomy: A Prospective Randomized Control Trial [NCT04272086]Phase 4140 participants (Anticipated)Interventional2020-11-09Recruiting
Periarticular Infusion With Liposomal Bupivacaine or a Ropivacaine Cocktail Versus Continuous Femoral Nerve Catheters for Multimodal Pain Management Following Primary TKA: A Randomized Controlled Trial [NCT02369523]Early Phase 184 participants (Actual)Interventional2014-09-30Terminated(stopped due to Adequate enrollment was not reached for this study.)
A Randomised, Double-Blind, Multi-Centre, Parallel Group Study Comparing Efficacy and Safety of 5 mg/ml Ropivacaine and 5 mg/ml Bupivacaine for Spinal Anaesthesia in Patients Undergoing Unilateral Lower Limb Surgery [NCT00358280]Phase 3220 participants Interventional2006-04-30Completed
A Randomized Trial of Greater Occipital Nerve Block With Bupivacaine Versus Intravenous Metoclopramide for Acute Migraine [NCT03269435]Phase 499 participants (Actual)Interventional2017-11-01Completed
The Effect of EXPAREL® on Postsurgical Pain, and the Use of Narcotics [NCT03290196]Phase 460 participants (Anticipated)Interventional2015-09-03Suspended(stopped due to Patients pain was not regulated well with this product.)
Inflammatory Mediators, Neural Tissue Injury Markers and the Markers of Oxidative Stress in the CSF of Patients Undergoing Spinal Anesthesia With Ropivacaine and Bupivacaine [NCT03293472]Phase 460 participants (Anticipated)Interventional2017-12-01Recruiting
Supplementary Epidural Analgesia in Video-Assisted Thoracic Surgery (VATS) - The SEAVATS Study [NCT02359175]Phase 4161 participants (Actual)Interventional2015-02-28Completed
Combined Administration of Bupivacaine and Exparel Versus Bupivacaine or Exparel Alone for Postoperative Analgesia in Posterior Lumbar Spine Surgery - A Prospective Randomized Study [NCT03514277]Phase 419 participants (Actual)Interventional2016-12-01Terminated(stopped due to PI decision to close study early)
A Comparison of Analgesic Efficacy of Ultrasound-guided Genicular Nerve Block Versus Saline Injection for Total Knee Replacement: a Prospective, Randomized Controlled Trial [NCT03706313]Phase 440 participants (Actual)Interventional2019-01-15Completed
Comparison of Postoperative Analgesic Effects of Ultrasonography-Guided Paravertebral Block and Subcostal Transversus Abdominis Plane Block in Patients Undergoing Laparoscopic Nephrectomy [NCT05723341]90 participants (Anticipated)Interventional2023-02-15Not yet recruiting
Impact of Volume of Local Anesthetic Injected for Adductor Canal Block on Recovery Profile and Block Characteristics Following Total Knee Arthroplasty. [NCT02453360]60 participants (Actual)Interventional2015-05-31Completed
Utilization of Erector Spinae Plane Blocks in a Multimodal Analgesic Pathway for Instrumentation and Fusion of Adolescent Idiopathic Scoliosis: A Feasibility Study [NCT04500613]24 participants (Anticipated)Interventional2021-02-22Enrolling by invitation
Local and Intraperitoneal Analgetics in Gynecologic Laparoscopy for Post Operative Pain Relief [NCT02976571]120 participants (Anticipated)Interventional2016-11-30Recruiting
Transversus Abdominis Plane (TAP) Infiltration vs. Surgical Infiltration of Local Anesthetic in Laparoscopic and Robotic Assisted Hysterectomy [NCT02519023]Phase 487 participants (Actual)Interventional2016-07-31Completed
Effects of Scalp Block With Bupivacaine Versus Levobupivacaine on Haemodynamic Response to Head Pinning and Efficacy on Postoperative Analgesia [NCT02497040]Phase 490 participants (Actual)Interventional2008-03-31Completed
A Comparison of Ultrasound Guided Transversus Abdominis Plane Nerve Block Technique Versus Laparoscopic Transversus Abdominis Plane Nerve Block Technique Versus No Block on Postoperative Opioid Consumption After Major Colorectal Surgery [NCT02538679]127 participants (Actual)Interventional2015-08-07Completed
A Phase I Dose-escalation Study, Randomized Comparison With Active Control to Evaluate the Safety and Pharmacokinetics of a Single Administration of ND-340 Via Adductor Canal Block (ACB) and IPACK Block in Healthy Volunteers [NCT05588557]Phase 140 participants (Anticipated)Interventional2022-07-08Recruiting
Liposomal Bupivacaine in Implant Based Breast Reconstruction [NCT02659501]24 participants (Actual)Interventional2015-07-31Terminated
A Randomized, Sham-controlled Trial of Greater Occipital Nerve Block as Second Line Therapy for ED Patients With Acute Migraine [NCT02665273]Phase 328 participants (Actual)Interventional2015-07-01Completed
A Multicenter, Randomized, Double-Blind, Placebo-Controlled Study Evaluating the Efficacy, Safety, and Pharmacokinetics of Femoral Nerve Block With EXPAREL for Postsurgical Analgesia in Subjects Undergoing Total Knee Arthroplasty [NCT02713178]Phase 3232 participants (Actual)Interventional2016-06-03Completed
Erector Spinae Plane Block Versus Transverse Abdominis Plane Block in Laparoscopic Hysterectomy [NCT04003987]Phase 378 participants (Actual)Interventional2019-05-01Completed
Liposomal Bupivacaine Plus Bupivacaine Peripheral Nerve Blockade Versus Ropivacaine Plus Dexamethasone Peripheral Nerve Blockade for Arthroscopic Rotator Cuff Repair: a Prospective Randomized Trial [NCT04737980]Phase 492 participants (Actual)Interventional2019-07-18Completed
Liposomal Bupivacaine vs. Interscalene Nerve Block for Pain Control After Total Shoulder Arthroplasty: A Randomized Clinical Trial [NCT02762071]108 participants (Actual)Interventional2016-04-30Completed
Adductor Canal Block Versus Periarticular Bupivicaine Injection in Total Knee Arthroplasty [NCT02777749]Phase 4155 participants (Actual)Interventional2016-07-19Completed
Post-surgical Pain Care Pathways During Enhanced Recovery Surgery Using Exparel (Bupivacaine Liposome Injectable Suspension) Plus Bupivacaine With Epinephrine Versus Bupivacaine. [NCT03001453]Phase 2107 participants (Actual)Interventional2014-04-30Completed
A Multicenter, Randomized, Double-Blind, Controlled Study of EXPAREL for Postsurgical Pain Management in Subjects Undergoing Open Lumbar Spinal Fusion Surgery [NCT03015961]Phase 438 participants (Actual)Interventional2017-02-21Terminated(stopped due to Slow enrollment)
Para-cervical Block Prior to Laparoscopic Hysterectomy as an Adjuvant Treatment to Reduce Postoperative Pain. [NCT03027661]Phase 341 participants (Actual)Interventional2017-08-01Completed
Combined Spinal Epidural v. Epidural Labor Analgesia for Postpartum Depression Symptoms (COPE Trial): Pilot Randomized Control Trial [NCT03022526]61 participants (Actual)Interventional2017-01-31Completed
A Randomized Controlled Trial to Compare Between Hyperbaric Bupivacaine With and Without Fentanyl in Reducing Visceral Pain During Cesarean Delivery Under Spinal Anaesthesia in Tribhuvan University Teaching Hospital [NCT05491187]Phase 372 participants (Actual)Interventional2022-09-20Completed
Propofol-dexmedetomidine Versus Propofol-remifentanil Conscious Sedation for Awake Craniotomy During Epilepsy Surgery [NCT02988050]60 participants (Actual)Interventional2013-08-31Completed
Dose Escalation of Dexamethasone to Increase Duration of Transversus Abdominal Plane Block Following Cesarean Section: A Prospective Randomized Double-Blinded Clinical Study [NCT03098420]Phase 2/Phase 329 participants (Actual)Interventional2016-07-31Terminated(stopped due to Low enrollment; recruitment challenges due to competing studies in women and infant center)
Use of Liposomal Bupivacaine for Postoperative Pain Management After Arthroscopic Rotator Cuff Repair [NCT03149887]Phase 454 participants (Actual)Interventional2017-12-05Completed
Quadratus Lumborum Block vs Transversus Abdominis Plane Block for Post-prostatectomy Analgesia [NCT03606889]12 participants (Actual)Interventional2018-07-31Terminated(stopped due to not enough participants)
QL Block for Post-cesarean Delivery Pain [NCT03261193]Phase 360 participants (Anticipated)Interventional2017-09-05Recruiting
U/s Guided Oblique Subcostal Transversus Abdominis Plane Block Versus Erector Spinae Plane Block as Pre-emptive Analgesia for Open Umbilical Hernia Repair; Randomized, Double-blinded Controlled Trial [NCT04941170]Phase 470 participants (Actual)Interventional2021-06-29Completed
Comparative Feasibility and Efficacy of a Five Compartment Technique Using 0.25% Bupivacaine vs a Mixture of 0.25% Bupivacaine and 1.3 % Liposomal Bupivacaine in Patients Undergoing Tka; a Single Blinded Randomized Controlled Study [NCT03303794]Phase 325 participants (Actual)Interventional2017-10-25Terminated(stopped due to Interim Analysis showed no significance)
A Randomized, Single Blind Study to Investigate the PK, Relative Bioavailability and Safety of INL-001 Bupivacaine HCl Collagen-Matrix Implant 300 mg Compared to Marcaine™ 0.25% (Bupivacaine HCl) 175 mg Infiltration After Open Hernioplasty [NCT03234374]Phase 152 participants (Actual)Interventional2017-06-02Completed
Superior Hypogastric Plexus Block During Laparoscopic Hysterectomy: a Randomized Controlled Trial. [NCT03283436]Phase 4100 participants (Actual)Interventional2018-01-18Completed
Efficacy of Subcutaneous Infiltration With Local Anesthetic During Elective Cesarean Delivery for Postoperative Pain Control: a Randomized Controlled Trial [NCT03383588]Phase 226 participants (Actual)Interventional2018-07-19Terminated(stopped due to study was published during initial recruitment that showed no difference)
Pectoralis (II) Block With Liposomal Bupivacaine vs Bupivacaine Plus Dexamethasone for Mastectomy With Immediate Reconstruction [NCT03383198]Phase 45 participants (Actual)Interventional2017-12-01Terminated(stopped due to Early termination due to manufacturer discontinued supplying the product for the study.)
Ultra Sound Guided Rectus Sheath Block or Field Block for Midline Hernia Repair: A Comparative Study [NCT03225313]75 participants (Actual)Interventional2017-08-10Completed
A Randomized, Controlled, Double-Blind Trial of 3 Local Anesthetics for Spinal Anesthesia in Primary Total Hip Arthroplasty to Compare the Percentage of Patients in Each Group With Early Ambulation [NCT03948386]Phase 4159 participants (Actual)Interventional2019-05-13Completed
Randomized Controlled Trial Investigating Use of Liposomal Bupivacaine in Bariatric Surgery [NCT03373591]Phase 2219 participants (Actual)Interventional2018-01-30Completed
Pain Outcomes Following Hip Arthroscopy: A Prospective Randomized Control Study Comparing Fascia Iliaca Blockade vs Extracapsular Local Field Infiltration With Liposomal Bupivacaine [NCT04114058]Phase 437 participants (Actual)Interventional2019-10-29Completed
Double Blind Randomized Clinical Trial Comparing Time To Return of Lower Extremity Motor Function Following Spinal Anesthetic With Mepivacaine Versus Low-Dose Bupivacaine For Primary Total Hip and Knee Arthroplasty [NCT03838874]Phase 2/Phase 3154 participants (Actual)Interventional2019-02-25Completed
Single-site, Double Blinded, Randomized Investigation of Corticosteroid Versus Placebo Injection Under Ultrasound Guidance in Patients With Syndesmotic Ligament Injury or High Ankle Sprain [NCT02892500]Phase 21 participants (Actual)Interventional2016-04-30Terminated(stopped due to Inability to enroll subjects)
Effects of Liposomal Bupivacaine for Acute Pain in Hip and Femur Fractures: a Randomized, Active Comparator-controlled, Blinded Trial [NCT02679560]Phase 23 participants (Actual)Interventional2017-10-01Terminated(stopped due to Poor recruitment)
Ultrasound-guided Adductor Canal Block for Total Knee Replacement: a Randomized, Double-blind Placebo Controlled Trial. [NCT02100579]Phase 440 participants (Actual)Interventional2014-03-31Completed
Maternal Microcirculation & SDF Imaging: A Novel Assessment of the Microcirculation During Cesarean Delivery With Spinal Anesthesia and the Impact of Phenylephrine Prophylaxis to Prevent Spinal Anesthesia-induced Hypotension. [NCT02376192]Phase 432 participants (Actual)Interventional2014-01-31Completed
Erector Spinae Plane Block vs. Pecto-intercostal Fascial Plane Block vs. Control for Sternotomy: A Prospective Randomized Trial [NCT04985500]Early Phase 190 participants (Anticipated)Interventional2021-07-08Recruiting
Comparison of Efficacy of Transversus Abdominis Plane Block and Ilioinguinal Nerve Block for Postoperative Pain Management in Patients Undergoing Inguinal Herniorraphy With Spinal Anesthesia [NCT02375100]90 participants (Actual)Interventional2015-02-28Completed
Chemical Sympathectomy Following Peripheral Nerve Block With Liposomal Bupivacaine [NCT02374320]Phase 2/Phase 314 participants (Actual)Interventional2014-11-30Terminated(stopped due to PI leaving institution)
An Open Label Pilot Study of Feasibility of a Dexmedetomidine-Remifentanil-Caudal Anaesthetic for Infant Lower Abdominal/Lower Extremity Surgery: The TREX Pilot Study [NCT02353182]Phase 460 participants (Actual)Interventional2015-05-31Completed
Is the Efficacy of Epidural Steroid Injections Related to the Different Volume Injections? :A Randomised, Clinical Trial [NCT02343432]75 participants (Actual)Interventional2008-03-31Completed
The Feasibility and Efficacy of Erector Spinae Block Versus Transversus Abdominis Plane Block In Laparoscopic Bariatric Surgery [NCT04417179]60 participants (Actual)Interventional2020-08-20Completed
A Comparison of the Effects of Continuous and Single-Shot Adductor Canal Blocks on Analgesia and Knee Flexion Following Total Knee Arthroplasty [NCT03145584]40 participants (Actual)Interventional2015-07-31Completed
A Phase 4, Randomized, Blinded, Active-Controlled Study of HTX-011 in Subjects Undergoing Different Surgical Procedures [NCT05109312]Phase 490 participants (Anticipated)Interventional2021-10-12Active, not recruiting
A Comparison of Epidural and Intravenous Patient-Controlled Analgesia Following Lumbar Spinal Fusion Surgery: A Prospective Randomized Study [NCT03115151]Phase 446 participants (Actual)Interventional2017-05-08Terminated(stopped due to The surgical team has difficulty to find level 1 and 2 fusions for the study.)
A Phase 2 Multicenter, Randomized, Double-blind, Parallel-group, Active-control, Dose-ranging Study to Evaluate the Safety and Efficacy of a Single Administration of SKY0402 for Prolonged Postoperative Analgesia in Subjects Undergoing Primary Unilateral I [NCT00485433]Phase 298 participants (Actual)Interventional2007-06-30Completed
Perioperative Epidural Analgesia for Short-term and Long-term Outcomes of Pancreatic Cancer Surgery- Randomised Trial [NCT01929915]135 participants (Actual)Interventional2013-07-31Completed
Presternal Local Analgesia for Postoperative Pain Relief After Open Heart Surgery [NCT03230227]40 participants (Actual)Interventional2015-02-28Completed
Transversus Abdominis Plane Blocks for Patients Undergoing Robotic Gynecologic Oncology Surgery: A Prospective Randomized, Double-blind, Placebo-controlled Trial [NCT01444924]Phase 275 participants (Actual)Interventional2011-09-30Completed
Fractional Spinal Anesthesia and Systemic Hemodynamics in Frail Elderly Hip Fracture Patients. [NCT05101291]15 participants (Actual)Interventional2021-01-15Completed
A Prospective Randomized Comparison of Ultrasound-guided Supraclavicular and Interscalene Block in Patients Undergoing Arthroscopic Shoulder Surgery [NCT02486549]62 participants (Actual)Interventional2015-06-30Completed
The Analgesic Activity of a Topical Formulation in Patients With Osteoarthritis of the Hands [NCT02485145]Early Phase 140 participants (Anticipated)Interventional2015-07-31Not yet recruiting
Pilot Study: Rectus Sheath Blocks for Improving Abdominal Surgery Conditions: A Prospective Randomized Double-Blind Placebo Controlled Study [NCT02447965]6 participants (Actual)Interventional2016-01-01Terminated(stopped due to difficult recruitment)
The Effect of Popliteal Plexus Block on Postoperative Pain After Total Knee Arthroplasty [NCT03198403]Phase 417 participants (Actual)Interventional2017-08-01Completed
Three Protocols for Phenylephrine Administration for Prophylaxis Against Post-spinal Hypotension During Cesarean Delivery [NCT03302039]Phase 4217 participants (Actual)Interventional2017-10-06Completed
Dyphenhidramine Effect on Prevention of Sevoflurane Induced Post Anesthesia Agitation in Pediatric [NCT02463929]Phase 450 participants (Actual)Interventional2014-04-30Completed
Effectiveness of Adding Magnesium Sulphate to Bupivicaine in Ultrasound Guided Serratus Anterior Plane Block in Patients Undergoing Modified Radical Mastectomy [NCT04429893]Phase 2/Phase 380 participants (Anticipated)Interventional2022-01-01Recruiting
Erector Spinae Plane Block Versus Conventional Analgesia in Complex Spine Surgery: A Randomized Controlled Trial [NCT04156581]Phase 446 participants (Actual)Interventional2019-10-14Completed
[NCT02458547]186 participants (Actual)Interventional2015-05-31Completed
Thoracolumbar Interfacial Plane Block for Analgesia After Spine Surgery [NCT03060681]40 participants (Anticipated)Interventional2017-02-15Recruiting
Can Dexmedetomidine Improve the Analgesic Duration and Efficacy of Erector Spinae Plane Block in Breast Cancer Surgeries? [NCT04920669]58 participants (Actual)Interventional2021-07-01Completed
ULTRASOUND GUIDED POPLITEAL SCIATIC NERVE BLOCK USING BUPIVACAINE ALONE OR COMBINED WITH MAGNESIUM SULFATE FOR DIABETIC FOOT SURGERIES [NCT04903743]50 participants (Anticipated)Interventional2021-01-10Active, not recruiting
Subconjunctiva Bupivacaine as Analgesia in Intravitreal Silicone Oil Removal [NCT03046719]30 participants (Actual)Interventional2016-09-30Completed
Does a ThoracoLumbar Interfacial Plane (TLIP) Block With Liposomal Bupivacaine Provide Extended Post-operative Analgesia Following Spinal Surgery [NCT04865211]Phase 290 participants (Anticipated)Interventional2021-04-05Recruiting
The Pectoral Block for Breast Augmentation Surgery: a Volunteers' and Patients' Study. [NCT03040167]Phase 420 participants (Actual)Interventional2017-10-01Completed
Does Addition of Longer-acting Local Anesthetic Improve the Post-operative Pain After Carpal Tunnel Release? A Randomized Controlled Study [NCT04833777]140 participants (Anticipated)Interventional2021-07-01Recruiting
A Phase III Study of Pre-operative Transversus Abdominis Plane Blocks Using the Nimbus Ambulatory Infusion System in Patients Undergoing Abdominal Free Flap-based Breast Reconstruction [NCT02601027]Phase 3120 participants (Actual)Interventional2015-11-30Completed
Impact of Tranexamic Acid Use on Blood Loss and Transfusion Rates After Hip Reconstruction in Children, A Randomized Controlled Trial [NCT04811313]400 participants (Anticipated)Interventional2021-05-31Not yet recruiting
Use of Pre-operative Nerve Blocks in Older Patients With Hip Fracture: A Pilot Study [NCT02450045]73 participants (Actual)Interventional2015-06-30Terminated(stopped due to PI no longer at institution)
Early Ultrasound-guided Nerve Block for Painful Hand Injuries in the Emergency Department [NCT03195413]15 participants (Actual)Interventional2017-07-01Completed
Dexametomedine Versus Ketamine as an Adjuvant in Ultrasound Guided Erector Spinae Block for Perioperative Thoracotomy Pain Control in Pediatrics Cardiothoracic Surgeries: A Randomized Controlled Trial [NCT05552391]Phase 490 participants (Anticipated)Interventional2022-09-01Recruiting
Safety and Efficacy of Dexmedetomidine Addition to Intrathecal Morphine for Postoperative Analgesia in Cancer Patients Undergoing Major Abdominal Surgery [NCT02435537]Phase 2/Phase 390 participants (Actual)Interventional2013-05-31Completed
Triamcinolone Versus Methylprednisolone in Ultrasound Guided Transversus Abdominis Plane Block in Major Open Abdominal Surgery [NCT04480775]Phase 2/Phase 384 participants (Actual)Interventional2020-07-15Completed
Opioid Consumption in Patients Undergoing Arthroscopic Rotator Cuff Repair Using Interscalene Brachial Plexus Blocks With and Without Liposomal Bupivacaine: A Randomized Controlled Trial [NCT05482113]Phase 417 participants (Actual)Interventional2021-03-09Completed
Comparing the Efficacy of a Periarticular Instillation of Extended Relief Bupivacaine and Meloxicam With Routine Adductor Canal Blockade for Pain Relief After Primary TKA [NCT05751421]Phase 360 participants (Anticipated)Interventional2023-02-28Enrolling by invitation
The Analgesic Efficacy of Ultrasound Guided Transversus Abdominis Plane (TAP) Block in Lower Abdominal OncoSurgeries [NCT03165383]60 participants (Actual)Interventional2013-02-11Completed
Comparison of Ultrasound Guided Femoral Nerve Blockade and Standard Parenteral Opioid Pain Management Alone in Patients With Hip Fracture in the Emergency Department [NCT02381717]60 participants (Anticipated)Interventional2015-08-31Recruiting
Prospective Randomized Trial of Penile Nerve Block With Liposomal Bupivacaine for Hypospadias Repair vs Standard Penile Block With Bupivacaine [NCT04479371]Phase 10 participants (Actual)Interventional2021-07-31Withdrawn(stopped due to Limited funding and resources to complete FDA requirements for enrollment)
Two-arm, Double-blind Randomized Study Comparing Exparel and Exparel Plus an Adductor Canal Block in Total Knee Arthroplasty [NCT02365727]Phase 40 participants (Actual)Interventional2015-04-30Withdrawn(stopped due to Protocol not feasible as written)
Ultrasound Guided Pectoral Nerves (Pecs) Blockade in Persistent Pain After Breast Cancer Surgery [NCT02349581]Phase 26 participants (Anticipated)Interventional2014-11-30Recruiting
Prospective Randomized Trial Comparing Intraoperative Liposomal Bupivacaine Injection With Indwelling Femoral Nerve Blockade in Early Postoperative Pain Control for Primary Total Knee Arthroplasty [NCT02341079]Phase 2/Phase 30 participants (Actual)Interventional2015-03-31Withdrawn(stopped due to Principal no longer interested in conducting study)
Adjuvant Effect of Dexmedetomidine for the Ultrasound Guided Transversus Abdominis Plane Block in Patients Undergoing Laparascopic Cholecystectomy: a Randomized Controlled Clinical Trial. [NCT02331563]Phase 30 participants (Actual)Interventional2014-10-31Withdrawn(stopped due to patients should have assurance to attend this study, money is the main problem)
Combined Spinal Epidural Analgesia in Labour: A Comparison of Two Intrathecal Regimens of Single Shot Spinal [NCT03117595]Phase 4100 participants (Actual)Interventional2017-11-23Completed
Paravertebral Block Versus Erector Spinae Plane Block for Analgesia and Opioid Consumption in Modified Radical Mastectomy; Randomized, Prospective, Double Blind [NCT05080985]86 participants (Actual)Interventional2018-11-20Completed
PENG Block for Patients Undergoing Neck of Femur (NOF) Fracture Surgery: a Dose Finding Study [NCT05095025]50 participants (Anticipated)Interventional2021-09-14Recruiting
Proximal Obturator Nerve Block After Insufficient Analgesic Effect of Femoral Nerve Block in Patients With Hip Fracture [NCT02408419]Phase 40 participants (Actual)Interventional2015-03-31Withdrawn(stopped due to The study was completely redesigned)
Transversus Abdominis Plane (TAP) Blocks Versus Caudal Block for Postoperative Pain Control After Unilateral Lower Abdominal Surgeries in Pediatrics: A Prospective, Randomized Study. [NCT02398123]Phase 128 participants (Actual)Interventional2015-03-31Completed
Analgesic Efficacy of Ultrasound-Guided Deep Serratus Anterior Plane Block, Local Wound Infiltration, and Thoracic Paravertebral Block After Uniportal Video-Assisted Thoracic Surgery: A Randomized Trial [NCT05094323]Phase 2102 participants (Anticipated)Interventional2022-02-18Recruiting
Effect of Intraperitoneal Bupivacaine on Postoperative Pain Control in Patients Undergoing Pelvic Organ Prolapse Repair [NCT06120530]Phase 490 participants (Anticipated)Interventional2023-08-15Recruiting
Comparing Post-operative Analgesic Effectiveness of Wound Infiltration Using Bupivacaine, Tramadol, and Tramadol Plus Bupivacaine in Patients Undergoing Elective Cesarean Section Under Spinal Anesthesia at Dessie Comprehensive Specialized Hospital, Ethiop [NCT06076707]Phase 4163 participants (Anticipated)Interventional2023-11-30Not yet recruiting
The Effect of Application of Fascia Iliaca Compartment Block (FICB) Before or After Spinal Anesthesia on QoR-15 Score in Partial Hip Arthroplasty Surgery [NCT05965544]60 participants (Anticipated)Interventional2023-08-02Recruiting
Pterygopalatine Fossa Block in Aneurysmal Subarachnoid Hemorrhage [NCT05925478]Early Phase 110 participants (Anticipated)Interventional2023-11-06Recruiting
Liposomal Bupivacaine Versus Femoral Nerve Block for Pain Control After Anterior Cruciate Ligament Reconstruction: A Prospective Randomized Trial [NCT02606448]Phase 484 participants (Actual)Interventional2014-08-31Completed
Comparison of Cumulative Opioid Consumption After Interscalene Brachial Plexus Block With Liposomal Bupivacaine (Exparel; 88 mg in 20 cc) Versus Bupivacaine 0.25% for Arthroscopic Shoulder Surgery [NCT01977352]Phase 442 participants (Actual)Interventional2014-01-31Completed
Distal Extremity (Wrist) Nerve Blocks With a Mixture of Liposome Bupivacaine + Bupivacaine Versus Bupivacaine Alone for Patients Having Dupuytren's Contracture Release: a Blinded Randomized Controlled Trial [NCT03106519]Phase 232 participants (Actual)Interventional2017-01-02Completed
Clinical Effectiveness of Erector Spinae Plane Block in Peri-operative Analgesia for Laparoscopic Kidney Procedures [NCT03874091]62 participants (Actual)Interventional2019-01-15Completed
Subpectoral Bupivacaine for Pain Management in Adolescent Reduction Mammaplasty [NCT05898087]Phase 4128 participants (Anticipated)Interventional2022-04-01Recruiting
A Phase 2, Two-Part, Multicenter Study of HTX-011 in Spinal Surgery [NCT04911062]Phase 232 participants (Actual)Interventional2022-04-07Completed
Peripheral Nerve Blocks for Major Lower Extremity Amputations [NCT03174782]Phase 442 participants (Actual)Interventional2018-01-01Terminated(stopped due to The study was terminated due to not enough power and research staff assistance.)
The Effectiveness of Postoperative Local Retropharyngeal Space Anesthetic to Reduce Dysphagia After Anterior Cervical Discectomy and Fusion Surgery [NCT02376205]150 participants (Actual)Interventional2015-02-28Completed
The Effect of Intra-operative Uterosacral Bupivacaine Injection on Post-operative Pain in Patients Undergoing Minimally Invasive Hysterectomy [NCT04157075]Early Phase 1180 participants (Actual)Interventional2021-03-15Completed
A Prospective Randomized Double-Blind Placebo Controlled Study Evaluating Sphenopalatine Ganglion Block (SPGB) for Treatment of Postdural Puncture Headache (PDPH) [NCT02365909]Early Phase 16 participants (Actual)Interventional2015-06-29Terminated(stopped due to Study stopped due to difficulty recruiting patients)
Pain After Thoracoscopic Lung Surgery - the Effect of Intercostal Nerve Blockades With Standard Bupivacaine and Liposomal Bupivacaine - a Randomised Controlled Feasibility Trial [NCT05038007]Phase 250 participants (Anticipated)Interventional2021-09-15Not yet recruiting
Comparison of Interscalene vs. Superficial Cervical Block vs. Combination of Both Blocks for Analgesia After Operative Repair of Midshaft and Lateral Clavicle Fractures [NCT03094481]120 participants (Anticipated)Interventional2016-10-21Recruiting
Comparative Study Between Dexmedetomedine and Ketamine in Erector Spinae Plane Block for Postoperative Analgesia Following Modified Radical Mastectomy. A Prospective Randomized Controlled Study. [NCT05727098]Phase 2/Phase 375 participants (Actual)Interventional2023-01-01Completed
Effect of Intrathecal Fentanyl on Spinal Anesthesia During Dexmedetomidine [NCT03105115]56 participants (Actual)Interventional2017-05-25Completed
The Feasibility of Performing Erector Spinae (ESP) Nerve Block in Bariatric Patients; a Case Series Stud [NCT04477525]Phase 20 participants (Actual)Interventional2021-06-22Withdrawn(stopped due to PI changed hospital center)
Are Superficial Parasternal Intercostal Plane (SPIP) Blocks With Local Anesthetic Alone and Local Anesthetic With Adjuvants Helpful in Managing Post-operative Pain in Coronary Artery Bypass Grafting (CABG)? [NCT05003765]200 participants (Anticipated)Interventional2020-08-06Recruiting
Comparison of Analgesic Efficiency in Laparoscopic Percutaneous Extraperitoneal Closure for Pediatric Inguinal Hernia and Hydrocele Provided by Ultrasound Guided Posterior Quadratus Lumborum Block Using Between 0.125% and 0.25% Bupivacaine [NCT04998071]50 participants (Anticipated)Interventional2021-08-15Recruiting
Neurostimulation in Pudendal Nerve Block: is That Really Necessary? [NCT03072329]150 participants (Actual)Interventional2016-10-31Completed
Intraoperative Lidocaine Infusion vs. Esmolol Infusion for Postoperative Analgesia in Laparoscopic Cholecystectomy: a Randomized Clinical Trial [NCT02327923]Phase 490 participants (Actual)Interventional2015-01-31Completed
Transversus Abdominis Plane (TAP) Block With Bupivacaine Versus Wound Infiltration With Liposomal Bupivacaine (Exparel) for Postoperative Pain Management After Open Total Abdominal Hysterectomy: a Prospective Randomized Controlled Trial [NCT02074709]Phase 460 participants (Actual)Interventional2014-01-31Completed
The Relationship Between Body Mass Index and Post-dural Puncture Headache in Pregnant Women [NCT02999919]420 participants (Actual)Interventional2015-04-30Completed
Are Adductor Canal Blocks With Bupivacaine and Added Magnesium Better at Managing Post-operative Pain Than Adductor Canal Blocks With Bupivacaine and Added Buprenorphine in Patients Undergoing Same-day Discharge Total Knee Arthroplasty? [NCT05091138]100 participants (Anticipated)Interventional2021-10-12Recruiting
High Spinal Anesthesia and the Incidence of Delirium After Cardiac Surgery: a Randomized-controlled Feasibility Trial [NCT05374356]50 participants (Anticipated)Interventional2022-05-31Recruiting
Chronic Migraine Prophylaxis: Comparative Study Between Ultrasound-Guided Greater Occipital Nerve Block and Medical Treatment [NCT06122545]80 participants (Anticipated)Interventional2022-05-01Recruiting
Comparison of Intrathecal Morphine, Epidural Bupivacaine With Sufentanil and Systemic Patient Controlled Analgesia With Morphine for Analgesia After Colorectal Surgery: Prospective Randomised Study. [NCT03007121]Phase 475 participants (Actual)Interventional2017-04-10Completed
Perioperative Epidural Versus Intravenous Local Anesthetic Infusion in Open Upper Abdominal Surgery [NCT03005171]Phase 2/Phase 370 participants (Actual)Interventional2017-01-31Completed
A Randomized Controlled Trial for Pain Control in Laparoscopic Urologic Surgery: 0.25% Bupivacaine Versus Long-Acting Liposomal Bupivacaine [NCT02222129]Phase 4206 participants (Actual)Interventional2012-12-31Completed
Analgesic Efficacy of Two Concentrations of Bupivacaine in Women in Labor. [NCT02244086]Phase 4114 participants (Actual)Interventional2013-06-30Completed
Adjuvants to Ultrasonic Guided Interscalene Block In Arthroscopic Rotator Cuff Repair; Morphine and/or Nalbuphine [NCT03034382]Phase 280 participants (Anticipated)Interventional2016-01-31Recruiting
A Prospective, Randomized, Blinded, Controlled Study Evaluating the Efficacy of Continuous Lumbar Plexus Block With and Without Parasacral Block in Patients Undergoing Total Hip Replacement [NCT02161484]10 participants (Actual)Interventional2014-01-31Terminated(stopped due to The computer is crushed and all data is lost (IT was not able to recover it. Last data was collected 6.17.14))
Comparison Between Bupivacaine Extended-Release Liposome Injection (Exparel) Versus Bupivacaine With Dexamethasone in Transversus Abdominis Plane Block: A Prospective Randomized Controlled Trial [NCT02179892]Phase 49 participants (Actual)Interventional2014-07-31Terminated(stopped due to Inadequate patient population to complete enrollment)
Effects of Different Epidural Initiation Volumes on Postoperative Analgesia in Cesarean Delivery [NCT03156322]81 participants (Actual)Interventional2016-01-01Completed
Prospective Evaluation of Exparel Adductor Canal Field Block for Pain Control After Anterior Cruciate Ligament Reconstruction [NCT04764916]Phase 360 participants (Anticipated)Interventional2021-02-16Recruiting
A Prospective, Randomized Clinical Trial of Two Periarticular Multimodal Drug Injections in Total Hip and Knee Arthroplasty [NCT02543801]Phase 4239 participants (Actual)Interventional2016-01-25Completed
Erector Spinae Plane Block Versus Paravertebral Block in Patients Undergoing Elective Breast Surgery. A Randomized Controlled Trial Comparing Dermatomal Spread. [NCT03471442]48 participants (Actual)Interventional2018-05-29Completed
Effect of Bupivacaine-infused Fibrin Sealant Application on Post-tonsillectomy Pain & Hemorrhage: a Clinical Trial. [NCT02343263]Phase 218 participants (Actual)Interventional2015-03-31Terminated(stopped due to FDA IND was not obtained)
A Randomized Controlled Trial Comparing Continuous Sciatic Nerve Block to Single Shot Sciatic Nerve Block [NCT01615939]Phase 417 participants (Actual)Interventional2012-06-30Terminated(stopped due to The study has been terminiated due to minimal subject recruitment)
Prospective Single-Arm Pilot Study for CT-Guided, Temporary Celiac Ganglion Block as a Test Before Celiac Ganglion Resection for Dysautonomia-Related Bowel Dysmotility [NCT04121338]Phase 115 participants (Actual)Interventional2019-12-09Completed
Comparison of Lidocaine Versus Bupivacaine Spinal Anesthesia in Total Hip Arthroplasty: A Randomized, Double-Blind, Prospective Study [NCT02818894]Phase 4135 participants (Actual)Interventional2016-09-27Terminated(stopped due to This study was terminated due to pressing matters related to the COVID-19 pandemic - staff shortages and changes of personnel, data gaps due to the pandemic, participants not being able to continue follow-up visits, and ongoing enrollment issues.)
Comparison of Infraclavicular and Supraclavicular Block Approaches in Ultrasound Guided Brachial Plexus Block [NCT04784104]Phase 470 participants (Anticipated)Interventional2021-03-05Not yet recruiting
Characterizing and Comparing the Duration of Local Anesthetic in Dermatologic Surgery [NCT05767749]Phase 475 participants (Actual)Interventional2023-03-14Completed
A Randomized Controlled Trial to Evaluate a Novel Analgesia Technique for ACL Reconstruction: Adductor Canal Block With an IPACK Versus Adductor Canal Block [NCT03292926]Phase 478 participants (Actual)Interventional2017-10-04Active, not recruiting
RANDOMIZED CONTROLLED TRIAL COMPARING LIPOSOMAL BUPIVACAINE VERSUS BUPIVACAINE HCL FOR POSTOPERATIVE MANAGEMENT OF FOREFOOT SURGERY [NCT04751344]Phase 4100 participants (Anticipated)Interventional2020-06-16Recruiting
Comparison of Rectal Infiltration of Exparel vs. 0.25% Bupivacaine With Epinephrine vs. Placebo for Analgesic Benefit Following Hemorrhoidectomy [NCT02104414]Phase 411 participants (Actual)Interventional2014-04-30Terminated(stopped due to low enrollment)
Preemptive Local Anesthesia in Vaginal Surgery, A Prospective, Randomised Trial [NCT00318292]Phase 490 participants (Actual)Interventional2006-04-30Completed
A Phase 2 Multicenter, Randomized, Double-blind, Parallel-group, Active-control, Dose-ranging Study to Evaluate the Safety and Efficacy of a Single Administration of SKY0402 for Prolonged Postoperative Analgesia in Subject Undergoing Hemorrhoidectomy [NCT00529126]Phase 2100 participants (Actual)Interventional2007-09-30Completed
Effect of Intrathecal Morphine, Dexmedetomidine or Both in Combination to Bupivacaine on Immunity in Patients Undergoing Major Abdominal Cancer Surgeries [NCT03024957]Phase 1/Phase 230 participants (Anticipated)Interventional2017-01-31Active, not recruiting
A Prospective, Double-blinded, Randomized Comparison of Caudal Analgesia Versus Ultrasound Guided Rectus Sheath Blocks for Umbilical Herniorrhaphy in the Pediatric Population [NCT01394523]Phase 2/Phase 339 participants (Actual)Interventional2011-08-31Terminated(stopped due to Interim power analysis was prohibitive to continuing the study)
Effect of Subarachnoid Hyperbaric Bupivacaine on Mean Arterial Pressure in Obese Pregnant Patients Undergoing Cesarean Section [NCT06060015]Phase 4106 participants (Anticipated)Interventional2023-08-01Recruiting
Post-procedural Pain Associated With Periurethral Block at Time of Bulkamid Injection for SUI: a Randomized Controlled Trial [NCT06043063]52 participants (Anticipated)Interventional2023-09-01Recruiting
Quadratus Lumborum Block to Improve Postoperative Pain Management After Laparoscopic Myomectomies: a Double-blinded and Prospective Randomized Clinical Trial. [NCT05979493]Phase 480 participants (Anticipated)Interventional2024-01-01Not yet recruiting
Evaluating the Effectiveness of Dual Sympathetic Blocks for Patients Experiencing Sympathetically-Mediated Symptoms From Post-Acute Sequelae of SARS-CoV-2 (PASC) [NCT05638620]Phase 120 participants (Actual)Interventional2023-01-03Active, not recruiting
Great Auricular Nerve Block for Children Undergoing Tympanomastoid Surgery: Does the Addition of Clonidine Increase the Duration of Postoperative Analgesia? [NCT01638052]Phase 256 participants (Actual)Interventional2006-02-28Completed
Prospective, Randomized, Double-blinded, Placebo-controlled, Cross-over Trial of Endoscopically Guided Injection of Exparel (Bupivacaine) Towards the Ipsilateral Pterygopalatine Fossa for the Treatment of Craniofacial Pain [NCT04930887]Phase 215 participants (Anticipated)Interventional2023-02-01Recruiting
A Phase II, Single-dose, Blinded, Prospective Study to Investigate the Efficacy and Safety of the CollaRx® Bupivacaine Implant in Women Following Abdominal Hysterectomy or Other Nonlaparoscopic Benign Gynecological Procedure [NCT00624910]Phase 254 participants (Actual)Interventional2007-12-27Completed
Transversus Abdominis Plane (TAP) Block Study for Postoperative Pain Control [NCT02652156]Phase 314 participants (Actual)Interventional2015-11-01Terminated(stopped due to Operational barriers at the site.)
Regional Anesthesia Versus General Anesthesia in Patients Undergoing Laparoscopic Gynecological Surgery [NCT03830086]28 participants (Actual)Interventional2019-02-07Completed
Use of the Tx360 Nasal Applicator for Transnasal Sphenopalatine Ganglion Block in the Treatment of Chronic Migraine: A Double-blind Placebo-controlled Study [NCT01709708]Phase 441 participants (Actual)Interventional2012-09-30Completed
The Use of Lignocaine and Bupivacaine Mix in Adult Safe Male Circumcision; Less is More [NCT02245126]217 participants (Actual)Interventional2013-01-31Completed
A Double-Blind, Placebo-Controlled, Pharmacodynamic and Pharmacokinetic Dose Response Study of SABER-Bupivacaine Instilled Into the Wound in Patients Undergoing Open Inguinal Hernia Repair [NCT00974350]Phase 2124 participants (Actual)Interventional2007-01-31Completed
Comparative Study of Analgesic Efficacy of Ultrasound Guided Interscalene Block Versus Combined Shoulder Anterior Capsular Block and Suprascapular Nerve Block for Arthroscopic Shoulder Surgeries. [NCT05686395]90 participants (Anticipated)Interventional2023-01-01Recruiting
An International, Randomised, Double Blinded, Multi-centre, Active- and Placebo-controlled Dose Response Trial to Evaluate the Efficacy and Safety of SABER-Bupivacaine for Postoperative Pain Control in Patients Undergoing Primary, Elective, Open, Abdomina [NCT00993226]Phase 2115 participants (Actual)Interventional2009-05-31Completed
Administration of Local Anesthetic in Trigger Thumb Surgery: A Randomized Clinical Trial [NCT03873480]31 participants (Actual)Interventional2018-10-02Completed
Anesthetic Greater Occipital Nerve Blockade in Veterans With Post-Traumatic Headache: Sub-study 1 [NCT06069791]Phase 112 participants (Anticipated)Interventional2023-11-30Recruiting
A Prospective, Randomized Controlled Trial Investigating Pecs Blocks Types I and II as a Method for Administering the Non-Opioid Anesthetic Exparel in Order to Mitigate Postoperative Narcotic Usage, Pain, Nausea, and Hospital Stay in Patients Undergoing I [NCT05171179]Phase 390 participants (Anticipated)Interventional2021-10-22Recruiting
Comparison of Sequential and Mixture Injection of Opioids and Hyperbaric Bupivacaine for Subarachnoid Block for Elective Caesarean Section; a Randomised Controlled Study [NCT04403724]Phase 4126 participants (Actual)Interventional2020-07-11Completed
Effect of Adding Dexamethasone to Intrathecal Bupivacaine on Blood Sugar of Patients Undergoing Diabetic Foot Surgeries. [NCT03871049]60 participants (Actual)Interventional2020-01-10Completed
The Postoperative Analgesic Effect of Dexamethasone Added to Topical Bupivacaine in Endoscopic Nasal Surgery [NCT03036605]Phase 460 participants (Actual)Interventional2017-03-15Completed
Effects Of Adjuvants (Dexamethasone and Dexmedetomidine) to Caudal Anesthesia on Cardiac Output and Hemodynamics Measured By Electrical Cardiometry In Children: A Randomized Double Blind Study [NCT03101137]Phase 448 participants (Actual)Interventional2016-02-29Completed
Effects of Rhomboid Intercostal Plane Block for Postoperative Analgesia After Thoracoscopic Surgery Compared With Local Anesthetic Infilteration: A Randomized Clinical Trial [NCT04821947]60 participants (Anticipated)Interventional2021-04-01Not yet recruiting
Analgesia After Total Knee Arthroplasty: Adductor Canal Block With Periarticular Injection and IPACK (ACB/PAI/IPACK) Versus Periarticular Injection (PAI). A Double-Blinded Randomized Controlled Trial [NCT03094663]86 participants (Anticipated)Interventional2017-02-28Recruiting
A Phase 3, Randomized, Double-blind, Placebo-controlled Study to Investigate the Efficacy and Safety of the XaraColl® Bupivacaine Implant (300 mg Bupivacaine Hydrochloride) After Open Laparotomy Hernioplasty [NCT02525133]Phase 3319 participants (Actual)Interventional2015-09-05Completed
Hip Arthroscopy; Femoral Nerve Block or Fascia Iliaca Block: A Randomized Control Trial [NCT05010499]Phase 430 participants (Anticipated)Interventional2021-07-28Recruiting
Paravertebral Block in Coarctation of the Aorta [NCT03074773]Phase 150 participants (Actual)Interventional2016-10-30Completed
Pericapsular Nerve Group (PENG) Block for Congenital Hip Dislocation Surgery: Randomized Controlled Double Blind Study [NCT04212039]48 participants (Actual)Interventional2020-01-01Completed
A Comparison of Epidural Techniques for Labour Analgesia [NCT03065569]150 participants (Actual)Interventional2017-05-07Completed
The Efficacy of Ultrasound-guided Pecto-Intercostal Fascial Plain Block Versus Lidocaine Infusion on Acute and Chronic Post-thoracotomy Pain; A Prospective Randomized Controlled Trial [NCT05885230]138 participants (Anticipated)Interventional2023-05-01Recruiting
Assessing the Impact of EXPAREL(R) on Opioid Use and Patient Reported Outcomes When Administered by Infiltration Into the Transversus Abdominis Plane (TAP) Under Ultrasound Guidance for Prolonged Postsurgical Analgesia in Lower Abdominal Surgeries [NCT01919190]Phase 467 participants (Actual)Interventional2013-08-31Terminated(stopped due to Due to reasons unrelated to safety; primary endpoint signal seen during pre-specified interim analysis.)
Comparison of Different Approaches for Supraclavicular Block and Their Effects on Diaphragm Muscle Function Evaluated With Diaphragm Thickening Fraction [NCT04756050]Phase 490 participants (Actual)Interventional2021-02-16Completed
Stopping Opioid Overuse in Obstetrics to Halt Exposure Trial [NCT04680221]Phase 497 participants (Anticipated)Interventional2021-03-01Enrolling by invitation
A Randomized Controlled Trial of the Effect of Liposomal Bupivacaine (Exparel) When Compared to Saline Control in Reducing Opioid Utilization for Pain Management in Postoperative Lumbar Spine Surgeries. [NCT04644796]Phase 434 participants (Actual)Interventional2021-02-10Completed
Intrathecal Hydromorphone for Labor Analgesia [NCT02277782]21 participants (Actual)Interventional2015-09-01Terminated(stopped due to Study drug shortage, COVID related suspension of recruitment)
A Phase 3, Randomized, Double-Blind, Multicenter, Active-Controlled Study to Evaluate the Efficacy, Safety, and Pharmacokinetics of EXPAREL Admixed With Bupivacaine HCl vs. Bupivacaine HCl Administered Via Adductor Canal Block for Postsurgical Analgesia i [NCT05139030]Phase 3167 participants (Actual)Interventional2022-01-18Completed
TAP-catheter With Intermittent Bolus Injections of Bupivacain, an Alternative to Epidural Catheter Infusion After Colon Surgery? [NCT01395043]15 participants (Actual)Interventional2010-09-30Completed
Study of Peri-Articular Anaesthetic for Replacement of the Knee [NCT03326180]Phase 3533 participants (Actual)Interventional2018-03-29Completed
Evaluation of the Safety and Efficacy of EXPAREL When Administered by Infiltration Into the Transversus Abdominis Plane (TAP) for Prolonged Postsurgical Analgesia in Subjects Undergoing Robot-assisted Laparoscopic Prostatectomy [NCT01582477]Phase 424 participants (Actual)Interventional2012-03-31Completed
A Randomized, Triple-Blinded Study of Endoscopic Ultrasound Guided Celiac Plexus Blockade (EUS-CPB) With Bupivicaine and Triamcinolone vs. Bupivicaine Alone for the Treatment of Pain in Chronic Pancreatitis [NCT00658736]Phase 340 participants (Actual)Interventional2008-03-31Completed
Retroclavicular Approach vs Infraclavicular Approach for Brachial Plexus Block in Obese [NCT02990702]Phase 460 participants (Anticipated)Interventional2017-01-31Not yet recruiting
Phase 3, Multicenter, Randomized, Double-Blind, Parallel-group, Active-control Study to Evaluate the Safety and Efficacy of a Single Administration of SKY0402 for Prolonged Postoperative Analgesia in Subjects Undergoing Hemorrhoidectomy [NCT00744848]Phase 3204 participants (Actual)Interventional2008-08-31Completed
Hemodynamic Effect of Dexmedetomidine on Heavy Bupivacaine Spinal Anesthesia [NCT02155010]74 participants (Actual)Interventional2014-03-31Completed
A Randomized Controlled Trial of Continuous Subpleural Infusion of Bupivacaine After Thoracoscopy [NCT01566838]83 participants (Actual)Interventional2012-10-31Completed
Effect of Ultra-low Dose Naloxone During Supraclavicular Brachial Plexus Block on the Anti-nociceptive Criteria of Post-operative Opioid in Orthopedic Upper Limb Surgeries [NCT03372486]64 participants (Actual)Interventional2017-12-18Completed
A Randomized Double Blinded Study to Determine the Effectiveness of Utilizing Intraperitoneal Bupivacaine: Does it Reduce Post-operative Opioid Use Following Laparoscopic Appendectomy? [NCT03004222]137 participants (Actual)Interventional2015-07-31Completed
Post-operative Pain Relief in Laparoscopic Cholecystectomy Using a Combination of Intraperitoneal Bupivacaine Morphine, Bupivacaine Fentanyl and Bupivacaine Ketamine: A Comparative Study [NCT03355716]120 participants (Anticipated)Interventional2018-01-31Not yet recruiting
Popliteal Block for Postoperative Pain in Knee-ankle Soft Tissue Surgery in Cerebral Palsy [NCT02507700]60 participants (Actual)Interventional2015-06-30Completed
Subcutaneous Wound Infiltration of Ketamine is Superior to Bupivacaine in Terms of Pain Perception and Opioid Consumption After Cesarean Section: a Double-blinded Randomized Placebo Controlled Clinical Trial. [NCT02515422]Phase 1120 participants (Actual)Interventional2014-06-30Completed
Infiltration of Bupivacaine Local Anesthetic to Trocar Insertion Sites After Laparoscopic Hysterectomy: A Randomized, Double-Blind, Placebo-Controlled Trial [NCT01688596]Phase 1135 participants (Actual)Interventional2012-09-30Completed
Subtenon Versus Intravenous Dexmedetomidine for Postoperative Analgesia and Vomiting Control in Infantile Cataract Surgery [NCT02495220]Phase 2/Phase 380 participants (Anticipated)Interventional2015-07-31Recruiting
Prospective, Randomized, Controlled Trial Comparing Continuous Femoral and Single Injection Sciatic Peripheral Nerve Blocks vs Periarticular Injection With Ropivacaine or Liposomal Bupivacaine (Exparel) on Patients Undergoing Total Knee Arthroplasty [NCT02223364]Phase 4165 participants (Actual)Interventional2014-07-31Completed
A Double-Blind Randomized Comparison Trial of Postoperative Pain in Patients Undergoing Total Shoulder Arthroplasty Who Receive Interscalene Blocks With or Without Liposomal Bupivacaine (PoPTSAWoW Trial) [NCT05900427]Phase 4120 participants (Anticipated)Interventional2023-09-08Recruiting
Safety and Analgesic Efficacy of Spinal Versus Caudal Block in Pediatric Infra-umbilical Surgery [NCT02988700]Phase 2/Phase 3120 participants (Actual)Interventional2016-11-30Completed
Adding Dexmedetomidine to Caudal Bupivacaine for Analgesia in Supra - Umbilical Pediatric Surgeries: Would it Add More Analgesia [NCT03307590]Phase 2/Phase 324 participants (Actual)Interventional2017-10-01Completed
Effect of Preincisional Local Analgesia on Post-Operative Pain in 10-12mm Lateral Port Sites [NCT01452633]100 participants (Anticipated)Interventional2011-11-30Recruiting
Effect of Ultrasound-Guided Internal Superior Laryngeal Nerve Block on Sore Throat After Intubation by Double-Lumen Bronchial Tube for Thoracoscopic Surgery [NCT05825872]Phase 464 participants (Anticipated)Interventional2023-04-05Recruiting
Vaginal Cuff Infiltration With Liposomal Bupivacaine for Pain Relief: A Double Blind, Randomized Controlled Trial [NCT05823363]Phase 480 participants (Anticipated)Interventional2023-04-10Recruiting
The Combination of Adductor Canal Block and Periarticular Injection. A Novel Technique for Patients Undergoing Total Knee Replacement (ACB PAI) [NCT02292082]Phase 4111 participants (Actual)Interventional2014-11-30Completed
A Randomized Controlled Trial of Wound Infiltration With Extended-release Versus Short-acting Bupivacaine Before Laparoscopic or Robotic Hysterectomy [NCT02352922]Phase 464 participants (Actual)Interventional2015-07-31Completed
The Efficiency of Periarticular Multimodal Drug Injection in Pain Management Following Primary Unilateral Total Knee Arthroplasty: a Randomized Controlled Trial [NCT06112548]80 participants (Anticipated)Interventional2023-11-01Not yet recruiting
Exparel Transversus Abdominis Plane Block vs Intrathecal Analgesia In Colorectal Surgery: A Prospective Randomized Trial [NCT02356198]209 participants (Actual)Interventional2015-03-31Completed
Voiding Function After Mid-Urethral Slings With and Without Local Anesthetic: Randomized Controlled Trial [NCT01583166]90 participants (Actual)Interventional2012-03-31Completed
Postoperative Analgesia Using Ganglion Impar Block After Anal Surgery [NCT04110132]60 participants (Anticipated)Interventional2024-07-01Not yet recruiting
Safety and Efficacy of Single Ankle, Single Popliteal or Combined Ankle and Popliteal Block for Diabetic Foot Surgery: A Comparative Study [NCT03155568]90 participants (Anticipated)Interventional2017-06-15Not yet recruiting
Single-Blinded, Randomized Assessment of Post-Mastectomy Analgesia Using Exparel (Liposomal) Versus Standard Bupivacaine or Placebo [NCT03504865]Phase 2100 participants (Anticipated)Interventional2019-07-01Recruiting
Abdominal Wall Reconstruction: Postoperative Outcomes Using Transverse Abdominal Plane Anesthesia [NCT02274077]Phase 40 participants (Actual)Interventional2016-01-31Withdrawn(stopped due to funding for the study was terminated)
Multimodal Analgesia Effect on Post Surgical Patient [NCT04240626]Phase 460 participants (Anticipated)Interventional2021-01-20Recruiting
Investigation of Analgesic Effect of Long Thoracic Nerve Blockade After VATS (Video-Assisted Thoracoscopic Surgery) Operation [NCT03483415]60 participants (Anticipated)Interventional2018-05-01Not yet recruiting
Evaluation of the Pharmacokinetics and Safety of Local Administration of EXPAREL in Subjects Undergoing Femoral Nerve Block With Bupivacaine HCl for Unilateral Total Knee Arthroplasty [NCT02255500]Phase 423 participants (Actual)Interventional2014-09-30Completed
Comparison of Ultrasound-Guided Supraclavicular and Costoclavicular Brachial Plexus Blocks in Pediatric Patients Undergoing Unilateral Upper Exremity Surgery: A Randomized Controlled Double-Blinded Study [NCT04782778]58 participants (Actual)Interventional2021-04-01Completed
Postoperative subQ Pain Control for Spinal Fusion Surgery [NCT03476811]Phase 211 participants (Actual)Interventional2018-02-09Completed
A Randomized, Blinded, Inpatient Study to Investigate the PK, Relative Bioavailability and Safety of 2 Doses of XaraColl (200 and 300 mg Bupivacaine HCl) Compared to Bupivacaine HCl Infiltration (150 mg) After Open Laparotomy Hernioplasty [NCT02232178]Phase 264 participants (Actual)Interventional2014-10-20Completed
Lidocaine With Epinephrine vs. Bupivacaine With Epinephrine as Local Anesthetic Agents in Wide-awake Hand Surgery: an Outcome Study of Patients' Pain Perception. [NCT02315573]61 participants (Actual)Interventional2014-10-31Completed
Dexamethasone Effect Using Ultrasound Guided Bilateral Superficial Cervical Block for Postoperative Pain Therapy in Thyroid Surgery [NCT03109691]60 participants (Anticipated)Interventional2018-01-28Recruiting
The Interest of Wound Infiltration With Local Anesthetic Agent for Laparoscopic Appendectomy in Adult: a Double Blind, Prospective, Randomized Control Trial [NCT03481517]Phase 447 participants (Actual)Interventional2018-04-23Completed
Effect of Spinal or Sevoflurane Anesthesia on Neutrophil Activation After Tourniquet Induced Ischemia-reperfusion in Knee Surgery [NCT03470363]40 participants (Actual)Interventional2016-01-01Completed
The Effect of the Popliteal Plexus Block on Postoperative Pain After Total Knee Arthroplasty - a Randomized, Controlled, Double-blinded Study [NCT03439787]Phase 415 participants (Actual)Interventional2018-05-15Terminated(stopped due to Methodological problems/problems in the study design (competing pain and a placebo effect). No serious adverse events or other safety issues)
Continuous Erector Spinae Plane Blocks to Treat Postoperative Pain After Open Gynecologic Procedures Via a Low Transverse (Pfannenstiel) Incision: A Randomized, Triple-masked, Placebo-controlled, Split-body Clinical Trial [NCT05082155]Phase 40 participants (Actual)Interventional2022-01-01Withdrawn(stopped due to surgeons stopped doing procedures)
Intrathecal Morphine and Local Infiltration Analgesia in Total Knee Arthroplasty, a Randomized Controlled Study [NCT03434951]Phase 4120 participants (Anticipated)Interventional2017-11-06Recruiting
Sequential Intrathecal Injection of Fentanyl and Hyperbaric Bupivacaine at Different Rates; Does it Make Difference? [NCT03415087]56 participants (Actual)Interventional2016-01-01Completed
Influence of SPI-guided Analgesia With Preventive Different Peribulbar Blocks (PBB) on the Presence of OCR, Postoperative Pain, PONV in Patients Undergoing VRS Under General Anaesthesia: a Randomised, Controlled Trial [NCT03413371]175 participants (Anticipated)Interventional2018-04-26Recruiting
Comparison of Clinical Effects of Meperidine and Sufentanil Added to 0.5% Hyperbaric Bupivacaine for Spinal Anesthesia in Patients Undergoing Cesarean Section [NCT04446715]60 participants (Anticipated)Interventional2020-10-01Recruiting
Comparison of Postoperative Analgesic Efficacy of Erector Spinae Plane Block With 20 ml and 30 ml Bupivacaine Volumes in Cardiac Surgery [NCT04928521]70 participants (Actual)Interventional2021-06-01Completed
Analgesic Efficacy of Paravertebral Morphine for Acute Postoperative Pain: Randomized Multicenter Clinical Trial [NCT03379987]120 participants (Anticipated)Interventional2018-01-01Recruiting
Intraperitoneal Instillation and Wound Infiltration Compared With Intrathecal Morphine for Postcesarean Section Analgesia : A Prospective Randomized Controlled Double- Blind Trial [NCT05405049]46 participants (Anticipated)Interventional2022-06-01Not yet recruiting
Dosage of Intrathecal Hyperbaric Bupivacaine and the Incidence of Post Spinal Shivering in Cesarean Section: is There a Relation? [NCT03356899]100 participants (Actual)Interventional2017-12-30Completed
Can Latency of Action in Infraclavicular Brachial Plexus Block be Shortened With Warmed Bupivacaine? [NCT03346993]Phase 160 participants (Actual)Interventional2016-07-01Completed
The Effect of Ultrasound-Guided Bilateral Rectus Sheath Block Versus Wound Infiltration on Postoperative Pain in Gynecooncological Patients Undergoing Laparotomy With Midline Incision: Randomized Controlled Triple Blinding Study [NCT06095908]30 participants (Anticipated)Observational [Patient Registry]2023-06-15Recruiting
Efficacy of Two Dental Local Anesthetics on the Oral Health-Related Quality of Life After Endodontic Treatment in the Symptomatic Mandibular Molars: A Double Blind Randomized Controlled Trial [NCT04787731]Phase 4100 participants (Anticipated)Interventional2019-07-29Suspended(stopped due to COVID-19 and Personnel changes)
A Dose Response Study for Duration of Analgesia Using Bupivacaine and Ropivacaine for Infragluteal Parabiceps Sciatic Block [NCT01272921]Phase 4142 participants (Actual)Interventional2010-11-30Completed
A Prospective Trial to Assess Analgesic Efficacy of Liposomal Bupivacaine vs. Bupivacaine HCL as a Tap Block After Abdominally Based Autologous Breast Reconstruction [NCT02662036]Phase 470 participants (Actual)Interventional2016-02-29Terminated(stopped due to Interim analysis showed that there was no difference between the two drugs)
An Investigator-Initiated, Double-Blind, Patient-Controlled, Randomized Control Trial Comparing the Effectiveness of Liposomal Bupivacaine to a Solution of Bupivacaine, Epinephrine Clonidine and Dexamethasone in Bilateral, Single Shot, Erector Spinae Plan [NCT04603911]Phase 275 participants (Actual)Interventional2020-12-04Active, not recruiting
Analgesic Effect of Adding Popliteal Plexus Block to Standard Saphenous Nerve Block in Patients Scheduled for Elective Arthroscopic Anterior Cruciate Ligament Reconstruction : Randomized Observer Blind Clinical Trial [NCT04020133]58 participants (Anticipated)Interventional2019-09-05Recruiting
Evaluation of the Efficacy of Adding Magnesium Sulfate as an Adjuvant to Bupivacaine in Bilateral Ultrasound Guided Paravertebral Block for Laparoscopic Cholecystectomy [NCT05099250]50 participants (Actual)Interventional2019-07-15Completed
The Effect of Unilateral Spinal Anaesthesia and Psoas Compartment With Sciatic Block on the Postoperative Pain Management in Total Knee Artroplastic Surgery [NCT03021421]Early Phase 160 participants (Actual)Interventional2015-01-31Completed
Does Liposomal Bupivacaine Provide Improved Pain Management for ORIF of Midshaft Clavicle Fractures? [NCT03020563]Phase 40 participants (Actual)Interventional2017-08-23Withdrawn(stopped due to no longer necessary)
A Pain Relief Trial Utilizing the Infiltration of a Multivesicular Liposome Formulation Of Bupivacaine, EXPAREL®: A Phase 4 Health Economic Trial in Adult Patients Undergoing Open Colectomy [NCT01507246]Phase 442 participants (Actual)Interventional2011-12-31Completed
Continuous Adductor Canal Block With Epidural Analgesia for Total Knee Arthroplasty: A Prospective, Randomized, Double-blinded, Placebo-Controlled Trial [NCT02121392]165 participants (Actual)Interventional2014-10-31Completed
Local Liposomal Bupivacaine Versus Standard of Care in an Opioid-Sparing Analgesic Approach to Total Knee Arthroplasty: A Prospective, Randomized, Controlled Trial [NCT02219087]60 participants (Actual)Interventional2014-08-31Completed
Randomized Double-blinded Study Designed to Optimize the Dose of Bupivacaine in Combined Spinal Epidurals to Reduce the Incidence of Fetal Bradycardia and Maternal Hypotension [NCT02159807]170 participants (Actual)Interventional2015-04-24Completed
A Pain Relief Trial Utilizing the Infiltration of a Multivesicular Liposome Formulation of Bupivacaine, EXPAREL(R): A Phase 4 Health Economic Trial in Adult Patients Undergoing Laparoscopic Colectomy (IMPROVE-Lap Colectomy) [NCT02058290]Phase 4122 participants (Actual)Interventional2011-12-31Terminated(stopped due to Slower than expected enrollment)
Effect of Two Different Doses of Intrathecal Dexmedetomidine as Adjuvant Combined With Hyperbaric Bupivacaine in Elderly Patients Undergoing Transurethral Resection of Prostate: A Prospective, Randomized Study [NCT05351489]Early Phase 170 participants (Anticipated)Interventional2022-05-30Recruiting
Interscalene Block Versus Superior Trunk Block: A Randomized Controlled Clinical Trial [NCT03272139]Phase 4126 participants (Actual)Interventional2017-09-28Completed
A Randomized Controlled Trial Comparing Combined Spinal- Epidural Dosing Strategies for External Cephalic Version [NCT01991743]240 participants (Actual)Interventional2011-05-31Completed
The Use of Exparel for Extended Pain Control in Minimally Invasive Cardiac Surgery [NCT02008370]Phase 49 participants (Actual)Interventional2013-11-30Terminated(stopped due to Lack of available participants that meet criteria)
[NCT02510287]128 participants (Actual)Interventional2015-07-31Completed
Intra-articular Infiltration With Magnesium Sulphate and Bupivacaine in Distal Radius Fractures. Randomized, Double-blind Study [NCT02514343]40 participants (Actual)Interventional2015-07-31Completed
Does Bupivacaine Liposomal Injectable Suspension Decrease Post-operative Pain and Narcotic Use After Elective Orthognathic Surgery? [NCT03318757]Phase 40 participants (Actual)Interventional2020-09-30Withdrawn(stopped due to The research could not be conducted as it was denied by the IRB.)
Pediatric Caudal Epidural Dexmedetomidine Enhances Postoperative Analgesia of Magnesium Sulphate and Quality of Caudal Anesthesia in Lower Abdominal Surgeries [NCT02487355]Phase 2/Phase 3120 participants (Anticipated)Interventional2015-05-31Recruiting
The Evaluation of Pre-incisional and Post-closure Local Anesthetic vs. Normal Saline on Postoperative Pain in Pediatric Appendectomies [NCT02483689]100 participants (Anticipated)Interventional2015-08-31Recruiting
Predictability of the Effects of Facet Joint Infiltration in the Degenerate Lumbar Spine When Assessing MRI Scans [NCT03308149]50 participants (Actual)Observational2016-01-10Completed
Comparison Of Dexmedetomidine And Dexamethasone As An Adjuvant To Bupivacaine In Ultrasound Guided Supraclavicular Brachial Plexus Block In Upper Limb Surgeries [NCT04791475]60 participants (Actual)Interventional2021-02-22Completed
Study for the Evaluation of the Effectiveness of Stellate Ganglion Blockade in Preventing Postoperative Atrial Fibrillation [NCT03269383]Phase 40 participants (Actual)Interventional2019-12-31Withdrawn(stopped due to Lack of funding and other logistical issues)
The Effect of Local Anesthesia on Postoperative Pain in Vaginal Hysterectomy: A Randomized Controlled Trial [NCT03268525]Early Phase 160 participants (Actual)Interventional2017-09-01Completed
Intrathecally Administered Ketamine, Dexmedetomidine, and Their Combination With Bupivacaine for Postoperative Analgesia in Major Abdominal Cancer Surgery [NCT02455609]Phase 2/Phase 390 participants (Anticipated)Interventional2015-03-31Active, not recruiting
Port Site Infiltration With Bupivacaine for Reduction of Postoperative Pain in Woman Undergoing Gynecologic Laparoscopy: A Randomized, Factorial, Double-Blind, Controlled Trial [NCT03259243]Phase 4100 participants (Actual)Interventional2017-04-01Completed
Comparison of Two Vasopressor Infusion for Prevention of Post-spinal Hypotension During Cesarean Delivery: A Randomized Controlled Trial [NCT03248791]Phase 4120 participants (Anticipated)Interventional2017-08-20Recruiting
Efficacy and Side Effects of Intrathecal Morphine in Multimodal Analgesia for Unilateral Total Knee Arthroplasty [NCT03232957]131 participants (Actual)Interventional2017-08-01Completed
[NCT02495363]50 participants (Actual)Observational2015-03-31Completed
Evaluation Of Efficacy And Safety Of Labour Analgesia By Intrathecal Morphine With Fentanyl Compared To Morphine With Bupivacaine In Mulago Hospital: A Double-blinded Randomized Control Trial [NCT02498171]138 participants (Actual)Interventional2014-01-31Completed
Comparison Of The Effect Of Dexamethasone Added To Bupivacaine With Plain Bupivacaine For Caudal Block In Patients For Herniotomy. [NCT02496299]Phase 296 participants (Anticipated)Interventional2015-09-30Not yet recruiting
Pecto-Intercostal Fascial Plane Block for Enhanced Recovery After Cardiac Surgery [NCT04928339]Phase 4100 participants (Actual)Interventional2022-03-28Active, not recruiting
Vasopressor Prophylaxis After Spinal Anesthesia: A Dose Finding Study [NCT03234816]Phase 4270 participants (Actual)Interventional2017-08-02Completed
Assessment of the Analgesic Efficacy of Morphine Chloride in Addition to a Low Dose Solution of Spinal Anaesthetic in Hemorrhoidectomy Compared to a Standard Dose of Spinal Local Anaesthetic. Simple Blind, Randomized, With Blinded Evaluation by Third Part [NCT02046772]Phase 463 participants (Actual)Interventional2012-03-31Completed
Prospective Double Blind Randomized Controlled Trial of the Use of Intraperitoneal Nebulised Local Anaesthetic [NCT00180687]Phase 380 participants (Actual)Interventional2004-10-31Completed
Analgesic Efficacy of Different Volumes in Erector Spinae Plane Block in Patients Undergoing Single Level Lumbar Spine Fixation: A Non-inferiority Randomized Clinical Trial [NCT05892887]Phase 460 participants (Actual)Interventional2023-06-01Completed
Yale Steroid Enhanced Versus Exparel Nerveblock TKA Randomized Controlled Trial (RCT) Study [NCT05279092]Phase 2250 participants (Anticipated)Interventional2022-09-08Recruiting
Comparative Study of Ultrasound-guided Paravertebral Block Versus Intravenous Tramadol for Postoperative Pain Control in Percutaneous Nephrolithotomy [NCT02412930]Phase 453 participants (Actual)Interventional2012-03-31Completed
A Randomized Controlled Trial of Use of Pre-emptive Pudendal Nerve Block for Pelvic Reconstructive Surgery [NCT02409498]0 participants (Actual)Interventional2015-10-31Withdrawn
Scalp Block: Hemodynamic Stability and Patient Comfort In Craniotomy Patients [NCT03177252]Phase 10 participants (Actual)Interventional2020-10-01Withdrawn(stopped due to Investigator decided not to go forward with the trial.)
the Association of Ultrasound Guided Suprascapular and Supraclavicular Nerve Block Provides Adequate Analgesia in Comparison With Ultrasound Guided Interscalene Block [NCT02397330]60 participants (Anticipated)Interventional2015-04-30Not yet recruiting
Two-part Study of Intrathecal Paracetamol Administered Immediately Before Spinal Anaesthesia in Patients Scheduled for Hip Replacement Surgery [NCT02654860]Phase 1/Phase 269 participants (Actual)Interventional2016-11-30Completed
Improving Pain Management After Total Shoulder Replacement Using Bupivacaine Liposome [NCT04134442]Phase 40 participants (Actual)Interventional2019-12-09Withdrawn(stopped due to A new large meta-analysis was published. The results showed the likelihood that liposomal bupivacaine and nerve blocks no longer offer significant contribution. Decision was made to terminate the study.)
Does Liposomal Bupivacaine Improve Pain Following Robotic Sacrocolpopexy and Rectocele Repair for Pelvic Organ Prolapse? A Randomized Placebo Controlled Trial [NCT02449915]Phase 470 participants (Actual)Interventional2015-03-31Completed
The Impact of Liposomal Bupivicaine on Post-Operative Pain in Orthopaedic Trauma Surgery: A Double-Blind Prospective Randomized Control Trial [NCT02480621]Phase 384 participants (Actual)Interventional2014-12-31Completed
A Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of Local Administration of EXPAREL for Prolonged Postsurgical Analgesia in Subjects Undergoing Third Molar Extraction [NCT02517905]Phase 3166 participants (Actual)Interventional2015-08-31Completed
Efficacy of Serratus Anterior Plane Block Using Bupivacaine Alone, Bupivacaine/ Magnesium Sulfate Versus Bupivacaine/ Nalbuphine for Thoracotomy: A Randomized, Double-Blinded Comparative Study. [NCT05565235]Phase 478 participants (Anticipated)Interventional2022-12-09Recruiting
A Comparison Between Continuous Selective Femoral Blocks and Continuous Adductor Canal Blocks at Mid-Thigh in Total Knee Arthroplasty: What is the Best Method to Optimize Functional Achievement and Analgesia in Early Rehabilitation? [NCT02453321]Phase 462 participants (Actual)Interventional2015-06-30Completed
Prospective, Randomized Controlled Trial Comparing Continuous Posterior Lumbar Plexus Nerve Block vs Periarticular Injection With Ropivacaine or Liposomal Bupivacaine (Exparel®) on Patients Undergoing Total Hip Arthroplasty [NCT02242201]Phase 4165 participants (Actual)Interventional2014-09-30Completed
Randomized Non-inferiority Trial of Continuous Thoracic Epidural Analgesia Versus Single Intercostal Nerve Block After Thoracotomy [NCT02178553]Phase 4102 participants (Actual)Interventional2014-10-15Completed
Postoperative Analgesia Comparing Subsartorial Saphenous Nerve Block With and Without Dexamethasone in ACL Reconstruction [NCT01586806]Phase 4195 participants (Actual)Interventional2012-07-31Completed
Vital Capacity in Ultrasound Guided Serratus Plane Block in Emergency Department Patients With Multiple Rib Fractures: A Randomized Controlled Trial [NCT04530149]Phase 490 participants (Anticipated)Interventional2021-11-01Recruiting
A Trial to Determine the Optimal Bupivacaine Dose for Initiation of Labor Epidural Pain Relief [NCT04814537]Phase 4100 participants (Actual)Interventional2021-02-25Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00178178 (1) [back to overview]Pain
NCT00180687 (4) [back to overview]Number of Vomiting / Nausea Episodes
NCT00180687 (4) [back to overview]Postoperative Morphine Use
NCT00180687 (4) [back to overview]Reduction in Postoperative Pain
NCT00180687 (4) [back to overview]Hours Needed for Safe Mobilization
NCT00203294 (1) [back to overview]Headache Severity as Measured on an 11-point Verbal Scale (0 to 10):0=No Pain 10=Excruciating Pain
NCT00318292 (1) [back to overview]Visual Analogue Scale (VAS) Pain Score
NCT00398866 (2) [back to overview]Pain Visual Analogue Scale (VAS)
NCT00398866 (2) [back to overview]Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire
NCT00443560 (3) [back to overview]Duration of Labor Analgesia
NCT00443560 (3) [back to overview]Number of Parturients With a Decrease in the Infusion of Epidural Analgesia During Second Stage of Labor
NCT00443560 (3) [back to overview]Number of Participants With Breakthrough Pain in the First Stage of Labor
NCT00484159 (2) [back to overview]Successful Treatment
NCT00484159 (2) [back to overview]Cost Per Successful Procedure
NCT00485433 (1) [back to overview]Area Under the Curve (AUC) of the Numeric Rating Scale (NRS) With Activity (NRS-A) Pain Intensity Scores From 0 Through 72 Hours
NCT00485693 (1) [back to overview]Area Under the Curve (AUC) of the Numeric Rating Scale (NRS) With Activity (NRS-A) Pain Intensity Scores Through Postoperative Day 4
NCT00492973 (5) [back to overview]Complications, Such as Infections, Hospital Readmissions, Manipulations Under Anesthesia, Etc.
NCT00492973 (5) [back to overview]Amount of Pain Medication Taken Per Day
NCT00492973 (5) [back to overview]Length of Hospital Stay
NCT00492973 (5) [back to overview]Knee Society Scores
NCT00492973 (5) [back to overview]Knee Range of Motion
NCT00519584 (4) [back to overview]Maximum VRS Pain Scores at Rest
NCT00519584 (4) [back to overview]Total Opioid Consumption
NCT00519584 (4) [back to overview]the Duration of Analgesia
NCT00519584 (4) [back to overview]Time to a Significant Increase in Shoulder Discomfort
NCT00527332 (1) [back to overview]Duration of Hospital Stay.
NCT00529126 (1) [back to overview]Area Under the Curve (AUC) of the Numeric Rating Scale (NRS) at Rest (NRS-R) Pain Intensity Scores From 0 Through 72 Hours
NCT00533845 (1) [back to overview]Visual Aanalog Scale (VAS) for Pain Assessment With Cough at 48 Hours
NCT00562627 (3) [back to overview]Opioid Use
NCT00562627 (3) [back to overview]Pain at Rest (VAS)
NCT00562627 (3) [back to overview]Time to Readiness for Discharge
NCT00578136 (2) [back to overview]The Duration of Analgesia Based on Time to First Rescue Med, the Quality of Analgesia Based on Modified FACES Scale, and the Incidence of Side Effects: Nausea, Vomiting, Pruritus, and Assess Patient Satisfaction With Pain Management.
NCT00578136 (2) [back to overview]The Amount of Intravenous and Oral Opioids Used by Patients Who Receive a Rectus Sheath Nerve Block and Those Who Receive Local Infiltration of the Surgical Site for Postoperative Analgesia.
NCT00624910 (8) [back to overview]Pain Intensity Rating on a 4-point Likert Scale (After Cough)
NCT00624910 (8) [back to overview]Total Use of Opioid Rescue Analgesia
NCT00624910 (8) [back to overview]Total Use of Opioid Rescue Analgesia
NCT00624910 (8) [back to overview]Total Use of Opioid Rescue Analgesia
NCT00624910 (8) [back to overview]Time to First Use of Opioid Rescue Analgesia
NCT00624910 (8) [back to overview]Pain Intensity Rating on a Visual Analog Scale (at Rest)
NCT00624910 (8) [back to overview]Pain Intensity Rating on a 4-point Likert Scale (at Rest)
NCT00624910 (8) [back to overview]Pain Intensity Rating on a Visual Analog Scale (After Cough)
NCT00626886 (10) [back to overview]Categorical Pain Intensity Scores Over Time - AT REST
NCT00626886 (10) [back to overview]Categorical Pain Intensity Scores Over Time (After Cough)
NCT00626886 (10) [back to overview]Total Use of Opioid Rescue Analgesia Over 0 to 24 Hours
NCT00626886 (10) [back to overview]Total Use of Opioid Rescue Analgesia Over 0 to 48 Hours
NCT00626886 (10) [back to overview]Total Use of Opioid Rescue Analgesia Over 0 to 72 Hours
NCT00626886 (10) [back to overview]Categorical Pain Relief Scores Over Time - AT REST
NCT00626886 (10) [back to overview]Categorical Pain Relief Scores Over Time (After Cough)
NCT00626886 (10) [back to overview]Patient's Global Evaluation of the Study Treatment on a 5 Point Likert Scale
NCT00626886 (10) [back to overview]Summed Pain Intensity VAS Scores (VAS at Rest and After Cough)
NCT00626886 (10) [back to overview]VAS Pain Intensity Scores Over Time
NCT00658736 (2) [back to overview]Change From Baseline in Quality of Life Score at 1 Month - SF12 Physical Component
NCT00658736 (2) [back to overview]Change in Pain Disability Index
NCT00678379 (7) [back to overview]Mean Visual Analog Scale Pain Number.
NCT00678379 (7) [back to overview]Number and Percent of Participants Able to Tolerate a Regular Diet
NCT00678379 (7) [back to overview]Median Number of Pain Medication Doses
NCT00678379 (7) [back to overview]Number and Percent of Participants Able to Tolerate Only Liquids
NCT00678379 (7) [back to overview]Number and Percent of Participants Able to Tolerate Only a Soft Diet
NCT00678379 (7) [back to overview]Total Number of Post-operative Doses of Analgesics.
NCT00678379 (7) [back to overview]Total Time Until Discharge From Hospital.
NCT00744848 (1) [back to overview]Area Under the Curve (AUC) of the Numeric Rating Scale at Rest (NRS-R) Pain Intensity Scores
NCT00745290 (1) [back to overview]Area Under the Curve (AUC) of the Numeric Rating Scale (NRS) With Activity (NRS-A) Pain Intensity Scores
NCT00746863 (5) [back to overview]Difference in Successful Voiding Trial Prior to Discharge Following Placement of Mid-urethral Sling Via the Suprapubic Approach.
NCT00746863 (5) [back to overview]In-hospital Medication Amounts
NCT00746863 (5) [back to overview]Difference in Postoperative Pain Using a Visual Analog Scale at 6 Hours.
NCT00746863 (5) [back to overview]Difference in Postoperative Pain Using a Visual Analog Scale at 24 Hours.
NCT00746863 (5) [back to overview]Difference in Postoperative Pain Using a Visual Analog Scale at 2 Hours.
NCT00749749 (7) [back to overview]Total Amount of Opioid Rescue Analgesia Used
NCT00749749 (7) [back to overview]Total Use of Opioid Rescue Analgesia (mg) Over 0 to 72 Hours
NCT00749749 (7) [back to overview]VAS (mm) Pain Intensity Scores Over Time (After Cough)
NCT00749749 (7) [back to overview]VAS Pain Intensity Scores Over Time AT REST
NCT00749749 (7) [back to overview]Total Amount of Opioid Rescue Analgesia Used
NCT00749749 (7) [back to overview]Time to First Use of Opioid Rescue Analgesia
NCT00749749 (7) [back to overview]The Total Amount of Opioid Rescue Analgesia Used
NCT00779467 (8) [back to overview]Pruritus
NCT00779467 (8) [back to overview]Bromage Score
NCT00779467 (8) [back to overview]Shivering
NCT00779467 (8) [back to overview]Patient Satisfaction Scores
NCT00779467 (8) [back to overview]Amount of Drug Consumed Per Hour in Each Group(Arm)
NCT00779467 (8) [back to overview]Sedation
NCT00779467 (8) [back to overview]Nausea
NCT00779467 (8) [back to overview]Cesarean Delivery
NCT00801138 (4) [back to overview]Time to First Report of Pain
NCT00801138 (4) [back to overview]The Duration of the Interscalene Nerve Block Which is Time to First Administration of Pain Medication After Block
NCT00801138 (4) [back to overview]Median Maximum VAS Pain Scores at Rest
NCT00801138 (4) [back to overview]Total Three-day Opioid Consumption in Oral Oxycodone Equivalent
NCT00807209 (1) [back to overview]Amount of Rescue PCA Fentanyl Administered for Breakthrough Pain During the First 72 Hours.
NCT00813111 (1) [back to overview]Area Under the Curve (AUC) of the Numeric Rating Scale (NRS) With Activity (NRS-A) Pain Intensity Scores
NCT00818363 (6) [back to overview]Mean Pain Intensity on Movement AUC (Time Normalized Area Under the Curve) During the Period 0 to 72 Hours Post-dose.
NCT00818363 (6) [back to overview]Number (Frequency) of Participants Reporting Opioid-related Adverse Events
NCT00818363 (6) [back to overview]Time-to-first Use of Opioid Supplemental Pain Medication
NCT00818363 (6) [back to overview]Supplemental Opioid Use
NCT00818363 (6) [back to overview]Supplemental Opioid Use
NCT00818363 (6) [back to overview]Mean Pain Intensity on Movement AUC (Time-normalized AUC) During the Period 0 to 48 Hours Post-dose (0 to 2 Days Post-dose).
NCT00895843 (1) [back to overview]Number of Patients Needing Rescue Medication
NCT00915473 (4) [back to overview]Mean Number of Days With Acute Medication Use
NCT00915473 (4) [back to overview]Mean Number of Hours With Moderate or Severe Migraine
NCT00915473 (4) [back to overview]Mean Frequency of Days With a Migraine
NCT00915473 (4) [back to overview]Number of Subjects With at Least 50% Reduction in the Frequency of Days With Moderate or Severe Migraine in the 4 Week Post Injection Compared to the 4 Week Pre-injection Baseline Period
NCT00927888 (2) [back to overview]SNOT-20 Surgical Outcome Score
NCT00927888 (2) [back to overview]Postoperative Pain Assessed on Standard VAS Scale
NCT00974350 (6) [back to overview]Mean Function Activities (Modified Brief Pain Inventory)
NCT00974350 (6) [back to overview]Supplemental Opioid Use
NCT00974350 (6) [back to overview]Pain Intensity
NCT00974350 (6) [back to overview]Pain Intensity on Movement
NCT00974350 (6) [back to overview]Treatment Satisfaction
NCT00974350 (6) [back to overview]Proportion (Percent) of Patients Using Supplemental Opioids
NCT00993226 (4) [back to overview]Time to First Opioid Rescue Medication Usage
NCT00993226 (4) [back to overview]Pain Intensity (PI)
NCT00993226 (4) [back to overview]Opioid Related Side Effects
NCT00993226 (4) [back to overview]Supplemental Opioid Use
NCT00993798 (4) [back to overview]Time to First Opioid Rescue Medication Usage
NCT00993798 (4) [back to overview]Supplemental Opioid Use
NCT00993798 (4) [back to overview]Pain Intensity (PI)
NCT00993798 (4) [back to overview]Opioid Related Side Effects
NCT01005459 (1) [back to overview]Spinal Analgesic Duration
NCT01015807 (1) [back to overview]Wound Hyperalgesia Index (WHA) Assessed 48 Hrs After Block Placement in the Different Groups
NCT01052012 (9) [back to overview]Proportion (Percent) of Patients Who Have Evidence of a Wound Infection
NCT01052012 (9) [back to overview]Total Morphine-equivalent Dose
NCT01052012 (9) [back to overview]Number (Incidence) of Participants With Opioid-related Side Effects
NCT01052012 (9) [back to overview]Time-to-first Use of Opioid Rescue Medication
NCT01052012 (9) [back to overview]Pain Intensity at Rest AUC During 0-72 Hours Post Dose
NCT01052012 (9) [back to overview]Supplemental Opioid Use
NCT01052012 (9) [back to overview]Mean Pain Intensity on Movement
NCT01052012 (9) [back to overview]Mean Pain Intensity on Movement
NCT01052012 (9) [back to overview]Mean Pain Intensity at Rest AUC During 0-48 Hours Post Dose
NCT01074190 (3) [back to overview]Cumulative Fentanyl Dose (Micrograms)
NCT01074190 (3) [back to overview]Plasma Fentanyl Concentration (ng/mL)
NCT01074190 (3) [back to overview]Umbilical Vein Plasma Fentanyl Concentration (ng/mL)
NCT01087931 (4) [back to overview]Narcotic Use, Final Follow up
NCT01087931 (4) [back to overview]Pain, Cumulative Visual Analog Score, Final Follow up
NCT01087931 (4) [back to overview]Pain, Cumulative Visual Analog Score, 1st Follow Up
NCT01087931 (4) [back to overview]Narcotic Use, 1st Follow up
NCT01126593 (1) [back to overview]Pain Scores
NCT01203644 (1) [back to overview]Time to First Use of Supplemental Pain Medication
NCT01206595 (1) [back to overview]Time to First Use of Supplemental Pain Medication Postoperatively for Surgical Pain
NCT01206608 (1) [back to overview]Area Under the Curve (AUC) of the Numeric Rating Scale (NRS) at Rest (NRS-R) and With Activity (NRS-A) Pain Intensity Scores
NCT01220024 (6) [back to overview]Mean Sum of Pain Intensity (SPI) Categorical Scores After Aggravated Movement
NCT01220024 (6) [back to overview]Pain Intensity Visual Analog Pain Scale Scores Over Time After Aggravated Movement (Cough)
NCT01220024 (6) [back to overview]Sum of Pain Intensity Defined as Area Under the Curve (AUC) of 100-mm VAS PI Scores.
NCT01220024 (6) [back to overview]Pain Intensity VAS Scores Over Time at Rest
NCT01220024 (6) [back to overview]Sum of Pain Intensity (SPI) Using a Visual Analog Scale (VAS) When at Rest
NCT01220024 (6) [back to overview]Sum of Pain Intensity (SPI) After Aggravated Movement (Cough)
NCT01224145 (5) [back to overview]Total Use of Opioid Rescue Analgesia Morphine Equivalence (mg)
NCT01224145 (5) [back to overview]Total Use of Opioid Rescue Analgesia - Morphine Equivalence (mg)
NCT01224145 (5) [back to overview]Total Use of Opioid Rescue Analgesia - Morphine Equivalence (mg)
NCT01224145 (5) [back to overview]Total Use of Opioid Rescue Analgesia - Morphine Equivalence (mg)
NCT01224145 (5) [back to overview]Total Use of Opioid Analgesia - Morphine Equivalence (mg)
NCT01243112 (2) [back to overview]Onset of Action
NCT01243112 (2) [back to overview]Length of Action
NCT01272921 (2) [back to overview]Duration of Motor and Sensory Block of the Sciatic With 0.5% Bupivacaine and Ropivacaine After Ultrasound-guided Nerve-stimulator-Assisted Needle Positioning Beneath the CIEL
NCT01272921 (2) [back to overview]Cumulative Probabilities for Needle Positioning Above and Below CIEL.
NCT01279447 (1) [back to overview]Post op Pain Score
NCT01286805 (8) [back to overview]Quality of Recovery (QoR-40) Physical Comfort Dimension
NCT01286805 (8) [back to overview]Patient Satisfaction
NCT01286805 (8) [back to overview]Readiness to Discharge From Post-Anesthesia Care Unit (PACU)
NCT01286805 (8) [back to overview]Requirement of Antiemetic Rescue
NCT01286805 (8) [back to overview]Incidence of Nausea
NCT01286805 (8) [back to overview]Incidence of Vomiting
NCT01286805 (8) [back to overview]Narcotic Pain Medication Needed
NCT01286805 (8) [back to overview]Numeric Rating Scale (NRS) Pain at Rest (0-10) on Day of Surgery Prior to Discharge
NCT01294098 (3) [back to overview]Femur Fracture Healing
NCT01294098 (3) [back to overview]Post-operative Narcotic Use
NCT01294098 (3) [back to overview]Post-operative Pain Scores
NCT01328782 (5) [back to overview]The Faces Pain Scale-Revised (FSP-R) Scores (Scored 0-10).
NCT01328782 (5) [back to overview]Need for IV Morphine of Fentanyl
NCT01328782 (5) [back to overview]Time (in Minutes) to First Narcotic Administration
NCT01328782 (5) [back to overview]Total Dosage in Morphine Equivalents (mg/kg) of All Analgesics Received in Prior to Discharge
NCT01328782 (5) [back to overview]Total Quality Pain Management Survey (TQPM) Scores for Questions # 16: Child's Current Level of Pain, Question # 17: Child's Worst Level of Pain When Moving Around After Surgery and Question # 18: Child's Worst Level of Pain While Resting
NCT01394523 (1) [back to overview]Post-operative Pain Score
NCT01395043 (2) [back to overview]Opioid Requirements Postoperative
NCT01395043 (2) [back to overview]Postoperative Pain Using Numerical Rating Scale (NRS) 0-10
NCT01398982 (1) [back to overview]Mean Total Opioid Consumption
NCT01429584 (3) [back to overview]Pain Relief
NCT01429584 (3) [back to overview]Abnormal Lung Function
NCT01429584 (3) [back to overview]Satisfaction With Pain Control
NCT01444924 (2) [back to overview]Pain Scores
NCT01444924 (2) [back to overview]24 Hour Post Operative Opioid Consumption, Converted to Intravenous Morphine Equivalents
NCT01507220 (1) [back to overview]Incidence of Opioid-related Adverse Events
NCT01507246 (4) [back to overview]Total Opioid Burden
NCT01507246 (4) [back to overview]Incidence of Predefined Opioid-related Adverse Events
NCT01507246 (4) [back to overview]Health Economic Benefits - Total Cost of Hospitalization
NCT01507246 (4) [back to overview]Health Economic Benefits - Length of Stay
NCT01508832 (1) [back to overview]The Change in the Average Finger Temperature From Baseline to Post-intervention.
NCT01509638 (10) [back to overview]Health Economic Benefit
NCT01509638 (10) [back to overview]Patient Discharged From Hospital for at Least 3 Days
NCT01509638 (10) [back to overview]Patient Made Unplanned Visit(s) With Any Healthcare Providers
NCT01509638 (10) [back to overview]Health Economic Benefits
NCT01509638 (10) [back to overview]Incidence of Opioid-related Adverse Events
NCT01509638 (10) [back to overview]Time to First Opioid Administration
NCT01509638 (10) [back to overview]Total Opioid Burden
NCT01509638 (10) [back to overview]Patient Satisfaction With Postsurgical Analgesia
NCT01509638 (10) [back to overview]Contact or Attempted to Contact Surgeon/Doctor to Discuss Recovery After Surgery
NCT01509638 (10) [back to overview]Experienced Health Problems or Changes in Health Since Hospital Discharge
NCT01509807 (10) [back to overview]Total Opioid Burden
NCT01509807 (10) [back to overview]Patient Discharged From the Hospital for at Least 3 Days
NCT01509807 (10) [back to overview]Contact or Attempt to Contact Surgeon/Doctor to Discuss Recovery After Surgery
NCT01509807 (10) [back to overview]Experienced Any Health Problems or Changed in Health Since Hospital Discharge
NCT01509807 (10) [back to overview]Health Economic Benefit - Length of Stay
NCT01509807 (10) [back to overview]Health Economic Benefits - Total Cost of Hospitalization
NCT01509807 (10) [back to overview]Incidence of Opioid-related Adverse Events
NCT01509807 (10) [back to overview]Make Unplanned VIsit(s) With Any Healthcare Providers
NCT01509807 (10) [back to overview]Patient Satisfaction With Postsurgical Analgesia
NCT01509807 (10) [back to overview]Readmission to Hospital Since Discharge
NCT01534416 (4) [back to overview]Postoperative Pain Score
NCT01534416 (4) [back to overview]Postoperative Day Pain Medication Use
NCT01534416 (4) [back to overview]Number of Participants With Hospital Admission for Postoperative Pain Control
NCT01534416 (4) [back to overview]Postoperative Pain Score
NCT01550302 (7) [back to overview]Post-operative Opioid Consumption Expressed in Morphine Equivalents
NCT01550302 (7) [back to overview]Number of Patients With Post-operative Side Effects Such as Post-operative Nausea and Vomiting (PONV), Pruritus, Sedation, Respiratory Depression and Hypotension
NCT01550302 (7) [back to overview]Numeric Response Scale Pain Scores at Incision Site at Rest and During Coughing
NCT01550302 (7) [back to overview]Numeric Response Scale Pain Scores Around Chest Tube Insertion Site at Rest and During Coughing
NCT01550302 (7) [back to overview]Numeric Response Scale Pain Scores Around Ipsilateral Shoulder at Rest and During Movement
NCT01550302 (7) [back to overview]Incidence of Post-thoracotomy/Scopy Ipsilateral Shoulder Pain
NCT01550302 (7) [back to overview]Number of Participants Requiring Post-operative Ibuprofen as a Rescue Medication
NCT01566838 (6) [back to overview]Resumed Physical Activity
NCT01566838 (6) [back to overview]Number of Participants With and Without 30-Day Pain Medication Usage
NCT01566838 (6) [back to overview]7-day Paresthesia
NCT01566838 (6) [back to overview]30-day Incidence of Parasthesia
NCT01566838 (6) [back to overview]Length of Stay
NCT01566838 (6) [back to overview]Return to Work
NCT01582477 (6) [back to overview]Total Postsurgical Oxycodone/Acetaminophen Consumption From Hospital Discharge Through Hour 96.
NCT01582477 (6) [back to overview]Subject Reported Postsurgical Pain
NCT01582477 (6) [back to overview]Physician/Healthcare Professional Assessed Postsurgical Pain
NCT01582477 (6) [back to overview]Overall Rating of Subject Satisfaction With Postsurgical Pain Control
NCT01582477 (6) [back to overview]The Duration of Abdominal Analgesia From Infiltration Into the TAP
NCT01582477 (6) [back to overview]Incidence of Prespecified Opioid-related Adverse Events
NCT01582490 (8) [back to overview]Pain Intensity Assessment at the Time of Hospital Discharge
NCT01582490 (8) [back to overview]Pain Intensity Assessment Upon Waking in the PACU
NCT01582490 (8) [back to overview]Incidence of Opioid-Related Adverse Events
NCT01582490 (8) [back to overview]Overall Rating of Subject Satisfaction With Postsurgical Pain Control at Day 10
NCT01582490 (8) [back to overview]Total Postsurgical Opioid Consumption in the Surgical Center
NCT01582490 (8) [back to overview]Duration of Analgesia
NCT01582490 (8) [back to overview]Overall Rating of Subject Satisfaction With Postsurgical Pain Control at Hospital Discharge
NCT01582490 (8) [back to overview]Time to Hospital Discharge Being Written
NCT01583166 (4) [back to overview]Visual Analog Scale for Pain: Pre-operative.
NCT01583166 (4) [back to overview]Post-operative Pain Scores at 2-3 Hours Post op
NCT01583166 (4) [back to overview]Post-operative Pain Scale at 6-7 Hours Post op
NCT01583166 (4) [back to overview]Number of Subjects Who Passed the Voiding Trial After a Midurethral Sling
NCT01586806 (5) [back to overview]Patient-perceived Duration of Analgesia
NCT01586806 (5) [back to overview]Opioid-Related Side Effects (Drowsiness)
NCT01586806 (5) [back to overview]Postoperative Morphine Consumption
NCT01586806 (5) [back to overview]Patient Satisfaction
NCT01586806 (5) [back to overview]NRS (Numerical Rating Scale) Pain Scores
NCT01615939 (3) [back to overview]Pain Control
NCT01615939 (3) [back to overview]Participant Satisfaction With Anesthesia
NCT01615939 (3) [back to overview]Temporary Neurologic Symptoms Between Groups
NCT01621230 (3) [back to overview]The Duration of the Second Stage of Labor
NCT01621230 (3) [back to overview]Number of Participants Whose Newborns Received an APGAR Score of <=3 at 1 Min
NCT01621230 (3) [back to overview]Number of Participants Whose Newborns Received an APGAR Score of <=3 at 5 Min
NCT01632709 (5) [back to overview]Change in Perceived Anxiety (PASS)
NCT01632709 (5) [back to overview]Change in Pain
NCT01632709 (5) [back to overview]Pain Visual Analogue Scale (VAS)
NCT01632709 (5) [back to overview]Change in Perceived Disability (PDI)
NCT01632709 (5) [back to overview]Change in Depression (CES-D 10)
NCT01638052 (3) [back to overview]Number of Participants Requiring Use of Rescue Analgesic Medication in the Initial 24 Hours Postoperatively
NCT01638052 (3) [back to overview]Number of Participants With Nausea/Vomiting
NCT01638052 (3) [back to overview]Average Observer-Rated Patient Pain Scores
NCT01683071 (3) [back to overview]Area Under the Curve (AUC) of Numeric Rating Scale at Rest (NRS-R) Pain Intensity Scores Through 72 Hours
NCT01683071 (3) [back to overview]Time to First Opioid Rescue Through 72 Hours
NCT01683071 (3) [back to overview]Total Postsurgical Opioid Consumption Through 72 Hours
NCT01688596 (7) [back to overview]Estimated Blood Loss > 200 mL
NCT01688596 (7) [back to overview]Length of Hospital Stay >= 24 Hours
NCT01688596 (7) [back to overview]Operating Time
NCT01688596 (7) [back to overview]Postoperative Pain Score
NCT01688596 (7) [back to overview]Postoperative Pain Score
NCT01688596 (7) [back to overview]Postoperative Pain Score Evaluated by Numerical Rating Scale (NRS)
NCT01688596 (7) [back to overview]Surgical Complications
NCT01690663 (2) [back to overview]Primary Outcome Variable is Post Operative Sensory Block Duration
NCT01690663 (2) [back to overview]The Secondary Outcome Variable is Post Operative Motor Block Duration
NCT01701115 (4) [back to overview]Patient Readiness to Discharge
NCT01701115 (4) [back to overview]Side Effects
NCT01701115 (4) [back to overview]Duration of Analgesia
NCT01701115 (4) [back to overview]Handgrip Strength
NCT01701414 (1) [back to overview]Number of Participants Reporting at Least One NRS Rating
NCT01709708 (9) [back to overview]Acute Medications Usage
NCT01709708 (9) [back to overview]Adverse Events
NCT01709708 (9) [back to overview]Change in Numeric Rating Scale (NRS)
NCT01709708 (9) [back to overview]Headache Impact Test (HIT-6)
NCT01709708 (9) [back to overview]Modified Pain Characteristic Questionnaire
NCT01709708 (9) [back to overview]Numeric Rating Scale (NRS)
NCT01709708 (9) [back to overview]Overall Satisfaction
NCT01709708 (9) [back to overview]Patient's Global Impression of Change (PGIC)
NCT01709708 (9) [back to overview]Migraine Headache Days
NCT01731782 (4) [back to overview]Percent of Analgesics Used as Measured by Patient Report
NCT01731782 (4) [back to overview]Number of Nausea/Vomiting Episodes
NCT01731782 (4) [back to overview]Length of Hospital Stay
NCT01731782 (4) [back to overview]Postoperative Pain as Measured by Pain Score
NCT01785459 (2) [back to overview]Length of Stay
NCT01785459 (2) [back to overview]Incidence of Immediate and Post-discharge Complications.
NCT01801124 (2) [back to overview]Overall Postsurgical Analgesic Use
NCT01801124 (2) [back to overview]Postsurgical AEs and SAEs Through Day 30.
NCT01812044 (8) [back to overview]Negative Postoperative Behavior Score on the PHBQ (Post Hospitalization Behavioral Questionnaire)
NCT01812044 (8) [back to overview]Total Narcotic Use During Post-operative Recovery
NCT01812044 (8) [back to overview]Average Pain Score Over the First 30 Post-operative Minutes Using the CHEOPS Scale
NCT01812044 (8) [back to overview]Average Time to Discharge
NCT01812044 (8) [back to overview]Peak Pain Score
NCT01812044 (8) [back to overview]Number of Participants Who Required Anti-emetic Medication Post-operatively
NCT01812044 (8) [back to overview]Number of Participants With Post Operative Nausea and Vomiting
NCT01812044 (8) [back to overview]Peak Pain Score During First 30 Minutes
NCT01826851 (7) [back to overview]Median Pain Levels
NCT01826851 (7) [back to overview]Median Cumulative Morphine Equivalent
NCT01826851 (7) [back to overview]Time to Return to Work or Daily Activities
NCT01826851 (7) [back to overview]Time to First Bowel Movement (Days)
NCT01826851 (7) [back to overview]Time to Extubation (Hours)
NCT01826851 (7) [back to overview]ICU Length of Stay (Hours)
NCT01826851 (7) [back to overview]Hospital Length of Stay (Days)
NCT01829399 (2) [back to overview]Pain Score at Time of Tq Deflation
NCT01829399 (2) [back to overview]Time in Minutes That Tq Remained Inflated
NCT01861665 (1) [back to overview]Wong-Baker Faces Pain Rating Scale
NCT01868425 (12) [back to overview]Intraoperative Medication Use: Fentanyl
NCT01868425 (12) [back to overview]Post-Operative Incidence of Nausea
NCT01868425 (12) [back to overview]Post-Operative Pruritis Score
NCT01868425 (12) [back to overview]Sedation Scale
NCT01868425 (12) [back to overview]Number of Participants With Complications From the Procedure
NCT01868425 (12) [back to overview]Time to Discharge
NCT01868425 (12) [back to overview]Post-Operative Nausea Scores
NCT01868425 (12) [back to overview]Opioid Consumption in the Immediate Postoperative Period
NCT01868425 (12) [back to overview]Incidence of Post-Operative Pruritus
NCT01868425 (12) [back to overview]Intraoperative Medication Use: Ketorolac and Lidocaine
NCT01868425 (12) [back to overview]Number of Participants Who Received Medication for Nausea
NCT01868425 (12) [back to overview]Pain Scores During Recovery
NCT01907191 (4) [back to overview]Opioid Consumption (Mean Number of 5mg Oxycontin Tablets Consumed)
NCT01907191 (4) [back to overview]Pain Scores
NCT01907191 (4) [back to overview]Satisfaction With Pain Management
NCT01907191 (4) [back to overview]Number of Patients Reporting Sleep Disturbance
NCT01919190 (2) [back to overview]Overall Benefit of Analgesic Score (OBAS) at Day 3
NCT01919190 (2) [back to overview]Total Opioid Consumption Post Surgery (Cumulative Total) Until Discharge Readiness or Post Surgery Day 4
NCT01919606 (1) [back to overview]Incidence of Adverse Events
NCT01939314 (3) [back to overview]Categorical Pain Relief
NCT01939314 (3) [back to overview]Number of Participants Who Reported a 50% or Greater Reduction in Pain at 15 Minutes as Measured on the 100mm Visual Analog Scale
NCT01939314 (3) [back to overview]Headache Free at 24 Hours
NCT01977352 (6) [back to overview]Quality of Analgesia
NCT01977352 (6) [back to overview]Incidence of Postoperative Nausea and Vomiting
NCT01977352 (6) [back to overview]Sensory and Motor Block
NCT01977352 (6) [back to overview]Sleep Quality
NCT01977352 (6) [back to overview]Total Opioid Consumption
NCT01977352 (6) [back to overview]Time to First Pain Medicine
NCT01991743 (5) [back to overview]Success Rate of External Cephalic Version
NCT01991743 (5) [back to overview]Mode of Delivery
NCT01991743 (5) [back to overview]Indication of Cesarean Delivery
NCT01991743 (5) [back to overview]Pain Score During the Procedure
NCT01991743 (5) [back to overview]Abdominal Relaxation
NCT01995045 (4) [back to overview]Mean Acetaminophen Intake
NCT01995045 (4) [back to overview]Mean Oxycodone Intake
NCT01995045 (4) [back to overview]Mean Pain Score
NCT01995045 (4) [back to overview]Mean Hydrocodone Intake
NCT02000973 (4) [back to overview]Propofol Effect-site Concentration
NCT02000973 (4) [back to overview]Bispectral Index Score
NCT02000973 (4) [back to overview]Heart Rate
NCT02000973 (4) [back to overview]Mean Arterial Pressure
NCT02007096 (4) [back to overview]Pain Score
NCT02007096 (4) [back to overview]Pain Score
NCT02007096 (4) [back to overview]Post-operative Opioid Use
NCT02007096 (4) [back to overview]Operating Procedure Time
NCT02008617 (4) [back to overview]Opioid Consumption
NCT02008617 (4) [back to overview]Quality of Recovery (QoR15)
NCT02008617 (4) [back to overview]Pain Score
NCT02008617 (4) [back to overview]Patient Satisfaction
NCT02011464 (3) [back to overview]Side Effects of Analgesia
NCT02011464 (3) [back to overview]Post-operative Narcotic Use
NCT02011464 (3) [back to overview]Subjective Pain
NCT02037061 (3) [back to overview]Postoperative Gluteal Pain
NCT02037061 (3) [back to overview]Need for Intervention for Postoperative Pain
NCT02037061 (3) [back to overview]Overall Pain Beyond Day of Discharge
NCT02046772 (5) [back to overview]Time of Hospitalization
NCT02046772 (5) [back to overview]Number of Adverse Events
NCT02046772 (5) [back to overview]Measurement of Time to Start the Anaesthetic Effect
NCT02046772 (5) [back to overview]Measurement of the Analgesic Effect After Surgery by VAS From 0 to 10, Where 0 is no Pain and 10 is the Worst Pain Imaginable.
NCT02046772 (5) [back to overview]Greater and Earlier Mobilization Measured by Bromage Scale.
NCT02052557 (4) [back to overview]Toradol Use
NCT02052557 (4) [back to overview]Home Oral Narcotic Use
NCT02052557 (4) [back to overview]Length of Stay
NCT02052557 (4) [back to overview]Readmission
NCT02055053 (3) [back to overview]Visual Analog Scale Pain Score Assessment (VAS)
NCT02055053 (3) [back to overview]Amount of Pain Medication Used in Oral Morphine Equivalents
NCT02055053 (3) [back to overview]Visual Analog Scale Pain Score Assessment (VAS)
NCT02058290 (5) [back to overview]Patient Satisfaction With Pain Treatment After Surgery
NCT02058290 (5) [back to overview]Total Opioid Burden
NCT02058290 (5) [back to overview]Health Economic Benefits - Total Cost of Hospitalization
NCT02058290 (5) [back to overview]Incidence of Opioid-related Adverse Events
NCT02058290 (5) [back to overview]Health Economic Benefits - Length of Stay (LOS)
NCT02059070 (4) [back to overview]Forced Expiratory Volume at 1 Second (% Change From Baseline)
NCT02059070 (4) [back to overview]Highest Patient Pain Level
NCT02059070 (4) [back to overview]Post-operative Oxycodone Use (mg)
NCT02059070 (4) [back to overview]Ultrasonographic Evaluation of Diaphragmatic Excursion- Operative Side Sigh Test
NCT02074709 (1) [back to overview]Postoperative Pain Score on Coughing at 6 hr
NCT02100579 (3) [back to overview]Opioid Consumption (mg morEq)
NCT02100579 (3) [back to overview]Visual Analog Scale Pain Score
NCT02100579 (3) [back to overview]Length of Hospitalization
NCT02104414 (6) [back to overview]Number of Participants With Pain During Bowel Movements
NCT02104414 (6) [back to overview]Number of Oxycodone Tablets Taken
NCT02104414 (6) [back to overview]Number of Participants With Urinary Retention
NCT02104414 (6) [back to overview]Number of Participants With Postoperative Nausea and Vomiting
NCT02104414 (6) [back to overview]Post Operative Pain Control
NCT02104414 (6) [back to overview]Postoperative Opioid Consumption - Hydromorphone I.V
NCT02111746 (9) [back to overview]Postoperative Pain as Assessed by the Brief Pain Inventory (BPI)
NCT02111746 (9) [back to overview]Postoperative Pain as Assessed by a Five-point Satisfaction Scale
NCT02111746 (9) [back to overview]Postoperative Pain as Assessed by a Five-point Satisfaction Scale
NCT02111746 (9) [back to overview]Postoperative Pain as Assessed by a Five-point Satisfaction Scale
NCT02111746 (9) [back to overview]Postoperative Pain as Assessed by a Numeric Pain Scale (NPS)
NCT02111746 (9) [back to overview]Postoperative Pain as Assessed by a Numeric Pain Scale (NPS)
NCT02111746 (9) [back to overview]Postoperative Pain as Assessed by a Numeric Pain Scale (NPS)
NCT02111746 (9) [back to overview]Postoperative Pain as Assessed by the Brief Pain Inventory (BPI)
NCT02111746 (9) [back to overview]Postoperative Pain as Assessed by the Brief Pain Inventory (BPI)
NCT02121392 (9) [back to overview]Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)
NCT02121392 (9) [back to overview]Visual Analog Score for Pain
NCT02121392 (9) [back to overview]Range of Motion at 3 and 6 Week Follow up
NCT02121392 (9) [back to overview]Range of Motion
NCT02121392 (9) [back to overview]Physical Therapy Ambulation Distance
NCT02121392 (9) [back to overview]Morphine Equivalents
NCT02121392 (9) [back to overview]Number of Participants With Bleeding Complications at Adductor Canal Nerve Block Catheter Site
NCT02121392 (9) [back to overview]Number of Hospital Days Until Discharge Criteria Are Met
NCT02121392 (9) [back to overview]Number of Participants With Adverse Events Related to Adductor Canal Nerve Block Catheter
NCT02155010 (2) [back to overview]Patient's Anxiety
NCT02155010 (2) [back to overview]Incidence of Hypotension
NCT02159807 (3) [back to overview]Fetal Heart Rate at 1 Hour
NCT02159807 (3) [back to overview]Mean Change in Visual Analog Scale for Pain
NCT02159807 (3) [back to overview]Maternal Blood Pressure
NCT02161484 (4) [back to overview]Numeric Rating Scale (NRS) Pain Assessment
NCT02161484 (4) [back to overview]Incidence of Complications (e.g. Frequency of Foot-drop).
NCT02161484 (4) [back to overview]Numeric Rating Scale (NRS) Pain Assessment
NCT02161484 (4) [back to overview]Numeric Rating Scale (NRS) Pain Assessment
NCT02178553 (4) [back to overview]Pain Scores at Rest on the Second Postoperative Day
NCT02178553 (4) [back to overview]Pain Scores With Cough on First Postoperative Day
NCT02178553 (4) [back to overview]Pain Scores With Cough on the Second Postoperative Day
NCT02178553 (4) [back to overview]Pain Scores at Rest in the Morning on the First Postoperative Day
NCT02179892 (4) [back to overview]Mean Time of First Opioid Use
NCT02179892 (4) [back to overview]Mean Opioid Consumption
NCT02179892 (4) [back to overview]Mean Visual Analogue Scale (VAS) Pain Score With Movement
NCT02179892 (4) [back to overview]Mean Visual Analogue Scale (VAS) Pain Score at Rest
NCT02189317 (3) [back to overview]Change in Numerical Rating Scale (NRS) Pain Score
NCT02189317 (3) [back to overview]Change in Home Opioid Use
NCT02189317 (3) [back to overview]Difference in Time to First Opioid Use
NCT02197273 (3) [back to overview]Time to Post-operative Rescue Opioids (Hours)
NCT02197273 (3) [back to overview]Readmission or Emergency Department (ED) Visit Due to Pain Control Within 30 Days
NCT02197273 (3) [back to overview]Length of Stay in Hospital (Days)
NCT02199574 (6) [back to overview]The Apparent Terminal Elimination Rate Constant (λz)
NCT02199574 (6) [back to overview]Maximum Plasma Concentration (Cmax)
NCT02199574 (6) [back to overview]Area Under the Plasma Concentration Versus Time Curve (AUC(0-infinity))
NCT02199574 (6) [back to overview]Apparent Terminal Elimination Half-life
NCT02199574 (6) [back to overview]Time to Maximum Plasma Concentration (Tmax)
NCT02199574 (6) [back to overview]Area Under the Plasma Concentration Versus Time Curve (AUC(0-t))
NCT02205801 (4) [back to overview]Post Operative Pain
NCT02205801 (4) [back to overview]Intraoperative Fentanyl Administration
NCT02205801 (4) [back to overview]Total Pain Medication Utilization
NCT02205801 (4) [back to overview]Post Operative Nausea Score
NCT02210247 (5) [back to overview]Time to Maximum Concentration (Tmax)
NCT02210247 (5) [back to overview]Maximum Plasma Concentration (Cmax)
NCT02210247 (5) [back to overview]Apparent Terminal Elimination Half-life
NCT02210247 (5) [back to overview]Area Under the Plasma Concentration Time Curve From Time 0 to the Time of the Last Quantifiable Concentration [AUC(0-last)]
NCT02210247 (5) [back to overview]The Apparent Terminal Elimination Rate Constant (λz)
NCT02219087 (7) [back to overview]Number Physical Therapy Sessions Necessary for Discharge
NCT02219087 (7) [back to overview]Opioid Consumption in Oral Morphine Equivalents (OMEs, in Milligrams)
NCT02219087 (7) [back to overview]Mean Visual Analog Scale (VAS) Pain Scores During Hospital Stay
NCT02219087 (7) [back to overview]Total Cost of Care (Dollars)
NCT02219087 (7) [back to overview]Length of Stay (LOS, in Days)
NCT02219087 (7) [back to overview]Hospital Readmission Not Including Admissions Planned Procedures
NCT02219087 (7) [back to overview]Number of Participants With Opioid-related Adverse Events (ORAEs) During Hospital Stay
NCT02222129 (1) [back to overview]Total Opioid Consumption Measured in Intravenous Morphine Equivalents During the Postoperative Hospital Stay
NCT02223364 (15) [back to overview]Hospital Length of Stay
NCT02223364 (15) [back to overview]Average Pain POD 1 (24 Hours)
NCT02223364 (15) [back to overview]Average Pain POD 2 (24 Hours)
NCT02223364 (15) [back to overview]Average Pain Post-Postanesthesia Care Unit (PACU)
NCT02223364 (15) [back to overview]Intraoperative Opioid Use
NCT02223364 (15) [back to overview]Maximum Pain POD 1 (24 Hours)
NCT02223364 (15) [back to overview]Maximum Pain POD 2 (24 Hours)
NCT02223364 (15) [back to overview]Maximum Pain Post-Operative Day (POD) 1 (Morning)
NCT02223364 (15) [back to overview]Maximum Pain Post-PACU
NCT02223364 (15) [back to overview]PACU Opioid Use
NCT02223364 (15) [back to overview]POD 0 Post-PACU Opioid Use
NCT02223364 (15) [back to overview]POD 2 Opioid Use
NCT02223364 (15) [back to overview]Preoperative Daily Opioid Use
NCT02223364 (15) [back to overview]Balance Testing on Operative Leg Using Unipedal Stance Time
NCT02223364 (15) [back to overview]POD 1 Opioid Use
NCT02232178 (4) [back to overview]Tmax
NCT02232178 (4) [back to overview]Cmax
NCT02232178 (4) [back to overview]t1/2 (Hour)
NCT02232178 (4) [back to overview]AUC0-last
NCT02242201 (9) [back to overview]Total Opioid Consumption During Hospitalization
NCT02242201 (9) [back to overview]Post-Operative Pain Score
NCT02242201 (9) [back to overview]Number of Participants Reporting Complications Since Surgery
NCT02242201 (9) [back to overview]Number of Participants Reporting a NRS Pain Score Greater Than 3
NCT02242201 (9) [back to overview]Change in Unipedal Stance Time
NCT02242201 (9) [back to overview]Maximum Postoperative Pain Score
NCT02242201 (9) [back to overview]Hospital Length of Stay
NCT02242201 (9) [back to overview]Change in Short Form-36 (SF-36) Quality of Life Mental Component
NCT02242201 (9) [back to overview]Change in Short Form-36 (SF-36) Quality of Life Physical Component
NCT02255500 (6) [back to overview]The Apparent Terminal Elimination Half-life (t1/2el)
NCT02255500 (6) [back to overview]Maximum Plasma Concentration (Cmax)
NCT02255500 (6) [back to overview]Time to Peak Plasma Concentration (Tmax)
NCT02255500 (6) [back to overview]Area Under the Plasma Concentration Versus Time Curve From Time 0 to the Time of the Last Quantifiable Concentration After Drug Administration (AUC0-last)
NCT02255500 (6) [back to overview]Area Under the Plasma Concentration Versus Time Curve From Time 0 Extrapolated to Infinity After Drug Administration (AUC0-∞)
NCT02255500 (6) [back to overview]The Apparent Terminal Elimination Rate Constant (λz)
NCT02274870 (10) [back to overview]Mean Plasma Bupivacaine Level
NCT02274870 (10) [back to overview]Mean Plasma Bupivacaine Level
NCT02274870 (10) [back to overview]Mean Plasma Bupivacaine Level
NCT02274870 (10) [back to overview]Mean Plasma Bupivacaine Levels
NCT02274870 (10) [back to overview]Mean Plasma Bupivacaine Level
NCT02274870 (10) [back to overview]Mean Plasma Bupivacaine Level
NCT02274870 (10) [back to overview]Mean Plasma Bupivicaine Level
NCT02274870 (10) [back to overview]Opioid Consumption
NCT02274870 (10) [back to overview]Pain Intensity at Movement
NCT02274870 (10) [back to overview]Pain Intensity at Rest
NCT02276040 (1) [back to overview]Change in Blood Serum Levels of Bupivocaine From Baseline
NCT02284386 (6) [back to overview]Time to Peak Plasma Concentration (Tmax)
NCT02284386 (6) [back to overview]Area Under the Plasma Concentration Versus Time Curve From Time 0 Extrapolated to Infinity After Drug Administration (AUC0-∞)
NCT02284386 (6) [back to overview]Area Under the Plasma Concentration Versus Time Curve From Time 0 to the Last Collection Time After Drug Administration (AUC0-last)
NCT02284386 (6) [back to overview]The Apparent Terminal Elimination Rate Constant (λz)
NCT02284386 (6) [back to overview]Maximum Plasma Concentration (Cmax)
NCT02284386 (6) [back to overview]The Apparent Terminal Elimination Half-life (t1/2el)
NCT02287623 (6) [back to overview]Number of Patients With Post Operative Nausea/Vomiting
NCT02287623 (6) [back to overview]Postoperative Opioid Use
NCT02287623 (6) [back to overview]Post Operative Opioid Use
NCT02287623 (6) [back to overview]Post Operative Opioid Use
NCT02287623 (6) [back to overview]Numerical Rating Scale
NCT02287623 (6) [back to overview]Post Operative Length of Stay
NCT02289079 (4) [back to overview]Patient Satisfaction as Assessed Via Patient Survey
NCT02289079 (4) [back to overview]Numerical Rating Scale
NCT02289079 (4) [back to overview]Post Operative Opioid Use
NCT02289079 (4) [back to overview]Post Operative Length of Stay
NCT02292082 (11) [back to overview]Knee Society Score (KSS) at 6 Weeks Postoperatively
NCT02292082 (11) [back to overview]Numerical Rating Scale (NRS) Pain Scores With Ambulation Postoperative Day 1
NCT02292082 (11) [back to overview]Opioid Consumption POD2
NCT02292082 (11) [back to overview]Opioid Consumption Postoperative Day (POD) 1
NCT02292082 (11) [back to overview]NRS Pain Score With Movement POD2
NCT02292082 (11) [back to overview]Patient Outcome Questionnaire (painOUT) Least Pain for 0-24 Hours Postoperatively
NCT02292082 (11) [back to overview]Patient Outcome Questionnaire (painOUT) Least Pain for 24-48 Hours Postoperatively
NCT02292082 (11) [back to overview]Patient Outcome Questionnaire (painOUT) Most Pain for 0-24 Hours Postoperatively
NCT02292082 (11) [back to overview]Patient Outcome Questionnaire (painOUT) Most Pain for 24-48 Hours Postoperatively
NCT02292082 (11) [back to overview]Hospital Length of Stay
NCT02292082 (11) [back to overview]Time to Meet Physical Therapy Discharge Criteria
NCT02296099 (10) [back to overview]Pain at Bedtime (Average Pain)
NCT02296099 (10) [back to overview]Pain at Bedtime (Current Level of Pain)
NCT02296099 (10) [back to overview]Pain at Bedtime (Most Intense Pain)
NCT02296099 (10) [back to overview]Pain in the Morning
NCT02296099 (10) [back to overview]Pain Upon Discharge From Post-anesthesia Care Unit (PACU)
NCT02296099 (10) [back to overview]Total Narcotic Consumption
NCT02296099 (10) [back to overview]Pain Upon Discharge From Same Day Surgery
NCT02296099 (10) [back to overview]Number of Participants Reporting 'Very Satisfied' at the 1 Week Postoperative Visit
NCT02296099 (10) [back to overview]Number of Participants Reporting 'Very Satisfied' at the 2 Week Postoperative Visit
NCT02296099 (10) [back to overview]Pain at Four Hours After Discharge Home
NCT02299349 (2) [back to overview]Pain Scores (Visual Analog Pain Scores)
NCT02299349 (2) [back to overview]MS04 Equivalent Consumption
NCT02349542 (2) [back to overview]Plasma Bupivacaine Levels
NCT02349542 (2) [back to overview]Adverse Events
NCT02352922 (15) [back to overview]NRS Pain Score at 8 Hours
NCT02352922 (15) [back to overview]NRS Pain Score at 4 Hours
NCT02352922 (15) [back to overview]NRS Pain Score at 2 Hours
NCT02352922 (15) [back to overview]NRS Pain Score at 16 Hours
NCT02352922 (15) [back to overview]Quality of Life as Measured by the Brief Pain Inventory (BPI)
NCT02352922 (15) [back to overview]Number of Participants With Adverse Events
NCT02352922 (15) [back to overview]Total Opioid Use Prior to Hospital Discharge
NCT02352922 (15) [back to overview]NRS Pain Score Post-op Day 2
NCT02352922 (15) [back to overview]Total Opioid Use End of Post-op Day 3
NCT02352922 (15) [back to overview]Total Opioid Use at Post-op Day 14
NCT02352922 (15) [back to overview]Quality of Life as Measured by the Brief Pain Inventory (BPI)
NCT02352922 (15) [back to overview]Quality of Life as Measured by the Brief Pain Inventory (BPI)
NCT02352922 (15) [back to overview]Numerical Rating Scale (NRS) Post-operative Pain Score on Post-Operative Day 1 (POD1).
NCT02352922 (15) [back to overview]NRS Pain Score Post-op Day 3
NCT02352922 (15) [back to overview]NRS Pain Score Post-op Day 14
NCT02353754 (3) [back to overview]Total Postsurgical Narcotic Consumption in Morphine Equivalents
NCT02353754 (3) [back to overview]Total Postsurgical Narcotic Consumption in Morphine Equivalents
NCT02353754 (3) [back to overview]Total Postsurgical Narcotic Consumption in Morphine Equivalents
NCT02356198 (5) [back to overview]Total Morphine Milligram Equivalents Use (MME)
NCT02356198 (5) [back to overview]Mean Pain Score
NCT02356198 (5) [back to overview]Number of Participants With Post-operative Ileus
NCT02356198 (5) [back to overview]Total Length of Hospital Stay
NCT02356198 (5) [back to overview]Use of Intravenous Patient-controlled Analgesia
NCT02420951 (2) [back to overview]Pain Med Consumption Assessed Using Questionnaire/Hospital Records
NCT02420951 (2) [back to overview]Pain Assessed Using the VAS 0-10 Pain Scale
NCT02444533 (5) [back to overview]Pain Score (Pain Scores on a 0/10 Scale)
NCT02444533 (5) [back to overview]Pain Medication Usage (Milligrams Used)
NCT02444533 (5) [back to overview]Number of Subjects With Post-tonsillectomy Bleeding
NCT02444533 (5) [back to overview]Oral Intake (Patient Recorded Oral Intake)
NCT02444533 (5) [back to overview]Number of Subjects Experiencing Complications ( Allergic Reaction, Swallowing Dysfunction, Hospital Admission Related to the Study Drug)
NCT02449915 (1) [back to overview]Visual Analog Scales (VAS) for Pain at 18 Hours Postoperatively
NCT02453321 (3) [back to overview]Time to Achieve Physical Therapy Discharge Criteria as Measured by 75-feet Walk Test. {Number of Hours After Conclusion of Surgery}
NCT02453321 (3) [back to overview]Postoperative Pain, Average Reported Score 11-point Scale
NCT02453321 (3) [back to overview]Average Length of Stay (to be Reported in Hours After Surgery)
NCT02453360 (5) [back to overview]Pain With Activity at 24 Hours
NCT02453360 (5) [back to overview]Opioid Consumption
NCT02453360 (5) [back to overview]Number of Participants With Nausea at 24 Hours
NCT02453360 (5) [back to overview]10 Meter Walk Test
NCT02453360 (5) [back to overview]Percentage Change in Knee Extension Strength From Baseline
NCT02462148 (6) [back to overview]Verbal Pain Scores
NCT02462148 (6) [back to overview]Time to First Opioid Analgesic Request
NCT02462148 (6) [back to overview]Neurologic Complications
NCT02462148 (6) [back to overview]Rate of Post Operative Nausea and Vomiting
NCT02462148 (6) [back to overview]Post Operative Opioid Use and Consumption
NCT02462148 (6) [back to overview]Duration of Sensory Nerve Block
NCT02464176 (4) [back to overview]Total Opioid Consumption
NCT02464176 (4) [back to overview]Verbal Numeric Pain Score Comparisons
NCT02464176 (4) [back to overview]Duration of Sensory Blockade
NCT02464176 (4) [back to overview]Time to First Analgesic Request
NCT02469610 (2) [back to overview]Visual Analog Pain Scale
NCT02469610 (2) [back to overview]Analgesic Use
NCT02472314 (5) [back to overview]Post Operative American Shoulder and Elbow Surgeons (ASES)
NCT02472314 (5) [back to overview]Post Operative Opioid Consumption
NCT02472314 (5) [back to overview]Incidence of Nerve Injury
NCT02472314 (5) [back to overview]Subjective Shoulder Value (SSV)
NCT02472314 (5) [back to overview]Quality of Analgesia
NCT02478372 (9) [back to overview]Verbal Rating Score (VRS) Pain Scores
NCT02478372 (9) [back to overview]Maximal Flexion Angle of the Operative Knee at Discharge From Rehabilitation
NCT02478372 (9) [back to overview]Average Post-operative Length of Stay
NCT02478372 (9) [back to overview]Post-operative Nausea and Vomiting Scores
NCT02478372 (9) [back to overview]Post-operative Urinary Catheterisation Rates
NCT02478372 (9) [back to overview]Proportion of Patients Discharged From Rehabilitation by Day Four
NCT02478372 (9) [back to overview]Day of Ambulation
NCT02478372 (9) [back to overview]Patient Reported Outcome Measure - Oxford Knee Score
NCT02478372 (9) [back to overview]Total Number of Reported Participants With Complications and/or Adverse Events
NCT02480621 (1) [back to overview]Pain Levels on a Visual Analog Scale ( VAS)
NCT02497040 (1) [back to overview]Change in Mean Arterial Pressure
NCT02499159 (9) [back to overview]Return to Baseline Activity
NCT02499159 (9) [back to overview]Return to Work
NCT02499159 (9) [back to overview]Scores on a Analog Pain Scale (7 Days)
NCT02499159 (9) [back to overview]Scores on an Analog Pain Scale (30 Days)
NCT02499159 (9) [back to overview]Hospital Length of Stay
NCT02499159 (9) [back to overview]Days Until Return to Work
NCT02499159 (9) [back to overview]Proportion of Patients With Paresthesias (Postoperatively at 30 Days)
NCT02499159 (9) [back to overview]Overall Amounts of Pain Medications Consumed Through Post-operative Day 7
NCT02499159 (9) [back to overview]Number of Patients With Paresthesias (Postoperatively at 7 Days)
NCT02499575 (3) [back to overview]Total Opioid Use as Measured by Questionnaire
NCT02499575 (3) [back to overview]Opioid Use as Measured by Questionnaire
NCT02499575 (3) [back to overview]Pain Relief Measured by Defense and Veterans Pain Scale
NCT02501135 (7) [back to overview]Total mg of Local Anesthetic Injected for Femoral Nerve Block
NCT02501135 (7) [back to overview]Time to Discharge From PACU
NCT02501135 (7) [back to overview]Concentration of Local Anesthetic Injected for Femoral Nerve Block
NCT02501135 (7) [back to overview]Post-operative Opioids Administered
NCT02501135 (7) [back to overview]Intraoperative Tylenol Administered
NCT02501135 (7) [back to overview]Post-operative Pain Scale Using FLACC
NCT02501135 (7) [back to overview]Post-operative Pain Scale Using VAS
NCT02504580 (1) [back to overview]Mean Summed Pain Intensity (SPI) Score.
NCT02506660 (7) [back to overview]Opioid Consumption
NCT02506660 (7) [back to overview]Side Effects
NCT02506660 (7) [back to overview]Numerical Rating Scale Pain Scores
NCT02506660 (7) [back to overview]Block Satisfaction
NCT02506660 (7) [back to overview]% of Participants Who Guessed the Correct Group
NCT02506660 (7) [back to overview]Block-related Complications
NCT02506660 (7) [back to overview]Nerve Block Duration
NCT02512861 (7) [back to overview]Patient-Controlled Analgesia (PCA) Fentanyl/Equivalent Day 0-1
NCT02512861 (7) [back to overview]Total Fentanyl/Equivalent Day 0-1
NCT02512861 (7) [back to overview]Postoperative Cortisol Levels
NCT02512861 (7) [back to overview]Postoperative Pain Scores-State Behavioral Scale (SBS)
NCT02512861 (7) [back to overview]Postoperative Length of Intubation
NCT02512861 (7) [back to overview]Postoperative Pain Scores-Face, Legs, Activity, Cry, Consolability (FLACC) Scale
NCT02512861 (7) [back to overview]Postoperative Cortisol Levels
NCT02513329 (5) [back to overview]Change in Number of Hot Flashes From Baseline to 6 Months After Intervention. [Time Frame: 6 Months After Intervention]
NCT02513329 (5) [back to overview]Change in Number of Night Sweats From Baseline to 6 Months After Intervention.
NCT02513329 (5) [back to overview]Changes From Baseline of Pittsburg Sleep Quality Inventory (PSQI)
NCT02513329 (5) [back to overview]Survey Score Changes From Baseline to 6 Months After Intervention Using the Epidemiological Studies-Depression(CES-D) Survey.
NCT02513329 (5) [back to overview]Intensity of Subjective Hot Flashes (HF) at Baseline and 6 Months
NCT02517905 (6) [back to overview]Percentage of Opioid-free Subjects Through 72 Hours.
NCT02517905 (6) [back to overview]Percentage of Opioid-free Subjects Through 48 Hours.
NCT02517905 (6) [back to overview]Area Under the Curve (AUC) of Numeric Rating Scale (NRS) Pain Intensity Scores Through 72 Hours
NCT02517905 (6) [back to overview]Area Under the Curve (AUC) of Numeric Rating Scale (NRS) Pain Intensity Scores Through 24 Hours
NCT02517905 (6) [back to overview]Area Under the Curve (AUC) of Numeric Rating Scale (NRS) Pain Intensity Scores Through 48 Hours
NCT02517905 (6) [back to overview]Percentage of Opioid-free Subjects Through 24 Hours.
NCT02519023 (14) [back to overview]Overall Benefit of Analgesia Score (OBAS)
NCT02519023 (14) [back to overview]Opioid Used From 24-48 Hours Post Surgery
NCT02519023 (14) [back to overview]Number of Patients Admitted Post Operatively
NCT02519023 (14) [back to overview]Number of Participants With Nausea and Vomiting
NCT02519023 (14) [back to overview]Maximum Pain Scores as Measured by Numerical Pain Rating Scale (0-10)
NCT02519023 (14) [back to overview]Maximal Pain Score of Patient From Time 0-24 Hours After Surgery
NCT02519023 (14) [back to overview]Maximal Pain Score for Patient From Time 24-48 Hours After Surgery
NCT02519023 (14) [back to overview]Length of Time in Phase 1 and Phase 2 of Recovery
NCT02519023 (14) [back to overview]Patient Satisfaction With Pain Management
NCT02519023 (14) [back to overview]Maximal Pain Score Patient Felt From 48-72 Hours After Surgery
NCT02519023 (14) [back to overview]Total Opioid Use for Pain Control
NCT02519023 (14) [back to overview]Total Opioid Taken by Patient as Tabulated and Converted to Morphine Equivalents
NCT02519023 (14) [back to overview]Total Opioid Taken by Patient as Tabulated and Converted to Morphine Equivalents
NCT02519023 (14) [back to overview]Quality of Recovery 15 (QoR15) Score
NCT02523599 (6) [back to overview]SPI48
NCT02523599 (6) [back to overview]SPI24
NCT02523599 (6) [back to overview]SPI72
NCT02523599 (6) [back to overview]TOpA72
NCT02523599 (6) [back to overview]TOpA24
NCT02523599 (6) [back to overview]TOpA48
NCT02525133 (6) [back to overview]TOpA72
NCT02525133 (6) [back to overview]TOpA48
NCT02525133 (6) [back to overview]TOpA24
NCT02525133 (6) [back to overview]SPI72
NCT02525133 (6) [back to overview]SPI48
NCT02525133 (6) [back to overview]SPI24
NCT02525718 (4) [back to overview]Pain Score Using 10-point Visual Analog Scale (VAS)
NCT02525718 (4) [back to overview]Quality of Recovery Score
NCT02525718 (4) [back to overview]Length of Hospital Stay
NCT02525718 (4) [back to overview]Opioid Consumption
NCT02538679 (1) [back to overview]Morphine Requirement
NCT02543801 (3) [back to overview]Pain Score
NCT02543801 (3) [back to overview]Narcotic Consumption
NCT02543801 (3) [back to overview]Length of Stay
NCT02570022 (2) [back to overview]Pain Levels
NCT02570022 (2) [back to overview]Morphine Equivalents
NCT02573597 (8) [back to overview]Minimum Local Analgesic Concentration (MLAC) of the Final Participants in Each Respective Group at Study Completion
NCT02573597 (8) [back to overview]Number of Participants Requiring Treatment for Pruritus, Nausea and Vomiting, or Hypotension
NCT02573597 (8) [back to overview]Number of Participants With Maternal Nausea/Vomiting
NCT02573597 (8) [back to overview]Numerical Verbal Pain Scores
NCT02573597 (8) [back to overview]Time to First Clinician Rescue Analgesia Request (From Initial Epidural Dose)
NCT02573597 (8) [back to overview]Labor Outcome (Spontaneous, Assisted, Cesarean)
NCT02573597 (8) [back to overview]Protocol Success or Failure
NCT02573597 (8) [back to overview]Patient Satisfaction With Labor Analgesia
NCT02574520 (7) [back to overview]Pain Intensity Using the NPRS-11 With Movement
NCT02574520 (7) [back to overview]Time to First Opioid Rescue Medication Use After Discharge From the PACU
NCT02574520 (7) [back to overview]Total IV Morphine-equivalent Dose of Rescue Opioids
NCT02574520 (7) [back to overview]Time to PACU Discharge Eligibility as Assessed by Modified Post-Anesthesia Discharge Scoring System (mPADSS)
NCT02574520 (7) [back to overview]Subjects Not Taking Rescue Medication From PACU Discharge to 72 Hours
NCT02574520 (7) [back to overview]Pain Intensity on Movement From 0-48 Hours Post-Treatment
NCT02574520 (7) [back to overview]Composite Endpoint of Silverman's Integrated Analgesic (SIA) Assessment Score
NCT02584452 (4) [back to overview]Total Postop Opioid Consumption of Patients Receiving (1) Preoperative Femoral Nerve Block Plus Postoperative Continuous Adductor Canal Nerve Catheter Compared to (2) Preoperative Femoral Nerve Block Plus Postoperative Saphenous Nerve Block.
NCT02584452 (4) [back to overview]Subjective Postoperative Pain Score at Post Operative Week 6 of Preoperative Femoral Nerve Block Plus Postoperative Continuous Adductor Canal Nerve Catheter Compared to Preoperative Femoral Nerve Block Plus Postoperative Saphenous Nerve Block
NCT02584452 (4) [back to overview]Quadriceps Strength on POD Week 6- Pts Receiving (1) Long-acting Single Bolus Adductor Canal Nerve Block Comparied to (2) Continuous Adductor Canal Nerve Catheter.
NCT02584452 (4) [back to overview]Quadriceps Strength of on POD 1 of Preoperative Femoral Nerve Block Plus Postoperative Continuous Adductor Canal Nerve Catheter Compared to Preoperative Femoral Nerve Block Plus Postoperative Saphenous Nerve Block at 48 Hours After Discharge From PACU
NCT02601027 (6) [back to overview]Time to First Bowel Movement
NCT02601027 (6) [back to overview]Post-operative Pain Score
NCT02601027 (6) [back to overview]Time to Ambulation
NCT02601027 (6) [back to overview]Post-operative Narcotic Usage
NCT02601027 (6) [back to overview]Quality of Life Measurement
NCT02601027 (6) [back to overview]Post-operative Anti-emetic Usage
NCT02604589 (7) [back to overview]Morbidity
NCT02604589 (7) [back to overview]Mortality
NCT02604589 (7) [back to overview]Narcotic Use
NCT02604589 (7) [back to overview]Surgical Intensive Care Unit (SICU) Length of Stay
NCT02604589 (7) [back to overview]Time to Improvement in Pain Intensity
NCT02604589 (7) [back to overview]Time to Improvement in Pulmonary Function
NCT02604589 (7) [back to overview]Hospital Length of Stay
NCT02619409 (2) [back to overview]Duration of Motor Block
NCT02619409 (2) [back to overview]Duration of Sensory Block
NCT02652156 (7) [back to overview]Number of Days Required for a Patient to Get Out of Bed
NCT02652156 (7) [back to overview]Number of Days Required for a Patient to Walk Unassisted
NCT02652156 (7) [back to overview]Patient Reported Pain by VAS Scale
NCT02652156 (7) [back to overview]Patient Reported Pain by VAS Scale
NCT02652156 (7) [back to overview]Patient Reported Pain by VAS Scale
NCT02652156 (7) [back to overview]Postoperative Vomiting (Events)
NCT02652156 (7) [back to overview]Total Dosage of Narcotic
NCT02654860 (14) [back to overview]Phase 2: Morphine
NCT02654860 (14) [back to overview]Phase 2: Number of Participants With Need for Supplemental Analgesia
NCT02654860 (14) [back to overview]Phase 2: ECG
NCT02654860 (14) [back to overview]Phase2: Concomitant Medications
NCT02654860 (14) [back to overview]Phase 1: Number of Participants With Adverse Events Related, Not Related and Serious Events Related to Paracetamol
NCT02654860 (14) [back to overview]Phase 2: Time to Sensory Block
NCT02654860 (14) [back to overview]Phase 2: Time to Regression of Spinal Block
NCT02654860 (14) [back to overview]Phase 2: Time to Readiness for Surgery
NCT02654860 (14) [back to overview]Phase 2: Time to First Morphine Use
NCT02654860 (14) [back to overview]Phase 2:Maximum Level of Sensory Block
NCT02654860 (14) [back to overview]Phase 2: Vital Signs
NCT02654860 (14) [back to overview]Phase 2: SpO2
NCT02654860 (14) [back to overview]Phase 2: Pain Intensity
NCT02654860 (14) [back to overview]Phase 2: Morphine-related Adverse Events
NCT02659501 (5) [back to overview]The Effect of Liposomal Bupivacaine on Postoperative Diazepam Consumption
NCT02659501 (5) [back to overview]The Effect of Liposomal Bupivacaine on Length of Hospital Stay
NCT02659501 (5) [back to overview]The Effect of Liposomal Bupivacaine on Average Postoperative Pain Levels on Postoperative Day 1.
NCT02659501 (5) [back to overview]The Effect of Liposomal Bupivacaine on Antiemetic Consumption
NCT02659501 (5) [back to overview]The Effect of Liposomal Bupivacaine on Postoperative Opioid Consumption
NCT02660918 (9) [back to overview]Postoperative Pain Score
NCT02660918 (9) [back to overview]Postoperative Opioid Administered Following the Procedure But Prior to Discharge.
NCT02660918 (9) [back to overview]Occurrence of Intraoperative Complication
NCT02660918 (9) [back to overview]Postoperative Complication
NCT02660918 (9) [back to overview]Postoperative Anti-emetic
NCT02660918 (9) [back to overview]Time Between Recovery Initiation and Discharge
NCT02660918 (9) [back to overview]Intraoperative Total Blood Loss
NCT02660918 (9) [back to overview]Postoperative Toradol
NCT02660918 (9) [back to overview]Remaining Tylenol Tablets With Codeine Not Taken at the End of Day 1 Following Discharge
NCT02662036 (10) [back to overview]Analgesic Effectiveness of Liposomal Bupivacaine (Exparel) Versus Bupivacaine HCl as Measured by Pain Scores
NCT02662036 (10) [back to overview]Analgesic Effectiveness of Liposomal Bupivacaine (Exparel) Versus Bupivacaine HCl as Measured by Opioid Use During Hospital Stay
NCT02662036 (10) [back to overview]Analgesic Effectiveness of Liposomal Bupivacaine (Exparel) Versus Bupivacaine HCl as Measured by Change From Baseline in Patient Satisfaction With Recovery
NCT02662036 (10) [back to overview]Analgesic Effectiveness of Liposomal Bupivacaine (Exparel) Versus Bupivacaine HCl as Measured by Antiemetic Use During the Hospital Stay
NCT02662036 (10) [back to overview]Analgesic Effectiveness of Liposomal Bupivacaine (Exparel) Versus Bupivacaine HCl as Measured by Time Until Ambulation
NCT02662036 (10) [back to overview]Analgesic Effectiveness of Liposomal Bupivacaine (Exparel) Versus Bupivacaine HCl as Measured by Duration of Urinary Catheter
NCT02662036 (10) [back to overview]Analgesic Effectiveness of Liposomal Bupivacaine (Exparel) Versus Bupivacaine HCl as Measured by Pain Scores
NCT02662036 (10) [back to overview]Analgesic Effectiveness of Liposomal Bupivacaine (Exparel) Versus Bupivacaine HCl as Measured by Pain Scores
NCT02662036 (10) [back to overview]Analgesic Effectiveness of Liposomal Bupivacaine (Exparel) Versus Bupivacaine HCl as Measured by Pain Scores
NCT02662036 (10) [back to overview]Analgesic Effectiveness of Liposomal Bupivacaine (Exparel) Versus Bupivacaine HCl as Measured by Length of Hospital Stay
NCT02665273 (4) [back to overview]Number of Participants Who Achieve Freedom From Headache
NCT02665273 (4) [back to overview]Change in Pain Score Assessed by Verbal Pain Scale (0-10)
NCT02665273 (4) [back to overview]Would Want the Same Treatment Again During a Subsequent Migraine
NCT02665273 (4) [back to overview]Sustained Headache Relief
NCT02682498 (5) [back to overview]Average Daily Opioid Use During Admission
NCT02682498 (5) [back to overview]Average Daily Patient Pain Score
NCT02682498 (5) [back to overview]Post-operative Complications
NCT02682498 (5) [back to overview]Recovery Room Opioid Use
NCT02682498 (5) [back to overview]48 Hour Post-surgical Opioid Use
NCT02689258 (1) [back to overview]Summed Pain Intensity Scores Collected Over 24 Hours
NCT02691572 (1) [back to overview]Cumulative Fentanyl Dose
NCT02713178 (4) [back to overview]Time to First Opioid Rescue Through 72 Hours
NCT02713178 (4) [back to overview]Total Postsurgical Opioid Consumption Through 72 Hours
NCT02713178 (4) [back to overview]Area Under the Curve (AUC) of Visual Analog Scale (VAS) Pain Intensity Scores Through 72 Hours
NCT02713178 (4) [back to overview]Percentage of Opioid-free Participants Through 72 Hours
NCT02713230 (4) [back to overview]Area Under the Curve (AUC) of Visual Analog Scale (VAS) Pain Intensity Scores
NCT02713230 (4) [back to overview]Time to First Opioid Rescue Through 48 Hours
NCT02713230 (4) [back to overview]Total Postsurgical Opioid Consumption Through 48 Hours
NCT02713230 (4) [back to overview]Percentage of Opioid-free Participants Through 48 Hours
NCT02713490 (5) [back to overview]Overall Benefit of Analgesia Score at 48 Hours
NCT02713490 (5) [back to overview]Percentage of Opioid-free Subjects at 48 Hours
NCT02713490 (5) [back to overview]Time to First Opioid Rescue in the First 48 Hours
NCT02713490 (5) [back to overview]Total Postsurgical Opioid Consumption Through 48 Hours
NCT02713490 (5) [back to overview]Area Under The Curve (AUC) of Visual Analog Scale (VAS) Pain Intensity Scores From 12 to 48 Hours
NCT02726620 (43) [back to overview]Incidence of a MAP < 60 mmHg for > 20 Minutes
NCT02726620 (43) [back to overview]Incidence of a MAP < 60 mmHg for > 10 Minutes
NCT02726620 (43) [back to overview]Incidence of a MAP < 60 mmHg
NCT02726620 (43) [back to overview]Incidence of a MAP < 55 mmHg for > 20 Minutes
NCT02726620 (43) [back to overview]Incidence of a MAP < 55 mmHg for > 10 Minutes
NCT02726620 (43) [back to overview]Incidence of a MAP < 55 mmHg
NCT02726620 (43) [back to overview]Incidence of a MAP < 50 mmHg for > 20 Minutes
NCT02726620 (43) [back to overview]Incidence of a MAP < 50 mmHg for > 10 Minutes
NCT02726620 (43) [back to overview]Incidence of a MAP < 50 mmHg
NCT02726620 (43) [back to overview]In-hospital Mortality
NCT02726620 (43) [back to overview]Estimated Intraoperative Blood Loss
NCT02726620 (43) [back to overview]Depth and Duration of Intraoperative Hypotension - Threshold MAP 75 mmHg
NCT02726620 (43) [back to overview]Depth and Duration of Intraoperative Hypotension - Threshold MAP 70 mmHg
NCT02726620 (43) [back to overview]Depth and Duration of Intraoperative Hypotension - Threshold MAP 65 mmHg
NCT02726620 (43) [back to overview]Depth and Duration of Intraoperative Hypotension - Threshold MAP 60 mmHg
NCT02726620 (43) [back to overview]Depth and Duration of Intraoperative Hypotension - Threshold MAP 55 mmHg
NCT02726620 (43) [back to overview]Depth and Duration of Intraoperative Hypotension - Threshold MAP 50 mmHg
NCT02726620 (43) [back to overview]Average Use of Cardiovascular Drugs: Phenylephrine
NCT02726620 (43) [back to overview]30-day Mortality
NCT02726620 (43) [back to overview]Average Use of Cardiovascular Drugs: Ephedrine
NCT02726620 (43) [back to overview]Average Use of Cardiovascular Drugs: Epinephrine
NCT02726620 (43) [back to overview]Average Use of Cardiovascular Drugs: Glycopyrrolate
NCT02726620 (43) [back to overview]Average Use of Cardiovascular Drugs: Norepinephrine
NCT02726620 (43) [back to overview]Usage Frequency of Cardiovascular Drugs: Phenylephrine
NCT02726620 (43) [back to overview]Inhaled Anesthetic Drug Use During Intraoperative Hypotension: MAP < 65 mmHg
NCT02726620 (43) [back to overview]Inhaled Anesthetic Drug Use During Intraoperative Hypotension: MAP < 60 mmHg
NCT02726620 (43) [back to overview]Inhaled Anesthetic Drug Use During Intraoperative Hypotension: MAP < 55 mmHg
NCT02726620 (43) [back to overview]Inhaled Anesthetic Drug Use During Intraoperative Hypotension: MAP < 50 mmHg
NCT02726620 (43) [back to overview]Usage Frequency of Cardiovascular Drugs: Norepinephrine
NCT02726620 (43) [back to overview]Usage Frequency of Cardiovascular Drugs: Glycopyrrolate
NCT02726620 (43) [back to overview]Usage Frequency of Cardiovascular Drugs: Ephinephrine
NCT02726620 (43) [back to overview]Usage Frequency of Cardiovascular Drugs: Ephedrine
NCT02726620 (43) [back to overview]Timing of Cardiovascular Drugs for MAP < 65 mmHg
NCT02726620 (43) [back to overview]Timing of Cardiovascular Drugs for MAP < 60 mmHg
NCT02726620 (43) [back to overview]Timing of Cardiovascular Drugs for MAP < 55 mmHg
NCT02726620 (43) [back to overview]Timing of Cardiovascular Drugs for MAP < 50 mmHg
NCT02726620 (43) [back to overview]Time to Discharge Readiness at the Postanesthesia Care Unit (PACU)
NCT02726620 (43) [back to overview]Postoperative Rise in Creatinine Levels
NCT02726620 (43) [back to overview]Intravenous Anesthetic Drug Use During Intraoperative Hypotension: MAP < 65 mmHg
NCT02726620 (43) [back to overview]Intravenous Anesthetic Drug Use During Intraoperative Hypotension: MAP < 60 mmHg
NCT02726620 (43) [back to overview]Intravenous Anesthetic Drug Use During Intraoperative Hypotension: MAP < 55 mmHg
NCT02726620 (43) [back to overview]Intravenous Anesthetic Drug Use During Intraoperative Hypotension: MAP < 50 mmHg
NCT02726620 (43) [back to overview]Intraoperative Administration of Intravenous Fluids
NCT02740114 (3) [back to overview]Participants Opioid-Free After Gynecologic Surgery
NCT02740114 (3) [back to overview]Participants Opioid-Free After Gynecologic Surgery for 48 Hours
NCT02740114 (3) [back to overview]Symptom Scores
NCT02741713 (5) [back to overview]Time From Block Placement to Onset of Axillary Pain
NCT02741713 (5) [back to overview]Total Opioid Usage
NCT02741713 (5) [back to overview]Percentage of Participants With Episodes of Nausea or Vomiting
NCT02741713 (5) [back to overview]Post-operative Axillary Pain
NCT02741713 (5) [back to overview]Numerical Rating Scale Pain Scores (0-10) at Rest
NCT02749968 (6) [back to overview]Opioid Requirement at 48 Hours Post-randomization.
NCT02749968 (6) [back to overview]Opioid Requirement at 24 Hours Post-randomization
NCT02749968 (6) [back to overview]Development of Pneumonia
NCT02749968 (6) [back to overview]Opioid Requirement at 72 Hours Post-randomization
NCT02749968 (6) [back to overview]Opioid Requirement at 96 Hours Post-randomization
NCT02749968 (6) [back to overview]Self-reported Pain at 96 Hours Post-randomization
NCT02762071 (6) [back to overview]Postoperative Visual Analog Scale (VAS) Pain Scores
NCT02762071 (6) [back to overview]Patient Satisfaction With Pain Management
NCT02762071 (6) [back to overview]Opioid Medication Consumption in Morphine Milligram Equivalents
NCT02762071 (6) [back to overview]Visual Analog Scale Pain Score at 24 Hours Postoperatively
NCT02762071 (6) [back to overview]Length of Stay in the Post-anesthesia Care Unit (PACU)
NCT02762071 (6) [back to overview]Length of Hospital Stay
NCT02762929 (1) [back to overview]Mean Summed Pain Intensity (SPI) Score Over 24 Hours
NCT02777749 (5) [back to overview]Range of Knee Flexion
NCT02777749 (5) [back to overview]Length of Hospital Stay
NCT02777749 (5) [back to overview]Opioid Consumption
NCT02777749 (5) [back to overview]Change in VAS Pain Scores
NCT02777749 (5) [back to overview]Change in Activity Level
NCT02798835 (10) [back to overview]Adductor Canal Block Complications
NCT02798835 (10) [back to overview]Time to First Use of PCA
NCT02798835 (10) [back to overview]Length of Stay
NCT02798835 (10) [back to overview]Nerve Block Complications
NCT02798835 (10) [back to overview]Cumulative 12 Hour Oral Morphine Equivalent Consumption
NCT02798835 (10) [back to overview]Quality of Recovery (QoR-40)
NCT02798835 (10) [back to overview]Pain Score
NCT02798835 (10) [back to overview]Incidence of Participants With Nausea/Vomiting Requiring Anti-emetics
NCT02798835 (10) [back to overview]Cumulative 48 Hour Oral Morphine Equivalent Consumption
NCT02798835 (10) [back to overview]Cumulative 24 Hour Oral Morphine Equivalent Consumption
NCT02818894 (9) [back to overview]Transient Neurological Symptoms Score on Post-Operative Day 7
NCT02818894 (9) [back to overview]Transient Neurological Symptoms Score on Post-Operative Day 14
NCT02818894 (9) [back to overview]Count of Participants With Hypotension
NCT02818894 (9) [back to overview]Post-Operative Transient Neurological Symptoms Score on Day 1 Post-Operation
NCT02818894 (9) [back to overview]Number of Participants With Transient Neurological Symptoms on Post-Operative Day 7
NCT02818894 (9) [back to overview]Number of Participants With Transient Neurological Symptoms on Post-Operative Day 14
NCT02818894 (9) [back to overview]Number of Participants With Transient Neurological Symptoms (TNS) on Day 1 Post-Operation
NCT02818894 (9) [back to overview]Number of Participants Voiding Without Complications After Recovery From Spinal Anesthesia
NCT02818894 (9) [back to overview]Time to Ambulation After Recovery From Spinal Anesthesia
NCT02862912 (3) [back to overview]Time to Ambulate
NCT02862912 (3) [back to overview]Time to Resolution of Motor Block
NCT02862912 (3) [back to overview]Time to Void
NCT02882633 (3) [back to overview]Quality of Recovery
NCT02882633 (3) [back to overview]Pain Score Change
NCT02882633 (3) [back to overview]Amount of Opiate Consumption
NCT02886286 (6) [back to overview]Change From Baseline in Average Weekly Numeric Pain Rating Score (NRS)
NCT02886286 (6) [back to overview]Change From Baseline in Oswestry Disability Index (ODI)
NCT02886286 (6) [back to overview]Change From Baseline in Treatment Satisfaction
NCT02886286 (6) [back to overview]Change From Baseline in painDETECT
NCT02886286 (6) [back to overview]Change From Baseline in Patient Global Impression of Change (PGIC)
NCT02886286 (6) [back to overview]Change From Baseline in the Numerical Rating Pain Scale (NRS)
NCT02891798 (8) [back to overview]Performed-based Physical Function is Assessed Using the Standing Balance Test.
NCT02891798 (8) [back to overview]Quality of Recovery 15 Item Scale (QoR-15) Total Score
NCT02891798 (8) [back to overview]SF-MPQ2 Intermittent Pain Subscore Difference From Baseline
NCT02891798 (8) [back to overview]Performed-based Physical Function is Assessed Using the Repeated Chair Stand Test.
NCT02891798 (8) [back to overview]Performed-based Physical Function is Assessed Using the Self-Selected Gait Speed Test.
NCT02891798 (8) [back to overview]SF-MPQ2 Continuous Pain Subscore Difference From Baseline
NCT02891798 (8) [back to overview]Short-Form McGill Pain Questionnaire (Version 2) Total Score Difference From Baseline
NCT02891798 (8) [back to overview]Quality of Recovery 15 Item Scale (QoR-15) Total Score
NCT02922985 (10) [back to overview]Hospital Length of Stay
NCT02922985 (10) [back to overview]Pain Score at 24 Hours Post-operatively
NCT02922985 (10) [back to overview]Need for Respiratory Support
NCT02922985 (10) [back to overview]Number of Opioid Pain Tablets Remaining on Post-operative Day #7 From the Discharge Prescription.
NCT02922985 (10) [back to overview]NICU Admission
NCT02922985 (10) [back to overview]Apgar Score at 5 Minutes
NCT02922985 (10) [back to overview]Total Opioid Intake in Morphine Milligram Equivalents in the First 48 Hours After Cesarean Delivery (CD)
NCT02922985 (10) [back to overview]Time to First Administration of Opioid Pain Medication Post Operatively
NCT02922985 (10) [back to overview]Pain Score at 6-12 Hours Post Operatively
NCT02922985 (10) [back to overview]Pain Score at 48 Hours Post-operatively
NCT02949674 (1) [back to overview]VAS
NCT02951884 (2) [back to overview]Numerical Rating Scale (NRS) Pain Scores
NCT02951884 (2) [back to overview]Supplemental Analgesia
NCT02959996 (9) [back to overview]Number of Patients With Allergic Reaction Attributable to Local Anesthestic
NCT02959996 (9) [back to overview]Number of Patients With Wound Complication - Separation, Dehiscence, Infection
NCT02959996 (9) [back to overview]Pain Score With Activity
NCT02959996 (9) [back to overview]Pain Score With Activity
NCT02959996 (9) [back to overview]Patient Satisfaction With Pain Management at 6w Postpartum
NCT02959996 (9) [back to overview]Postoperative Hospital Length of Stay
NCT02959996 (9) [back to overview]Satisfaction With Post-operative Pain Control
NCT02959996 (9) [back to overview]Total Opioid Use (in Morphine Equivalents)
NCT02959996 (9) [back to overview]Operative Time of Cesarean Delivery
NCT02969187 (3) [back to overview]Total Amount of Opioids at 48 Hours
NCT02969187 (3) [back to overview]Cumulative Pain Score Through 48 Hours After Surgery
NCT02969187 (3) [back to overview]Cumulative Nausea Score
NCT02973048 (22) [back to overview]Number of Participants Per Maximal Level of Sensory Block Attained After Spinal Anesthesia
NCT02973048 (22) [back to overview]Number of Patients With Hypotension and Use of Vasopressors
NCT02973048 (22) [back to overview]Number of Participants With Adverse Events (Nausea, Vomiting, Pruritis, Headache)
NCT02973048 (22) [back to overview]Pain as Assessed by Visual Analogue Scale
NCT02973048 (22) [back to overview]Maternal Rehabilitation Assessed by Visual Analogic Scale (VASR)
NCT02973048 (22) [back to overview]Maternal Satisfaction Assessed by Visual Analogic Scale (VASS)
NCT02973048 (22) [back to overview]Midwife Satisfaction
NCT02973048 (22) [back to overview]Newborn Methemoglobinemia (MetHb)
NCT02973048 (22) [back to overview]Newborn Umbilical pH
NCT02973048 (22) [back to overview]Number of Participants With Transient Neurologic Symptoms (TNS)
NCT02973048 (22) [back to overview]Number of Participants With Urinary Retention
NCT02973048 (22) [back to overview]Obstetrician Satisfaction
NCT02973048 (22) [back to overview]Time From Baby Delivery to End of Surgery
NCT02973048 (22) [back to overview]Time From Spinal Injection to Baby Delivery
NCT02973048 (22) [back to overview]Time of Surgery
NCT02973048 (22) [back to overview]Time to First Walk
NCT02973048 (22) [back to overview]Time to Motor Block Onset
NCT02973048 (22) [back to overview]Time to Regression of Motor Block
NCT02973048 (22) [back to overview]Time to Resolution of Sensory Block
NCT02973048 (22) [back to overview]Time to Successful Anesthesia (Successful Sensory Block)
NCT02973048 (22) [back to overview]Total Blood Loss
NCT02973048 (22) [back to overview]Newborn Apgar Score
NCT02988050 (1) [back to overview]Patients Satisfaction
NCT02988219 (2) [back to overview]Incidence of Perioperative Cardiac Arrhythmias Evaluated by a Continuous ECG Holter Monitoring in the Perioperative Period
NCT02988219 (2) [back to overview]The Prevention of Cardiac Arrhythmias Occurence by Epidural Anesthesia Added to General Anesthesia Evaluated by a Number and Type of Arrhythmias Observed
NCT02996591 (16) [back to overview]Cognitive Recovery at 2 Hours Post-operative
NCT02996591 (16) [back to overview]Incidence of Transient Neurologic Symptoms
NCT02996591 (16) [back to overview]Cognitive Recovery on POD1
NCT02996591 (16) [back to overview]Back Pain on POD1
NCT02996591 (16) [back to overview]Time Until Patient is Ready for Discharge From Post-Anesthesia Care Unit (PACU) to Home.
NCT02996591 (16) [back to overview]Postoperative Discomfort and Needs (Post-op Pain, Sore Throat, Back Pain, Nausea, Cold, Hunger, Thirst)
NCT02996591 (16) [back to overview]Numerical Rating Scale (NRS) Pain Scores at 1 Hour Postop
NCT02996591 (16) [back to overview]Opioid-Related Symptom Distress Scale (ORSDS) Score
NCT02996591 (16) [back to overview]Opioid Consumption Through First Postoperative Day. Measured in mg OME
NCT02996591 (16) [back to overview]Opioid Consumption
NCT02996591 (16) [back to overview]Numerical Rating Scale Pain Scores on Postoperative Day (POD) 1
NCT02996591 (16) [back to overview]Numerical Rating Scale Pain Scores at 2 Hours Postop
NCT02996591 (16) [back to overview]Nausea Intensity
NCT02996591 (16) [back to overview]Assessment of Patient Blinding to Group Assignment
NCT02996591 (16) [back to overview]Postoperative Discomfort and Needs (Post-op Pain, Sore Throat, Back Pain, Nausea, Cold, Hunger, Thirst)
NCT02996591 (16) [back to overview]Postoperative Discomfort and Needs (Post-op Pain, Sore Throat, Back Pain, Nausea, Cold, Hunger, Thirst)
NCT03001453 (5) [back to overview]Number of Patients That Experienced a Fall
NCT03001453 (5) [back to overview]Time to Ambulation More Than 20 Feet (in Hours)
NCT03001453 (5) [back to overview]Patient Morphine Equivalent Consumption
NCT03001453 (5) [back to overview]Length of Stay (LOS, in Days)
NCT03001453 (5) [back to overview]Change in Patient-reported Visual Analog Scale (VAS) Pain Intensity Score
NCT03007966 (12) [back to overview]Total Opioid Consumption
NCT03007966 (12) [back to overview]Number of Participants With Presence of Opioid Related Side Effects--Itching
NCT03007966 (12) [back to overview]Number of Participants With Presence of Opioid Related Side Effects--Itching
NCT03007966 (12) [back to overview]Number of Participants With Presence of Opioid Related Side Effects--Nausea
NCT03007966 (12) [back to overview]Number of Participants With Presence of Opioid Related Side Effects--Vomiting
NCT03007966 (12) [back to overview]Number of Participants With Presence of Opioid Related Side Effects--Vomiting
NCT03007966 (12) [back to overview]Number of Participants With Presence of Opioid Related Side Effects--Nausea
NCT03007966 (12) [back to overview]Post-operative Verbal Pain Score With Activity
NCT03007966 (12) [back to overview]Post-operative Verbal Pain Score at Rest
NCT03007966 (12) [back to overview]Post-operative Verbal Pain Score With Movement
NCT03007966 (12) [back to overview]Time to First Oral Analgesic
NCT03007966 (12) [back to overview]Post-operative Verbal Pain Score at Rest
NCT03011333 (2) [back to overview]Mean Area Under the Curve (AUC) of the NRS-A (Windowed Worst Observation Carried Forward) Pain Intensity Scores
NCT03011333 (2) [back to overview]Mean Total Postoperative Opioid Consumption (in Morphine Equivalents)
NCT03015532 (3) [back to overview]Mean Area Under the Curve (AUC) of the NRS-R (Windowed Worst Observation Carried Forward) Pain Intensity Scores
NCT03015532 (3) [back to overview]Mean Area Under the Curve (AUC) of the NRS-R (Windowed Worst Observation Carried Forward) Pain Intensity Scores
NCT03015532 (3) [back to overview]Mean Total Postoperative Opioid Consumption (in Morphine Equivalents)
NCT03015961 (4) [back to overview]Area Under the Curve (AUC) of Visual Analog Scale (VAS) Pain Intensity Scores From 0 to 72 Hours
NCT03015961 (4) [back to overview]Percentage of Opioid-Free Patients
NCT03015961 (4) [back to overview]Area Under the Curve (AUC) of the Visual Analog Scale (VAS) Pain Intensity Scores From 24-48 and 48-72 Hours Postsurgery
NCT03015961 (4) [back to overview]Total Opioid Consumption Through 48 Hours Postsurgery
NCT03022526 (15) [back to overview]Parenting Self-efficacy (PMP-SE)
NCT03022526 (15) [back to overview]Parenting Self-Efficacy (PMP-SE)
NCT03022526 (15) [back to overview]Parent-Infant Attachment (MPAS)
NCT03022526 (15) [back to overview]Parent-Infant Attachment (MPAS)
NCT03022526 (15) [back to overview]Pain Score on Average (BPI - Short Form)
NCT03022526 (15) [back to overview]Pain Score on Average (BPI - Short Form)
NCT03022526 (15) [back to overview]Pain Score on Average (BPI - Short Form)
NCT03022526 (15) [back to overview]Child Development (ASQ-3) Personal Social Score
NCT03022526 (15) [back to overview]Child Development (ASQ-3) Personal Social Score
NCT03022526 (15) [back to overview]Edinburgh Postnatal Depression Score (EPDS)
NCT03022526 (15) [back to overview]Number of Participants Currently Breastfeeding at 2 Days Postpartum (Yes/No)
NCT03022526 (15) [back to overview]Number of Participants Currently Breastfeeding at 3 Months Postpartum (Yes/No)
NCT03022526 (15) [back to overview]Number of Participants Currently Breastfeeding at 6 Weeks Postpartum (Yes/No)
NCT03022526 (15) [back to overview]Perceived Stress (PSS)
NCT03022526 (15) [back to overview]Edinburgh Postnatal Depression Score (EPDS)
NCT03027661 (2) [back to overview]Pain Reported on the Visual Analogue Scale (VAS) at 30 Minutes Postoperative
NCT03027661 (2) [back to overview]Pain Reported on the Visual Analogue Scale (VAS) at 60 Minutes Postoperative
NCT03040011 (19) [back to overview]Return to Baseline Activities Using the Activities Assessment Scale
NCT03040011 (19) [back to overview]Nausea and Vomiting Measured by the PONV Scale
NCT03040011 (19) [back to overview]Return to Baseline Activities Using the Activities Assessment Scale
NCT03040011 (19) [back to overview]Adverse Events
NCT03040011 (19) [back to overview]6 Hour Postoperative Pain Measured by the NRS
NCT03040011 (19) [back to overview]Postoperative Urinary Retention
NCT03040011 (19) [back to overview]Primary Postoperative Pain Measured by the Numerical Rating Scale (NRS)
NCT03040011 (19) [back to overview]POD 2 Narcotic Consumption
NCT03040011 (19) [back to overview]1 Week Postoperative Pain Measured by the NRS
NCT03040011 (19) [back to overview]POD 2 Postoperative Pain Measured by the NRS
NCT03040011 (19) [back to overview]POD 3 Ibuprofen Consumption
NCT03040011 (19) [back to overview]POD 3 Narcotic Consumption
NCT03040011 (19) [back to overview]POD 3 Postoperative Pain Measured by the NRS
NCT03040011 (19) [back to overview]POD 2 Ibuprofen Consumption
NCT03040011 (19) [back to overview]POD 1 Narcotic Consumption
NCT03040011 (19) [back to overview]Proportion of Patients With Same Day Discharge
NCT03040011 (19) [back to overview]Return to Baseline Activities Using the Activities Assessment Scale
NCT03040011 (19) [back to overview]Return to Baseline Activities Using the Activities Assessment Scale
NCT03040011 (19) [back to overview]POD 1 Ibuprofen Consumption
NCT03080142 (1) [back to overview]Mean Opioid Consumption in Morphine Opioid Equivalents in mg
NCT03084536 (5) [back to overview]Average Pain as Measured by the Brief Pain Inventory (BPI) at 1 Year
NCT03084536 (5) [back to overview]Change in Quality of Life as Measured by the Veterans RAND12 Questionnaire Mental Health Summary Measure
NCT03084536 (5) [back to overview]Worst Pain as Measured by the Brief Pain Inventory (BPI) at 1 Year
NCT03084536 (5) [back to overview]Interference as Measured by the Brief Pain Inventory (BPI) at 1 Year
NCT03084536 (5) [back to overview]Change in Quality of Life as Measured by the Veterans RAND12 Questionnaire Physical Health Summary Measure
NCT03090152 (12) [back to overview]Opioid Consumption During the First 3 Days Post-op
NCT03090152 (12) [back to overview]Neuropathic Pain Assessed With S-LANSS
NCT03090152 (12) [back to overview]Readiness for Discharge Time
NCT03090152 (12) [back to overview]Opioid Use
NCT03090152 (12) [back to overview]No Opioids Consumed
NCT03090152 (12) [back to overview]Post-operative Pain
NCT03090152 (12) [back to overview]Quality of Recovery
NCT03090152 (12) [back to overview]Patient Satisfaction
NCT03090152 (12) [back to overview]Blinding Assessment
NCT03090152 (12) [back to overview]Pain With Activity
NCT03090152 (12) [back to overview]Pain at Rest
NCT03090152 (12) [back to overview]Opioid Side Effects
NCT03098420 (3) [back to overview]Average Opioid Consumption
NCT03098420 (3) [back to overview]Average Pain Score
NCT03098420 (3) [back to overview]First Post-Operative Opioid Administration
NCT03103100 (4) [back to overview]Number of Patients Who Achieve Adequate Analgesia
NCT03103100 (4) [back to overview]Number of Patients Who Experienced of Maternal Hypotension
NCT03103100 (4) [back to overview]Time to Achieve an Adequate Epidural Level for Labor Analgesia
NCT03103100 (4) [back to overview]Degree of Motor Block
NCT03106753 (10) [back to overview]Number of Adverse Events During Procedure
NCT03106753 (10) [back to overview]Number of NICU Admission
NCT03106753 (10) [back to overview]Time From Procedure to Delivery.
NCT03106753 (10) [back to overview]Number of Participants With Newborns With Apgar Score 7 or 9
NCT03106753 (10) [back to overview]Number of Participants With Success Rate of External Cephalic Version to Cephalic Presentation.
NCT03106753 (10) [back to overview]Number of Participants With Various Mode of Delivery
NCT03106753 (10) [back to overview]Numeric Rating Scale (NRS-11)
NCT03106753 (10) [back to overview]Numeric Rating Scale (NRS-11)
NCT03106753 (10) [back to overview]Newborn Birth Weight
NCT03106753 (10) [back to overview]Cord pH
NCT03110003 (4) [back to overview]Time Until PACU Discharge in Minutes
NCT03110003 (4) [back to overview]Degree of Peak Motor Blockade by Modified Bromage Scale
NCT03110003 (4) [back to overview]Time Elapsed Until Motor Block Regresses to Modified Bromage Score = 0
NCT03110003 (4) [back to overview]Peak Block Height
NCT03115151 (1) [back to overview]Visual Analog Pain Score (VAS)
NCT03122301 (1) [back to overview]2 Month Subject Reported Daily Hot Flashes (Mean)
NCT03149887 (8) [back to overview]Mean NRS Pain Score at Rest on Postoperative Day 2
NCT03149887 (8) [back to overview]Oral Analgesic Requirements on Postoperative Day 1
NCT03149887 (8) [back to overview]Mean NRS Pain Score With Motion
NCT03149887 (8) [back to overview]Oral Analgesic Requirements on Postoperative Day 3
NCT03149887 (8) [back to overview]Mean NRS Pain Score at Rest on Postoperative Day 1
NCT03149887 (8) [back to overview]Mean NRS Pain Scores at Rest on Postoperative Day 3
NCT03149887 (8) [back to overview]Numeric Rating Pain Score [NRS] at Time of Block Resolution
NCT03149887 (8) [back to overview]Oral Analgesic Requirements on Postoperative Day 2
NCT03151434 (7) [back to overview]Subjects Overall Satisfaction Scores
NCT03151434 (7) [back to overview]Secondary Endpoint Includes Total Intravenous Opioid Consumption at 72 Hours
NCT03151434 (7) [back to overview]Subjects Overall Satisfaction Scores
NCT03151434 (7) [back to overview]Average Sedation Scores Over 72 Hours
NCT03151434 (7) [back to overview]Average Nausea Scores Over 72 Hours
NCT03151434 (7) [back to overview]The Primary Endpoint of This Study Will be VAS Pain Score at 48 Hours
NCT03151434 (7) [back to overview]The Primary Endpoint of This Study Will be VAS Pain Score at 24 Hours
NCT03176459 (9) [back to overview]Time to First Rescue Medication Use
NCT03176459 (9) [back to overview]Total Postsurgical Opioid Consumption Through 168 Hours (Day 7)
NCT03176459 (9) [back to overview]Total Postsurgical Opioid Consumption Through 24 Hours
NCT03176459 (9) [back to overview]Total Postsurgical Opioid Consumption Through 336 Hours (Day 14)
NCT03176459 (9) [back to overview]Total Postsurgical Opioid Consumption Through 48 Hours
NCT03176459 (9) [back to overview]Total Postsurgical Opioid Consumption Through 72 Hours After TAP Infiltration During Elective Cesarean Section
NCT03176459 (9) [back to overview]Area Under the Curve (AUC) for Visual Analog Scale (VAS) Pain Scores Through 72 Hours
NCT03176459 (9) [back to overview]Opioid Spared Subjects Through 72 Hours
NCT03176459 (9) [back to overview]Opioid-Free Subjects Through 72 Hours
NCT03187379 (2) [back to overview]Post-Operative Pain
NCT03187379 (2) [back to overview]Post-Operative Pain
NCT03196505 (2) [back to overview]Morphine Equivalents
NCT03196505 (2) [back to overview]Cumulative Pain Score
NCT03225313 (9) [back to overview]Measurement of Serum Adrenaline Levels (ng/ml) Using ELISA Technique.
NCT03225313 (9) [back to overview]Measurement of Serum Cortisol Level (Nmol/ Liter) Using ELISA Technique.
NCT03225313 (9) [back to overview]Immediate Postoperative Pain
NCT03225313 (9) [back to overview]Change in the Level of Serum Cortisol.
NCT03225313 (9) [back to overview]Postoperative Pain at 6 Hours After Procedure.
NCT03225313 (9) [back to overview]Postoperative Pain at 2 Hours After Procedure.
NCT03225313 (9) [back to overview]Measurement of Serum Noradrenaline Levels (ng/ml) Using ELISA Technique.
NCT03225313 (9) [back to overview]Measurement of Serum Adrenaline Level (ng/ml) Using ELISA Technique.
NCT03225313 (9) [back to overview]Measurement of Serum Noradrenaline Levels (ng/ml) Using ELISA Technique.
NCT03234374 (8) [back to overview]Tlag
NCT03234374 (8) [back to overview]t½ Terminal Half Life
NCT03234374 (8) [back to overview]Cmax
NCT03234374 (8) [back to overview]AUC0-∞
NCT03234374 (8) [back to overview]Tmax
NCT03234374 (8) [back to overview]AUC
NCT03234374 (8) [back to overview]AUC Extrapolated
NCT03234374 (8) [back to overview]λz
NCT03237481 (5) [back to overview]Percetange of Subjects Who Are Opioid-free for HTX-011 Compared With Bupivacaine HCl.
NCT03237481 (5) [back to overview]Mean Area Under the Curve (AUC) of the Numeric Rating Scale of Pain Intensity Scores With Activity (NRS-A; Windowed Worst Observation Carried Forward) for HTX 011 Compared With Saline Placebo.
NCT03237481 (5) [back to overview]Mean AUC of the NRS-A Pain Intensity Scores (Windowed Worst Observation Carried Forward) for HTX 011 Compared With Bupivacaine HCl.
NCT03237481 (5) [back to overview]Mean Total Postoperative Opioid Consumption (in Morphine Equivalents) for HTX 011 Compared With Bupivacaine HCl.
NCT03237481 (5) [back to overview]Mean Total Postoperative Opioid Consumption (in Morphine Equivalents) for HTX 011 Compared With Saline Placebo.
NCT03250507 (7) [back to overview]Total Opioid Consumption During the First 72 Hours Postoperatively as Measured in Morphine Equivalents (mg)
NCT03250507 (7) [back to overview]Pain Scores Using Visual Analogue Scale ( 0-10)
NCT03250507 (7) [back to overview]Number of Patients With Local Anesthetic Toxicity
NCT03250507 (7) [back to overview]Number of Patients With Hypotension < 60 mmHg Mean Arterial Pressure
NCT03250507 (7) [back to overview]Length of Stay in the Hospital
NCT03250507 (7) [back to overview]Time to First Opioid Consumption as Measured in Hours Until the First Dose of Breakthrough Opioid Medication Given
NCT03250507 (7) [back to overview]Patient Satisfaction Using 3 Point Scale - Very Satisfied, Satisfied, Not Satisfied
NCT03269435 (3) [back to overview]Sustained Headache Relief
NCT03269435 (3) [back to overview]Sustained Headache Freedom
NCT03269435 (3) [back to overview]0-10 Pain Score
NCT03270514 (15) [back to overview]Use of Incentive Spirometry
NCT03270514 (15) [back to overview]Patient Time to Mobilization
NCT03270514 (15) [back to overview]Patient Satisfaction
NCT03270514 (15) [back to overview]Non-invasive Ventilation (NIV) Requirement
NCT03270514 (15) [back to overview]Total Narcotic Consumption
NCT03270514 (15) [back to overview]Serum Cortisol Levels
NCT03270514 (15) [back to overview]Hospital Readmission
NCT03270514 (15) [back to overview]Length of Hospital and ICU Stay
NCT03270514 (15) [back to overview]Mortality
NCT03270514 (15) [back to overview]Post-operative Pain Intensity
NCT03270514 (15) [back to overview]Post-operative Nausea and Vomiting
NCT03270514 (15) [back to overview]Re-intubation
NCT03270514 (15) [back to overview]Time to Extubation
NCT03270514 (15) [back to overview]Patient Time to Out of Bed to Chair
NCT03270514 (15) [back to overview]Patient Time to Oral Intake
NCT03272139 (3) [back to overview]Numerical Pain Rating System (NRS) Pain Scores
NCT03272139 (3) [back to overview]Number of Participants With Incidence of Hemidiaphragmatic Paralysis (HDP)
NCT03272139 (3) [back to overview]Block Duration
NCT03283436 (3) [back to overview]Postoperative Opioid Use
NCT03283436 (3) [back to overview]Postoperative Pain Scores
NCT03283436 (3) [back to overview]Postoperative Pain Scores
NCT03289858 (1) [back to overview]Opiate Requirements
NCT03291197 (3) [back to overview]Inter-rater Agreement of Budapest Criteria
NCT03291197 (3) [back to overview]Number of Participants Demonstrating Tolerability of Suprascapular and Median Nerve Blocks
NCT03291197 (3) [back to overview]Visual Analog Scale (VAS)
NCT03292926 (3) [back to overview]Discharge Criteria
NCT03292926 (3) [back to overview]Pain With Ambulation
NCT03292926 (3) [back to overview]Pain While at Rest
NCT03294109 (6) [back to overview]Patient Satisfaction With Pain Management
NCT03294109 (6) [back to overview]Participants Experiencing Complications Related to Surgery or Block
NCT03294109 (6) [back to overview]Change in Pain Score
NCT03294109 (6) [back to overview]Return of Bowel Function
NCT03294109 (6) [back to overview]Nausea and Vomiting, Defined as Requiring Pre-op Scopolamine Patch or Rescue Antiemetics
NCT03294109 (6) [back to overview]Opioid Use Dose/Day
NCT03295721 (5) [back to overview]Mean Total Postoperative Opioid Consumption (in Morphine Equivalents) for HTX 011 Compared With Bupivacaine HCl.
NCT03295721 (5) [back to overview]Percentage of Subjects Who Are Opioid-free for HTX-011 Compared With Bupivacaine HCl.
NCT03295721 (5) [back to overview]Mean Total Postoperative Opioid Consumption (in Morphine Equivalents) for HTX 011 Compared With Saline Placebo.
NCT03295721 (5) [back to overview]Mean AUC of the NRS-A Pain Intensity Scores (Windowed Worst Observation Carried Forward) for HTX 011 Compared With Bupivacaine HCl.
NCT03295721 (5) [back to overview]Mean Area Under the Curve (AUC) of the Numeric Rating Scale of Pain Intensity Scores With Activity (NRS-A; Windowed Worst Observation Carried Forward) for HTX-011 Compared With Saline Placebo.
NCT03303794 (3) [back to overview]Pain Scores During 48 Hrs Postoperatively
NCT03303794 (3) [back to overview]Opioid Consumption During the First 48 Hours After TKA Surgery
NCT03303794 (3) [back to overview]AM-PAC Score to Measure Patients Fitness for Discharge
NCT03305575 (4) [back to overview]Time to Ambulation
NCT03305575 (4) [back to overview]Duration of Sensory Block
NCT03305575 (4) [back to overview]Duration of Motor Block
NCT03305575 (4) [back to overview]Time to Micturation
NCT03305666 (3) [back to overview]Daily Narcotic Requirements Using Equi-analgesic Doses
NCT03305666 (3) [back to overview]Daily Sequential Clinical Assessment of Respiratory Function (SCARF) Score
NCT03305666 (3) [back to overview]Percentage of Participants Experiencing Failure of Primary Loco-Regional Analgesia (LRA)
NCT03307174 (7) [back to overview]Average Pain Interference
NCT03307174 (7) [back to overview]Total Local Anesthetic Utilized in First 24 Hours
NCT03307174 (7) [back to overview]Average Pain Severity
NCT03307174 (7) [back to overview]Patient Satisfaction Score
NCT03307174 (7) [back to overview]Total Opioid Consumed
NCT03307174 (7) [back to overview]Worst Reported 24 Hour Pain
NCT03307174 (7) [back to overview]Incidence of Hypotension
NCT03316118 (4) [back to overview]Mean Pain Scores of the Knee at Rest for the First 48 Hours After Surgery
NCT03316118 (4) [back to overview]Overall Satisfaction With Pain Control 72 Hours After Surgery
NCT03316118 (4) [back to overview]Post-operative Opioid Consumption During the Hospital Stay
NCT03316118 (4) [back to overview]Length of Hospitalization
NCT03326999 (6) [back to overview]Analgesia Satisfaction Score
NCT03326999 (6) [back to overview]Morphine Equivalence Consumption
NCT03326999 (6) [back to overview]Number of Participants With Nausea or Vomiting
NCT03326999 (6) [back to overview]Time to Breakthrough Pain Medication
NCT03326999 (6) [back to overview]Pain Score
NCT03326999 (6) [back to overview]Time to Ambulation
NCT03359811 (7) [back to overview]Number of Participants With Adverse Events Related to 4Q-TAP Versus TEA
NCT03359811 (7) [back to overview]Comparison of the Total Opioid Consumption Between Patients With 4Q-TAP Versus TEA
NCT03359811 (7) [back to overview]Number of Participants With Incidence of Opioid-Related Adverse Events Related to 4Q-TAP Versus TEA 48
NCT03359811 (7) [back to overview]4Q-TAP Versus TEA on Postoperative Pain
NCT03359811 (7) [back to overview]Efficacy of TEA vs 4Q-TAP in QoR at Postoperative Day (POD)2
NCT03359811 (7) [back to overview]Comparison of the Length of Stay (LOS) Between Patients With 4Q-TAP Versus TEA
NCT03359811 (7) [back to overview]Number of Participants With Incidence of Postoperative Complications and Morbidity in Patients Receiving 4Q-TAP Versus TEA
NCT03373591 (7) [back to overview]Nausea
NCT03373591 (7) [back to overview]Fentanyl PCA mcg
NCT03373591 (7) [back to overview]Acetaminophen Usage
NCT03373591 (7) [back to overview]Time to Ambulation
NCT03373591 (7) [back to overview]Total Fentanyl Usage
NCT03373591 (7) [back to overview]Pain Score
NCT03373591 (7) [back to overview]NSAID Usage
NCT03375112 (5) [back to overview]Walking Distance
NCT03375112 (5) [back to overview]Time to Discharge Readiness
NCT03375112 (5) [back to overview]Morphine Equivalents Consumed
NCT03375112 (5) [back to overview]Averaged Pain Score
NCT03375112 (5) [back to overview]Time to Up-and-go
NCT03383198 (2) [back to overview]Duration of Analgesia
NCT03383198 (2) [back to overview]Subjective Bilateral Pain Comparison
NCT03383588 (1) [back to overview]Amount of Supplemental Oxycodone Used
NCT03401450 (3) [back to overview]Total Opioid Consumption Postop Measured by Amounts of Morphine Equivalents
NCT03401450 (3) [back to overview]Side Effects Such as Nausea, Itching, Constipation.
NCT03401450 (3) [back to overview]Total Opioid Consumption Intraop Measured by Amounts of Morphine Equivalents
NCT03408483 (11) [back to overview]Opioid Consumption (Oral Morphine Equivalents)
NCT03408483 (11) [back to overview]Opioid Consumption (Oral Morphine Equivalents)
NCT03408483 (11) [back to overview]Distance Ambulated
NCT03408483 (11) [back to overview]Patient Satisfaction
NCT03408483 (11) [back to overview]Opioid Consumption (Oral Morphine Equivalents)
NCT03408483 (11) [back to overview]Pain Scores Using Visual Analog Scale (VAS) Scores
NCT03408483 (11) [back to overview]Pain Scores Using Visual Analog Scale (VAS) Scores
NCT03408483 (11) [back to overview]Pain Scores Using Visual Analog Scale (VAS) Scores
NCT03408483 (11) [back to overview]Pain Scores Using Visual Analog Scale (VAS) Scores
NCT03408483 (11) [back to overview]Distance Ambulated
NCT03408483 (11) [back to overview]Hours to Hospital Discharge
NCT03432650 (15) [back to overview]Numerical Pain Rating System (NRS) Pain Scores
NCT03432650 (15) [back to overview]Numerical Pain Rating System (NRS) Pain Scores
NCT03432650 (15) [back to overview]Numerical Pain Rating System (NRS) Pain Scores
NCT03432650 (15) [back to overview]Numerical Pain Rating System (NRS) Pain Scores
NCT03432650 (15) [back to overview]Patient Satisfaction With Post Op Pain Control
NCT03432650 (15) [back to overview]Patient Score on Quality of Recovery-40 (QoR40) Inventory.
NCT03432650 (15) [back to overview]Change in Quadriceps Motor Strength on Surgical Side
NCT03432650 (15) [back to overview]Incidence of Hypotension
NCT03432650 (15) [back to overview]Number of Patients With Presence of IAFE (Intraabdominal Fluid Extravasation) Following Surgery
NCT03432650 (15) [back to overview]Opioid Use
NCT03432650 (15) [back to overview]Urinary Retention
NCT03432650 (15) [back to overview]Number of Patients With Nausea/Vomiting
NCT03432650 (15) [back to overview]Numerical Pain Rating System (NRS) Pain Scores
NCT03432650 (15) [back to overview]Number of Participants With Hospital Admission
NCT03432650 (15) [back to overview]Antiemetic Use
NCT03479216 (7) [back to overview]Postoperative Pain
NCT03479216 (7) [back to overview]Rescue Analgesic Time
NCT03479216 (7) [back to overview]Number of Participants With Complications Due to Intraarticular Injection
NCT03479216 (7) [back to overview]Mobilization
NCT03479216 (7) [back to overview]Time to the End of Spinal Anesthesia
NCT03479216 (7) [back to overview]Surgery Time
NCT03479216 (7) [back to overview]Postoperative Opioid/NSAID Consumption
NCT03482973 (5) [back to overview]Pain Scores
NCT03482973 (5) [back to overview]Opioid Consumption
NCT03482973 (5) [back to overview]Number of Participants With Complications
NCT03482973 (5) [back to overview]Hospital Length of Stay
NCT03482973 (5) [back to overview]ICU Length of Stay
NCT03493828 (1) [back to overview]Effect of Transversus Abdominis Plane (TAP) Block Using Either 0.5% or 0.25% Bupivacaine on Analgesia for Cesarean Section Patients When Compared to Placebo.
NCT03502018 (8) [back to overview]Postoperative Total Morphine Equivalent
NCT03502018 (8) [back to overview]Post-operative Pain
NCT03502018 (8) [back to overview]Post-operative Pain
NCT03502018 (8) [back to overview]Time to Ambulation
NCT03502018 (8) [back to overview]Length of Stay
NCT03502018 (8) [back to overview]Post-operative Pain
NCT03502018 (8) [back to overview]Post-operative Pain
NCT03502018 (8) [back to overview]Post-operative Pain
NCT03508830 (4) [back to overview]Average Daily In-Hospital Pain Score
NCT03508830 (4) [back to overview]Average Daily In-Hospital Use of Opioids
NCT03508830 (4) [back to overview]Length of Stay
NCT03508830 (4) [back to overview]Number of Participants With Postoperative Pneumonia
NCT03514277 (3) [back to overview]Mean Postoperative Pain Score
NCT03514277 (3) [back to overview]Number of Participants With Opioid Related Adverse Events
NCT03514277 (3) [back to overview]Total Consumption of Opioids During Hospital Stay
NCT03523000 (9) [back to overview]Change in Medication
NCT03523000 (9) [back to overview]Adverse Event (AE)
NCT03523000 (9) [back to overview]Change in Numerical Rating Scale Pain Scores (NRS) at Rest
NCT03523000 (9) [back to overview]Change in Numerical Rating Scale Pain Scores (NRS) With Activity
NCT03523000 (9) [back to overview]Change in Oswestry Disability Score (ODI)
NCT03523000 (9) [back to overview]Change in painDETECT Final
NCT03523000 (9) [back to overview]Change in painDETECT Total
NCT03523000 (9) [back to overview]Change in Patient Global Impression of Change (PGIC)
NCT03523000 (9) [back to overview]Treatment Satisfaction Questionnaire (TSQ)
NCT03541941 (13) [back to overview]Pain Scores at Postoperative Day 1
NCT03541941 (13) [back to overview]Pain Scores at Postoperative Day 2
NCT03541941 (13) [back to overview]Pain Scores at Postoperative Day 3
NCT03541941 (13) [back to overview]30-day Pain Scores
NCT03541941 (13) [back to overview]30-day Patient-Reported Quality of Life
NCT03541941 (13) [back to overview]Cumulative Opioid Requirements at Postoperative Day 0
NCT03541941 (13) [back to overview]Cumulative Opioid Requirements at Postoperative Day 1
NCT03541941 (13) [back to overview]Cumulative Opioid Requirements at Postoperative Day 2
NCT03541941 (13) [back to overview]Cumulative Opioid Requirements at Postoperative Day 3
NCT03541941 (13) [back to overview]Cumulative Opioid Requirements for 72 Hours After Surgery
NCT03541941 (13) [back to overview]Length of Hospital Stay
NCT03541941 (13) [back to overview]Opioid Requirements for Total Length of Hospital Stay
NCT03541941 (13) [back to overview]Pain Scores at Postoperative Day 0
NCT03587584 (1) [back to overview]Total Intraoperative Opioids Used
NCT03587636 (2) [back to overview]Total Maximum Pain Scores f
NCT03587636 (2) [back to overview]Total Opioid Use
NCT03599089 (3) [back to overview]Percentage of Subjects Opioid Free
NCT03599089 (3) [back to overview]Change in Postsurgical Pain Based on the Weighted Sum of Pain Intensity (SPI) Assessments Over 96 Hours of the NRS Scores = Area Under the Curve (AUC)
NCT03599089 (3) [back to overview]Total Opioid Consumption (in Daily Morphine Equivalents)
NCT03636542 (5) [back to overview]Diaphragm Excursion With Quick Inspiratory Breath
NCT03636542 (5) [back to overview]FEV1/FVC
NCT03636542 (5) [back to overview]Diaphragm Excursion With Sigh
NCT03636542 (5) [back to overview]Forced Expiratory Volume in 1 Second (FEV1)
NCT03636542 (5) [back to overview]Forced Vital Capacity (FVC)
NCT03638635 (7) [back to overview]Time to Return of Bowel Function
NCT03638635 (7) [back to overview]In-hospital Antiemetic Use
NCT03638635 (7) [back to overview]Length of Stay
NCT03638635 (7) [back to overview]Pain Score
NCT03638635 (7) [back to overview]Time to Clear Liquid Diet
NCT03638635 (7) [back to overview]Time to Low Fiber Diet
NCT03638635 (7) [back to overview]Time to Patient Mobilization
NCT03642457 (5) [back to overview]Visual Analogue Score (VAS)
NCT03642457 (5) [back to overview]Amount of Opioid Consumption
NCT03642457 (5) [back to overview]Time to First Dose of Narcotic Administration
NCT03642457 (5) [back to overview]PACU Length of Stay
NCT03642457 (5) [back to overview]ICU Length of Stay
NCT03653416 (7) [back to overview]PACU Length of Stay
NCT03653416 (7) [back to overview]Narcotic Consumption
NCT03653416 (7) [back to overview]Ambulation Distance
NCT03653416 (7) [back to overview]Time to First Dose of Narcotic Administration
NCT03653416 (7) [back to overview]Visual Analogue Score (VAS) for Pain
NCT03653416 (7) [back to overview]Number of Participants With Pain by Location
NCT03653416 (7) [back to overview]Bartels Index
NCT03663283 (4) [back to overview]Patient Pain Scores
NCT03663283 (4) [back to overview]Satisfaction With Pain Control Using Satisfaction Scale
NCT03663283 (4) [back to overview]Opioid Consumption
NCT03663283 (4) [back to overview]Time to Cessation of Nerve Blockade
NCT03666663 (1) [back to overview]Number of Participants With a Reduction in Headache Days From Baseline to Month 8 of Treatment
NCT03682224 (9) [back to overview]Total Morphine Equivalents Consumed
NCT03682224 (9) [back to overview]Pneumothorax
NCT03682224 (9) [back to overview]Hospital Stay
NCT03682224 (9) [back to overview]Prolonged Air Leak
NCT03682224 (9) [back to overview]VAS Pain Score
NCT03682224 (9) [back to overview]Mortality
NCT03682224 (9) [back to overview]Pharmacy Cost
NCT03682224 (9) [back to overview]Treatment Cost
NCT03682224 (9) [back to overview]Atrial Fibrillation/Other Arrhythmia
NCT03682302 (6) [back to overview]The Apparent Terminal Elimination Half-life (t1/2el)
NCT03682302 (6) [back to overview]Apparent Clearance (CL/F)
NCT03682302 (6) [back to overview]Apparent Volume of Distribution (Vd/F)
NCT03682302 (6) [back to overview]Maximum Plasma Concentration (Cmax)
NCT03682302 (6) [back to overview]Area Under the Plasma Concentration-versus-time Curve (AUC) 0 to Tlast
NCT03682302 (6) [back to overview]Area Under the Plasma Concentration-versus-time Curve (AUC) 0 to Infinity
NCT03693404 (3) [back to overview]Ambulation Distance
NCT03693404 (3) [back to overview]Score on Visual Analogue Scale (VAS) for Pain
NCT03693404 (3) [back to overview]Amount (mg) of Narcotics (Oral Morphine mg Equivalents) Used
NCT03700970 (11) [back to overview]Non Narcotic Pain Medication Intake: Ondansetron
NCT03700970 (11) [back to overview]Non Narcotic Pain Medication Intake: Gabapentin
NCT03700970 (11) [back to overview]Non Narcotic Pain Medication Intake: Cyclobenzaprine
NCT03700970 (11) [back to overview]Non Narcotic Pain Medication Intake: Celebrex
NCT03700970 (11) [back to overview]Length of Stay
NCT03700970 (11) [back to overview]Amount of Supplemental Postoperative Narcotic Analgesia in Oral Morphine Equivalents (OME)
NCT03700970 (11) [back to overview]Time to Return of Bowel Function
NCT03700970 (11) [back to overview]Non-narcotic Pain Medication Intake: Acetaminophen
NCT03700970 (11) [back to overview]Ambulation
NCT03700970 (11) [back to overview]Pain Measure
NCT03700970 (11) [back to overview]Time to First Opiate Use
NCT03702621 (41) [back to overview]VAS Score at 24 Hours at Rest
NCT03702621 (41) [back to overview]VAS Score at 24 Hours With Movement
NCT03702621 (41) [back to overview]VAS Score at 48 Hours at Rest
NCT03702621 (41) [back to overview]Length of Stay
NCT03702621 (41) [back to overview]Nausea Scores (Mild) at 1 Hour
NCT03702621 (41) [back to overview]Nausea Scores (Mild) at 24 Hours
NCT03702621 (41) [back to overview]Ambulatory Postoperatively
NCT03702621 (41) [back to overview]Nausea Scores (Mild) at 48 Hours
NCT03702621 (41) [back to overview]Nausea Scores (Mild) at 72 Hours
NCT03702621 (41) [back to overview]Nausea Scores (Moderate) at 1 Hour
NCT03702621 (41) [back to overview]Nausea Scores (Moderate) at 24 Hours
NCT03702621 (41) [back to overview]Nausea Scores (None) at 48 Hours
NCT03702621 (41) [back to overview]Nausea Scores (None) at 24 Hours
NCT03702621 (41) [back to overview]VAS Score at 48 Hours With Movement
NCT03702621 (41) [back to overview]VAS Score at 72 Hours at Rest
NCT03702621 (41) [back to overview]VAS Score at 72 Hours With Movement
NCT03702621 (41) [back to overview]Nausea Scores (Moderate) at 72 Hours
NCT03702621 (41) [back to overview]Time to Per Os
NCT03702621 (41) [back to overview]Nausea Scores (None) at 1 Hour
NCT03702621 (41) [back to overview]Total Opioid Consumption at 24 Hour
NCT03702621 (41) [back to overview]Total Opioid Consumption at 48 Hour
NCT03702621 (41) [back to overview]Sedation Scores (Awake/Alert) at 72 Hours
NCT03702621 (41) [back to overview]Sedation Scores (Awake/Alert) at 48 Hours
NCT03702621 (41) [back to overview]Sedation Scores (Awake/Alert) at 24 Hours
NCT03702621 (41) [back to overview]Nausea Scores (Moderate) at 48 Hours
NCT03702621 (41) [back to overview]Sedation Scores (Asleep/Arousable) at 1 Hour
NCT03702621 (41) [back to overview]Nausea Scores (Severe) at 72 Hours
NCT03702621 (41) [back to overview]Nausea Scores (Severe) at 48 Hours
NCT03702621 (41) [back to overview]Nausea Scores (Severe) at 24 Hours
NCT03702621 (41) [back to overview]Nausea Scores (Severe) at 1 Hour
NCT03702621 (41) [back to overview]Nausea Scores (None) at 72 Hours
NCT03702621 (41) [back to overview]Sedation Scores (Deep Sleep) at 1 Hour
NCT03702621 (41) [back to overview]Sedation Scores (Quietly Awake) at 1 Hour
NCT03702621 (41) [back to overview]Surgery Duration
NCT03702621 (41) [back to overview]Time to Bowel Movement
NCT03702621 (41) [back to overview]Time to Flatus
NCT03702621 (41) [back to overview]Total Opioid Consumption at 1 Hour
NCT03702621 (41) [back to overview]Total Opioid Consumption at 72 Hour
NCT03702621 (41) [back to overview]VAS Score at 1 Hour at Rest
NCT03702621 (41) [back to overview]VAS Score at 1 Hour With Movement
NCT03702621 (41) [back to overview]Sedation Scores (Awake/Alert) at 1 Hour
NCT03706313 (10) [back to overview]Sleep Quality Measured by Number of Times Awakened by Pain During the First Postoperative Night
NCT03706313 (10) [back to overview]Worst Pain Rating Score (NRS-11) on Postoperative Day 7
NCT03706313 (10) [back to overview]Worst Pain Rating Score (NRS-11) With Movement on Postoperative Day 1
NCT03706313 (10) [back to overview]Total Opioid Consumption Through 48 Hours
NCT03706313 (10) [back to overview]Opioid Consumption at 24 Hours Post-op
NCT03706313 (10) [back to overview]Worst Pain Rating Score (NRS-11) at Rest on Postoperative Day 1
NCT03706313 (10) [back to overview]Patient Satisfaction With Pain Control at 24 h
NCT03706313 (10) [back to overview]20 Meter Walk Test Time Performed on Postoperative Day 1
NCT03706313 (10) [back to overview]Opioid Consumption on Postoperative Day 7
NCT03706313 (10) [back to overview]Patient Satisfaction With Pain Control on Postoperative Day 7
NCT03708198 (1) [back to overview]Tmax, or the Time Until the Maximum Concentration
NCT03722927 (6) [back to overview]Mean Visual Analog Scores
NCT03722927 (6) [back to overview]Number of Morphine Doses Across All Subjects
NCT03722927 (6) [back to overview]Frequency of Postoperative Opioid Related Adverse Effects
NCT03722927 (6) [back to overview]Length of Stay for Hospitalization
NCT03722927 (6) [back to overview]Readmission Rates to the Hospital
NCT03722927 (6) [back to overview]Mean Visual Analog Scores
NCT03723447 (4) [back to overview]Bowel Motility
NCT03723447 (4) [back to overview]Postoperative Length of Stay
NCT03723447 (4) [back to overview]Cumulative 48-hour Post Surgical Opiate Use (Oral Morphine Equivalent)
NCT03723447 (4) [back to overview]Post-op Pain Score (Visual Analog Scale)
NCT03757715 (2) [back to overview]Opioid Medication Use
NCT03757715 (2) [back to overview]Participant Pain Control
NCT03789318 (5) [back to overview]Pain Intensity Scores at 96 Hours at Rest Using Numerical Rating Scale (NRS)
NCT03789318 (5) [back to overview]Percent of Opioid Free Subjects
NCT03789318 (5) [back to overview]Time to Opioid Cessation or Freedom
NCT03789318 (5) [back to overview]Total Opioid Consumption
NCT03789318 (5) [back to overview]Weighted Sum of Pain Intensity (SPI) Assessments = AUC of NRS Scores
NCT03792191 (10) [back to overview]Number of Participants With Paresthesia
NCT03792191 (10) [back to overview]Number of Participants With Failure to Obtain Free Cerebrospinal Fluid Flow
NCT03792191 (10) [back to overview]Number of Participants With Failed Spinal Block
NCT03792191 (10) [back to overview]Number of Needle Passes Required to Obtain Free Cerebrospinal Fluid Flow
NCT03792191 (10) [back to overview]Rate of Successful Obtaining of Free Cerebrospinal Fluid Flow at the First Needle Pass
NCT03792191 (10) [back to overview]Number of Skin Punctures Required to Obtain Free Cerebrospinal Fluid Flow
NCT03792191 (10) [back to overview]Rate of Successful Obtaining of Free Cerebrospinal Fluid Flow at the First Skin Puncture
NCT03792191 (10) [back to overview]Patient Satisfaction
NCT03792191 (10) [back to overview]Duration of the Spinal Procedure
NCT03792191 (10) [back to overview]Number of Participants With Vascular Puncture
NCT03796195 (4) [back to overview]Change in Hot Flash Severity Baseline to 3 Months After Stellate Ganglion Block
NCT03796195 (4) [back to overview]Hot Flash Frequency Change Baseline to 3 Months After Treatment.
NCT03796195 (4) [back to overview]Patient Global Impression of Change Score (PGIC)
NCT03796195 (4) [back to overview]PROMIS SF4a Score 4 Weeks After Stellate Ganglion Block.
NCT03802864 (4) [back to overview]Narcotic Requirement
NCT03802864 (4) [back to overview]Pain Scores 48 Hours After Surgery
NCT03802864 (4) [back to overview]Pain Scores 60 Hours After Surgery
NCT03802864 (4) [back to overview]Pain Scores 7 Days After Surgery
NCT03822182 (2) [back to overview]Patient Reported Post Operative Opioid Use
NCT03822182 (2) [back to overview]Patient Reported Postoperative Pain: VAS
NCT03838874 (9) [back to overview]Time to Return of Lower Extremity Motor Function
NCT03838874 (9) [back to overview]Transient Neurologic Symptoms
NCT03838874 (9) [back to overview]Urinary Retention
NCT03838874 (9) [back to overview]Post-Anesthesia Care Unit (PACU) Length of Stay
NCT03838874 (9) [back to overview]Orthostatic Hypotension
NCT03838874 (9) [back to overview]Median Pain Score
NCT03838874 (9) [back to overview]Maximum Pain Score
NCT03838874 (9) [back to overview]Hospital Length of Stay
NCT03838874 (9) [back to overview]Discharge Pain Score
NCT03845894 (3) [back to overview]Average Pain Scores for the First 48 Hours
NCT03845894 (3) [back to overview]Satisfaction With Surgical Experience
NCT03845894 (3) [back to overview]Postoperative Opioid Consumption for the First 48 Hours
NCT03856788 (4) [back to overview]Number of Participants Asked Area of Pain on the Body After Surgery
NCT03856788 (4) [back to overview]Number of Participants Who Answered Yes to Having Presence of Nausea After Surgery
NCT03856788 (4) [back to overview]Amount of Intraoperative IV Opioid Consumption
NCT03856788 (4) [back to overview]Amount of 24 Hour Opioid Consumption
NCT03875664 (10) [back to overview]Length of Stay in Post-anesthesia Care Unit (PACU)
NCT03875664 (10) [back to overview]Hospital Length of Stay
NCT03875664 (10) [back to overview]Number of Antiemetic Doses Required Per Participant While Inpatient
NCT03875664 (10) [back to overview]Number of Participants Who Had a Bowel Movement Within the First 3 Postoperative Days
NCT03875664 (10) [back to overview]Postoperative Pain
NCT03875664 (10) [back to overview]Number of Patients With Adverse Events
NCT03875664 (10) [back to overview]Time to First Opioid Administration
NCT03875664 (10) [back to overview]Total Opioid Administration
NCT03875664 (10) [back to overview]Voiding Trial Failures
NCT03875664 (10) [back to overview]Number of Participants Reporting Satisfaction With Pain Control
NCT03885596 (5) [back to overview]Pain Intensity Scores at 48 Hours at Rest Using Numerical Rating Scale (NRS)
NCT03885596 (5) [back to overview]Pain Intensity Scores at 24 Hours at Rest Using Numerical Rating Scale (NRS)
NCT03885596 (5) [back to overview]Area Under the Curve (AUC) of Numerical Rating Scale (NRS) Scores (at Rest) Over 72h
NCT03885596 (5) [back to overview]Pain Intensity Scores at 72 Hours at Rest Using Numerical Rating Scale (NRS)
NCT03885596 (5) [back to overview]Opioid Consumption
NCT03887650 (10) [back to overview]Hospital Length-of-stay
NCT03887650 (10) [back to overview]Assessment of Patient Overall Satisfaction With Pain Control
NCT03887650 (10) [back to overview]Duration of Sensory Nerve Block
NCT03887650 (10) [back to overview]Motor Recovery
NCT03887650 (10) [back to overview]Total Amount of Opioid Consumed During the Indicated Time Periods
NCT03887650 (10) [back to overview]Incidence of Distress From Block Numbness
NCT03887650 (10) [back to overview]Day of the Final Opioids Used
NCT03887650 (10) [back to overview]Time to First Opioid Medication
NCT03887650 (10) [back to overview]Pain Assessment at Post Anesthesia Care Unit (PACU)-96 Postoperative Hours
NCT03887650 (10) [back to overview]Total Opioid Consumption
NCT03907033 (7) [back to overview]Patient Satisfaction With Pain Management at 72 Hours and 7-10 Days Post Surgery
NCT03907033 (7) [back to overview]Total Post-surgical Opioid Medication Use
NCT03907033 (7) [back to overview]Total Post-surgical Analgesic Medication Use
NCT03907033 (7) [back to overview]VAS Pain Score at 24, 48, and 72 Hours Post-surgery Completion
NCT03907033 (7) [back to overview]Nausea at 24, 48, and 72 Hours Post-surgery Completion
NCT03907033 (7) [back to overview]Urinary Retention
NCT03907033 (7) [back to overview]Emesis at 24, 48, and 72 Hours Post-surgery Completion
NCT03913091 (4) [back to overview]T-Scores, PROMIS Pain Intensity Scale
NCT03913091 (4) [back to overview]Opioid Utilization
NCT03913091 (4) [back to overview]Opioid Utilization
NCT03913091 (4) [back to overview]Score on Patient-Reported Outcomes Measurement Information System (PROMIS) Pain Intensity Scale
NCT03922620 (3) [back to overview]Visual Analog Scale Pain Score
NCT03922620 (3) [back to overview]Number of Participants With Unscheduled Healthcare Contact
NCT03922620 (3) [back to overview]Number of Participants With Complications
NCT03927911 (3) [back to overview]Time to First Opioid Rescue Through 72 Hours or Discharge.
NCT03927911 (3) [back to overview]Post-surgical Opioid Consumption in mg MED PO at 14 Days After Surgery
NCT03927911 (3) [back to overview]Post-surgical Opioid Consumption in mg MED PO (0-72 Hours)
NCT03948386 (6) [back to overview]Number of Patients With Dizziness Events
NCT03948386 (6) [back to overview]Number of Patients With Transient Neurological Symptoms (TNS)
NCT03948386 (6) [back to overview]Number of Patients With Urinary Retention Events
NCT03948386 (6) [back to overview]Percentage Ambulating Early After Spinal Anesthesia
NCT03948386 (6) [back to overview]Return of Motor Function of the Thigh and Lower Leg
NCT03948386 (6) [back to overview]Hospital Stay
NCT03972397 (19) [back to overview]Brief Pain Inventory (BPI) - Severity Score
NCT03972397 (19) [back to overview]5-point Satisfaction Scale
NCT03972397 (19) [back to overview]5-point Satisfaction Scale
NCT03972397 (19) [back to overview]5-point Satisfaction Scale
NCT03972397 (19) [back to overview]Brief Pain Inventory (BPI) - Severity Score
NCT03972397 (19) [back to overview]5-point Satisfaction Scale
NCT03972397 (19) [back to overview]Brief Pain Inventory (BPI) - Pain Interference Score
NCT03972397 (19) [back to overview]Brief Pain Inventory (BPI) - Pain Interference Score
NCT03972397 (19) [back to overview]Brief Pain Inventory (BPI) - Severity Score
NCT03972397 (19) [back to overview]Brief Pain Inventory (BPI) - Pain Interference Score
NCT03972397 (19) [back to overview]Brief Pain Inventory (BPI) - Pain Interference Score
NCT03972397 (19) [back to overview]Brief Pain Inventory (BPI) - Severity Score
NCT03972397 (19) [back to overview]5-point Satisfaction Scale
NCT03972397 (19) [back to overview]Brief Pain Inventory (BPI) - Pain Interference Score
NCT03972397 (19) [back to overview]Length of Hospital Stay
NCT03972397 (19) [back to overview]Brief Pain Inventory (BPI) - Severity Score
NCT03972397 (19) [back to overview]Brief Pain Inventory (BPI) - Pain Interference Score
NCT03972397 (19) [back to overview]Score on Numeric Pain Scale (NPS)
NCT03972397 (19) [back to overview]Brief Pain Inventory (BPI) - Severity Score
NCT03974932 (19) [back to overview]Mean Total TSQM-9 Score
NCT03974932 (19) [back to overview]Mean Overall Benefit of Analgesia Score (OBAS).
NCT03974932 (19) [back to overview]Maximum Concentration (Cmax)
NCT03974932 (19) [back to overview]1) Pain Control Based on Patient Global Assessment (PGA)."-NCT03974932">"Percentage of Subjects Achieving a Score of Good or Better (>1) Pain Control Based on Patient Global Assessment (PGA)."
NCT03974932 (19) [back to overview]Percentage of Subjects Who do Not Receive an Opioid Prescription Between Discharge and the Day 11 Visit.
NCT03974932 (19) [back to overview]Percentage of Subjects Who do Not Receive an Opioid Prescription at Discharge.
NCT03974932 (19) [back to overview]Percentage of Subjects Who Are Opioid-free Through 72 Hours Who Remain Opioid-free Through Day 11.
NCT03974932 (19) [back to overview]Percentage of Subjects Who Are Opioid-free
NCT03974932 (19) [back to overview]Percentage of Subjects Who Are Discharged Home vs to a Skilled Nursing Facility.
NCT03974932 (19) [back to overview]Percentage of Subjects Unable to Participate in Each Rehabilitation Session Because of Pain.
NCT03974932 (19) [back to overview]Median Time to First Opioid Rescue Medication.
NCT03974932 (19) [back to overview]Median Time to First Ambulation Postsurgery.
NCT03974932 (19) [back to overview]Mean Total Postoperative Opioid Consumption (in IV Morphine Milligram Equivalents [MME]).
NCT03974932 (19) [back to overview]Mean AUC of VAS Scores.
NCT03974932 (19) [back to overview]Time of Occurrence of Maximum Concentration (Tmax)
NCT03974932 (19) [back to overview]Mean Area Under the Curve (AUC) of the Visual Analogue Scale (VAS).
NCT03974932 (19) [back to overview]Mean AUC of the NRS of Pain Intensity at Rest (NRS-R).
NCT03974932 (19) [back to overview]Percentage of Subjects With Severe Pain.
NCT03974932 (19) [back to overview]Percentage of Subjects Who First Achieve an MPADSS Score ≥9.
NCT03993314 (2) [back to overview]Time to PACU Discharge
NCT03993314 (2) [back to overview]Level of Numbness
NCT04003987 (8) [back to overview]Visual Analogue Scale (VAS) Pain Scores at Rest at 24 Hours.
NCT04003987 (8) [back to overview]Visual Analogue Scale (VAS) Pain Scores With Movement at 24 Hours.
NCT04003987 (8) [back to overview]Visual Analogue Scale (VAS) Pain Scores With Movement at 1 Hour.
NCT04003987 (8) [back to overview]Visual Analogue Scale (VAS) Pain Scores at Rest at 48 Hours.
NCT04003987 (8) [back to overview]Visual Analogue Scale (VAS) Pain Scores at Rest at 1 Hour.
NCT04003987 (8) [back to overview]Patient Satisfaction Score at 48 Hours
NCT04003987 (8) [back to overview]Patient Satisfaction Score at 24 Hours
NCT04003987 (8) [back to overview]Visual Analogue Scale (VAS) Pain Scores With Movement at 48 Hours.
NCT04032327 (12) [back to overview]Impact of Vaginal Pain Scores on Quality of Life Measure (SLEEP) Using Defense and Veterans Pain Rating Scale (Visual Analog Scale) Comparing the Bupivacaine Plus Exparel® Group and the Bupivacaine Plain Group
NCT04032327 (12) [back to overview]Rate of Post-operative Defecatory Function After Posterior Colporrhaphy, Comparing the Bupivacaine Plus Exparel® Group Versus the Bupivacaine Plain Group.
NCT04032327 (12) [back to overview]Impact of Vaginal Pain Scores on Quality of Life Measures (ACTIVITY) Using Defense and Veterans Pain Rating Scale (Visual Analog Scale) Comparing the Bupivacaine Plus Exparel® Group and the Bupivacaine Plain Group
NCT04032327 (12) [back to overview]Impact of Vaginal Pain Scores on Quality of Life Measure (STRESS) Using Defense and Veterans Pain Rating Scale (Visual Analog Scale) Comparing the Bupivacaine Plus Exparel® Group and the Bupivacaine Plain Group
NCT04032327 (12) [back to overview]Percentage of Participants Who Passed Active Voiding Trial Comparing the Bupivacaine Plus Exparel® Group Versus the Bupivacaine Plain Group.
NCT04032327 (12) [back to overview]Amount Acetaminophen Pain Medication Required During the Postoperative Period at Home
NCT04032327 (12) [back to overview]Amount Ibuprofen Pain Medication Required During the Postoperative Period at Home
NCT04032327 (12) [back to overview]Amount Opioid Pain Medication Required During the Postoperative Period (Through Day 3)
NCT04032327 (12) [back to overview]Change in Vaginal Pain Scores Using the Defense and Veterans Pain Rating Scale (Visual Analog Scale) Between Bupivacaine Alone Versus Exparel® Following Posterior Colporrhaphy Post-operatively
NCT04032327 (12) [back to overview]Change in Vaginal Pain Scores Using the Defense and Veterans Pain Rating Scale (Visual Analog Scale) Between Bupivacaine Alone Versus Exparel® Following Posterior Colporrhaphy Post-operatively
NCT04032327 (12) [back to overview]Change in Vaginal Pain Scores Using the Defense and Veterans Pain Rating Scale (Visual Analog Scale) Between Bupivacaine Alone Versus Exparel® Following Posterior Colporrhaphy Post-operatively
NCT04032327 (12) [back to overview]Impact of Vaginal Pain Scores on Quality of Life Measure (MOOD) Using Defense and Veterans Pain Rating Scale (Visual Analog Scale) Comparing the Bupivacaine Plus Exparel® Group and the Bupivacaine Plain Group
NCT04047446 (11) [back to overview]Numerical Rating Scale (NRS) Pain With Movement
NCT04047446 (11) [back to overview]Opioid Consumption
NCT04047446 (11) [back to overview]Patient Satisfaction With Pain Management: Scale
NCT04047446 (11) [back to overview]Duration of Analgesic Block
NCT04047446 (11) [back to overview]Motor Block Resolution
NCT04047446 (11) [back to overview]Numerical Rating Scale (NRS) Pain at Rest Over 72 Hours
NCT04047446 (11) [back to overview]Postanesthesia Care Unit Length of Stay
NCT04047446 (11) [back to overview]Sensory Resolution
NCT04047446 (11) [back to overview]Time to Readiness for Discharge
NCT04047446 (11) [back to overview]Brief Pain Inventory Short-form
NCT04047446 (11) [back to overview]Numerical Rating Scale (NRS) Pain at Rest
NCT04073056 (9) [back to overview]Respiratory Rate
NCT04073056 (9) [back to overview]Heart Rate
NCT04073056 (9) [back to overview]PACU Length of Stay
NCT04073056 (9) [back to overview]Number of Participants With Pain
NCT04073056 (9) [back to overview]Time to First Dose of Analgesic Request
NCT04073056 (9) [back to overview]Blood Pressure
NCT04073056 (9) [back to overview]Number of Participants With Nausea
NCT04073056 (9) [back to overview]VAS Pain Scores
NCT04073056 (9) [back to overview]The Amount of Opioid Consumption During and After Procedure
NCT04114058 (3) [back to overview]Narcotic Utilization
NCT04114058 (3) [back to overview]Visual Analogue Scale
NCT04114058 (3) [back to overview]Total Number of at Home Falls.
NCT04115644 (8) [back to overview]Visual Analog Scale
NCT04115644 (8) [back to overview]Visual Analog Scale
NCT04115644 (8) [back to overview]Visual Analog Scale
NCT04115644 (8) [back to overview]Visual Analog Scale
NCT04115644 (8) [back to overview]Visual Analog Scale
NCT04115644 (8) [back to overview]Visual Analog Scale
NCT04115644 (8) [back to overview]Visual Analog Scale
NCT04115644 (8) [back to overview]Visual Analog Scale
NCT04278846 (23) [back to overview]8-12 Hour Pain Assessment Numeric Rating Scale During Rest
NCT04278846 (23) [back to overview]96 Hour Pain Assessment Numeric Rating Scale During Rest
NCT04278846 (23) [back to overview]60 Hour Pain Assessment Numeric Rating Scale During Activity
NCT04278846 (23) [back to overview]60 Hour Pain Assessment Numeric Rating Scale During Rest
NCT04278846 (23) [back to overview]72 Hour Pain Assessment Brief Pain Inventory
NCT04278846 (23) [back to overview]72 Hour Pain Assessment Numeric Rating Scale During Activity
NCT04278846 (23) [back to overview]96 Hour Use of Rescue Analgesic
NCT04278846 (23) [back to overview]84 Hour Pain Assessment Numeric Rating Scale During Activity
NCT04278846 (23) [back to overview]72 Hour Pain Assessment Numeric Rating Scale During Rest
NCT04278846 (23) [back to overview]84 Hour Pain Assessment Numeric Rating Scale During Rest
NCT04278846 (23) [back to overview]96 Hour Pain Assessment Brief Pain Inventory
NCT04278846 (23) [back to overview]72 Hour Use of Rescue Analgesic
NCT04278846 (23) [back to overview]48 Hour Use of Rescue Analgesic
NCT04278846 (23) [back to overview]48 Hour Pain Assessment Numeric Rating Scale During Rest
NCT04278846 (23) [back to overview]48 Hour Pain Assessment Numeric Rating Scale During Activity
NCT04278846 (23) [back to overview]48 Hour Pain Assessment Brief Pain Inventory
NCT04278846 (23) [back to overview]36 Hour Pain Assessment Numeric Rating Scale During Rest
NCT04278846 (23) [back to overview]36 Hour Pain Assessment Numeric Rating Scale During Activity
NCT04278846 (23) [back to overview]24 Hour Use of Rescue Analgesic
NCT04278846 (23) [back to overview]96 Hour Pain Assessment Numeric Rating Scale During Activity
NCT04278846 (23) [back to overview]24 Hour Pain Assessment Numeric Rating Scale During Rest
NCT04278846 (23) [back to overview]24 Hour Pain Assessment Brief Pain Inventory
NCT04278846 (23) [back to overview]1 Hour Pain Assessment Numeric Rating Scale During Rest
NCT04284930 (1) [back to overview]Total Narcotic Usage
NCT04368364 (12) [back to overview]Severity of Pruritus as Assessed by a Scale
NCT04368364 (12) [back to overview]Patient Satisfaction as Assessed by Likert Scale
NCT04368364 (12) [back to overview]Patient Satisfaction as Assessed by Likert Scale
NCT04368364 (12) [back to overview]Patient Satisfaction as Assessed by Likert Scale
NCT04368364 (12) [back to overview]Dynamic Pain as Measured by the Numerical Pain Score (NPS)
NCT04368364 (12) [back to overview]Total Narcotic Consumption in Morphine Equivalents (in Milligrams)
NCT04368364 (12) [back to overview]Time to First Analgesic Request
NCT04368364 (12) [back to overview]Severity of Nausea as Assessed by a Scale
NCT04368364 (12) [back to overview]Total Narcotic Consumption in Morphine Equivalents (in Milligrams)
NCT04368364 (12) [back to overview]Static Pain as Measured by the Numerical Pain Score (NPS)
NCT04368364 (12) [back to overview]Severity of Vomiting as Assessed by a Scale
NCT04368364 (12) [back to overview]Severity of Sedation as Assessed by a Scale
NCT04426500 (9) [back to overview]Total Analgesic Medications
NCT04426500 (9) [back to overview]Number of Procedure Related Complications
NCT04426500 (9) [back to overview]The Amount of Ondansetron Use
NCT04426500 (9) [back to overview]Visual Analog Scale (VAS)
NCT04426500 (9) [back to overview]Intraoperative Time and Block Time
NCT04426500 (9) [back to overview]VAS in Obese Patients
NCT04426500 (9) [back to overview]Postoperative Narcotic Use
NCT04426500 (9) [back to overview]Intraoperative Ketoralac Use
NCT04426500 (9) [back to overview]Intraoperative Narcotic Use
NCT04518462 (3) [back to overview]Time to First Opioid
NCT04518462 (3) [back to overview]Magnitude of the Analgesic Effect (NRS Pain Intensity) (AUC)
NCT04518462 (3) [back to overview]Total Opioid Consumption
NCT04644796 (4) [back to overview]Length of Stay
NCT04644796 (4) [back to overview]Operative Data and Complications
NCT04644796 (4) [back to overview]Postoperative Opioid Utilization
NCT04644796 (4) [back to overview]Post Operative Pain Scores
NCT04749797 (2) [back to overview]Visual Analogue Scale
NCT04749797 (2) [back to overview]Length of Stay (ICU and
NCT04766996 (2) [back to overview]Nebraska Interprofessional Education Attitude Scale (NIPEAS) Score for Professional Staff Arm
NCT04766996 (2) [back to overview]Total Post-operative Opioid Requirements With Non-opioid Drug Regimen
NCT04826484 (7) [back to overview]Cumulative Incidence of Complications Related to Local Anesthetic Systemic Toxicity
NCT04826484 (7) [back to overview]Percentage of Patients With Leftover Opioid Medication
NCT04826484 (7) [back to overview]Percentage of Patients Who Are Opiate-free at 10-14 Days Postoperatively
NCT04826484 (7) [back to overview]Percentage of Patients Who Are Opiate-free
NCT04826484 (7) [back to overview]Parents' Postoperative Pain Measure (PPPM) Scores
NCT04826484 (7) [back to overview]Parents' Postoperative Pain Measure (PPPM) Scores
NCT04826484 (7) [back to overview]Amount of Opioid Medication Used Post-discharge
NCT04897841 (20) [back to overview]Percentage of Participants Who Would Recommend Treatment
NCT04897841 (20) [back to overview]Number of Participants With at Least One Newborn Admitted to the Neonatal Intensive Care Unit (NICU)
NCT04897841 (20) [back to overview]Number of Opioid Pills Used
NCT04897841 (20) [back to overview]6 Week Postpartum Satisfaction Survey Response Percentage
NCT04897841 (20) [back to overview]Amount of Opioid Prescribed at Discharge
NCT04897841 (20) [back to overview]Fetal Weight
NCT04897841 (20) [back to overview]Total Opioid Usage in Oral Morphine Equivalents
NCT04897841 (20) [back to overview]Five-minute Apgar Scores
NCT04897841 (20) [back to overview]Number of Participants Readmitted to the Hospital
NCT04897841 (20) [back to overview]Incidence of Supplemental Oxygen Use During Hospitalization
NCT04897841 (20) [back to overview]Minimum Post-operative Pain Scores Measured on NRS
NCT04897841 (20) [back to overview]Maximum Post-operative Pain Scores Measured on NRS
NCT04897841 (20) [back to overview]Time to First Rescue Analgesic Medication
NCT04897841 (20) [back to overview]Postnatal Depression Screen
NCT04897841 (20) [back to overview]Percentage of Participants With Opioid Refills Requested
NCT04897841 (20) [back to overview]Incidence of Opioid Side Effects
NCT04897841 (20) [back to overview]Length of Postpartum Hospital Stay
NCT04897841 (20) [back to overview]Percentage of Participants With Adverse Events
NCT04897841 (20) [back to overview]Median Post-operative Pain Scores Measured on NRS
NCT04897841 (20) [back to overview]Total Dose of Opioids in Oral Morphine Equivalents
NCT05005260 (2) [back to overview]Pain Intensity Score at Rest at 24 Hours Post-operatively
NCT05005260 (2) [back to overview]Cumulative Opioid Consumption
NCT05244525 (6) [back to overview]Number of Subjects Who Experience Post Operative Adverse Events
NCT05244525 (6) [back to overview]Intraoperative Mean Arterial Pressure
NCT05244525 (6) [back to overview]Total Operative Time
NCT05244525 (6) [back to overview]Number of Subjects Who Experience Intraoperative Adverse Events
NCT05244525 (6) [back to overview]Surgeon-rated Visual Clarity as Assessed by the Visual Analog Scale
NCT05244525 (6) [back to overview]Percentage of Participants for Whom Intra-operative Arthroscopic Pump Pressure Was Increased to 45mmHg or Higher During the Surgical Procedure

Pain

Pain over the first three days post-operatively. This will be identified by the use of the Postoperative Patient Diary. This document records patient's subjective evaluations of pain, comfort, ability to sleep, activity administered daily on the day of surgery and each morning and each evening before the patient retires for 3 postoperative days. All pain medications taken during the 3 days of the postoperative evaluation will be recorded on the Postoperative Patient Diary. (NCT00178178)
Timeframe: 3 day

Interventionparticipants that experienced pain (Number)
Intraarticulary Only24
Patellar Tendon Harvest Site Only24
Patellar Tendon Harvest Site and Intraarticular24
Placebo24

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Number of Vomiting / Nausea Episodes

Nausea and vomiting are known adverse effect of opioids usage. By reducing the use of opioids we can reduce or abolish these side effect which will enhance early patient recovery and discharge and reduce hospital cost. We will measure the number of episodes when the patient suffers from these side effect and correlate them with opioids use. (NCT00180687)
Timeframe: 24 hours

InterventionNumber of vomitting / Nausea episodes (Mean)
Control7.1
IP Aerosolized Normal Saline7.1
Nebulised Bupivacaine Intraperitoneally2
Injected Bupivacaine Intraperitoneally6.8

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Postoperative Morphine Use

The reduction in cost comes from reducing the use of opioid which requires nursing supervision and also special pump to be delivered as in the cases of patient controlled analgesia. With that reduction, there will be a reduction in opioid related adverse events that mandate medical or nursing attention and prolong hospitalization, these adverse events include nausea and vomiting, delay mobilization due to drowsiness and alter mental status caused by opioid usage. For these reasons we are collecting data related to these adverse events (NCT00180687)
Timeframe: 24 Hoiurs

Interventionmg (Mean)
Control25.9
IP Aerosolized Normal Saline26.3
Nebulised Bupivacaine Intraperitoneally1
Injected Bupivacaine Intraperitoneally16.7

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Reduction in Postoperative Pain

Postoperative pain was measured using Pain scale 0-10 (0 = No Pain, 10 = Maximum pain). A trained nursing staff will ask the patient about his / her pain and document that correctly in the chart. The staff will also document if the patient requires any analgesia, the type and the dose. (NCT00180687)
Timeframe: 0 hours, 6 hours, 12 hours, 24 hours

,,,
Interventionunits on a scale (Mean)
Pain in Recovery (0 Hours)Pain at 6 hoursPain at 12 hoursPain at 24 hours
Control9.28.27.96.1
Injected Bupivacaine Intraperitoneally9.37.26.75.6
IP Aerosolized Normal Saline108.186.2
Nebulised Bupivacaine Intraperitoneally3.30.70.60.5

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Hours Needed for Safe Mobilization

Drowsiness and delayed mobilization are known adverse effect of opioids usage. By reducing the use of opioids we can reduce or abolish these side effect which will enhance early patient recovery and discharge and reduce hospital cost. We will measure how many hours will take the patient to mobilize freely and safely and correlate them with opioids use. (NCT00180687)
Timeframe: 24 Hours

InterventionHours needed for safe mobilization (Mean)
Control6.7
IP Aerosolized Normal Saline6.5
Nebulised Bupivacaine Intraperitoneally3
Injected Bupivacaine Intraperitoneally6.4

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Headache Severity as Measured on an 11-point Verbal Scale (0 to 10):0=No Pain 10=Excruciating Pain

Headache severity was assessed on an 11-point verbal scale twenty minutes after treatment (NCT00203294)
Timeframe: 20 minutes

Interventionunits on a scale (Mean)
Lidocaine 2% and Bupivacaine 0.25% Plus Saline-3.29
Lidocaine 2% and Bupivacaine 0.25% Plus Triamcinolone 40 mg.-3.70

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Visual Analogue Scale (VAS) Pain Score

Visual Analogue Scale (VAS) pain score on a scale from 0 (None) to 10 (Worst) points. (NCT00318292)
Timeframe: 30 minutes post-op

Interventionpoints on a scale (Mean)
Preemptive Local Analgesia (PLA)2.5
Placebo4.4

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Pain Visual Analogue Scale (VAS)

Pain intensity measured on a Visual Analog Scale with scores ranging from 0 to 100, with 100 = severe pain. (NCT00398866)
Timeframe: Baseline, 26 Weeks

,,
InterventionUnits on a scale (Mean)
Pain VAS at BaselinePain VAS at 26 weeks
Bupivicaine57.142.9
Hylan G-F 2060.749.8
Triamcinolone63.250.1

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Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire

Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire measures degree of disability on a scale of 0 to 100, with a higher score indicating greater disability. (NCT00398866)
Timeframe: Baseline, 26 Weeks

,,
Interventionunits on a scale (Mean)
DASH at BaselineDash at 26 Weeks
Bupivicaine25.724.2
Hylan G-F 2028.826.1
Triamcinolone28.927.0

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Duration of Labor Analgesia

Time in minutes from initiation of labor analgesia until delivery of the infant (NCT00443560)
Timeframe: Time form initiation of labor analgesia to delivery (up to 24 hours)

Interventionminutes (Median)
Instrumental Vaginal Delivery (IVD)420
Spontaneous Vaginal Delivery (SVD)300

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Number of Parturients With a Decrease in the Infusion of Epidural Analgesia During Second Stage of Labor

At the request of the obstetric provider, second stage analgesia density was decreased by decreasing the basal infusion rate if there was dissatisfaction with the progress of labor or a perceived inability to push. The basal infusion was never totally discontinued. (NCT00443560)
Timeframe: Second stage of labor up to 3 hours

Interventionparticipants (Number)
Instrumental Vaginal Delivery (IVD)146
Spontaneous Vaginal Delivery (SVD)51

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Number of Participants With Breakthrough Pain in the First Stage of Labor

Pain not responding to epidural analgesia in the first stage of labor was treated with bolus dose of bupivacaine 1.25 mg/mL or lidocaine 10 mg/mL, 10 to 15 mL. If pain relief was obtained the infusion concentration was increased. If the patient had no pain relief following the bolus injection, the epidural catheter was replaced. (NCT00443560)
Timeframe: Supplemental analgesia in first stage of labor (<24 hours)

,
Interventionparticipants (Number)
Supplemental bolusInfusion increaseConcentration increase
Instrumental Vaginal Delivery (IVD)80214932
Spontaneous Vaginal Delivery (SVD)2438719

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Successful Treatment

Greater or equal to 50% pain relief plus procedural satisfaction lasting at least 3 months. What is being measured is the number of participants with a positive outcome. (NCT00484159)
Timeframe: 3-months postprocedure

Interventionparticipants (Number)
Double-block Group9
Single-block Group7
Radiofrequency Group17

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Cost Per Successful Procedure

Total cost per effective treatment at 3-months. Successful procedure defined as greater or equal to 50% pain relief and satisfaction lasting at least 3 months. (NCT00484159)
Timeframe: 3-months

InterventionU.S. dollars (Number)
Double-block Group15,241
Single-block Group17,142
Radiofrequency Group6286

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Area Under the Curve (AUC) of the Numeric Rating Scale (NRS) With Activity (NRS-A) Pain Intensity Scores From 0 Through 72 Hours

"The subject's pain intensity was to be assessed with activity (NRS-A), after the subject had moved himself from a supine position in bed to a sitting up position at the edge of the bed. The subject was to respond to the following question: On a scale of 0 to 10, where 0=no pain and 10=worst possible pain, how much pain did you have while sitting up?" (NCT00485433)
Timeframe: 0 to 72 hours

InterventionUnits on a scale*hours (Mean)
Bupivacaine HCl 105mg298.1
SKY0402 Low Dose286.9
SKY0402 Middle Dose274.6
SKY0402 High Dose274.4

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Area Under the Curve (AUC) of the Numeric Rating Scale (NRS) With Activity (NRS-A) Pain Intensity Scores Through Postoperative Day 4

"The subject's pain intensity was to be assessed with activity (NRS-A) after actively flexing the involved knee to the maximum flexion point possible. The subject was asked to respond to the following question: On a scale of 0 to 10, where 0 = no pain and 10 = worst possible pain, how much pain did you have while bending your knee?" (NCT00485693)
Timeframe: 0 to 96 hours

InterventionUnits on a scale*hours (Mean)
Bupivacaine HCl20.4
SKY0402 Low Dose20.7
SKY0402 Low-mid Dose19.5
SKY0402 High-mid Dose18.8
SKY0402 High Dose19.1

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Complications, Such as Infections, Hospital Readmissions, Manipulations Under Anesthesia, Etc.

(NCT00492973)
Timeframe: any point during the first postoperative year

InterventionNumber of participants with complication (Number)
Control Group0
Corticosteroid3

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Amount of Pain Medication Taken Per Day

(NCT00492973)
Timeframe: Average of 3 days after surgery

Interventionmg/day morphine equivalant (Mean)
Control Group47.8
Corticosteroid46.0

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Length of Hospital Stay

(NCT00492973)
Timeframe: days after surgery

Interventiondays (Mean)
Control Group3.5
Corticosteroid2.6

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Knee Society Scores

The Knee Society Score is on a scale of 0 to 100, with 0 being the worst possible score, and 100 being the best possible score. The Knee Society Score takes into account subjective patient reports of pain and functional ability as well as clinical measures of passive knee range of motion. (NCT00492973)
Timeframe: 3 months postoperative

Interventionunits on a scale (Mean)
Control Group87.1
Corticosteroid83.3

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Knee Range of Motion

(NCT00492973)
Timeframe: 3 months

Interventiondegrees (Mean)
Control Group112.5
Corticosteroid112.4

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Maximum VRS Pain Scores at Rest

Verbal rating scales (VRS): a list of adjectives describing different levels of pain intensity with 0 = no pian and 10 = extremely intense pain. An adequate VRS of pain intensity should include adjectives that reflect the extremes of this dimension; from 'no pain' to 'extremely intense pain'. Patients are asked to read over the list of adjectives and select the word or phrase that best describes their level of pain on the scale from 0 to 10. (NCT00519584)
Timeframe: postoperative day 1 day 2, day 3.

,,,
Interventionunits on a scale (Median)
POD#1POD#2POD#3
Bupivacaine/Dex34.14
Bupivacaine/Saline4.94.11.8
Ropivacaine/Dex3.932.9
Ropivacaine/Saline531.9

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Total Opioid Consumption

cumulative opioid consumption in oral oxycodone equivalents (mg) during the first 3 days after surgery. (NCT00519584)
Timeframe: during first 3 days after surgery

Interventionmg (Median)
Ropivacaine/Saline75
Ropivacaine/Dex79
Bupivacaine/Dex60
Bupivacaine/Saline85

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the Duration of Analgesia

the interval between the onset of sensory block and the initial PACU use of opioid analgesia for surgical site pain (NCT00519584)
Timeframe: surgical date to postoperative day 1 (pod 0 -1 day)

Interventionhours (Median)
Ropivacaine/Saline22.2
Ropivacaine/Dex11.8
Bupivacaine/Dex14.8
Bupivacaine/Saline22.4

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Time to a Significant Increase in Shoulder Discomfort

the length of time until the patients' first report of surgical site pain. (NCT00519584)
Timeframe: during postoperative day 1 to 3

Interventionhours (Median)
Ropivacaine/Saline22.3
Ropivacaine/Dex11.9
Bupivacaine/Dex14.7
Bupivacaine/Saline25.7

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Duration of Hospital Stay.

Duration of hospital stay defined as time from start anesthesia to leaving the hospital (NCT00527332)
Timeframe: Within 6 months after surgery

InterventionHours (Median)
Spinal Anesthesia46
General Anesthesia50

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Area Under the Curve (AUC) of the Numeric Rating Scale (NRS) at Rest (NRS-R) Pain Intensity Scores From 0 Through 72 Hours

"To assess pain intensity at rest (NRS-R), the subject was to assume a resting position that did not exacerbate his or her postoperative pain. The subject was to rest in this position for at least 5 minutes before responding to the following question: On a scale of 0 to 10, where 0=no pain and 10=worst possible pain, how much pain are you having right now?" (NCT00529126)
Timeframe: 0 to 72 hours

Interventionunits on a scale*hrs (Mean)
SKY0402 300mg175
SKY0402 225mg172
SKY0402 75mg225
Bupivacaine HCl331

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Visual Aanalog Scale (VAS) for Pain Assessment With Cough at 48 Hours

Pain assessment using a subjective pain visual analog scale VAS with cough at 48 hours. Participant will be shown a card that has a visual analogue (Faces) pains scale combined with numerical (0-10) analogue scale (0 is no pain, 10 is the worst pain imaginable). (NCT00533845)
Timeframe: 48 hours postop

Interventionunits on a scale (Mean)
Bupivacaine1.7
Placebo/Control3.9

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Opioid Use

Morphine used by patient controlled analgesia. Amount of used morphine during the first 48 hours after surgery were documented in the CRF by the pain nurses. (NCT00562627)
Timeframe: 48 hours postoperative

Interventionmg (Mean)
LIA IV (Local Infiltration Analgesia, Intravenous)77
LIA IA, (Local Infiltration Analgesia, Intra-articular)49
Epidural54

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Pain at Rest (VAS)

VAS (pain at rest) 0-100 mm. VAS 0 mm means no pain and VAS 100 mm means maximal pain. (NCT00562627)
Timeframe: 48 hours postoperative

InterventionUnits on a scale (Mean)
LIA IV (Local Infiltration Analgesia, Intravenous)18
LIA IA, (Local Infiltration Analgesia, Intra-articular)12
Epidural30

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Time to Readiness for Discharge

Each postoperative day, discharge readiness was assessed by an orthopaedic surgeon, a pain nurse, a ward nurse, and a physiotherapist according to the following criteria: no evidence for surgical complications, VAS pain at rest ≤30 mm which is controlled by oral analgesics, ability to eat and drink, ability to walk with elbow crutches, and ability to climb ≥8 stairs. (NCT00562627)
Timeframe: up to 10 days postoperative

Interventiondays (Mean)
LIA IV (Local Infiltration Analgesia, Intravenous)4
LIA IA, (Local Infiltration Analgesia, Intra-articular)3.5
Epidural5.5

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The Duration of Analgesia Based on Time to First Rescue Med, the Quality of Analgesia Based on Modified FACES Scale, and the Incidence of Side Effects: Nausea, Vomiting, Pruritus, and Assess Patient Satisfaction With Pain Management.

difference in time to rescue analgesic and the differences in side effects for the two groups. (NCT00578136)
Timeframe: immediate to 24 hours post-operatively

Interventionminutes (Mean)
Rectus Sheath Block49.70
Local Infiltration32.35

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The Amount of Intravenous and Oral Opioids Used by Patients Who Receive a Rectus Sheath Nerve Block and Those Who Receive Local Infiltration of the Surgical Site for Postoperative Analgesia.

total postoperative opioid and any additional analgesic medications. (NCT00578136)
Timeframe: immediate to 24 hour post-operatively

Interventionmg kg-1 (Mean)
Rectus Sheath Block0.07
Local Infiltration0.13

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Pain Intensity Rating on a 4-point Likert Scale (After Cough)

"For the 4-point categorical scale assessment, patients measured their pain intensity after aggravated movement (cough) using a numerical scale where: 0 = none, 1 = mild, 2 = moderate and 3 = severe." (NCT00624910)
Timeframe: At 1, 1.5, 2, 3, 6, 9, 12, 18, 24, 36, 48 and 72 hours post operatively

,,
Interventionscore on a scale (Mean)
Hour 0.5Hour 1.0Hour 1.5Hour 2.0Hour 3.0Hour 6.0Hour 9.0Hour 12Hour 18Hour 24Hour 36Hour 48Hour 72
Bupivacaine Sponges2.12.22.22.22.11.81.91.91.81.71.81.51.3
Collagen Sponges2.22.52.22.02.12.12.11.81.91.81.41.51.3
Standard of Care no Implant2.42.42.52.32.22.12.22.01.71.91.91.51.3

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Total Use of Opioid Rescue Analgesia

Total use of opioid rescue analgesia (mg equivalent) -higher score means more analgesia was needed and worse outcome (NCT00624910)
Timeframe: 0 to 72 hours postoperatively

Interventionmg morphine equivalents (Mean)
Bupivacaine Sponges78.13
Collagen Sponges88.60
Standard of Care no Implant73.28

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Total Use of Opioid Rescue Analgesia

Total use of opioid rescue analgesia (mg equivalent) -higher score means more analgesia was needed and worse outcome (NCT00624910)
Timeframe: 0 to 48 hours postoperatively

Interventionmg morphine equivalents (Mean)
Bupivacaine Sponges67.78
Collagen Sponges80.87
Standard of Care no Implant66.03

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Total Use of Opioid Rescue Analgesia

Total use of opioid rescue analgesia (mg equivalent) -higher score means more analgesia was needed and worse outcome (NCT00624910)
Timeframe: 0 to 24 hours postoperatively

Interventionmg morphine equivalents (Mean)
Bupivacaine Sponges53.65
Collagen Sponges66.56
Standard of Care no Implant53.73

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Time to First Use of Opioid Rescue Analgesia

Time to first use of opioid rescue analgesia - lower number means worse outcome (NCT00624910)
Timeframe: Actual time assessed during post operative period

InterventionTime (Hours) (Median)
Bupivacaine Sponges0.9
Collagen Sponges0.9
Standard of Care no Implant0.4

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Pain Intensity Rating on a Visual Analog Scale (at Rest)

"Pain intensity rating on a Visual Analog Scale (at rest). Lowest score possible is 0 with the highest score possible being 100. Higher number means more pain reported." (NCT00624910)
Timeframe: At 1, 1.5, 2, 3, 6, 9, 12, 18, 24, 36, 48 and 72 hours post operatively

,,
Interventionscore on a scale (Mean)
Hour 1.0Hour 1.5Hour 2.0Hour 3.0Hour 6.0Hour 9.0Hour 12Hour 18Hour 24Hour 36Hour 48Hour 72
Bupivacaine Sponges58.560.154.247.038.536.236.141.633.332.626.418.6
Collagen Sponges63.061.350.346.243.339.932.429.832.018.726.714.7
Standard of Care no Implant66.561.361.946.434.744.038.424.041.741.822.227.7

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Pain Intensity Rating on a 4-point Likert Scale (at Rest)

"For the 4-point categorical scale assessment, patients measured their pain intensity at rest using a numerical scale where: 0 = none, 1 = mild, 2 = moderate and 3 = severe." (NCT00624910)
Timeframe: At 1, 1.5, 2, 3, 6, 9, 12, 18, 24, 36, 48 and 72 hours post operatively

,,
Interventionscore on a scale (Mean)
Hour 0.5Hour 1.0Hour 1.5Hour 2.0Hour 3.0Hour 6.0Hour 9.0Hour 12Hour 18Hour 24Hour 36Hour 48Hour 72
Bupivacaine Sponges1.82.02.02.01.71.51.41.41.51.31.31.10.9
Collagen Sponges2.02.22.01.71.61.31.51.11.11.10.80.90.6
Standard of Care no Implant2.22.22.12.01.91.61.81.71.41.51.40.91.1

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Pain Intensity Rating on a Visual Analog Scale (After Cough)

"Pain intensity rating on a Visual Analog Scale (after cough). Lowest score possible is 0 with the highest score possible being 100. Higher number means more pain reported." (NCT00624910)
Timeframe: At 1, 1.5, 2, 3, 6, 9, 12, 18, 24, 36, 48 and 72 hours post operatively

,,
Interventionscore on a scale (Mean)
Hour 1.0Hour 1.5Hour 2.0Hour 3.0Hour 6.0Hour 9.0Hour 12Hour 18Hour 24Hour 36Hour 48Hour 72
Bupivacaine Sponges68.268.266.053.948.352.852.555.846.851.240.728.0
Collagen Sponges73.867.361.358.064.749.849.146.752.032.046.828.6
Standard of Care no Implant72.673.872.959.053.263.155.045.359.158.238.040.1

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Categorical Pain Intensity Scores Over Time - AT REST

"For the 4-point categorical scale assessment, patients measured their pain intensity at rest and after aggravated movement (cough) using a numerical scale where: 0 = none, 1 = mild, 2 = moderate and 3 = severe." (NCT00626886)
Timeframe: At 0.5, 1, 1.5, 2, 3, 4, 5, 6, 24, 48 and 72 hours

,
Interventionscore on a scale (Mean)
Hour 0.5Hour 1.0Hour 1.5Hour 2.0Hour 3.0Hour 4.0Hour 5.0Hour 6.0Hour 24Hour 48Hour 72
Bupivacaine Collagen Sponge1.01.61.41.21.31.01.11.01.11.00.7
Placebo Collagen Sponge1.31.81.81.81.71.61.71.61.31.00.7

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Categorical Pain Intensity Scores Over Time (After Cough)

"For the 4-point categorical scale assessment, patients measured their pain intensity at rest and after aggravated movement (cough) using a numerical scale where: 0 = none, 1 = mild, 2 = moderate and 3 = severe. Higher Score means a worse outcome" (NCT00626886)
Timeframe: At 0.5, 1, 1.5, 2, 3, 4, 5, 6, 24, 48 and 72 hours

,
Interventionscore on a scale (Mean)
Hour 0.5Hour 1.0Hour 1.5Hour 2.0Hour 3.0Hour 4.0Hour 5.0Hour 6.0Hour 24Hour 48Hour 72
Bupivacaine Collagen Sponge1.21.81.61.61.51.41.41.21.41.31.0
Placebo Collagen Sponge1.32.12.12.22.02.02.02.01.81.41.1

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Total Use of Opioid Rescue Analgesia Over 0 to 24 Hours

Total Use of Opioid Rescue Analgesia (mg) Over 0 to 24 Hour - number count - higher score means worse outcome (NCT00626886)
Timeframe: 0 to 24 hours postoperatively

Interventionmg (Mean)
Bupivacaine Collagen Sponge18.48
Placebo Collagen Sponge24.60

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Total Use of Opioid Rescue Analgesia Over 0 to 48 Hours

Number count. Higher score means worse outcome (NCT00626886)
Timeframe: 0 to 48 hours postoperatively

Interventionmg (Mean)
Bupivacaine Collagen Sponge30.60
Placebo Collagen Sponge36.50

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Total Use of Opioid Rescue Analgesia Over 0 to 72 Hours

Number count - higher score means worse outcome (NCT00626886)
Timeframe: 0 to 72 hours postoperatively

Interventionmg (Mean)
Bupivacaine Collagen Sponge37.20
Placebo Collagen Sponge44.89

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Categorical Pain Relief Scores Over Time - AT REST

For the 5-point categorical scale assessment of pain relief, the patient was instructed to score his pain relief using a numerical scale where: 0 = no relief, 1 = a little relief, 2 = some relief, 3 = a lot of relief and 4 = complete relief. (NCT00626886)
Timeframe: At 0.5, 1, 1.5, 2, 3, 4, 5, 6, 24, 48 and 72 hours

,
Interventionscore on a scale (Mean)
Hour 0.5Hour 1.0Hour 1.5Hour 2.0Hour 3.0Hour 4.0Hour 5.0Hour 6.0Hour 24Hour 48Hour 72
Bupivacaine Collagen Sponge1.81.91.92.02.32.32.32.52.32.53.0
Placebo Collagen Sponge1.61.61.51.62.02.02.02.12.42.83.0

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Categorical Pain Relief Scores Over Time (After Cough)

For the 5-point categorical scale assessment of pain relief, the patient was instructed to score his pain relief using a numerical scale where: 0 = no relief, 1 = a little relief, 2 = some relief, 3 = a lot of relief and 4 = complete relief. (NCT00626886)
Timeframe: At 0.5, 1, 1.5, 2, 3, 4, 5, 6, 24, 48 and 72 hours

,
Interventionscore on a scale (Mean)
Hour 0.5Hour 1.0Hour 1.5Hour 2.0Hour 3.0Hour 4.0Hour 5.0Hour 6.0Hour 24Hour 48Hour 72
Bupivacaine Collagen Sponge1.81.51.81.82.1.22.12.41.92.52.9
Placebo Collagen Sponge1.61.31.41.21.71.71.61.72.02.32.7

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Patient's Global Evaluation of the Study Treatment on a 5 Point Likert Scale

For the 5-point categorical scale global evaluation of study treatment, the patient was instructed to score his global evaluation of the pain control provided by the study treatment where: 0 = poor, 1 = fair, 2 = good, 3 = very good and 4 = excellent (NCT00626886)
Timeframe: At 72 hours after time 0

,
InterventionParticipants (Count of Participants)
Excellent,Very good,Good,FairPoor
Bupivacaine Collagen Sponge128310
Placebo Collagen Sponge149321

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Summed Pain Intensity VAS Scores (VAS at Rest and After Cough)

Summed pain intensity (SPI) (VAS at rest and after cough): - For the VAS assessment, patients measured their pain intensity at rest and after aggravated movement (cough) using a horizontal 100-mm VAS scale labeled as follows: No Pain (0 mm) as the left anchor and Worst Pain Imaginable (100 mm) as the right anchor. Each timepoint consist of two measurements (Resting & Coughing) - The lower the score the better outcome for the patient. The highest total score (worst possible score) for the 10 timepoints would be 2000. (NCT00626886)
Timeframe: 1, 1.5, 2, 3, 4, 5, 6, 24, 48 and 72 hours after Time 0

,
Interventionscore on a scale (Median)
1 to 24 hours25 to 48 hours49 to 72 hours1 to 72 hours
Bupivacaine Collagen Sponge413.8395.0251.51060.3
Placebo Collagen Sponge862.0594.6426.61883.3

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VAS Pain Intensity Scores Over Time

For the VAS assessment, patients measured their pain intensity at rest and after aggravated movement (cough) using a horizontal 100-mm VAS scale labeled as follows: No Pain (0 mm) as the left anchor and Worst Pain Imaginable (100 mm) as the right anchor. (NCT00626886)
Timeframe: At 1, 1.5, 2,3,4,5,6,24,48,72 Hours

,
Interventionunits on a scale (Mean)
Hour 1.0Hour 1.5Hour 2.0Hour 3.0Hour 4.0Hour 5.0Hour 6.0Hour 24Hour 48Hour 72
Bupivacaine Collagen Sponge32.830.326.821.218.517.214.618.714.26.8
Placebo Collagen Sponge48.252.949.645.640.840.841.629.320.215.3

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Change From Baseline in Quality of Life Score at 1 Month - SF12 Physical Component

The SF12 survey measures patients' impressions of their level of health and well-being. The results are reported as two scores: A physical component and a mental component, each of which is reported on a scale of 0 (lowest level of health) to 100 (excellent health). Scores that increase from baseline indicate an improvement in patients' feelings of well-being. (NCT00658736)
Timeframe: 1 month

Interventionunits on a scale (Mean)
Bupivicaine and Triamcinolone-0.2
Bupivicaine Alone1.7

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Change in Pain Disability Index

The Pain Disability Index (PDI) measures patients' responses of the extent to which pain limits their abilities to carry out everyday tasks. The index is scored from 0 (no limitation) to 70 (severe limitation). A decrease in score of 10 points or more is regarded as indicating significant improvement in the ability to carry out daily activities. (NCT00658736)
Timeframe: 1 month after block

InterventionParticipants (Count of Participants)
Bupivicaine and Triamcinolone3
Bupivicaine Alone3

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Mean Visual Analog Scale Pain Number.

Visual analog pain scale range is 0-10 with 0=no pain and 10 = worst pain ever (NCT00678379)
Timeframe: in recovery room; post-operative days 1,3,5 & 7

,,
Interventionpain score (Mean)
In recovery roomday 1day 3day 5day 7
Lidocaine (1%) + Bupivacaine 0.5%342.522
Lidocaine 1% + Bupivacaine o.5% + Clondine 25mcg35332
Normal Saline33332.5

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Number and Percent of Participants Able to Tolerate a Regular Diet

The number and percent of patients whose post-operative diet has to a regular diet on post-operative days 1, 3, 5 & 7 (NCT00678379)
Timeframe: post-operative days 1,3,5 & 7.

,,
InterventionParticipants (Count of Participants)
post-op day 1post-op day 3post op day 5post op day 7
Lidocaine (1%) + Bupivacaine 0.5%481826
Lidocaine 1% + Bupivacaine o.5% + Clondine 25mcg1121422
Normal Saline7182124

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Median Number of Pain Medication Doses

The median number of intravenous fentanyl doses administered in the PACU due to pain (NCT00678379)
Timeframe: in recovery room

Interventionnumber of doses (Median)
Normal Saline3.0
Lidocaine (1%) + Bupivacaine 0.5%3
Lidocaine 1% + Bupivacaine o.5% + Clondine 25mcg3

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Number and Percent of Participants Able to Tolerate Only Liquids

The number and percent of patients whose post-operative diet has advanced to liquids only on post-op days 1, 3, 5 & 7 (NCT00678379)
Timeframe: post-operative days 1,3,5 & 7.

,,
InterventionParticipants (Count of Participants)
post-op day 1post-op day 3post op day 5post op day 7
Lidocaine (1%) + Bupivacaine 0.5%33131011
Lidocaine 1% + Bupivacaine o.5% + Clondine 25mcg30231910
Normal Saline168136

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Number and Percent of Participants Able to Tolerate Only a Soft Diet

The number and percent of patients whose post-operative diet has only advanced to a soft diet on post-operative days 1, 3, 5 & 7 (NCT00678379)
Timeframe: post-operative days 1,3,5 & 7.

,,
InterventionParticipants (Count of Participants)
post-op day 1post-op day 3post op day 5post op day 7
Lidocaine (1%) + Bupivacaine 0.5%22261710
Lidocaine 1% + Bupivacaine o.5% + Clondine 25mcg26181814
Normal Saline26181313

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Total Number of Post-operative Doses of Analgesics.

The total number of intravenous fentanyl doses given PACU which will be compared between the three randomized groups (arms) (NCT00678379)
Timeframe: Post-operative thru day 7

Interventionnumber of doses (Median)
Normal Saline12
Lidocaine (1%) + Bupivacaine 0.5%12
Lidocaine 1% + Bupivacaine o.5% + Clondine 25mcg14

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Total Time Until Discharge From Hospital.

(NCT00678379)
Timeframe: Day of Surgery

Interventionminutes (Median)
Normal Saline122
Lidocaine (1%) + Bupivacaine 0.5%111
Lidocaine 1% + Bupivacaine o.5% + Clondine 25mcg120

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Area Under the Curve (AUC) of the Numeric Rating Scale at Rest (NRS-R) Pain Intensity Scores

"To assess pain intensity at rest (NRS-R), the subject was to assume a resting position that did not exacerbate his or her postoperative pain. The subject was to rest in this position for at least 5 minutes before responding to the following question, On a scale of 0 to 10, where 0=no pain and 10=worst possible pain, how much pain are you having right now?" (NCT00744848)
Timeframe: through 96 hours

InterventionUnits on a scale*hours (Mean)
Bupivacaine HCl359
SKY0402396

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Area Under the Curve (AUC) of the Numeric Rating Scale (NRS) With Activity (NRS-A) Pain Intensity Scores

"The subject's pain intensity was assessed with activity (NRS-A), while actively flexing the involved knee from the maximum extension point to the maximum flexion point possible. The subject responded to the following question, On a scale of 0 to 10, where 0 = no pain and 10 = worst possible pain, how much pain did you have while bending your knee?" (NCT00745290)
Timeframe: through 72 hours post surgery

InterventionUnits on a scale*hours (Mean)
Bupivacaine HCl335
SKY0402359

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Difference in Successful Voiding Trial Prior to Discharge Following Placement of Mid-urethral Sling Via the Suprapubic Approach.

Prior to discharge, patients underwent voiding trials. At our institution, in order to pass the voiding trial, they must void at least 200 cc spontaneously and have less than 100 cc as a post void residual two times in a row. (NCT00746863)
Timeframe: From after surgery to discharge from hospital.

Interventionparticipants w/sucessful voiding trial (Number)
Intervention Group - Received Marcaine4
Control Group - No Marcaine7

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In-hospital Medication Amounts

Secondary outcome included differences in amount of pain medication used in the hospital. This was assessed by comparing the number of pills of oral narcotics the patient took while hospitalized. (NCT00746863)
Timeframe: From surgery until discharge, average

Interventionnumber of pills (Mean)
Intervention Group - Received Marcaine4
Control Group - No Marcaine6

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Difference in Postoperative Pain Using a Visual Analog Scale at 6 Hours.

"At approximately six hours postoperatively patients completed a visual analog scale (VAS), which was a 10-cm numeric scale on which 0 represented no pain and 10 represented the worst pain ever." (NCT00746863)
Timeframe: 6 hours postoperative from mid-urethral sling placement

Interventioncm (Mean)
Intervention Group - Received Marcaine2.1
Control Group - No Marcaine2.3

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Difference in Postoperative Pain Using a Visual Analog Scale at 24 Hours.

"At approximately twenty-four hours postoperatively patients completed a visual analog scale (VAS), which was a 10-cm numeric scale on which 0 represented no pain and 10 represented the worst pain ever." (NCT00746863)
Timeframe: 24 hours postoperative from mid-urethral sling placement

Interventioncm (Mean)
Intervention Group - Received Marcaine2.0
Control Group - No Marcaine2.3

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Difference in Postoperative Pain Using a Visual Analog Scale at 2 Hours.

"At approximately two hours postoperatively patients completed a visual analog scale (VAS), which was a 10-cm numeric scale on which 0 represented no pain and 10 represented the worst pain ever." (NCT00746863)
Timeframe: 2 hours postoperative from mid-urethral sling placement

Interventioncm (Mean)
Intervention Group - Received Marcaine1.9
Control Group - No Marcaine2.6

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Total Amount of Opioid Rescue Analgesia Used

Higher value means worse outcome - Higher number reflects a need for more analgesia - For the first 24 hours after surgery, patients received IV morphine via a PCA pump as rescue analgesia. Patient demand for morphine was recorded. Measurement recorded in total Morphine Milligrams (NCT00749749)
Timeframe: 0 to 24 hours postoperatively

InterventionMorphine Milligrams (Mean)
Bupivacaine Collagen Sponge46.85
ON-ON-Q PainBuster Post-op Pain Relief SystemQ System67.03

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Total Use of Opioid Rescue Analgesia (mg) Over 0 to 72 Hours

Higher score means worse outcome. Higher number means more Analgesia was needed. For the first 24 hours after surgery, patients received IV morphine via a PCA pump as rescue analgesia. Patient demand for morphine was recorded. After 24 hours, patients were offered hydrocodone/acetaminophen (maximum could not exceed 8 tablets per 24 hours of the 5/500 mg tablets [40 mg hydrocodone and 4000 mg acetaminophen]) or similar medication as determined by the Investigator for pain until discharge. If oral medication was insufficient for control of pain, IM or IV morphine could be administered. (NCT00749749)
Timeframe: 0 to 72 Hours

InterventionMorphine equivalents (Mean)
Bupivacaine Collagen Sponge61.98
ON-ON-Q PainBuster Post-op Pain Relief SystemQ System85.36

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VAS (mm) Pain Intensity Scores Over Time (After Cough)

For the VAS assessment, patients measured their pain intensity after aggravated movement (cough) using a horizontal 100-mm VAS scale labeled as follows: No Pain (0 mm) as the left anchor and Worst Pain Imaginable (100 mm) as the right anchor. (NCT00749749)
Timeframe: Hour 1, 1.5, 2,3,6,9,12,18,24,36,48,72,96

,
Interventionunits on a scale (Mean)
Hour 1Hour 1.5Hour 2.0Hour 3.0hour 6.0Hour 9.0Hour 12Hour 18Hour 24Hour 36Hour 48Hour 72Hour 96
Bupivacaine Collagen Sponge84.476.573.862.161.951.543.644.549.347.034.227.427.1
ON-ON-Q PainBuster Post-op Pain Relief SystemQ System86.179.884.677.165.852.538.950.740.327.827.934.619.1

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VAS Pain Intensity Scores Over Time AT REST

For the VAS assessment, patients measured their pain intensity at rest using a horizontal 100-mm VAS scale labeled as follows: No Pain (0 mm) as the left anchor and Worst Pain Imaginable (100 mm) as the right anchor. (NCT00749749)
Timeframe: Hour 1, 1.5, 2,3,6,9,12,18,24,36,48,72,96

,
Interventionunits on a scale (Mean)
Hour 1.0Hour 1.5Hour 2Hour 3Hour 6Hour 9Hour 12Hour 18Hour 24Hour 36Hour 48Hour 72Hour 96
Bupivacaine Collagen Sponge75.266.361.552.249.938.143.644.549.347.034.227.427.1
ON-ON-Q PainBuster Post-op Pain Relief SystemQ System74.566.568.660.945.835.838.950.740.327.827.934.619.1

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Total Amount of Opioid Rescue Analgesia Used

Higher score means worse outcome - Higher number means more Analgesia was needed. For the first 24 hours after surgery, patients received IV morphine via a PCA pump as rescue analgesia. Patient demand for morphine was recorded. After 24 hours, patients were offered hydrocodone/acetaminophen (maximum could not exceed 8 tablets per 24 hours of the 5/500 mg tablets [40 mg hydrocodone and 4000 mg acetaminophen]) or similar medication as determined by the Investigator for pain until discharge. If oral medication was insufficient for control of pain, IM or IV morphine could be administered. (NCT00749749)
Timeframe: 0 to 48 hours postoperatively

InterventionMorphine equivalents (Mean)
Bupivacaine Collagen Sponge55.43
ON-ON-Q PainBuster Post-op Pain Relief SystemQ System74.85

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Time to First Use of Opioid Rescue Analgesia

Higher score has a better outcome (NCT00749749)
Timeframe: 0 to 72 hours

InterventionHours (Median)
Bupivacaine Collagen Sponge0.78
ON-ON-Q PainBuster Post-op Pain Relief SystemQ System0.57

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The Total Amount of Opioid Rescue Analgesia Used

Higher score means worse outcome. Higher number means more Analgesia was needed. For the first 24 hours after surgery, patients received IV morphine via a PCA pump as rescue analgesia. Patient demand for morphine was recorded. After 24 hours, patients were offered hydrocodone/acetaminophen (maximum could not exceed 8 tablets per 24 hours of the 5/500 mg tablets [40 mg hydrocodone and 4000 mg acetaminophen]) or similar medication as determined by the Investigator for pain until discharge. If oral medication was insufficient for control of pain, IM or IV morphine could be administered. (NCT00749749)
Timeframe: 0 to 96 hours postoperatively

InterventionMorphine equivalents (Mean)
Bupivacaine Collagen Sponge67.87
ON-ON-Q PainBuster Post-op Pain Relief SystemQ System90.77

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Pruritus

the occurrence of pruritis (itching) throughout the labor analgesia infusion--the presence of itching rated on a scale of 0-no itching at all up to a maximum of 10- severe itching. (NCT00779467)
Timeframe: until delivery

Interventionunits on a scale (Mean)
Bupivacaine With Neostimgine 8 mcg/ml0.05
Bupivacaine and Neostigmine 4 mcg/ml0.03
Bupivacaine With Neostigmine 2 mcg/ml0.03
BUPIVACAINE WITH FENTANYL 2 MCG/ML0.9

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Bromage Score

the incidence of decreased motor block (Bromage score) documented until delivery. Bromage is defined as 0-freely able to move extremities (no motor block) up to 3-unable to move legs or feet (complete motor block) (NCT00779467)
Timeframe: until delivery

Interventionunits on a scale (Mean)
Bupivacaine With Neostimgine 8 mcg/ml0.7
Bupivacaine and Neostigmine 4 mcg/ml1.1
Bupivacaine With Neostigmine 2 mcg/ml1.0
BUPIVACAINE WITH FENTANYL 2 MCG/ML0.9

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Shivering

maternal occurrence of shivering--Shivering scored on a 0-no shivering at all up to maximum of 10-shivering uncontrollably (NCT00779467)
Timeframe: until delivery

Interventionunits on a scale (Mean)
Bupivacaine With Neostimgine 8 mcg/ml0.2
Bupivacaine and Neostigmine 4 mcg/ml0.3
Bupivacaine With Neostigmine 2 mcg/ml0.3
BUPIVACAINE WITH FENTANYL 2 MCG/ML0.2

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Patient Satisfaction Scores

maternal reported satisfaction scores of labor analgesia on a scale of 1-5, with 1-not satisfied at all up to 5 -completely satisfied with labor analgesia (NCT00779467)
Timeframe: within 24 hours post delivery

Interventionunits on a scale (Median)
Bupivacaine With Neostimgine 8 mcg/ml4.5
Bupivacaine and Neostigmine 4 mcg/ml4.0
Bupivacaine With Neostigmine 2 mcg/ml4.0
BUPIVACAINE WITH FENTANYL 2 MCG/ML4.0

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Amount of Drug Consumed Per Hour in Each Group(Arm)

Median hourly total bupivacaine consumption. Drug amount consumed per hour of each group (arm) (NCT00779467)
Timeframe: until delivery

Interventionmilliliters per hour (Median)
Bupivacaine With Neostimgine 8 mcg/ml16.2
Bupivacaine and Neostigmine 4 mcg/ml14.6
Bupivacaine With Neostigmine 2 mcg/ml15.3
BUPIVACAINE WITH FENTANYL 2 MCG/ML16

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Sedation

average maternal sedation score measured on a 0-not sleepy at all up to a maximum of 10-extremely sleepy (NCT00779467)
Timeframe: until delivery

Interventionunits on a scale (Mean)
Bupivacaine With Neostimgine 8 mcg/ml3.3
Bupivacaine and Neostigmine 4 mcg/ml3.4
Bupivacaine With Neostigmine 2 mcg/ml3.3
BUPIVACAINE WITH FENTANYL 2 MCG/ML4.1

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Nausea

average maximum nausea score in each group--maternal nausea scored on a 0-no nausea at all up to maximum of 10-worst nausea imaginable (NCT00779467)
Timeframe: until delivery

Interventionunits on a scale (Mean)
Bupivacaine With Neostimgine 8 mcg/ml1.3
Bupivacaine and Neostigmine 4 mcg/ml1.8
Bupivacaine With Neostigmine 2 mcg/ml1.8
BUPIVACAINE WITH FENTANYL 2 MCG/ML1.2

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Cesarean Delivery

percentage of subjects in each group requiring a ceserean delivery (NCT00779467)
Timeframe: occurence

Interventionpercentage of subjects in each group (Number)
Bupivacaine With Neostimgine 8 mcg/ml21
Bupivacaine and Neostigmine 4 mcg/ml15
Bupivacaine With Neostigmine 2 mcg/ml24
BUPIVACAINE WITH FENTANYL 2 MCG/ML14

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Time to First Report of Pain

(NCT00801138)
Timeframe: Postoperative day 1, 2 and 3

Interventionhours (Median)
Group 111.9
Group 214.7
Group 322.3
Group 425.7

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The Duration of the Interscalene Nerve Block Which is Time to First Administration of Pain Medication After Block

(NCT00801138)
Timeframe: Postoperative day 1, 2 and 3

Interventionhours (Median)
Group 111.8
Group 214.8
Group 322.2
Group 422.4

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Median Maximum VAS Pain Scores at Rest

"Visual Analogue Scale (VAS) pain scale is used to describe the severity or intensity of pain. It ranges from 0 to 10. Zero indicatesno pain at all and ten indicates worst pain imaginable. , The higher of the score, the worse of the pain." (NCT00801138)
Timeframe: Postoperative day 1, 2 and 3

Interventionunits on a scale (Median)
Group 15
Group 25
Group 34
Group 43

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Total Three-day Opioid Consumption in Oral Oxycodone Equivalent

(NCT00801138)
Timeframe: Postoperative day 1, 2 and 3

Interventionmilligrams (Median)
Group 175
Group 285
Group 379
Group 460

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Amount of Rescue PCA Fentanyl Administered for Breakthrough Pain During the First 72 Hours.

The primary outcome metric was to be the amount of rescue epidural fentanyl administered for breakthrough pain during the first 72 hours postoperatively. Patient-controlled analgesia (PCA) fentanyl intake was to be summarized for each treatment group as time to first use of rescue PCA fentanyl, amount of PCA fentanyl administered over 72 hours, and total amount of PCA fentanyl administered through a number of time intervals. However, efficacy analyses were not performed because the study was terminated early after only three subjects were enrolled. (NCT00807209)
Timeframe: 72 hours

Interventionmicrograms (Number)
Standard of Care0
Low Dose SKY04020

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Area Under the Curve (AUC) of the Numeric Rating Scale (NRS) With Activity (NRS-A) Pain Intensity Scores

"Assessments of postoperative pain included pain intensity at rest (using the NRS at rest [NRS-R] and with activity [using the NRS-A]) where the prescribed activity was raising both arms.~Pain intensity was assessed on a scale of 0 to 10, where 0=no pain and 10=worst possible pain." (NCT00813111)
Timeframe: through 72 hours

InterventionUnits on a scale*hours (Mean)
SKY0402441
Bupivacaine HCl467

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Mean Pain Intensity on Movement AUC (Time Normalized Area Under the Curve) During the Period 0 to 72 Hours Post-dose.

Mean pain intensity on movement AUC (time normalized area under the curve) during the period 0 to 72 hours post-dose. Subjects assessed their pain intensity using an 11-point Pain Intensity Numeric Rating Scale (PI-NRS) with NRS scores ranging from 0 (no pain) to 10 (worst pain possible). The pain intensity AUC on movement was computed for each subject using the standard trapezoidal rule. For the purpose of better clinical interpretability of the pain AUC, a normalized AUC was computed by dividing it using the time-interval length over which it was computed. (NCT00818363)
Timeframe: 0 to 72 hours post-dose

Interventionscore on a scale (Mean)
Group 1: SABER-Bupivacaine5.35
Group 2: SABER-Placebo5.81

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Time-to-first Use of Opioid Supplemental Pain Medication

(NCT00818363)
Timeframe: 0 to 14 days post-dose

Interventionhours (Median)
Group 1: SABER-Bupivacaine0.43
Group 2: SABER-Placebo0.48

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Supplemental Opioid Use

Mean total morphine-equivalent dose during the period 0 to 72 hours post-dose (NCT00818363)
Timeframe: 0 to 72 hours post-dose

Interventionmg (Mean)
Group 1: SABER-Bupivacaine44.54
Group 2: SABER-Placebo49.94

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Supplemental Opioid Use

Mean total morphine-equivalent dose during the period 0 to 48 hours post-dose (0 to 2 days post-dose) (NCT00818363)
Timeframe: 0 to 48 hours post-dose

Interventionmg (Mean)
Group 1: SABER-Bupivacaine37.13
Group 2: SABER-Placebo43.70

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Mean Pain Intensity on Movement AUC (Time-normalized AUC) During the Period 0 to 48 Hours Post-dose (0 to 2 Days Post-dose).

Mean pain intensity on movement AUC (time-normalized AUC) during the period 0 to 48 hours post-dose (0 to 2 days post-dose). Subjects assessed their pain intensity using an 11-point Pain Intensity Numeric Rating Scale (PI-NRS) with NRS scores ranging from 0 (no pain) to 10 (worst pain possible). The pain intensity AUC on movement was computed for each subject using the standard trapezoidal rule. For the purpose of better clinical interpretability of the pain AUC, a normalized AUC was computed by dividing it using the time-interval length over which it was computed. (NCT00818363)
Timeframe: 0 to 48 hours post-dose

Interventionscore on a scale (Mean)
Group 1: SABER-Bupivacaine5.65
Group 2: SABER-Placebo6.14

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Number of Patients Needing Rescue Medication

Number of patients who required rescue medication within 6 hours (NCT00895843)
Timeframe: At 6 hours

InterventionParticipants (Number)
Conventional Ibuprofen32
Brufen Retard29

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Mean Number of Days With Acute Medication Use

"Acute medication use meant the consumption of a drug to abort or terminate a headache." (NCT00915473)
Timeframe: 4 weeks post-injection

Interventiondays per 4 weeks (Mean)
Active Injection6.7
Placebo Injection7.7

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Mean Number of Hours With Moderate or Severe Migraine

(NCT00915473)
Timeframe: 4 weeks post-injection

Interventionhours per 4 weeks (Mean)
Active Injection60
Placebo Injection58

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Mean Frequency of Days With a Migraine

(NCT00915473)
Timeframe: 4 weeks post-injection

,
Interventiondays per 4 weeks (Mean)
SevereAt Least ModerateAt Least Mild
Active Injection3.47.09.3
Placebo Injection2.97.810.4

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Number of Subjects With at Least 50% Reduction in the Frequency of Days With Moderate or Severe Migraine in the 4 Week Post Injection Compared to the 4 Week Pre-injection Baseline Period

The baseline frequency will be the number of calendar days with moderate or severe migraine during the 4 week period prior to injection, and the follow-up frequency will be the number of calendar days with migraine during the 4 week period following injection. (NCT00915473)
Timeframe: 4 weeks pre-injection baseline, 4 weeks post-injection

Interventionparticipants (Number)
Active Injection10
Placebo Injection9

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SNOT-20 Surgical Outcome Score

"This measures uses a 20 item surgical assessment tool to assess surgical field. This assessment score is the Sino-Nasal Outcome Test, SNOT-20. Patients were completed this validated sinus symptom questionnaire. The average magnitude score for the 20 items is calculated. Each item of the 20-question assessment is scored from 1 to 5 where 1 is less severe and 5 is a maximum as described by that particular symptom score. The final score is reported as a mean with a range of 0 (zero) to 5 (no units).~ref. Otolaryngol Head Neck Surg, 126 (2002), pp. 41-47" (NCT00927888)
Timeframe: 1-day

Interventionunits on a scale (Mean)
Group 1 - Bupivacaine Block1.76
Group 2 - Placebo Saline Block1.67

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Postoperative Pain Assessed on Standard VAS Scale

Post-operative quality of recovery and pain followed up to 1 month. Visual Analog Pain (VAS) was recorded by the patient on a 10-centimeter line to mark an estimated pain score that could be from zero (0) to ten (10). Zero would indicate no pain while a score of 10 would be the worse pain possible. (NCT00927888)
Timeframe: VAS Pain Score at 7 days

Interventionunits on a scale (Mean)
1 - Bupivacaine Block0.48
2 - Placebo1.12

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Mean Function Activities (Modified Brief Pain Inventory)

In past 24 hours, pain interfered with ability to function or perform activity (0-10 numeric scale, 0=no interference) (NCT00974350)
Timeframe: 1 to 5 days post-dose

,,
Interventionscore on a scale (Mean)
get out of bed (Day 1)get out of bed (Day 2)get out of bed (Day 3)get out of bed (Day 4)get out of bed (Day 5)Ability to walk (Day 1)Ability to walk (Day 2)Ability to walk (Day 3)Ability to walk (Day 4)Ability to walk (Day 5)Ability To Interact With Visitors (Day 1)Ability To Interact With Visitors (Day 2)Ability To Interact With Visitors (Day 3)Ability To Interact With Visitors (Day 4)Ability To Interact With Visitors (Day 5)Ability To Fall Asleep (Day 1)Ability To Fall Asleep (Day 2)Ability To Fall Asleep (Day 3)Ability To Fall Asleep (Day 4)Ability To Fall Asleep (Day 5)Ability To Stay Asleep (Day 1)Ability To Stay Asleep (Day 2)Ability To Stay Asleep (Day 3)Ability To Stay Asleep (Day 4)Ability To Stay Asleep (Day 5)Ability To Eat (Day 1)Ability To Eat (Day 2)Ability To Eat (Day 3)Ability To Eat (Day 4)Ability To Eat (Day 5)Ability To Deep Breath (Day 1)Ability To Deep Breath (Day 2)Ability To Deep Breath (Day 3)Ability To Deep Breath (Day 4)Ability To Deep Breath (Day 5)Ability To Cough (Day 1)Ability To Cough (Day 2)Ability To Cough (Day 3)Ability To Cough (Day 4)Ability To Cough (Day 5)
Group 1: SABER-Bupivacaine3.23.02.51.71.73.52.82.52.01.81.11.00.70.70.52.72.01.51.41.12.62.01.41.21.11.20.90.50.40.31.51.21.41.10.84.44.43.93.23.0
Group 2: SABER-Bupivacaine2.72.41.51.11.12.72.31.41.01.30.71.00.40.40.42.01.30.90.60.52.21.40.70.50.70.40.30.20.20.10.70.80.50.50.43.83.42.92.32.2
Group 3: SABER-Placebo4.63.02.11.91.43.92.31.51.71.31.41.10.60.50.32.61.81.21.30.82.11.81.21.30.70.90.50.40.30.31.51.10.70.70.45.75.04.53.53.1

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Supplemental Opioid Use

(NCT00974350)
Timeframe: 0 to 14 days post-dose

InterventionTotal morphine equivalent dose (mg) (Mean)
Group 1: SABER-Bupivacaine17.7
Group 2: SABER-Bupivacaine12.5
Group 3: SABER-Placebo38.4

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Pain Intensity

Pain intensity AUC over the time period of 1 to 48 hours. Data on pain intensity were collected using a 0 to 10 NRS with scores ranging from 0 (no pain) to 10 (worst pain possible). The AUC is computed for each patient using the standard trapezoidal rule and normalised by dividing by the time interval over which it is computed. This normalisation converts the AUC to the natural pain scale (NRS 0-10) to allow for better translation of the clinical treatment effect magnitude. (NCT00974350)
Timeframe: 1 to 48 hours post-dose

Interventionscore on a scale (Least Squares Mean)
Group 1: SABER-Bupivacaine3.4
Group 2: SABER-Bupivacaine2.8
Group 3: SABER-Placebo4.1

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Pain Intensity on Movement

Pain intensity on movement normalized AUC over the time period 1 to 72 hours post-surgery. Data on pain intensity were collected using a 0 to 10 NRS with scores ranging from 0 (no pain) to 10 (worst pain possible). The AUC is computed for each patient using the standard trapezoidal rule and normalised by dividing by the time interval over which it is computed. This normalisation converts the AUC to the natural pain scale (NRS 0-10) to allow for better translation of the clinical treatment effect magnitude. (NCT00974350)
Timeframe: 1 to 72 hours post-dose

Interventionscore on a scale (Least Squares Mean)
Group 1: SABER-Bupivacaine3.4
Group 2: SABER-Bupivacaine2.7
Group 3: SABER-Placebo3.9

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Treatment Satisfaction

Modified Brief Pain Inventory -An overall assessment of treatment satisfaction was made using 6 point verbal rating scale (very dissatisfied, dissatisfied, slightly dissatisfied, slightly satisfied, satisfied, very satisfied). (NCT00974350)
Timeframe: 1 to 5 days post-dose

InterventionParticipants (Count of Participants)
Day 172016917Day 172016918Day 172016916Day 272016916Day 272016918Day 272016917Day 372016916Day 372016917Day 372016918Day 472016916Day 472016917Day 472016918Day 572016916Day 572016917Day 572016918
Slightly DissatisfiedSlightly SatisfiedSatisfiedVery SatisfiedVery DissatisfiedDissatisfied
Group 1: SABER-Bupivacaine2
Group 2: SABER-Bupivacaine2
Group 1: SABER-Bupivacaine1
Group 3: SABER-Placebo2
Group 2: SABER-Bupivacaine4
Group 3: SABER-Placebo4
Group 1: SABER-Bupivacaine15
Group 2: SABER-Bupivacaine16
Group 1: SABER-Bupivacaine21
Group 1: SABER-Bupivacaine4
Group 2: SABER-Bupivacaine3
Group 2: SABER-Bupivacaine19
Group 1: SABER-Bupivacaine3
Group 1: SABER-Bupivacaine13
Group 2: SABER-Bupivacaine23
Group 1: SABER-Bupivacaine26
Group 2: SABER-Bupivacaine20
Group 2: SABER-Bupivacaine0
Group 2: SABER-Bupivacaine1
Group 3: SABER-Placebo3
Group 1: SABER-Bupivacaine18
Group 2: SABER-Bupivacaine21
Group 3: SABER-Placebo12
Group 2: SABER-Bupivacaine22
Group 3: SABER-Placebo13
Group 1: SABER-Bupivacaine0
Group 3: SABER-Placebo0
Group 3: SABER-Placebo1
Group 1: SABER-Bupivacaine16
Group 2: SABER-Bupivacaine17
Group 3: SABER-Placebo11
Group 2: SABER-Bupivacaine24
Group 3: SABER-Placebo14

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Proportion (Percent) of Patients Using Supplemental Opioids

(NCT00974350)
Timeframe: 0 to 14 days post-dose

InterventionParticipants (Count of Participants)
Group 1: SABER-Bupivacaine31
Group 2: SABER-Bupivacaine25
Group 3: SABER-Placebo23

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Time to First Opioid Rescue Medication Usage

(NCT00993226)
Timeframe: 0-14 days after surgery

Interventionhours (Median)
SABER-Bupivacaine7.71
SABER-placebo1.53
Bupivacaine HCl87.77

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Pain Intensity (PI)

Pain intensity (PI) on movement AUC over the period 1 to 72 hours post-surgery. Subjects assessed their pain intensity using an 11-point Pain Intensity Numeric Rating Scale (PI-NRS) with NRS scores ranging from 0 (no pain) to 10 (worst pain possible). The AUC is computed for each patient using the standard trapezoidal rule and normalised by dividing by the time interval over which it is computed. This normalisation converts the AUC to the natural pain scale (NRS 0-10) to allow for better translation of the clinical treatment effect magnitude. (NCT00993226)
Timeframe: 1 to 72 hours post-surgery

Interventionscore on a scale (Mean)
SABER-Bupivacaine4.15
SABER-placebo4.46
Bupivacaine HCl4.27

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Supplemental Opioid Use

Cumulative IV morphine-equivalent dose of opioid rescue medication (NCT00993226)
Timeframe: 0-3 days after surgery

Interventionmg (Mean)
SABER-Bupivacaine22.8
SABER-placebo26.3
Bupivacaine HCl23.9

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Time to First Opioid Rescue Medication Usage

(NCT00993798)
Timeframe: 0-14 days after surgery

Interventionhours (Median)
SABER-Bupivacaine12.4
SABER-placebo1.2
Bupivacaine HCl1.4

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Supplemental Opioid Use

Cumulative IV morphine-equivalent dose of opioid rescue medication (NCT00993798)
Timeframe: 0-3 days after surgery

Interventionmg (Median)
SABER-Bupivacaine4.0
SABER-placebo12.0
Bupivacaine HCl8.0

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Pain Intensity (PI)

Mean pain intensity on movement AUC (time-normalized AUC) during the period 0-3 days after surgery. Pain intensity was assessed with a standard 0 to 10 numeric rating scale (NRS), where no pain at all was rated as 0 and the worst pain imaginable was rated as 10. The AUC is computed for each patient using the standard trapezoidal rule and normalised by dividing by the time interval over which it is computed. This normalisation converts the AUC to the natural pain scale (NRS 0-10) to allow for better translation of the clinical treatment effect magnitude. (NCT00993798)
Timeframe: 0-3 days after surgery

Interventionscore on a scale (time-normalized AUC) (Mean)
SABER-Bupivacaine5.16
SABER-placebo6.43
Bupivacaine HCl5.16

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Spinal Analgesic Duration

duration of time in minutes from the time the combined spinal epidural is placed until the participant requests additional analgesia; at that time the epidural was dosed and study participation was complete (NCT01005459)
Timeframe: 1-2 hrs

Interventionminutes (Mean)
Tetracaine 2mg92.68
Bupivacaine 2 mg89.61

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Wound Hyperalgesia Index (WHA) Assessed 48 Hrs After Block Placement in the Different Groups

Determine which of three different TAP formulations (Placebo, TAP, Clo-TAP) has the most beneficial effect on the postoperative area of hyperalgesia 48hrs after the start of the cesarean section. The smaller the area of WHA, assessed in cm2, the better the outcome. Area sizes may range from 0 to any size. (NCT01015807)
Timeframe: 48hrs after CS

Interventioncm^2 (Mean)
Placebo1.07
TAP (Bupi)1.27
Clo-TAP (Bupi + Clon)0.74

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Proportion (Percent) of Patients Who Have Evidence of a Wound Infection

From Surgical Wound Healing and Local Tissue Condition Evaluation (NCT01052012)
Timeframe: 0 to 14 days post-dose (Visits 3 and 4)

InterventionParticipants (Count of Participants)
Patients with Wound Infection at Visit 3 (Day 7)72290807Patients with Wound Infection at Visit 3 (Day 7)72290808Patients with Wound Infection at Visit 3 (Day 7)72290809Patients with Wound Infection at Visit 3 (Day 7)72290810Patients with Wound Infection at Visit 3 (Day 7)72290806Patients with Wound Infection at Visit 3 (Day 7)72290811Patients with Wound Infection at Visit 4 (Day 14)72290806Patients with Wound Infection at Visit 4 (Day 14)72290808Patients with Wound Infection at Visit 4 (Day 14)72290809Patients with Wound Infection at Visit 4 (Day 14)72290810Patients with Wound Infection at Visit 4 (Day 14)72290807Patients with Wound Infection at Visit 4 (Day 14)72290811
yesno
Cohort 1-POSIMIR2
Cohort 1-Bupivacaine HCl1
Cohort 2-POSIMIR0
Cohort 2-Bupivacaine HCl0
Cohort 3-POSIMIR6
Cohort 3-Placebo0
Cohort 1-POSIMIR23
Cohort 2-POSIMIR30
Cohort 2-Bupivacaine HCl19
Cohort 3-POSIMIR116
Cohort 3-Placebo73
Cohort 1-POSIMIR1
Cohort 1-Bupivacaine HCl2
Cohort 2-Bupivacaine HCl1
Cohort 3-POSIMIR4
Cohort 1-Bupivacaine HCl14
Cohort 2-Bupivacaine HCl18
Cohort 3-POSIMIR119
Cohort 3-Placebo77

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Total Morphine-equivalent Dose

Total morphine-equivalent dose during 0-48 hours post dose. (NCT01052012)
Timeframe: 0-48 hours post dose

Interventionmg IV Morphine equivalents (Median)
Cohort 1-POSIMIR69.5
Cohort 1-Bupivacaine HCl52.0
Cohort 2-POSIMIR15.0
Cohort 2-Bupivacaine HCl19.7
Cohort 3-POSIMIR41.5
Cohort 3-Placebo43.0

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Time-to-first Use of Opioid Rescue Medication

(NCT01052012)
Timeframe: 0 to 14 days post-dose (Time from extubation until first opioid use)

InterventionHours (Median)
Cohort 1-POSIMIR0.6
Cohort 1-Bupivacaine HCl0.5
Cohort 2-POSIMIR0.6
Cohort 2-Bupivacaine HCl0.5
Cohort 3-POSIMIR0.6
Cohort 3-Placebo0.5

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Pain Intensity at Rest AUC During 0-72 Hours Post Dose

Mean pain intensity at rest AUC during the period 0 to 72 hours post-dose. Pain intensity was assessed with a standard 0 to 10 numeric rating scale (NRS), where no pain at all was rated as 0 and the worst pain imaginable was rated as 10. The AUC is computed for each patient using the standard trapezoidal rule and normalised by dividing by the time interval over which it is computed. This normalisation converts the AUC to the natural pain scale (NRS 0-10) to allow for better translation of the clinical treatment effect magnitude. (NCT01052012)
Timeframe: 0-72 hours post dose

Interventionscore on a scale (Least Squares Mean)
Cohort 1-POSIMIR3.4
Cohort 1-Bupivacaine HCl4.2
Cohort 2-POSIMIR1.7
Cohort 2-Bupivacaine HCl2.5
Cohort 3-POSIMIR3.1
Cohort 3-Placebo3.5

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Supplemental Opioid Use

Total morphine-equivalent dose during 0-72 hours post dose. Median values were presented because data was not normally distributed. (NCT01052012)
Timeframe: 0-72 hours post dose

InterventionMilligram equivalents (Median)
Cohort 1-POSIMIR87.0
Cohort 1-Bupivacaine HCl63.0
Cohort 2-POSIMIR17.0
Cohort 2-Bupivacaine HCl22.5
Cohort 3-POSIMIR52.0
Cohort 3-Placebo62.0

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Mean Pain Intensity on Movement

Mean pain intensity on movement AUC (time-normalized AUC) during the period 0 to 72 hours post-dose. Pain intensity was assessed with a standard 0 to 10 numeric rating scale (NRS), where no pain at all was rated as 0 and the worst pain imaginable was rated as 10. The AUC is computed for each patient using the standard trapezoidal rule and normalised by dividing by the time interval over which it is computed. This normalisation converts the AUC to the natural pain scale (NRS 0-10) to allow for better translation of the clinical treatment effect magnitude. (NCT01052012)
Timeframe: 0 to 72 hours post-dose

Interventionscore on a scale (Least Squares Mean)
Cohort 1-POSIMIR4.9
Cohort 1-Bupivacaine HCl5.0
Cohort 2-POSIMIR2.8
Cohort 2-Bupivacaine HCl3.9
Cohort 3-POSIMIR4.8
Cohort 3-Placebo5.1

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Mean Pain Intensity on Movement

Mean pain intensity on movement AUC (time-normalized AUC) during the period 0 to 48 hours post-dose. Pain intensity was assessed with a standard 0 to 10 numeric rating scale (NRS), where no pain at all was rated as 0 and the worst pain imaginable was rated as 10. The AUC is computed for each patient using the standard trapezoidal rule and normalised by dividing by the time interval over which it is computed. This normalisation converts the AUC to the natural pain scale (NRS 0-10) to allow for better translation of the clinical treatment effect magnitude. (NCT01052012)
Timeframe: 0 to 48 hours post-dose

Interventionscore on a scale (Least Squares Mean)
Cohort 1-POSIMIR5.2
Cohort 1-Bupivacaine HCl6.0
Cohort 2-POSIMIR3.2
Cohort 2-Bupivacaine HCl4.4
Cohort 3-POSIMIR5.2
Cohort 3-Placebo5.5

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Mean Pain Intensity at Rest AUC During 0-48 Hours Post Dose

Mean pain intensity at rest AUC during the period 0 to 48 hours post-dose. Pain intensity was assessed with a standard 0 to 10 numeric rating scale (NRS), where no pain at all was rated as 0 and the worst pain imaginable was rated as 10. The AUC is computed for each patient using the standard trapezoidal rule and normalised by dividing by the time interval over which it is computed. This normalisation converts the AUC to the natural pain scale (NRS 0-10) to allow for better translation of the clinical treatment effect magnitude. (NCT01052012)
Timeframe: 0-48 hours post dose

Interventionscore on a scale (Least Squares Mean)
Cohort 1-POSIMIR3.6
Cohort 1-Bupivacaine HCl4.5
Cohort 2-POSIMIR2.0
Cohort 2-Bupivacaine HCl2.9
Cohort 3-POSIMIR3.4
Cohort 3-Placebo3.8

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Cumulative Fentanyl Dose (Micrograms)

Total cumulative dose of fentanyl in micrograms (NCT01074190)
Timeframe: Time of epidural catheter removal

Interventionfentalyl dose micrograms (Median)
Group 115
Group 278
Group 3139
Total78

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Plasma Fentanyl Concentration (ng/mL)

Blood plasma fentanyl concentraton (nanograms/milliliter). (NCT01074190)
Timeframe: Time of epidural catheter removal

Interventionng/mL (Median)
Group 1.01
Group 2.07
Group 3.13
Total.07

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Umbilical Vein Plasma Fentanyl Concentration (ng/mL)

Umbilical venous blood plasma was analyzed for fentanyl concentration (ng/mL) (NCT01074190)
Timeframe: Immediately after delivery

Interventionng/mL (Median)
Group 1.005
Group 2.03
Group 3.06
Total.03

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Narcotic Use, Final Follow up

Number of participants using narcotics for pain (NCT01087931)
Timeframe: about 18 to 20 weeks after surgery

InterventionParticipants (Count of Participants)
Bupivacaine1
Saline3

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Pain, Cumulative Visual Analog Score, Final Follow up

Cumulative Visual Analog Score pain score scores were calculated using the sum of scores (at rest and with movement, pain on average at rest and with movement, and maximum pain at rest and with movement) Range = 0-60 for cumulative visual analog pain score with 0=no pain and 60=worst pain ever. (NCT01087931)
Timeframe: about 18 to 20 weeks after surgery

Interventionunits on a scale (Mean)
Bupivacaine15.33
Saline29.33

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Pain, Cumulative Visual Analog Score, 1st Follow Up

Cumulative Visual Analog Score pain score scores were calculated using the sum of scores (at rest and with movement, pain on average at rest and with movement, and maximum pain at rest and with movement) Range = 0-60 for cumulative visual analog pain score with 0=no pain and 60=worst pain ever. (NCT01087931)
Timeframe: about 4 to 5 weeks after surgery

Interventionunits on a scale (Mean)
Bupivacaine10.5
Saline21.7

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Narcotic Use, 1st Follow up

Number of participants using narcotics for pain (NCT01087931)
Timeframe: about 4 to 5 weeks after surgery

InterventionParticipants (Count of Participants)
Bupivacaine9
Saline13

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Pain Scores

Pain was measured via Visual Analong Scale in measurement (0-100mm). (NCT01126593)
Timeframe: O hour, 1, 2, 3, 4, 5, 6, 12 and 72 hours.

,,
Interventionmm (Mean)
Pain at baselinePain at 1 hourPain at 2 hoursPain at 3 hoursPain at 4 hoursPain at 5 hoursPain at 6 hoursPain at 12 hoursPain at 72 hours
Control Group43.959.76255.350.348.637.335.841.1
Placebo Group64.76060.56052.654.542.946.645.0
Study Group51.452.350.751.246.846.742.242.842.7

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Time to First Use of Supplemental Pain Medication

The primary efficacy endpoint was the time to first use of supplemental pain medication (opioid or non-opioid) postoperatively for surgical wound pain (NCT01203644)
Timeframe: Through 96 hours postdose

Interventionhours (Median)
Bupivacaine HCl4.2
SKY0402 Low Dose13.75
SKY0402 Low-mid Dose3.9
SKY0402 High-mid Dose5.2
SKY0402 High Dose5.5

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Time to First Use of Supplemental Pain Medication Postoperatively for Surgical Pain

The primary efficacy endpoint was the time to first use of supplemental pain medication (opioid or non-opioid) postoperatively for surgical pain. (NCT01206595)
Timeframe: Through 96 hours postdose

Interventionhours (Median)
Bupivacaine HCl9.4
SKY0402 Low Dose (175 mg)1.9
SKY0402 Low-Mid Dose (225 mg)1.2
SKY0402 Mid Dose (350 mg)2.4

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Area Under the Curve (AUC) of the Numeric Rating Scale (NRS) at Rest (NRS-R) and With Activity (NRS-A) Pain Intensity Scores

Assessments of postoperative pain were conducted through 96 hours and included pain intensity at rest (NRS-R) and with activity (NRS-A). The prescribed activity was to consist of raising the arm, in full extension at the elbow and wrist, to a position parallel with the axis of the torso. Pain intensity was scored on an 11-point scale, where 0 = no pain and 10 = worst possible pain. (NCT01206608)
Timeframe: Through 96 hours postdose

InterventionUnits on a scale*hours (Mean)
Low-dose SKY0402 (150mg) + Bupivacaine HCl340.7
Mid-dose SKY0402 (300mg)+ Bupivacaine HCl293.4

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Mean Sum of Pain Intensity (SPI) Categorical Scores After Aggravated Movement

Measured on a Visual Analog Pain Scale (VAS) with the lowest possible value of 0 and highest 100 (0 - 100) for each timepoint. (timepoints 1,2,4,6,8,10,12,24,48 and 72 hours ) Patients were asked during multiple time points to provide a score on this VAS scale. For 1 to 24 hours the highest score possible would be 800. For 1 to 48 hours the highest score possible would be 900. For 1 to 72 hours the highest score possible would be 1000. A mean Lower score is better. A mean Higher score is a worse outcome. (NCT01220024)
Timeframe: 1,2,4,6,8,10,12,24,48 and 72 hours

,
Interventionscore on a scale (Mean)
1 to 24 hours1 to 48 hours1 to 72 hours
2, 5x5cm Bupivacaine Collagen Sponges40.683.3118.9
2, Placebo Collagen Sponges45.690.2128.8

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Pain Intensity Visual Analog Pain Scale Scores Over Time After Aggravated Movement (Cough)

Measured on a Visual Analog Pain Scale (VAS) with the lowest possible value of 0 and highest 100 (0 - 100). Patients were asked during multiple time points to provide a score on this VAS scale. The lower the sore the better the outcome. Higher score is a worse outcome (NCT01220024)
Timeframe: 1,2,4,6,8,10,12,24,48 and 72 hours

,
Interventionunits on a scale (Mean)
Hour 1Hour 2Hour 4Hour 6Hour 8Hour 10Hour 12Hour 24Hour 48Hour 72
2, 5x5cm Bupivacaine Collagen Sponges31.432.631.233.247.043.446.749.236.029.8
2, Placebo Collagen Sponges73.460.657.058.854.352.028.1851.547.238.3

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Sum of Pain Intensity Defined as Area Under the Curve (AUC) of 100-mm VAS PI Scores.

"The primary efficacy variable was SPI defined as area under the curve (AUC) of 100-mm VAS pain intensity scores after aggravated movement (cough) from 1 to 72 hours after surgery. Minimum score is 0. Maximum score is 7200. This represents the AUC (Area Under the Curve) of the pain intensities when calculated with the trapezoidal rule. A lower score means a better outcome or less pain reported." (NCT01220024)
Timeframe: 1, 2, 4, 6, 8, 10, 12, 24, 48, and 72 hours.

Interventionscore on a scale*hour (Mean)
2, 5x5cm Bupivacaine Collagen Sponges2810.4
2, Placebo Collagen Sponges3484.5

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Pain Intensity VAS Scores Over Time at Rest

Measured on a Visual Analog Pain Scale (VAS) with the lowest possible value of 0 and highest 100 (0 - 100). Patients were asked during multiple time points to provide a score on this VAS scale. Lower score is better. Higher score means more pain. Time points are summarized independently (NCT01220024)
Timeframe: 1,2,4,6,8,10,12,24,48 and 72 hours

,
Interventionscore on a scale (Mean)
Hour 1Hour 2Hour 4Hour 6Hour 8Hour 10Hour 12Hour 24Hour 48Hour 72
2, 5x5cm Bupivacaine Collagen Sponges31.633.231.633.547.344.047.649.336.330.7
2, Placebo Collagen Sponges73.460.657.058.854.352.055.251.547.238.3

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Sum of Pain Intensity (SPI) Using a Visual Analog Scale (VAS) When at Rest

"Measured on a Visual Analog Pain Scale (VAS) with the lowest possible value of 0 and highest 100 (0 - 100) at each time point. A lower score is better which means the patient experience lower pain. The score is calculated using the number of hours * the VAS score. This represents the AUC (Area Under the Curve) of the pain intensities when calculated with the trapezoidal rule. For each measure outcome - the minimum score is 0 and the maximum score is 100* the number of hours in that period." (NCT01220024)
Timeframe: 1, 2, 4, 6, 8, 10, 12, 24, 48, and 72 hours.

,
Interventionscore on a scale*hour (Mean)
1 to 24 hours25 to 48 hours1 to 48 hours49 to 72 hours1 to 72 hours
2, 5x5cm Bupivacaine Collagen Sponges741.6754.71496.4567.02063.4
2, Placebo Collagen Sponges856.6677.21533.8501.32035.0

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Sum of Pain Intensity (SPI) After Aggravated Movement (Cough)

"Measured on a Visual Analog Pain Scale (VAS) with the lowest possible value of 0 and highest 100 (0 - 100) at each time point. A lower score is better which means the patient experience lower pain. The score is calculated using the number of hours * the VAS score. This represents the AUC (Area Under the Curve) of the pain intensities when calculated with the trapezoidal rule. For each measure outcome - the minimum score is 0 and the maximum score is 100* the number of hours in that period." (NCT01220024)
Timeframe: 1, 2, 4, 6, 8, 10, 12, 24, 48, and 72 hours.

,
Interventionscore on a scale*hour (Mean)
1 to 24 hours25 to 48 hours1 to 48 hours49 to 72 hours
2, 5x5cm Bupivacaine Collagen Sponges996.31021.82018.2792.2
2, Placebo Collagen Sponges1270.41186.72457.21027.4

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Total Use of Opioid Rescue Analgesia Morphine Equivalence (mg)

Dosages of 1 to 2 mg per dose were titrated to patient comfort according to institutional standards and at the investigator's discretion. Once patients could tolerate oral medication, they were offered oral morphine (15 mg tablets) as rescue analgesia if necessary. The dose for patients who weighed less than 75kg was 15mg every 3 to 4 hours as needed for pain control. The dose for patients who weighed 75kg or more was 1-2 tablets (15-30 mg) every 3-4 hours for pain control. Morphine was the preferred rescue medication. (NCT01224145)
Timeframe: 0-48 hours)

InterventionMorphine Equivalence (mg) (Mean)
Bupivacaine Collagen Sponge24.6

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Total Use of Opioid Rescue Analgesia - Morphine Equivalence (mg)

Dosages of 1 to 2 mg per dose were titrated to patient comfort according to institutional standards and at the investigator's discretion. Once patients could tolerate oral medication, they were offered oral morphine (15 mg tablets) as rescue analgesia if necessary. The dose for patients who weighed less than 75kg was 15mg every 3 to 4 hours as needed for pain control. The dose for patients who weighed 75kg or more was 1-2 tablets (15-30 mg) every 3-4 hours for pain control. Morphine was the preferred rescue medication. (NCT01224145)
Timeframe: 0-72 hours

InterventionMorphine Equivalence (mg) (Mean)
Bupivacaine Collagen Sponge26.6

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Total Use of Opioid Rescue Analgesia - Morphine Equivalence (mg)

Dosages of 1 to 2 mg per dose were titrated to patient comfort according to institutional standards and at the investigator's discretion. Once patients could tolerate oral medication, they were offered oral morphine (15 mg tablets) as rescue analgesia if necessary. The dose for patients who weighed less than 75kg was 15mg every 3 to 4 hours as needed for pain control. The dose for patients who weighed 75kg or more was 1-2 tablets (15-30 mg) every 3-4 hours for pain control. Morphine was the preferred rescue medication. (NCT01224145)
Timeframe: 49-72 Hours

InterventionMorphine Equivalence (mg) (Mean)
Bupivacaine Collagen Sponge2.0

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Total Use of Opioid Rescue Analgesia - Morphine Equivalence (mg)

Dosages of 1 to 2 mg per dose were titrated to patient comfort according to institutional standards and at the investigator's discretion. Once patients could tolerate oral medication, they were offered oral morphine (15 mg tablets) as rescue analgesia if necessary. The dose for patients who weighed less than 75kg was 15mg every 3 to 4 hours as needed for pain control. The dose for patients who weighed 75kg or more was 1-2 tablets (15-30 mg) every 3-4 hours for pain control. Morphine was the preferred rescue medication. (NCT01224145)
Timeframe: 25-48 hours

InterventionMorphine Equivalence (mg) (Mean)
Bupivacaine Collagen Sponge5.3

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Total Use of Opioid Analgesia - Morphine Equivalence (mg)

Dosages of 1 to 2 mg per dose were titrated to patient comfort according to institutional standards and at the investigator's discretion. Once patients could tolerate oral medication, they were offered oral morphine (15 mg tablets) as rescue analgesia if necessary. The dose for patients who weighed less than 75kg was 15mg every 3 to 4 hours as needed for pain control. The dose for patients who weighed 75kg or more was 1-2 tablets (15-30 mg) every 3-4 hours for pain control. Morphine was the preferred rescue medication. (NCT01224145)
Timeframe: 0 to 24 hours after surgery

InterventionMorphine Equivalence (mg) (Mean)
Bupivacaine Collagen Sponge19.3

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Onset of Action

Time from infusion of local anesthetic to loss of sensation to sharp. (NCT01243112)
Timeframe: Up to 5 minutes

Interventionsecond (Mean)
1% Lidocaine With Epinephrine0.25% Bupivacaine With Epinephrine0.5% Lidocaine and 0.125% Bupivacaine With Epineph1% Lidocaine and 0.25% Bupivacaine With Epinephrin
Study Group29192612

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Length of Action

The time from onset of local anesthesia until cessation of effect by sensation of sharp measured in 15 minute increments. (NCT01243112)
Timeframe: Up to 12 hours

Interventionminutes (Mean)
1% Lidocaine With Epinephrine0.25% Bupivacaine With Epinephrine0.5% Lidocaine and 0.125% Bupivacaine With Epineph1% Lidocaine and 0.25% Bupivacaine With Epinephrin
Study Group6.637.027.487.16

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Duration of Motor and Sensory Block of the Sciatic With 0.5% Bupivacaine and Ropivacaine After Ultrasound-guided Nerve-stimulator-Assisted Needle Positioning Beneath the CIEL

Subject reported and investigator measured motor and sensory blockade of the sciatic nerve with less than 10ml of 0.5% bupivacaine and ropivacaine after ultrasound-guided nerve-stimulator-assisted needle positioning beneath the common investing external layer (CIEL). (NCT01272921)
Timeframe: 3 days

,
InterventionHours (Median)
Motor: < 10mlMotor: >/= 10mlSensory: <10mlSensory: >/= 10ml
Bupivacaine1021920
Ropivacaine715814

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Cumulative Probabilities for Needle Positioning Above and Below CIEL.

The cumulative probability distributions for the minimal current to evoke a motor response with the needle tip positioned external (above) to the common investing extraneural layer (CIEL) and the cumulative probability distribution for the needle tip postioned internal (below) to the CIEL were sought. The difference in the mean minimum threshold current (mA) for the external (above) and internal (below) CIEL positioning were calculated. (NCT01272921)
Timeframe: 1 Day

InterventionAmplitude (mA) (Mean)
Above CIEL0.52
Below CIEL0.19

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Post op Pain Score

immediate postop pain score, Visual Analog Scale. Evaluates pain on scale from 0-10. 0=no pain. 10=maximum pain. (NCT01279447)
Timeframe: 0 hours

Interventionunits on a scale (Mean)
Placebo5.5
Infrapatellar Nerve Block3.9

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Quality of Recovery (QoR-40) Physical Comfort Dimension

Assessment of Physical Comfort (minimum score = 12, maximum score = 60). Higher values represent a better outcome (NCT01286805)
Timeframe: First 24 hours after surgery

InterventionQoR-40 Physical Comfort score (Mean)
Lumbar Plexus Blockade + CSE53
Control Group52

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Patient Satisfaction

Patient Satisfaction (0-10; 0 = very dissatisfied, 10 = very satisfied) (NCT01286805)
Timeframe: First 24 hours after surgery

Interventionunits on a scale (Mean)
Lumbar Plexus Blockade + CSE8.6
Control Group7.9

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Readiness to Discharge From Post-Anesthesia Care Unit (PACU)

Time to readiness for discharge from the PACU. Patients were considered ready for PACU discharge when they met the following criteria: a) Awake, alert, oriented and responsive b) Minimal pain, Numeric Rating Scale < 5/10 (0 = no pain, 10 = worst imaginable pain) (parenteral [injected] medications not required) c) Vital signs stable d) No active bleeding e) Minimal or no nausea f) Not vomiting, tolerating oral intake g) Oxygen saturation > 94% (or baseline) on room air h) Patient has urinated. (NCT01286805)
Timeframe: Day of surgery prior to discharge

Interventionminutes (Mean)
Lumbar Plexus Blockade + CSE216
Control Group187

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Requirement of Antiemetic Rescue

The number of participants who needed medication to treat their nausea and vomiting. (NCT01286805)
Timeframe: Day of surgery prior to discharge

Interventionparticipants (Number)
Lumbar Plexus Blockade + CSE5
Control Group5

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Incidence of Nausea

The number of participants with nausea. (NCT01286805)
Timeframe: Day of surgery prior to discharge

Interventionparticipants (Number)
Lumbar Plexus Blockade + CSE14
Control Group8

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Incidence of Vomiting

The number of participants who vomited. (NCT01286805)
Timeframe: Day of surgery prior to discharge

Interventionparticipants (Number)
Lumbar Plexus Blockade + CSE1
Control Group3

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Narcotic Pain Medication Needed

(NCT01286805)
Timeframe: Day of surgery prior to discharge

Interventionequivalents milligrams oral morphine (Mean)
Lumbar Plexus Blockade + CSE21
Control Group29

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Numeric Rating Scale (NRS) Pain at Rest (0-10) on Day of Surgery Prior to Discharge

The Numeric Rating Scale was used to ask patients to rate their pain at rest on a scale of 0 to 10, 0 = no pain and 10 = worst pain imaginable. (NCT01286805)
Timeframe: Day of surgery prior to discharge

Interventionunits on a scale (Mean)
Lumbar Plexus Blockade + CSE3.3
Control Group4.2

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Femur Fracture Healing

we will following patients to look at fracture healing post-operatively (NCT01294098)
Timeframe: first year

Interventionweeks (Number)
PCA and Femoral Nerve Block24
PCA + Hematoma Block10

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Post-operative Narcotic Use

We will be looking at the amount of narcotics used after surgery to see if there is a reduction in narcotic use (NCT01294098)
Timeframe: within first 24 horus

Interventionmg (Number)
PCA and Femoral Nerve Block14.4
PCA + Hematoma Block3.2

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Post-operative Pain Scores

"We will be looking at post-operative pain scores to see if those in the intervention group have lower pains scores.~Wong Baker FACES pain scale:The faces correspond to numeric values from 0-5. This scale can be documented with the numeric value. The pain scale goes from 0-5 with 0 being no pain and 5 being the worst pain.~0: No Hurt~Hurts a little bit~Hurts a little more~Hurts even more~Hurts a whole lot~Hurts worst" (NCT01294098)
Timeframe: with in the first 24 hours

Interventionunits on a scale (Mean)
PCA and Femoral Nerve Block1.1
PCA + Hematoma Block.11

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The Faces Pain Scale-Revised (FSP-R) Scores (Scored 0-10).

The Faces Pain Scale Revised is a dimensionless 10 point likert scale used to assess self-reported pain intensity on a scale from 0 (no pain) to 10 (most pain you can imagine). Greater pain scores are indicative of more severe pain. (NCT01328782)
Timeframe: Will be obtained 30 - 60 minutes after arrival to the recovery room

InterventionScores on a scale (Mean)
Oral Narcotic Group4.14
Bupivacaine Group2.73
Ropivacaine Group3.66

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Need for IV Morphine of Fentanyl

Indicates that number of subjects that were in severe pain and thus required IV morphine and/or fentanyl. (NCT01328782)
Timeframe: First 120 minutes after the end of surgery (surgery close time)

Interventionparticipants (Number)
Oral Narcotic Group19
Bupivacaine Group4
Ropivacaine Group15

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Time (in Minutes) to First Narcotic Administration

(NCT01328782)
Timeframe: first 72 hours after surgery close time

InterventionMinutes (Median)
Oral Narcotic Group30
Bupivacaine Group50.5
Ropivacaine Group34

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Total Dosage in Morphine Equivalents (mg/kg) of All Analgesics Received in Prior to Discharge

(NCT01328782)
Timeframe: Analgesic data collected during first four hours following the end of surgery (surgery close)

InterventionMorphine (po) equivalents [mg*kg-1] (Mean)
Oral Narcotic Group0.09
Bupivacaine Group0.05
Ropivacaine Group0.08

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Total Quality Pain Management Survey (TQPM) Scores for Questions # 16: Child's Current Level of Pain, Question # 17: Child's Worst Level of Pain When Moving Around After Surgery and Question # 18: Child's Worst Level of Pain While Resting

Total quality pain management survey is validated survey used to assess parents' perceptions of their child's pain. Pain is assessed on a dimensionless 10 pt likert scale from 0 (no pain) to 10 (severe pain). Greater pain scores are indicative or more severe pain. (NCT01328782)
Timeframe: Will be obtained from parent(s) 120 minutes after arrival to the recovery room

InterventionScores on a scale (Mean)
Oral Narcotic Group4.58
Bupivacaine Group2.73
Ropivacaine Group4.32

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Post-operative Pain Score

Hannallah et al developed the Objective Pain Scale (OPS) to monitor pain in children after surgery. Parameters: (1) systolic blood pressure, (2) crying, (3) movement, (4) agitation (confused, excited), (5) complains of pain (may not be possible in younger children). Interpretation: minimum score: 0; maximum score: 10; maximum score if too young to complain of pain: 8; the higher the score, the greater the degree of pain. (NCT01394523)
Timeframe: 30 minutes

Interventionpain score (Mean)
Caudal Epidural2.9
Rectus Sheath3.1
Local2.1

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Opioid Requirements Postoperative

Supplementary opioid requirements for the first 48 hours from arriving in the post anesthesia care unit. Results are total opioid-requirements for the first 48 hours. Way of administration was intravenous in all but 6 administrations. If given orally, a 1:3 ratio was used for conversion from oral to intravenous morphine. (NCT01395043)
Timeframe: 48 hours from arriving in the post anesthesia care unit.

Interventionmg iv morphin equivalent (Mean)
Bilateral Ultrasoundguide TAP-catheter35

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Postoperative Pain Using Numerical Rating Scale (NRS) 0-10

"NRS is a pain score and the score can vary between 0 and 10 by which 0 means no pain and 10 equals the worst possible pain.~NRS was evaluated at the time 0, 1, 2, 4, 8 , 12, 18 , 24 and 36 hours after arriving in the post anesthesia care unit at rest and during coughing." (NCT01395043)
Timeframe: 0-36 hours postoperative

InterventionUnits on Numerical Rating Score (Median)
NRS at rest, all timesOverall NRS when coughing, all times
Bilateral Ultrasoundguide TAP-catheter35

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Mean Total Opioid Consumption

The primary objective of this study is to compare the mean total opioid consumption in the first postoperative 48 hours between the control and study groups in intravenous morphine equivalent units. By directly blocking the neural afferents, the mean opioid consumption will be significantly lower in the group receiving intermittent local anaesthetic boluses compared to the placebo group through a TAP catheter. (NCT01398982)
Timeframe: first postoperative 48 hours

Interventionmg (Mean)
Isotonic Saline (Control Group)30.0
Bupivacaine (Study Group)20.7

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Pain Relief

Pain relief was assessed by recording the amount of opioid administered intraoperatively and in the PACU. The Visual Analogue Score of pain scores (0-10, with 0 being no pain and 10 being the worst pain imaginable) were recorded at the time of discharge from the PACU, within 5 hours of the completion of surgery. (NCT01429584)
Timeframe: At discharge from the post-anesthesia care unit, within 5 hours of the completion of surgery

InterventionVisual Analogue Scale for pain (Mean)
0.25% Bupivacaine0
0.125% Bupivacaine0.7

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Abnormal Lung Function

Lung function was evaluated by examining diaphragm movement using ultrasound imaging and change in room air oxygen saturation (SpO2). Diaphragm movement was assessed using ultrasound as Normal (diaphragm moves caudad with inspiration), Abnormal (diaphragm does not move caudad with inspiration), and Paradoxical (diaphragm moves cephalad with inspiration). Both diaphragm function and room air SpO2 were assessed prior to any intervention to establish a baseline, and again on discharge from the PACU, within 5 hours of the completion of surgery. (NCT01429584)
Timeframe: At discharge from the post-anesthesia care unit, within 5 hours of the completion of surgery

Interventionparticipants w/ abnormal diaphragm fxn (Number)
0.25% Bupivacaine11
0.125% Bupivacaine3

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Satisfaction With Pain Control

A follow-up phone call was made to patients within 30 days of surgery to assess the presence of any complications related to the block and overall satisfaction with pain control. Overall satisfaction was assessed on a 7-point Likert scale of 1-not at all satisfied with pain control 2-mostly unsatisfied with pain control 3-slightly unsatisfied with pain control 4-no opinion 5-slightly satisfied with pain control 6-mostly satisfied with pain control 7-completely satisfied with pain control. (NCT01429584)
Timeframe: Within 30 days

InterventionLikert Satisfaction Scale (Mean)
0.25% Bupivacaine6.6
0.125% Bupivacaine6.6

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Pain Scores

Pain scores by the Visual Analog Scale (VAS) [0-5, where 0 is no pain and 5 is extreme] and Wisconsin Brief Pain Inventory (BPI) [where 0 is no pain and 10 is the most painful], will be collected 3 times post-operatively (once the day of surgery (at least 2 hours post-op) and both the morning and afternoon/evening on post-operative day #1). Pain scores will be analyzed individually using the chi-squared test and linear regression. All statistical calculations used a two-sided significance level of 0.05 and were calculated using the R Project for Statistical Computing. VAS and BPI scores for each subject were averaged to provide a resultant VAS and BPI score. (NCT01444924)
Timeframe: from 2 hours post-op to the afternoon/evening of post-op day #1

,
Interventionunits on a scale (Mean)
VASBPI
Bupivicaine3.126.44
Placebo3.616.97

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24 Hour Post Operative Opioid Consumption, Converted to Intravenous Morphine Equivalents

(NCT01444924)
Timeframe: 24 hours

Interventionmg (Mean)
Bupivicaine64.9
Placebo69.3

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Total Opioid Burden

Total opioid consumed (IV and PO) postsurgically until the hospital discharge order is written or through Day 30, whichever is sooner. (NCT01507246)
Timeframe: Wound closure to time hospital discharge order written or Day 30, whichever is sooner

Interventionmg (Mean)
PCA/Opioid Group115.00
EXPAREL56.76

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Health Economic Benefits - Total Cost of Hospitalization

Total cost of hospitalization until the time hospital discharge order is written or through Day 30, whichever is sooner. (NCT01507246)
Timeframe: Wound closure to time hospital discharge order written or Day 30, whichever is sooner.

Interventiondollars (Mean)
PCA/Opioid Group11850.28
EXPAREL8766.07

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Health Economic Benefits - Length of Stay

Length of stay (LOS), recorded in hours and converted to days with one decimal of precision, defined as the time of completion of the wound closure until the hospital discharge order is written or through Day 30, whichever is sooner. (NCT01507246)
Timeframe: Up to Day 30

Interventiondays (Median)
PCA/Opioid Group4.9
EXPAREL Group2.0

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The Change in the Average Finger Temperature From Baseline to Post-intervention.

(NCT01508832)
Timeframe: 30 minutes prior and 240 minutes post intervention.

Interventiondegrees centigrade (Mean)
Lidocaine-1.35
Bupivacaine0.93

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Health Economic Benefit

Length of stay (LOS), recorded in hours, defined as the time of completion of the wound closure until the hospital discharge order is written or through Day 30, whichever is sooner. (NCT01509638)
Timeframe: Wound closure to time hospital discharge order is written or Day 30, whichever is sooner.

Interventiondays (Median)
Group 1 Standard of Care4
Group 2 EXPAREL3

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Patient Discharged From Hospital for at Least 3 Days

Yes, if patient discharged from hospital for at least 3 days; no, if patient not discharged from hospital for at least 3 day; not reported, if applicable. (NCT01509638)
Timeframe: Wound closure to time hospital discharge order is written or Day 30, whichever is sooner.

Interventionparticipants (Number)
Group 1 Standard of Care16
Group 2 EXPAREL22

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Patient Made Unplanned Visit(s) With Any Healthcare Providers

Yes, if patient made unplanned visit(s); No, if patient did not make unplanned visits; not reported, if applicable (NCT01509638)
Timeframe: Wound closure to time hospital discharge order is written or Day 30, whichever is sooner.

Interventionparticipants who answered yes (Number)
Group 1 Standard of Care2
Group 2 EXPAREL4

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Health Economic Benefits

Total cost of hospitalization until the time the discharge order is written or through Day 30, whichever is sooner. (NCT01509638)
Timeframe: Wound closure to time hospital discharge order is written or Day 30, whichever is sooner.

Interventiondollars (Mean)
Group 1 Standard of Care7284.63
Group 2 EXPAREL7010.16

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Time to First Opioid Administration

Time in hours to first opioid administration (NCT01509638)
Timeframe: Wound closure to time hospital discharge order is written or Day 30, whichever is sooner.

Interventionhours (Median)
Group 1 Standard of Care0.7
Group 2 EXPAREL1.1

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Total Opioid Burden

Total opioid consumed (IV and PO) postsurgically until hospital discharge order is written or through Day 30, whichever is sooner. (NCT01509638)
Timeframe: Wound closure to time hospital discharge order is written or Day 30, whichever is sooner

Interventionmg morphine equivalent (Mean)
Group 1 Standard of Care67.7
Group 2 EXPAREL38.41

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Patient Satisfaction With Postsurgical Analgesia

Responses to one question pertaining to patient satisfaction with postsurgical analgesia (NCT01509638)
Timeframe: Wound closure to time hospital discharge order is written or Day 30, whichever is sooner.

,
Interventionparticipants (Number)
Extremely SatisfiedSatisifiedNeither Satisfied nor DissatisfiedDissatisfiedNot Reported
Group 1 Standard of Care87104
Group 2 EXPAREL119210

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Contact or Attempted to Contact Surgeon/Doctor to Discuss Recovery After Surgery

Yes, if contacted or attempted to contact; No, if did not contact and did not attempt to contact; not reported, if applicable. (NCT01509638)
Timeframe: Wound closure to time hospital discharge order is written or Day 30, whichever is sooner.

Interventionparticipants who answered yes (Number)
Group 1 Standard of Care5
Group 2 EXPAREL2

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Experienced Health Problems or Changes in Health Since Hospital Discharge

Yes, if experienced health problems or changes in health; No, if did not experience health problems or changes in health; not reported, if applicable (NCT01509638)
Timeframe: Wound closure to time hospital discharge order is written or Day 30, whichever is sooner.

Interventionparticipants who answered yes (Number)
Group 1 Standard of Care4
Group 2 EXPAREL5

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Total Opioid Burden

Total opioid consumed (IV and PO) postsurgically until hospital discharge order is written or through Day 30, whichever is sooner. (NCT01509807)
Timeframe: Wound closure to time the discharge order is written or Day 30, whichever is sooner

Interventionmg morphine equivalent (Mean)
Group 1112.38
Group 219.8

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Patient Discharged From the Hospital for at Least 3 Days

Yes, if patient was discharged from the hospital for at least 3 days; no, if patient was not discharged for at least 3 day; not reported if appropriate (NCT01509807)
Timeframe: Wound closure to time hospital discharge order is written or Day 30, whichever is sooner.

Interventionparticipants (Number)
Group 111
Group 214

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Contact or Attempt to Contact Surgeon/Doctor to Discuss Recovery After Surgery

Yes, if patient contacted or attempted to contact surgeon/doctor to discuss recovery after surgery; no, if patient did not contact or attempt contact; not reported if applicable. (NCT01509807)
Timeframe: Wound closure to time hospital discharge order is written or Day 30, whichever is sooner.

Interventionparticipants (Number)
Group 11
Group 20

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Experienced Any Health Problems or Changed in Health Since Hospital Discharge

Yes, if patient experienced any health problems or changes in health since hospital discharge; no, if patient did not experience health problems or changes since hospital discharge; not reported, if applicable. (NCT01509807)
Timeframe: Wound closure to time hospital discharge order is written or Day 30, whichever is sooner.

Interventionparticipants (Number)
Group 11
Group 22

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Health Economic Benefit - Length of Stay

Time from completion of wound closure until hospital discharge written or through Day 30, whichever was sooner (NCT01509807)
Timeframe: Wound closure to time hospital discharge order is written or Day 30, whichever is sooner.

Interventiondays (Median)
Group 15.1
Group 23

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Health Economic Benefits - Total Cost of Hospitalization

1) Total cost of hospitalization until the time hospital discharge order is written or through Day 30, whichever is sooner. (NCT01509807)
Timeframe: Wound closure to time hospital discharge order is written or Day 30, whichever is sooner.

Interventiondollars (Mean)
Group 19950.47
Group 26728.88

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Make Unplanned VIsit(s) With Any Healthcare Providers

Yes, if patient made an unplanned visit with a healthcare provider; no, if patient did not make an unplanned visit with a healthcare provider; not reported, if applicable (NCT01509807)
Timeframe: Wound closure to time hospital discharge order is written or Day 30, whichever is sooner.

Interventionparticipants (Number)
Group 11
Group 20

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Patient Satisfaction With Postsurgical Analgesia

Responses to question pertaining to patient satisfaction with postsurgical analgesia described by total percentage indicating satisfied or extremely satisfied. (NCT01509807)
Timeframe: Wound closure to time hospital discharge order is written or Day 30, whichever is sooner.

Interventionpercentage of patients (Number)
Group 190.91
Group 287.5

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Readmission to Hospital Since Discharge

Yes, if patient was readmitted to hospital since discharge; no, if patient was not readmitted to hospital since discharge; not reported, if appropriate. (NCT01509807)
Timeframe: Wound closure to time hospital discharge order is written or Day 30, whichever is sooner.

Interventionparticipants (Number)
Group 10
Group 20

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Postoperative Pain Score

Postoperative pain levels assessed using the visual analogue pain scale. This scale pairs faces with numbers 1-10, with 1 being no pain and 10 being extreme pain. In the PACU pain assessed using this scale by the nursing staff. (NCT01534416)
Timeframe: 1and 2 hour postoperatively

,,,
Interventionunits on a scale (Mean)
1 hour postoperative2 hours postoperative
Bupivacaine4.74.3
Bupivacaine Discharged3.92.7
Saline Discharged Participants4.53.8
Saline Group5.14.5

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Postoperative Day Pain Medication Use

Numbers of Patients Using Pain Medication on Postoperative Days 1-10. The subjects recorded at home the type and amount of pain medication they use for 10 days postoperatively. (NCT01534416)
Timeframe: Postoperative days 0-10

,,,
Interventionparticipants (Number)
Postoperative Day 1Postoperative Day 2Postoperative Day 3Postoperative Day 4Postoperative Day 5Postoperative Day 6Postoperative Day 7Postoperative Day 8Postoperative Day 9Postoperative Day 10
Bupivacaine Narcotics Use5243281913125323
Bupivacaine OTC Analgesics Use172429281915161299
Saline Narcotics Use523933261513111067
Saline OTC Analgesics Use10182226282416121110

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Number of Participants With Hospital Admission for Postoperative Pain Control

Unplanned hospital admissions and the hospital admissions at the request of the patients for pain management (NCT01534416)
Timeframe: Four hours after conclusion of surgery

,
InterventionParticipants (Count of Participants)
Unplanned admissionUnplanned admission for pain
Bupivacaine2310
Saline1711

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Postoperative Pain Score

Postoperative pain levels assessed using the visual analogue pain scale. This scale pairs faces with numbers 1-10, with 1 being no pain and 10 being extreme pain. In the PACU pain assessed using this scale by the nursing staff. On postoperative days 1 and 2 the subjects self-reported their pain level. (NCT01534416)
Timeframe: 1, 2, 4 hour postoperatively, Day 1 post operatively, Day 2 postoperative

,
Interventionunits on a scale (Mean)
1 hour postoperative2 hours postoperative4 hours postoperativeDay 1 postoperativeDay 2 postoperative
Bupivacaine4.303.373.833.803.16
Saline Group4.694.014.354.353.37

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Post-operative Opioid Consumption Expressed in Morphine Equivalents

(NCT01550302)
Timeframe: 24 hours after the surgery

Interventionmg (Mean)
Controls30.0
Superficial Cervical Plexus Block17.2

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Number of Patients With Post-operative Side Effects Such as Post-operative Nausea and Vomiting (PONV), Pruritus, Sedation, Respiratory Depression and Hypotension

(NCT01550302)
Timeframe: 24 and 48 hours after the surgery

,
InterventionParticipants (Count of Participants)
PONV 24 hrsPONV 48 hrsPruritis 24 hrsPruritis 48 hrsDizziness 24 hrsDizziness 48 hrsSedation 24 hrsSedation 48 hrsRespiratory Depression 24 hrsRespiratory Depression 48 hrs
Controls2212001011
Superficial Cervical Plexus Block1410010000

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Numeric Response Scale Pain Scores at Incision Site at Rest and During Coughing

Data collected on an interval scale ranging from 0 (no pain) to 10 (highest or most pain). Reported data shows an average of scores across participants (NCT01550302)
Timeframe: 6, 12, 18, 24 and 48 hours after the surgery

,
Interventionunits on a scale (Mean)
At rest 24 hrsMovement or cough 24 hrsAt rest 48 hrsMovement or cough 48 hrs
Controls4.45.21.63.8
Superficial Cervical Plexus Block3.273.45.2

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Numeric Response Scale Pain Scores Around Chest Tube Insertion Site at Rest and During Coughing

Data collected on an interval scale ranging from 0 (no pain) to 10 (highest or most pain). Reported data shows an average of scores across participants (NCT01550302)
Timeframe: 6, 12, 18, 24 and 48 hours after the surgery

,
Interventionunits on a scale (Mean)
At rest 24 hrsMovement or cough 24 hrsAt rest 48 hrsMovement or cough 48 hrs
Controls2.63.61.64.2
Superficial Cervical Plexus Block5.87.22.25.2

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Numeric Response Scale Pain Scores Around Ipsilateral Shoulder at Rest and During Movement

Data collected on an interval scale ranging from 0 (no pain) to 10 (highest or most pain). Reported data shows an average of scores across participants (NCT01550302)
Timeframe: 6, 12, 18, 24 and 48 hours after the surgery

,
Interventionunits on a scale (Mean)
At rest 24 hrsWith movement 24 hrsAt rest 48 hrsWith movement 48 hrs
Controls2.82.82.23.4
Superficial Cervical Plexus Block45.64.65.8

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Incidence of Post-thoracotomy/Scopy Ipsilateral Shoulder Pain

(NCT01550302)
Timeframe: 24 hours after lung surgery

InterventionParticipants (Count of Participants)
Controls2
Superficial Cervical Plexus Block3

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Number of Participants Requiring Post-operative Ibuprofen as a Rescue Medication

(NCT01550302)
Timeframe: 48 hours after the surgery

Interventionnumber of participants (Number)
Controls0
Superficial Cervical Plexus Block1

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Resumed Physical Activity

Did the patient resume physical activity. (NCT01566838)
Timeframe: 30 days

,
Interventionparticipants (Number)
YesNo
On-q Pump371
Standard of Care375

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Number of Participants With and Without 30-Day Pain Medication Usage

The primary outcome will measure narcotics usage from post-operative day 1 through post-operative day 30. (NCT01566838)
Timeframe: Postoperative day 1 through postoperative day 30

,
Interventionparticipants (Number)
YesNo
On-q Pump830
Standard of Care636

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7-day Paresthesia

Participants experiencing parasthesia (a tingling or pricking sensation usually caused by pressure or damage to nerves) through postoperative day 7 (NCT01566838)
Timeframe: Postoperative day 1 through day 7

,
Interventionparticipants (Number)
YesNoUnknown
On-q Pump32510
Standard of Care12516

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30-day Incidence of Parasthesia

30-day incidence of paresthesia (tingling or pricking sensation, usually caused by pressure or nerve damage) (NCT01566838)
Timeframe: 30 days

,
Interventionparticipants (Number)
YesNo
On-q Pump1325
Standard of Care1527

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Length of Stay

Hospital length of stay for this operation will be recorded and analyzed for each arm of the study. (NCT01566838)
Timeframe: Participants will be followed for the duration of hospital stay, an expected average of 5 days

Interventiondays (Median)
On-q Pump1
Standard of Care1

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Return to Work

Returned to work in 30 days? (NCT01566838)
Timeframe: 30 days

,
Interventionparticipants (Number)
YesNoNot currently working
On-q Pump18317
Standard of Care20319

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Total Postsurgical Oxycodone/Acetaminophen Consumption From Hospital Discharge Through Hour 96.

Number of pills (NCT01582477)
Timeframe: 48, 72, 96 hours

,
InterventionNumber of tablets (Mean)
48 hours72 hours96 hours
EXPAREL 20 mL1.92.83.7
EXPAREL 40 mL2.23.44.8

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Subject Reported Postsurgical Pain

11-point numeric rating scale (NRS) (0-10, where 0=no pain, 10=worst possible pain) (NCT01582477)
Timeframe: 1, 2, 6, 12, 24, 48, 72, 96 hours and 10 days after TAP

,
Interventionunits on a scale (Mean)
1 hour after TAP2 hours after TAP6 hours after TAP12 hours after TAP24 hours after TAP48 hours after TAP72 hours after TAP96 hours after TAPDay 10 after TAP
EXPAREL 20 mL4.43.12.42.51.82.01.81.10.00
EXPAREL 40 mL5.33.93.02.22.52.51.91.71.0

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Physician/Healthcare Professional Assessed Postsurgical Pain

11-point NRS (0-10, 0=no pain, 10=worst possible pain) (NCT01582477)
Timeframe: 1, 2, 6, 12, 24 hours after TAP

,
Interventionunits on a scale (Mean)
1 hour after TAP2 hours after TAP6 hours after TAP12 hours after TAP24 hours after TAP
EXPAREL 20 mL4.22.92.42.61.8
EXPAREL 40 mL5.33.93.02.22.5

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Overall Rating of Subject Satisfaction With Postsurgical Pain Control

Mean of subject satisfaction offered on a 5-point Likert scale (1 = extremely dissatisfied, 2 = dissatisfied, 3 = neither satisfied nor dissatisfied, 4 = satisfied, 5 = extremely satisfied) (NCT01582477)
Timeframe: 24 hours, 72 hours, and day 10

,
InterventionParticipants (Count of Participants)
24 hours- satisfied24 hours- extremely satisfied72 hours - satisfied72 hours - extremely satisfiedDay 10 - satisfiedDay 10- extremely satisfied
EXPAREL 20 mL484738
EXPAREL 40 mL574747

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The Duration of Abdominal Analgesia From Infiltration Into the TAP

(NCT01582477)
Timeframe: First postsurgical administration of an opioid

Interventionhours (Median)
EXPAREL 20 mL0.39
EXPAREL 40 mL0.44

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Pain Intensity Assessment at the Time of Hospital Discharge

Subject-reported pain assessment at the time of hospital discharge (assessed an average of 3.11 hours after surgery for the Instillation group and 3.20 hours after surgery for the Infiltration group) on a scale from 0 to 10 where 0 = no pain and 10 = worst possible pain. (NCT01582490)
Timeframe: At the time of hospital discharge

Interventionunits on a scale (Mean)
Infiltration - EXPAREL3.8
Instillation - EXPAREL3.4

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Pain Intensity Assessment Upon Waking in the PACU

Subject-reported pain assessment upon waking in the PACU on a scale of 0 to 10 where 0 = no pain and 10 = worst possible pain. (NCT01582490)
Timeframe: Upon waking in the PACO post surgery

Interventionunits on a scale (Mean)
Infiltration - EXPAREL4.5
Instillation - EXPAREL3.7

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Overall Rating of Subject Satisfaction With Postsurgical Pain Control at Day 10

"Subject-reported satisfaction with postsurgical pain control in the categories of extremely dissatisfied, dissatisfied, neither satisfied nor dissatisfied, satisfied, and extremely satisfied." (NCT01582490)
Timeframe: Day 10 after surgery

,
Interventionparticipants (Number)
Extremely DissatisfiedDissatisfiedNeither Satisfied nor DissatisfiedSatisfiedExtremely Satisfied
Infiltration - EXPAREL21122
Instillation - EXPAREL00225

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Total Postsurgical Opioid Consumption in the Surgical Center

Total amount of opioids (morphine-equivalent mg) administered postsurgically in each group. (NCT01582490)
Timeframe: 10 days

Interventionmg (Mean)
Infiltration - EXPAREL4.5
Instillation - EXPAREL3.0

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Duration of Analgesia

The primary outcome measure is the duration of analgesia, measured by the time (hours) from the end surgery to the subject's first postsurgical opioid administration. (NCT01582490)
Timeframe: 10 days

,
Interventionhours (Number)
Minimum time to postsurgical opioidMaximum time to postsurgical opioid
Infiltration - EXPAREL0.074.28
Instillation - EXPAREL0.34.82

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Overall Rating of Subject Satisfaction With Postsurgical Pain Control at Hospital Discharge

"Subject-reported satisfaction with postsurgical pain control in the categories of extremely dissatisfied, dissatisfied, neither satisfied nor dissatisfied, satisfied, and extremely satisfied." (NCT01582490)
Timeframe: At the time of hospital discharge

,
Interventionparticipants (Number)
Extremely DissatisfiedDissatisfiedNeither Satisfied nor DissatisfiedSatisfiedExtremely Satisfied
Infiltration - EXPAREL11033
Instillation - EXPAREL00234

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Time to Hospital Discharge Being Written

The time (hours) to the hospital discharge being written for subjects in each group, (NCT01582490)
Timeframe: At the time of hospital discharge

Interventionhours (Mean)
Infiltration - EXPAREL3.2
Instillation - EXPAREL3.11

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Visual Analog Scale for Pain: Pre-operative.

Participants asked to report on pre-operative level of pain using a Visual Analog Scale. The scale is participant reported and ranges from 0 representing no pain to 10 representing unbearable pain. (NCT01583166)
Timeframe: At enrollment

InterventionReported Pain Level score on VAS (Mean)
Marcaine + Epinephrine0.0
Saline + Epinephrine0.0

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Post-operative Pain Scores at 2-3 Hours Post op

Visual analog score at 2 hours post op will be compared in the two groups. The scale ranges from 0 (no pain) to a maximum of 10 (unbearable pain) (NCT01583166)
Timeframe: 2-3 hours

Interventionunits on a scale (Mean)
Marcaine + Epinephrine3
Saline + Epinephrine2.9

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Post-operative Pain Scale at 6-7 Hours Post op

Visual analog score at 6 hours post op will be compared in the two groups. The scale ranges from 0 (no pain) to a maximum of 10 (unbearable pain) (NCT01583166)
Timeframe: 6-7 hours

Interventionunits on a scale (Mean)
Marcaine + Epinephrine3.1
Saline + Epinephrine4.1

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Number of Subjects Who Passed the Voiding Trial After a Midurethral Sling

Study team assessment of whether the use of local anesthetic has any affect on the percentage of patients who pass their post-operative bladder challenge. This is determined by their voided volume and post-void residual. (NCT01583166)
Timeframe: 2 weeks

InterventionParticipants (Count of Participants)
Marcaine + Epinephrine31
Saline + Epinephrine32

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Patient-perceived Duration of Analgesia

After discharge, patients will be called and given instructions to help determine length of time of analgesia in the saphenous nerve distribution. (NCT01586806)
Timeframe: Up to 2 days following surgery

Interventionhours (Median)
Control33
Dexamethasone 1 mg41
Dexamethasone 4 mg46.5

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Postoperative Morphine Consumption

Data collector will record how many opioids (i.e. Percocet, Vicodin) the patient has used since discharge. (NCT01586806)
Timeframe: Up to 2 days following surgery

Interventionmilligrams (Median)
Control45
Dexamethasone 1 mg30
Dexamethasone 4 mg30

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Patient Satisfaction

Patients will be asked to rate satisfaction on a scale of 0-10 (0=completely dissatisfied, 10=completely satisfied); (NCT01586806)
Timeframe: Up to 2 days following surgery

Interventionunits on a scale (Median)
Control8
Dexamethasone 1 mg8
Dexamethasone 4 mg9

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NRS (Numerical Rating Scale) Pain Scores

Patients will be asked to rate, on a scale of 0-10, their pain while at rest. 0 indicates no pain, and 10 indicates the worst pain imaginable. (NCT01586806)
Timeframe: Postoperative day 1

Interventionunits on a scale (Median)
Control3
Dexamethasone 1 mg3
Dexamethasone 4 mg2

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Pain Control

Numeric rating score for pain (NRS) 0 to 10 scale where 0 equals no pain and 10 equals the worst pain imaginable (NCT01615939)
Timeframe: 72 hrs

Interventionunits on a scale (Median)
Single Shot Sciatic Nerve Block5
Continuous Sciatic Nerve Block6

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Participant Satisfaction With Anesthesia

Patient satisfaction on a 0 to 10 scale with 0 equals completely dissatisfied and 10 equals completely satisfied (NCT01615939)
Timeframe: 24 hours

Interventionunits on a scale (Median)
Single Shot Sciatic Nerve Block10
Continuous Sciatic Nerve Block10

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Temporary Neurologic Symptoms Between Groups

Temporary neurologic symptoms between groups; muscle weakness of either foot dorsiflexion and plantar flexion (NCT01615939)
Timeframe: 1 month

Interventionpercentage of total participants (Number)
Single Shot Sciatic Nerve Block0
Continuous Sciatic Nerve Block0

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The Duration of the Second Stage of Labor

The length of the second stage of labor (measured as minutes a parturient spends in Stage II) in nulliparous women received a epidural bupivacaine plus fentanyl or fentanyl alone. (NCT01621230)
Timeframe: Duration of second stage of labor approximately 30 minutes to 150 minutes

Interventionminutes (Median)
Group I (Bupivacaine)75
Group II (No Bupivacaine)73

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Number of Participants Whose Newborns Received an APGAR Score of <=3 at 1 Min

Number of participants whose newborns received an APGAR score of <=3 at 1 min. A lower APGAR score represents poor health or a worsening in the Outcome, (NCT01621230)
Timeframe: At the time of Delivery, up to 3 hours

InterventionParticipants (Count of Participants)
Epidural Fentanyl14
Epidural Bupivacaine Plus Fentanyl (Bupivacaine)11

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Number of Participants Whose Newborns Received an APGAR Score of <=3 at 5 Min

Number of participants whose newborns received an APGAR score of <=3 at 5 minutes. A lower APGAR score represents poor health or a worsening in the Outcome (NCT01621230)
Timeframe: At the time of Delivery, up to 3 hours

InterventionParticipants (Count of Participants)
Epidural Fentanyl2
Epidural Bupivacaine Plus Fentanyl (Bupivacaine)1

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Change in Perceived Anxiety (PASS)

The Pain Anxitey Symptoms Scale (PASS) is a validated instrument that assesses anxiety in.The PASS is a scale from 0-100 where 0= no anxiety and 100=the most anxiety (NCT01632709)
Timeframe: PASS collected pre injection and 1 week post injection

Interventionunits on a scale (Mean)
Sympathetic Nerve Block of Bupivacaine-3.0
Dry Needling-36.5
Neuroma Injection of Bupivacaine-1.0
Dry Needling at the Neuroma11.3

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Change in Pain

Pain rating before and after injection on a 0-10 NRS pain scale (0=no pain, 10= worst pain imaginable) (NCT01632709)
Timeframe: Pain rating before and at 15 minutes and 1 hour post injection

,,,
Interventionunits on a scale (Mean)
NRS-Phantom Limb Pain (15 minutes post)NRS-Phantom Limb Pain (1 hour post)NRS-Residual Limb Pain (15 minutes post)NRS-Residual Limb Pain (1 hour post)
Dry Needling-2-1-1-0.5
Dry Needling at the Neuroma1.300.73
Neuroma Injection of Bupivacaine-1-0.3-2.20.3
Sympathetic Nerve Block of Bupivacaine-0.3-3.5-1.7-2

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Pain Visual Analogue Scale (VAS)

The Pain Visual Analogue Scale (VAS) is a scale from 0-100 where 0= no pain and 100=the worst pain (NCT01632709)
Timeframe: VAS collected pre injection and 1 week post injection

,,,
Interventionunits on a scale (Mean)
Change in VAS- Phantom Limb PainChange in VAS-Residual Limb Pain
Dry Needling-8.0-10.8
Dry Needling at the Neuroma10.85
Neuroma Injection of Bupivacaine-4.4-9.5
Sympathetic Nerve Block of Bupivacaine-8.53.0

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Change in Perceived Disability (PDI)

The PDI is a seven-item validated instrument that assesses perceived disability in 7 key life areas. The Pain Disability Scale is a scale from 0-70 where 0= no disability and 70=the most disability (NCT01632709)
Timeframe: PDI collected pre injection and 1 week post injection

Interventionunits on a scale (Mean)
Sympathetic Nerve Block of Bupivacaine-16.5
Dry Needling-21.5
Neuroma Injection of Bupivacaine-5.2
Dry Needling at the Neuroma13.0

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Change in Depression (CES-D 10)

The Center for Epidemiologic Studies Short Depression Scale (CES-D 10) is a validated instrument that assesses depression. The CES-D 10 is a scale from 0-30 where 0= no depression and 30=the most depression (NCT01632709)
Timeframe: CES-D 10 collected pre injection and 1 week post injection

Interventionunits on a scale (Mean)
Sympathetic Nerve Block of Bupivacaine-2.0
Dry Needling-4.0
Neuroma Injection of Bupivacaine-2.0
Dry Needling at the Neuroma3.3

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Number of Participants Requiring Use of Rescue Analgesic Medication in the Initial 24 Hours Postoperatively

Count of participants who will require use of rescue analgesic medication in the initial 24 hours postoperatively as recorded in the hospital or by parents at home following discharge. (NCT01638052)
Timeframe: 24 hours

InterventionParticipants (Count of Participants)
0.25% Bupivacaine18
0.25% Bupivacaine + Clonidine22

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Number of Participants With Nausea/Vomiting

Incidence of nausea/vomiting during 24 hour observation (NCT01638052)
Timeframe: 24 hours

InterventionParticipants (Count of Participants)
0.25% Bupivacaine14
0.25% Bupivacaine + Clonidine10

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Average Observer-Rated Patient Pain Scores

Patients will be observed with behaviors rated at regular time intervals using the CHIPPS (Children and Infants Postoperative Pain Scale) pain survey. The CHIPPS scale values range from a minimum of 0 (no pain, better outcome) to a maximum of 10 (worst pain, worse outcome). (NCT01638052)
Timeframe: 60 minutes

Interventionunits on a scale (Mean)
0.25% Bupivacaine2
0.25% Bupivacaine + Clonidine1.9

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Area Under the Curve (AUC) of Numeric Rating Scale at Rest (NRS-R) Pain Intensity Scores Through 72 Hours

AUC of NRS-R pain intensity scores through 72 hours. Pain intensity scores were measured on an 11-point NRS (0=no pain and 10=worst possible pain) (NCT01683071)
Timeframe: 0-72 hours

Interventionscore on a scale * hr (Least Squares Mean)
(Part 1) EXPAREL 67 mg533.4
(Part 1) EXPAREL 133 mg427.2
(Part 1) EXPAREL 266 mg436.2
(Part 1) Placebo530.5
(Part 2) EXPAREL 266 mg418.9
(Part 2) Placebo515.5

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Time to First Opioid Rescue Through 72 Hours

Time to first opioid rescue medication consumed through 72 hours (NCT01683071)
Timeframe: 0-72 hours

Interventionhours (Median)
(Part 1) EXPAREL 67 mg0.49
(Part 1) EXPAREL 133 mg0.37
(Part 1) EXPAREL 266 mg1.29
(Part 1) Placebo0.41
(Part 2) EXPAREL 266 mg0.44
(Part 2) Placebo0.43

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Total Postsurgical Opioid Consumption Through 72 Hours

Total postsurgical opioid consumption of opioid rescue pain medication (converted to IV morphine equivalents) through 72 hours (NCT01683071)
Timeframe: 0-72 hours

Interventionmg morphine equivalents (Mean)
(Part 1) EXPAREL 67 mg126.69
(Part 1) EXPAREL 133 mg100.35
(Part 1) EXPAREL 266 mg105.96
(Part 1) Placebo124.78
(Part 2) EXPAREL 266 mg93.19
(Part 2) Placebo122.08

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Estimated Blood Loss > 200 mL

Estimated blood loss will be measured in (mL) on the day of surgery after completing the procedure. Blood loss will be categorized as >200 mL vs. <= 200 mL. (NCT01688596)
Timeframe: day of surgery after procedure completion

InterventionParticipants (Count of Participants)
No Treatment2
Bupivacaine2

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Length of Hospital Stay >= 24 Hours

Length of hospital stay will be measured on the day of surgery after completing the procedure to when the patient is discharged from the hospital. Length of stay will be categorized as less than 24 hours vs. greater than or equal to 24 hours. (NCT01688596)
Timeframe: from time surgery completed to time patient discharged

InterventionParticipants (Count of Participants)
No Treatment36
Bupivacaine30

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Operating Time

Operating time measured in minutes (NCT01688596)
Timeframe: start to end of patient's surgery

Interventionminutes (Mean)
No Treatment73.3
Bupivacaine63.8

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Postoperative Pain Score

"Postoperative pain is measured on day of surgery after trocar incisions are closed and injected with local anesthetic. Postoperative pain is evaluated with the Numerical Rating Scale (NRS) at 24 hrs after the surgery. The Numerical Rating Scale is a scale from 0 to 10 that measures pain severity, where 0 equates to no pain and 10 equates to unable to move." (NCT01688596)
Timeframe: 24 hours

Interventionunits on a scale (Mean)
No Treatment3.5
Bupivacaine4.0

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Postoperative Pain Score

"Postoperative pain is measured on day of surgery after trocar incisions are closed and injected with local anesthetic. Postoperative pain is evaluated with the Numerical Rating Scale (NRS) at 6 hrs after the surgery. The Numerical Rating Scale is a scale from 0 to 10 that measures pain severity, where 0 equates to no pain and 10 equates to unable to move." (NCT01688596)
Timeframe: 6 hours

Interventionunits on a scale (Mean)
No Treatment4.7
Bupivacaine4.3

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Postoperative Pain Score Evaluated by Numerical Rating Scale (NRS)

"Postoperative pain is measured on day of surgery after trocar incisions are closed and injected with local anesthetic. Postoperative pain is evaluated with the Numerical Rating Scale (NRS) at 4 hrs after the surgery. The Numerical Rating Scale is a scale from 0 to 10 that measures pain severity, where 0 equates to no pain and 10 equates to unable to move." (NCT01688596)
Timeframe: 4 hours

Interventionunits on a scale (Mean)
No Treatment4.1
Bupivacaine3.4

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Surgical Complications

Intraoperative complications include injury to bowel, bladder, blood vessels, nerves and hemorrhage. Perioperative complications include urinary tract infections, urinary retention, ileus, myocardial infarction, atrial fibrillation, pulmonary edema, atelectasis, pneumonia, renal and cerebrovascular morbidity, thromboembolic complications (DVT and PE). Postoperative complications include pulmonary, renal, and cerebrovascular morbidity, wound and vaginal vault complications (infection, separation, and dehiscence), septicemia, thromboembolic events, and re-operation. (NCT01688596)
Timeframe: From date of randomization up to 12 months

InterventionParticipants (Count of Participants)
No Treatment0
Bupivacaine0

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Primary Outcome Variable is Post Operative Sensory Block Duration

This is defined as time from the completion of the block to the initiation of supplemental analgesia medications after hospital discharge. The patients were evaluated on different days to capture the exact end time, which was the initiation of supplemental analgesia medication. We intentionally contacted patients several times to capture the time as early as possible to minimize recall bias. (NCT01690663)
Timeframe: days 1, 2, and day 7

Interventionhours (Mean)
Bupivacaine 0.25% Mixed With 1ml Normal Saline12.1
Bupivacaine 0.25% With 1mg Dexamethasone (1ml)22.3
Bupivacaine 0.25% Mixed With 2mg Dexamethasone23.3
Bupivacaine 0.25% Mixed With 4mg Dexamethasone (1ml21.2

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The Secondary Outcome Variable is Post Operative Motor Block Duration

This is defined as time from the completion of the block to the time when patient is able to move his or her forearm and/or hands. The patients were evaluated on different days to capture the exact end time, which was the initiation of supplemental analgesia medication. We intentionally contacted patients several times to capture the time as early as possible to minimize recall bias. (NCT01690663)
Timeframe: days 1, 2, and day 7

Interventionhours (Mean)
Bupivacaine 0.25% Mixed With 1ml Normal Saline12.1
Bupivacaine 0.25% With 1mg Dexamethasone (1ml)21
Bupivacaine 0.25% Mixed With 2mg Dexamethasone20.9
Bupivacaine 0.25% Mixed With 4mg Dexamethasone (1ml19.4

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Patient Readiness to Discharge

(NCT01701115)
Timeframe: Participants will be followed every 15 minutes post-surgery until discharged from the hospital (up to 180 minutes)

Interventionminutes (Mean)
Low Dose (20 mL) Local Anesthetic60
Control Dose (40 mL) Local Anesthetic65

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Side Effects

Incidence of nausea (NCT01701115)
Timeframe: Postoperative Day 2

InterventionParticipants (Count of Participants)
Low Dose (20 mL) Local Anesthetic23
Control Dose (40 mL) Local Anesthetic22

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Duration of Analgesia

Time to pain (NCT01701115)
Timeframe: Postoperative Day 2

Interventionminutes (Median)
Low Dose (20 mL) Local Anesthetic993
Control Dose (40 mL) Local Anesthetic960

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Handgrip Strength

The primary outcome will be handgrip strength as measured by a dynamometer. A reading will be obtained at baseline (before the interscalene block) and 60 minutes post-operative. (NCT01701115)
Timeframe: Difference between between baseline and postoperative.

Interventionkg (Mean)
Low Dose (20 mL) Local Anesthetic6.45
Control Dose (40 mL) Local Anesthetic2.98

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Number of Participants Reporting at Least One NRS Rating

Participants report their discomfort using a Numerical Rating Scale (NRS). Pain level is reported as 0 (lowest-no pain) to 10 (highest level of pain). Each patient enrolled in the study reported their level of pain at least once during their participation in the study. (NCT01701414)
Timeframe: 30 minutes after the block is administered then every 60 minutes until discharge. Desired outcome was a low NRS rating.

InterventionParticipants (Number)
Femoral Nerve Block (FNB)18
Standard Care (SC)18

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Acute Medications Usage

Number of acute medications used during Treatment period (6 weeks) and Follow-Up (4 weeks) (Group A vs. Group B). (NCT01709708)
Timeframe: 10 Weeks

InterventionNumber of medications used (Mean)
Marcaine29.3
Saline47.4

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Adverse Events

Number of adverse events over the entire length of study (Group A vs. Group B). (NCT01709708)
Timeframe: 34 weeks

InterventionNumber of Adverse Events (Mean)
Marcaine7.67
Saline5.29

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Change in Numeric Rating Scale (NRS)

Compare percentage change in Numeric Rating Scale (NRS) score from Before Procedure to 15-Minutes, Before Procedure to 30-Minutes, Before Procedure to 24-Hours After Procedure for all 12 treatments (Mean of all 12 treatments for each timepoint, comparing Group A to Group B). NRS is a likert scale ranging from 0-10 with 0 being no pain and 10 being worst possible pain. (NCT01709708)
Timeframe: 15 Minutes Post Treatment, 30 minutes Post Treatment and 24 hours Post Treatment, assessed up to 6 weeks

,
Interventionpercentage of change (Mean)
15 Minutes Post Treatment30 Minutes Post Treatment24 Hours Post Treatment
Marcaine-23.3-27.7-15.5
Saline-4.31-5.4113.5

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Headache Impact Test (HIT-6)

"Total Headache Impact Test (HIT-6) scores Pre-Treatment at Visit 2 vs. Post-Treatment (following final treatment), and at 1-Month Post-Treatment (Group A vs. Group B). HIT-6 is a series of 6 likert scale questions ranging from 1 to 5 with 1 being never and 5 being always. The HIT-6 answer options are weighted as follows: Never (1) = 6 points each, Rarely (2) = 9 points each, Sometimes (3) = 10 points each, Very often (4) = 11 points each, Always (5) = 13 points each. The total score for the HIT-6 ranges from 36 (subject answers all 6 questions as Never) to 78 subject answers all 6 questions as Always), with higher total scores indicating more impact than lower scores, i.e., headaches cause greater impact on the subject's life." (NCT01709708)
Timeframe: 10 Weeks

,
Interventionunits on a scale (Mean)
Pre-TreatmentPost-Treatment1-Month Post-Treatment
Marcaine64.3659.8559.23
Saline6462.561.92

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Modified Pain Characteristic Questionnaire

Compare Modified Pain Characteristic Questionnaire scores Before Procedure vs. 24-Hour After Procedure, Before Procedure vs. 1-Month Follow Up, and Before Procedure vs. 6-Month Follow Up (Mean of all 12 treatments for each timepoint, comparing Group A to Group B). The modified pain characteristic questionnaire is a series of 11 questions on a likert scale ranging from 0 to 10 with 0 being no pain or does not interfere and 10 being worst pain or completely interferes. Percentage questions range from 0 to 100. (NCT01709708)
Timeframe: Before Treatment, 24 Hours After Treatment, 1 Month Post Treatment, and 6 Months Post Treatment

,
Interventionunits on a scale (Mean)
Worst Pain Question: Before TreatmentWorst Pain Question: 24 Hours After TreatmentWorst Pain Question: 1 Month Post TreatmentWorst Pain Question: 6 Months Post TreatmentLeast Pain Question: Before TreatmentLeast Pain Question: 24 Hours After TreatmentLeast Pain Question: 1 Month Post TreatmentLeast Pain Question: 6 Months Post TreatmentAverage Pain Question: Before TreatmentAverage Pain Question: 24 Hours After TreatmentAverage Pain Question: 1 Month Post TreatmentAverage Pain Question: 6 Months Post TreatmentPercent Relief Question: Before TreatmentPercent Relief Question: 24 Hours After TreatmentPercent Relief Question: 1 Month Post TreatmentPercent Relief Question: 6 Months Post TreatmentGeneral Activity Question: Before TreatmentGeneral Activity Question: 24 Hours After TreatmenGeneral Activity Question: 1 Month Post TreatmentGeneral Activity Question: 6 Months Post TreatmentMood Interference Question: Before TreatmentMood Interference Question: 24 Hours After TreatmeMood Interference Question: 1 Month Post TreatmentMood Interference Question: 6 Months Post TreatmenWalking Ability Question: Before TreatmentWalking Ability Question: 24 Hours After TreatmentWalking Ability Question: 1 Month Post TreatmentWalking Ability Question: 6 Months Post TreatmentNormal Work Question: Before TreatmentNormal Work Question: 24 Hours After TreatmentNormal Work Question: 1 Month Post TreatmentNormal Work Question: 6 Months Post TreatmentRelationships Question: Before TreatmentRelationships Question: 24 Hours After TreatmentRelationships Question: 1 Month Post TreatmentRelationships Question: 6 Months Post TreatmentSleep Interference Question: Before TreatmentSleep Interfere Question: 24 Hours After TreatmentSleep Interferenc Question: 1 Month Post TreatmentSleep Interference Question: 6 Months Post TreatmeEnjoyment Question: Before TreatmentEnjoyment Question: 24 Hours After TreatmentEnjoyment Question: 1 Month Post TreatmentEnjoyment Question: 6 Months Post Treatment
Marcaine4.754.364.564.272.011.771.881.683.393.073.362.8641.346.046.334.72.492.312.642.682.572.422.963.180.630.540.800.452.532.212.522.592.001.962.362.052.291.891.921.552.812.582.643.18
Saline6.156.165.645.882.502.432.642.884.334.273.914.0029.229.821.018.63.503.643.914.003.784.193.825.711.271.240.550.433.493.633.453.713.473.903.093.862.682.852.553.143.123.343.094.00

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Numeric Rating Scale (NRS)

Compare Numeric Rating Scale (NRS) scores Before Procedure,15-Minute Post Treatment, 30-Minutes Post Treatment, 24-Hour Post Treatment for all 12 treatments (Marcaine vs. Saline). NRS is a likert scale ranging from 0-10 with 0 being no pain and 10 being worst possible pain. For each individual time point, all 12 treatments were averaged for that time point and a single value was used for comparison between the two groups. (NCT01709708)
Timeframe: 6 Weeks

,
Interventionunits on a scale (Mean)
Before Procedure15 Minutes Post Treatment30 Minutes Post Treatment24 Hours Post Treatment
Marcaine3.182.532.412.85
Saline3.783.513.454.20

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Overall Satisfaction

Satisfaction scores Visit 2 vs. following treatment (Treatment 12) and at 1-Month Post-Treatment (Group A vs. Group B). Satisfaction scores are a likert scale ranging from 1 to 5 with 1 being complete dissatisfaction and 5 being complete satisfaction. (NCT01709708)
Timeframe: 10 Weeks

,
Interventionunits on a scale (Mean)
Visit 2Following treatment (Treatment 12)1-Month Post-Treatment
Marcaine3.523.553.57
Saline3.002.502.64

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Patient's Global Impression of Change (PGIC)

Compare 24-Hour After Procedure Patient's Global Impression of Change (PGIC) score for 12 treatments (Mean of all 12 treatments for each timepoint, comparing Group A to Group B). PGIC is a likert scale ranging from 1 to 7 with 1 being very much improved and 7 being very much worse. (NCT01709708)
Timeframe: 30 minutes Post Treatment and 24 hours Post Treatment, assessed up to 6 weeks

,
Interventionunits on a scale (Mean)
30 Minutes Post Treatment24 Hours Post Treatment
Marcaine3.003.08
Saline3.723.88

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Migraine Headache Days

Compare change in the number of migraine headache days per month reported in Baseline Period Diary vs. Treatment Period Diary vs. Post-Treatment Period Diary. (NCT01709708)
Timeframe: 12 Weeks

,
InterventionMigraine headache days per month (Mean)
BaselineTreatmentPost Treatment
Marcaine15.012.310.8
Saline15.812.211.3

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Percent of Analgesics Used as Measured by Patient Report

(NCT01731782)
Timeframe: Up to 30 days after surgery

Interventionpercentage of analgesics used (Mean)
Bupivacaine0.80
Normal Saline1.79

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Number of Nausea/Vomiting Episodes

(NCT01731782)
Timeframe: up to 10 days

InterventionEpisodes (Number)
Bupivacaine10
Normal Saline9

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Length of Hospital Stay

(NCT01731782)
Timeframe: up to 10 days

Interventiondays (Mean)
Bupivacaine3.15
Normal Saline2.87

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Postoperative Pain as Measured by Pain Score

Pain measured via score of 1 to 5, with 1 being no pain and 5 being the worst pain (NCT01731782)
Timeframe: up to 10 days

Interventionscore on a scale (Mean)
Bupivacaine2.60
Normal Saline3.46

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Length of Stay

Length of stay will be calculated as total time of encounter as well as time from doctor encounter to disposition decision (NCT01785459)
Timeframe: enrollment day

Interventionminutes (Mean)
Standard Care158
Treatment131

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Incidence of Immediate and Post-discharge Complications.

Subjects will be monitored for both immediate and post discharge complications up to 72 hours after enrollment that include: persistent local pain, bleeding, infection, and inadvertent intravascular injection resulting in seizure or possible cardiovascular collapse. (NCT01785459)
Timeframe: 72 hours

InterventionParticipants (Count of Participants)
Standard Care1
Treatment2

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Overall Postsurgical Analgesic Use

The effectiveness of abdominal analgesia from the infiltration into the TAP as measured by the subject's overall postsurgical analgesic use in morphine equivalents (mg) (NCT01801124)
Timeframe: 10 days

Interventionmg (morphine equivalents) (Mean)
EXPAREL9.7

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Postsurgical AEs and SAEs Through Day 30.

Adverse events and serious adverse events through Day 30 will be examined in order to assess the safety of EXPAREL. (NCT01801124)
Timeframe: 30 days

InterventionAEs (Number)
EXPAREL0

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Negative Postoperative Behavior Score on the PHBQ (Post Hospitalization Behavioral Questionnaire)

"This secondary outcome will determine the negative postoperative behaviors based on the PHBQ questionnaire given to the parents of the child 1 week (+/- 3 days) post-operatively.~with a score of 81 indicating no change, a score of less than 81 indicating a change for the better, and a score of over 81 indicating a change for the worse, on average, in behavior.~Lowest score 27; highest score 135" (NCT01812044)
Timeframe: 1 week (+/- 3 days) post operatively

Interventionunits on a scale (Mean)
Subtenons Anesthetic and Topical Control80.2
Topical Anesthetic and Subtenons Control78.2
Topical Control and Subtenons Control78.5

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Total Narcotic Use During Post-operative Recovery

This secondary outcome will include total narcotic use (NCT01812044)
Timeframe: Total time in post-operative recovery - up to 6 hours

Interventionmcg/kg (Mean)
Subtenons Anesthetic and Topical Control1.65
Topical Anesthetic and Subtenons Control1.78
Topical Control and Subtenons Control1.60

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Average Pain Score Over the First 30 Post-operative Minutes Using the CHEOPS Scale

"Pain will be assessed by a masked observer using the Children's Hospital Eastern Ontario Pain Scale (CHEOPS) scale. The CHEOPS (Children's Hospital of Eastern Ontario Pain Scale) is a behavioral scale for evaluating postoperative pain in young children. The scale is assessed using the sum of a score for cry (1-3), facial expression (0-2), verbalization (0-2), torso (1-2), touch (1-2) and legs (1-2). The minimum score is 4, the maximum score is 13, and higher scores indicate more pain.~Pain is rated every 5 minutes for the first 30 minutes postoperatively. Each pain score collected in the first 30 minutes was averaged to calculate a per per participant average pain score over the first 30 minutes . Then each participant's per participant average pain score was combined to calculate the reported mean for Average pain score over the first 30 post-operative minutes using the CHEOPS scale. for each group." (NCT01812044)
Timeframe: 0-30 minutes post-operative

Interventionunits on a scale (Mean)
Subtenons Anesthetic and Topical Control6.36
Topical Anesthetic and Subtenons Control6.57
Topical Control and Subtenons Control6.58

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Average Time to Discharge

(NCT01812044)
Timeframe: 0-150 minutes post-operative

Interventionminutes (Mean)
Subtenons Anesthetic and Topical Control106
Topical Anesthetic and Subtenons Control107
Topical Control and Subtenons Control106

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Peak Pain Score

"This secondary outcome will include the peak pain score for duration of follow up period. Pain will be assessed by masked observers, using the CHEOPS scale. The CHEOPS (Children's Hospital of Eastern Ontario Pain Scale) is a behavioral scale for evaluating postoperative pain in young children. The scale is assessed using the sum of a score for cry (1-3), facial expression (0-2), verbalization (0-2), torso (1-2), touch (1-2) and legs (1-2). The minimum score is 4, the maximum score is 13, and higher scores indicate more pain.~A pain score was assessed and recorded every 5 minutes by a masked observer (clinical research coordinator) for the first 30 minutes after extubation, then every 15 minutes for the next hour, then, if applicable, hourly until discharge." (NCT01812044)
Timeframe: 0-150 minutes post-operative

Interventionunits on a scale (Mean)
Subtenons Anesthetic and Topical Control8.65
Topical Anesthetic and Subtenons Control10.47
Topical Control and Subtenons Control9.69

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Number of Participants Who Required Anti-emetic Medication Post-operatively

(NCT01812044)
Timeframe: Total time in post-operative recovery - up to 6 hours

Interventionparticipants (Number)
Subtenons Anesthetic and Topical Control1
Topical Anesthetic and Subtenons Control1
Topical Control and Subtenons Control1

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Number of Participants With Post Operative Nausea and Vomiting

(NCT01812044)
Timeframe: 0-150 minutes post-operative

Interventionparticipants (Number)
Subtenons Anesthetic and Topical Control1
Topical Anesthetic and Subtenons Control1
Topical Control and Subtenons Control1

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Peak Pain Score During First 30 Minutes

"This secondary outcome will include the peak pain score for duration of follow up period. Pain will be assessed by masked observers, using the CHEOPS scale. The CHEOPS (Children's Hospital of Eastern Ontario Pain Scale) is a behavioral scale for evaluating postoperative pain in young children. The scale is assessed using the sum of a score for cry (1-3), facial expression (0-2), verbalization (0-2), torso (1-2), touch (1-2) and legs (1-2). The minimum score is 4, the maximum score is 13, and higher scores indicate more pain.~Pain is rated every 5 minutes for the first 30 minutes postoperatively." (NCT01812044)
Timeframe: 0-30 minutes post-operative

Interventionunits on a scale (Mean)
Subtenons Anesthetic and Topical Control7.0
Topical Anesthetic and Subtenons Control7.8
Topical Control and Subtenons Control8.3

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Median Pain Levels

The pain scores of the subjects in the Exparel group and placebo group were measured at 1,2,4,8,12,24,36,48,60, and 72 hours post-injection of Exparel or 0.9% normal saline. The pain scores were reported on a scale of 0 - 10. 0 being no pain. 10 being the worst pain. (NCT01826851)
Timeframe: Outcome was measured at 1,2,4,8,12,24,36,48,60, and 72 hours post intercostal nerve block.

,
Interventionunits on a scale (Median)
1 hour post injection2 hours post injection4 hours post injection8 hours post injection12 hours post injection24 hours post injection36 hours post injection48 hours post injection60 hours post injection72 hours post injection
Exparel00001.5221.501
Placebo0002242200

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Median Cumulative Morphine Equivalent

The cumulative opioid requirement is reported as morphine equivalent. The total amount of narcotics required by the subjects in the Exparel group and placebo group were measured at 1,2,4,8,12,24,36,48,60, and 72 hours post-injection of Exparel or 0.9% normal saline. The amounts were analyzed and are reported as morphine equivalents. (NCT01826851)
Timeframe: Outcome was measured at 1,2,4,8,12,24,36,48,60, and 72 hours post intercostal nerve block.

,
InterventionMorphine Equivalents (Median)
1 hour post injection2 hours post injection4 hours post injection8 hours post injection12 hours post injection24 hours post injection36 hours post injection48 hours post injection60 hours post injection72 hours post injection
Exparel00551311.58.54.1674.1672.5
Placebo2.558.461618153.333.333.33

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Time to Return to Work or Daily Activities

Time to return to work or daily activities following surgery will be assessed at postoperative clinic follow up or during a follow up telephone interview. (NCT01826851)
Timeframe: 36 days

InterventionDays (Mean)
Exparel21.8
Placebo21.3

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Time to First Bowel Movement (Days)

Time to first bowel movement following surgery. (NCT01826851)
Timeframe: 35 days

InterventionDays (Median)
Exparel2
Placebo2

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Time to Extubation (Hours)

Time to remove endotracheal tube following surgery. (NCT01826851)
Timeframe: 77 hours

InterventionHours (Median)
Exparel6.8
Placebo6.4

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ICU Length of Stay (Hours)

Duration of time spent in the intensive care unit postoperatively. (NCT01826851)
Timeframe: 135 hours

InterventionHours (Median)
Exparel25
Placebo22.8

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Hospital Length of Stay (Days)

Duration of time spent in the hospital following surgery. (NCT01826851)
Timeframe: 25 days

InterventionDays (Median)
Exparel5
Placebo5

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Pain Score at Time of Tq Deflation

A visual analog pain score (VAS) from 0 to 10 was assessed at the time of Tq deflation. 0 indicating no pain, and 10 indicating the worst possible pain. All participants requested deflation prior to the maximum allowable 60 minutes, Subjects were instructed to request deflation at the same degree of discomfort for each visit. Due to a strong crossover effect, only the data assessed from the first intervention was analyzed. (NCT01829399)
Timeframe: Tq will be deflated upon subject's request. VAS is assessed at time of deflation for degree of discomfort prompting deflation request, up to 60 minutes post intervention.

Interventionscores on a scale (Mean)
Bupivacaine Ring 1st Visit6.1
Saline Axillary Ring on 1st Visit (Control Group)5.0

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Time in Minutes That Tq Remained Inflated

15 minutes after either Bupivacaine or placebo injection, Tq was inflated to 100 mm Hg over subjects systolic blood pressure. When the subject found the Tq too uncomfortable, the Tq was deflated and the time documented. Approximately one month later, each subject had the opposite injection of either placebo or Bupivacaine on the same arm, and the duration of Tq inflation was again measured. Due to a strong crossover effect, only the data assessed from the first intervention was analyzed. (NCT01829399)
Timeframe: Tq was inflated 15 minutes after injection of Bupivacaine or placebo and remained inflated until subject could no longer tolerate it. Maximum allowable inflation time per session was 60 minutes.

InterventionMinutes (Mean)
Bupivacaine Axillary Ring on 1st Visit30.5
Saline Axillary Ring on 1st Visit (Control Group)22.4

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Wong-Baker Faces Pain Rating Scale

Pain level on post op day 1 and 2 study hypothesize will be less if Marcaine is administered pre instead of post incision. The pain scale is a numeric pain rating scale from 0-5, with zero being no pain and 5 being the worst pain imaginable, faces depicting no pain to worst pain. (NCT01861665)
Timeframe: Post surgery day 0, post surgery day 1, post surgery day 2

,
Interventionunits on a scale (Mean)
Post Op day 0Post Op day 1Post Op day 2
Marcaine Administered Post Incision1.61.850.75
Marcaine Administered Pre-incision1.67521

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Intraoperative Medication Use: Fentanyl

All participants received standard induction medications. (NCT01868425)
Timeframe: From induction until arrival in post anesthesia care unit.

Interventionmcg (Mean)
Multimodal:Acetaminophen, Gabapentin, Ketamine, Bupivacaine125
Placebo Pills and Injectables128

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Post-Operative Incidence of Nausea

Incidence of nausea as recorded in the electronic medical record (EMR) in the recovery room through the first 24-hrs post-op. (NCT01868425)
Timeframe: Up to 24 hours following surgery

,
InterventionParticipants (Count of Participants)
Nausea Post op to dischargeNausea - discharge to 24 hour
Multimodal:Acetaminophen, Gabapentin, Ketamine, Bupivacaine1624
Placebo Pills and Injectables1223

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Post-Operative Pruritis Score

Participants will be asked to rate their pruritis on a scale of 0 (no itching) - 10 (worst itchiness) while in post-op recovery room and then at 24 hours post-op via phone call. (NCT01868425)
Timeframe: Up to 24 hours following surgery

,
Interventionscore on a scale (Mean)
Post Operative (recovery room)24 hours post-op
Multimodal:Acetaminophen, Gabapentin, Ketamine, Bupivacaine0.40.7
Placebo Pills and Injectables0.71.2

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Sedation Scale

Sedation scale measured in recovery room, 1-hr post op, and 24 hrs op. The Sedation Scale is scored from 0-10 where 0 = normal, no sleepier than average, 10 = sleepy, hard to stay awake. (NCT01868425)
Timeframe: Up to 24 hours following surgery

,
Interventionscore on a scale (Mean)
1 hour post-op in Recovery Room24 hours post-op
Multimodal:Acetaminophen, Gabapentin, Ketamine, Bupivacaine5.04.2
Placebo Pills and Injectables4.64.3

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Number of Participants With Complications From the Procedure

(NCT01868425)
Timeframe: Up to 24 hours following surgery

InterventionParticipants (Count of Participants)
Multimodal:Acetaminophen, Gabapentin, Ketamine, Bupivacaine0
Placebo Pills and Injectables0

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Time to Discharge

Time to discharge from the recovery room (Phase I recovery) and the outpatient surgery center (Phase II recovery). (NCT01868425)
Timeframe: Up to 24 hours following surgery

,
Interventionminutes (Mean)
Discharge from Recovery RoomDischarge from Outpatient Center
Multimodal:Acetaminophen, Gabapentin, Ketamine, Bupivacaine64.8132.1
Placebo Pills and Injectables61.4123.6

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Post-Operative Nausea Scores

Nausea scores will be collected in post-operative recovery and 24 hours later (via phone). The participant will be asked to rate their nausea on a scale of 0 (no nausea) - 10 (worst possible). (NCT01868425)
Timeframe: Up to 24 hours following surgery

,
Interventionscore on a scale (Mean)
Post Operative (recovery room)24 hours post-op
Multimodal:Acetaminophen, Gabapentin, Ketamine, Bupivacaine1.22.2
Placebo Pills and Injectables0.71.6

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Opioid Consumption in the Immediate Postoperative Period

"This data will be entered into the participants electronic medical record and collected from their chart once the participant has been discharged. The immediate postoperative period covers the participant's entire time in the outpatient surgery center after they have entered the recovery room postoperatively. The amount of time they remain in the outpatient surgery center postoperatively varies from a minimum of 1 hour to a maximum of 10 hours and an average of 4 hours." (NCT01868425)
Timeframe: Up to 10 hours

Interventionmorphine mg equivalents (Mean)
Multimodal:Acetaminophen, Gabapentin, Ketamine, Bupivacaine12.0
Placebo Pills and Injectables14.4

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Incidence of Post-Operative Pruritus

Pruritus in recovery and through the first 24 hours post-op. (NCT01868425)
Timeframe: Up to 24 hours following surgery

,
InterventionParticipants (Count of Participants)
Number of patients with pruritis OR to dischargeNumber of patients with pruritis discharge to 24 h
Multimodal:Acetaminophen, Gabapentin, Ketamine, Bupivacaine813
Placebo Pills and Injectables1019

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Intraoperative Medication Use: Ketorolac and Lidocaine

All participants received standard induction medications. (NCT01868425)
Timeframe: From induction until arrival in post anesthesia care unit.

,
Interventionmg (Mean)
Intraoperative KetorolacIntraoperative Lidocaine
Multimodal:Acetaminophen, Gabapentin, Ketamine, Bupivacaine15.071.5
Placebo Pills and Injectables14.765.6

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Number of Participants Who Received Medication for Nausea

Number of participant who received medication for nausea prior to discharge and after discharge, up to 24 hours post-op. (NCT01868425)
Timeframe: Up to 24 hours following surgery

,
InterventionParticipants (Count of Participants)
Anti-Nausea Medication Before DischargeAnti-Nausea Medication after Discharge
Multimodal:Acetaminophen, Gabapentin, Ketamine, Bupivacaine86
Placebo Pills and Injectables73

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Pain Scores During Recovery

Pain scores during recovery period through the first 24 hours of recovery, recorded upon arrival to recovery room, 1-hr post-op, 24-hrs post-op. This outcome reports lowest and highest pain score since discharge to 24 hour phone call. Pain scores are collected verbally on a scale of 0-10 where 10 is the most severe pain. (NCT01868425)
Timeframe: up to 24 hours postoperatively

,
Interventionscore on a scale (Mean)
Lowest Score Upon Arrival to Recovery RoomHighest Score Upon Arrival to Recovery Room1 hour post-op24 hours post-op
Multimodal:Acetaminophen, Gabapentin, Ketamine, Bupivacaine2.34.83.42.4
Placebo Pills and Injectables3.05.53.82.6

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Opioid Consumption (Mean Number of 5mg Oxycontin Tablets Consumed)

Consumption of 5mg Oxycontin tablets will be assessed on Post Operative Days 1, 2 & 3. (NCT01907191)
Timeframe: Post Operative Day 1, 2 & 3

,
Interventionnumber of 5 mg oxycontin (Mean)
Post Operative Day 1Post Operative Day 2Post Operative Day 3
Bupivacaine2.82.72.3
Liposomal Bupivacaine1.92.20.9

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Pain Scores

Analysis of pain scores (at rest and ambulation) during hospital stay. Measured on a 10 point pain scale (1 being no pain and 10 being worst pain imaginable) (NCT01907191)
Timeframe: Post Operative Day 1, 2 & 3

,
Interventionscore on a scale (Mean)
Pain Scores at rest- Post Operative Day 1Pain Scores on Ambulation- Post Operative Day 1Pain Scores at rest- Post Operative Day 2Pain Scores on Ambulation- Post Operative Day 2Pain Scores at rest- Post Operative Day 3Pain Scores on Ambulation- Post Operative Day 3
Bupivacaine1.93.11.93.22.22.6
Liposomal Bupivacaine1.13.91.03.11.62.0

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Satisfaction With Pain Management

Analysis of satisfaction with pain management during hospital stay measured on a 15 point scale (1 being extremely unsatisfied to 15 being extremely satisfied) (NCT01907191)
Timeframe: Post Operative Day 1, 2 & 3

,
Interventionscore on a scale (Mean)
Post Operative Day 1Post Operative Day 2Post Operative Day 3
Bupivacine13.914.114.6
Liposomal Bupivacaine13.313.814.0

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Number of Patients Reporting Sleep Disturbance

Analysis of sleep disturbance during hospital stay (participants who reported being woken up by pain on post operative days 1, 2 & 3) (NCT01907191)
Timeframe: Post Operative Day 1, 2 & 3

,
InterventionParticipants (Count of Participants)
Post Operative Day 1Post Operative Day 2Post Operative Day 3
Bupivacaine331
Liposomal Bupivacaine430

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Overall Benefit of Analgesic Score (OBAS) at Day 3

Severity of postsurgical pain, satisfaction with pain management, and impact of opioid-related symptom distress measured using the Overall Benefit of Analgesic Score (OBAS) - primary endpoint is mean difference in OBAS at Day 3. (0=minimal pain and 4=maximum imaginable pain) (NCT01919190)
Timeframe: Postsurgical day 1 through day 3

Interventionunits on a scale (Least Squares Mean)
EXPAREL3.05
Placebo4.63

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Total Opioid Consumption Post Surgery (Cumulative Total) Until Discharge Readiness or Post Surgery Day 4

Total Opioid Consumption Post Surgery (cumulative total) Until Discharge Readiness or Post Surgery Day 4 (NCT01919190)
Timeframe: From surgery through 4 days postsurgery

InterventionOpioid consumption (mg) (Mean)
EXPAREL3.79
Placebo3.72

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Incidence of Adverse Events

(NCT01919606)
Timeframe: 10 days post surgery plus or minus 3 days

Interventionnumber of events (Number)
EXPAREL Group 10

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Categorical Pain Relief

"Categorical Pain Relief at 15 minutes. Participants were asked to categorize their pain relief at 15 minutes as No, Little, Some, A Lot or Complete. The table displays the number of participants who identified their pain relief in the categories provided." (NCT01939314)
Timeframe: 15 minutes from dose

,
Interventionparticipants (Number)
No Pain ReliefA Little Pain ReliefSome Pain ReliefA Lot of Pain ReliefComplete Pain Relief
Bupivacaine1363118
Normal Saline1398106

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Number of Participants Who Reported a 50% or Greater Reduction in Pain at 15 Minutes as Measured on the 100mm Visual Analog Scale

(NCT01939314)
Timeframe: 15 minutes from dose

Interventionpercentage of participants (Number)
Bupivacaine48.8
Normal Saline41.3

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Headache Free at 24 Hours

The percentage of patients that were headache free at 24 hours by follow-up phone conversation. (NCT01939314)
Timeframe: 24 hours

Interventionpercentage of participants (Number)
Bupivacaine72.2
Normal Saline47.5

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Quality of Analgesia

The Numeric Rating Scale (NRS-11) is an 11-point scale, from 0 = no pain to 10 = Severe Pain, for patient self-reporting of pain. (NCT01977352)
Timeframe: Post op Day 1, post op Day 2, post op day 3, post op 1 week

,
Interventionunits on a scale (Mean)
Post op Day 1Post op Day 2Post op Day 3Post Op 1 Week
Bupivacaine 0.25%6.46.135.143.66
Liposomal Bupivacaine5.234.95.184.08

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Incidence of Postoperative Nausea and Vomiting

(NCT01977352)
Timeframe: 72 hours

Interventionpercentage of participants (Number)
Liposomal Bupivacaine33.33
Bupivacaine 0.25%36.84

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Sensory and Motor Block

Measurement of brachial plexus blockade upon completion of the peripheral nerve block and prior to surgery. Sensory block will be assessed by pinprick with a paper clip using a 1-3 scale: 1, no block (complete sensation); 2, parasthesia (light touch); 3, anesthesia (no sensation). Motor block uses the same 1-3 scale: 1 = no block, 2= parasthesia and 3=anesthesia. Evaluation of sensory block will also be undertaken at one after arrival to the Post Anesthesia Care Unit (PACU). The first occurrence of pain perceived by the patient will be used as a surrogate for return of the sensory function. (NCT01977352)
Timeframe: at 20 min and at 1 hour

,
Interventionunits on a scale (Mean)
Sensory block at 20 min prior to surgeryMotor block at 20 min prior to surgerySensory block at 1 hour after arrival to PACU
Bupivacaine 0.25%1.312.331.08
Liposomal Bupivacaine1.62.81.78

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Sleep Quality

scale of 0-10, 0=horrible, up all night; 10=perfect sleep (NCT01977352)
Timeframe: Post op Day 1, post op Day 2, post op day 3, post op 1 week

,
Interventionunits on a scale (Mean)
Post op Day 1Post op Day 2Post op Day 3Post Op 1 Week
Bupivacaine 0.25%3.8666.37.65
Liposomal Bupivacaine5.066.586.757.8

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Total Opioid Consumption

Compare total opioid consumption up to 1 week post operatively between patients receiving bupivacaine 0.25% (20 cc) and liposomal bupivacaine (EXPAREL®; 88 mg in 20 cc) for interscalene brachial plexus block. (NCT01977352)
Timeframe: Post op Day 1, post op Day 2, post op day 3, post op 1 week

,
Interventionnumber of percocet tabs (Mean)
Post op Day 1Post op Day 2Post op Day 3Post Op 1 Week
Bupivacaine 0.25%2.753.333.631.13
Liposomal Bupivacaine21.942.061.61

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Time to First Pain Medicine

(NCT01977352)
Timeframe: 72 hours

Interventionminutes (Mean)
Liposomal Bupivacaine1148
Bupivacaine 0.25%702.89

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Success Rate of External Cephalic Version

Rates of successful version evaluated among the 4 dose groups. (NCT01991743)
Timeframe: Completion of the procedure

InterventionParticipants (Count of Participants)
Drug:Group 2.531
Group 531
Group 7.531
Group 1030

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Mode of Delivery

(NCT01991743)
Timeframe: To time of delivery

,,,
Interventioncount of participants (Number)
VaginalCesarean
Drug:Group 2.52634
Group 102436
Group 52337
Group 7.52831

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Indication of Cesarean Delivery

(NCT01991743)
Timeframe: To time of delivery

,,,
InterventionParticipants (Count of Participants)
MalpositionArrest of LAborNonreassuring Fetal StatusEmergency
Drug:Group 2.527412
Group 1025452
Group 526443
Group 7.525231

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Pain Score During the Procedure

pain score during the procedure (Visual Analog Score: VAS=0 no pain -100 worst pain imaginable, scale) (NCT01991743)
Timeframe: < 20 minutes

Interventionunits on a scale (Median)
Drug:Group 2.512
Group 55
Group 7.54
Group 104

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Abdominal Relaxation

Obstetrician rating of participants abdominal relaxation (Visual analog score: VAS score= 0 no relaxation- complete relaxation 100) (NCT01991743)
Timeframe: <20 minutes

Interventionunits on a scale (Median)
Drug:Group 2.578
Group 583
Group 7.584
Group 1088

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Mean Acetaminophen Intake

The mean acetaminophen use post surgery in milligrams(mg). (NCT01995045)
Timeframe: Post Surgery (Up to 24 hours)

Interventionmilligrams (Mean)
Bupivicaine & Triamcinolone819
Salt Solution, Bupivacaine, and Cefazolin962

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Mean Oxycodone Intake

The mean oxycodone use post surgery in milligrams(mg). (NCT01995045)
Timeframe: Post Surgery (Up to 24 hours)

Interventionmilligrams (Mean)
Bupivicaine & Triamcinolone6.7
Salt Solution, Bupivacaine, and Cefazolin9.0

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Mean Pain Score

The mean pain score assessed by the Visual Analog Pain Scale ranging from 0-10; 10 being the worst possible pain. (NCT01995045)
Timeframe: Post-Operative Day 1 (Up to 24 hours)

Interventionunits on a scale (Mean)
Bupivicaine & Triamcinolone2.9
Salt Solution, Bupivacaine, and Cefazolin3.8

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Mean Hydrocodone Intake

The mean hydrocodone use post surgery in milligrams(mg). (NCT01995045)
Timeframe: Post Surgery (Up to 24 hours)

Interventionmilligrams (Mean)
Bupivicaine & Triamcinolone.7
Salt Solution, Bupivacaine, and Cefazolin2.8

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Propofol Effect-site Concentration

The effect-site concentration of propofol when loss of consciousness during propofol target-controlled infusing(TCI) induction of anesthesia. (NCT02000973)
Timeframe: Before starting anesthesia to finishing endotracheal intubation

Interventionug/ml (Mean)
Normal Saline1.76
Lidocaine1.14
Bupivacaine1.09
Ropivacaine1.04

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Bispectral Index Score

The bispectral index(BIS) score of each patient was recorded at two different time points. BIS values varies from 0 to 100(0, no cerebral activity; 40 to 60, general anesthesia; 60 to 85, sedated; 85 to 100, awake). (NCT02000973)
Timeframe: Before starting anesthesia to finishing endotracheal intubation

,,,
Interventionunits on a scale (Mean)
Baseline20 minutes after epidural injection
Bupivacaine97.0792.43
Lidocaine96.7090.00
Normal Saline96.6796.20
Ropivacaine96.9489.12

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Heart Rate

The heart rate of each patient was recorded at five different time points (NCT02000973)
Timeframe: Before starting anesthesia to finishing endotracheal intubation

,,,
Interventionbeats per minute (Mean)
Baseline20 minites after epidural injectionLoss of consciousnessBefore endotracheal intubationAfter endotracheal intubation
Bupivacaine69.0067.4065.9059.1075.10
Lidocaine69.6569.1570.4061.7576.70
Normal Saline71.7073.9569.9064.1588.00
Ropivacaine74.8071.5070.0061.8579.45

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Mean Arterial Pressure

The mean arterial pressure of each patient was recorded at five different time points (NCT02000973)
Timeframe: Before starting anesthesia to finishing endotracheal intubation

,,,
InterventionmmHg (Mean)
Baseline20minites after epidural injectionLoss of consciousnessBefore endotracheal intubationAfter endotracheal intubation
Bupivacaine98.9595.9081.0561.6585.82
Lidocaine99.6596.2581.1562.3084.68
Normal Saline96.4099.5586.7567.1596.82
Ropivacaine98.2595.4080.9560.6086.12

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Pain Score

"Post-operative Patient Self-Reported Pain Score. Patient self-reported pain scores when resting and when actively moving. Scale of 0 to 10, with 0 being no pain and 10 being the most pain you have ever experienced." (NCT02007096)
Timeframe: 1 hour postoperatively

,
Interventionunits on a scale (Mean)
pain scores at restpain scores with movement
Non Transabdominal Plane Block6.467.73
Transabdominal Plane Block5.196.15

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Pain Score

"Post-operative Patient Self-Reported Pain Score. Patient self-reported pain scores when resting and when actively moving. Scale of 0 to 10, with 0 being no pain and 10 being the most pain you have ever experienced." (NCT02007096)
Timeframe: 24 hours postoperatively

,
Interventionunits on a scale (Mean)
pain scores at restpain scores with movement
Non Transabdominal Plane Block4.526.98
Transabdominal Plane Block4.606.75

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Post-operative Opioid Use

Amount of opioids used by patients at certain time points. (NCT02007096)
Timeframe: up to 24 hours

,
Interventionmg (Mean)
at 6 hoursat 12 hoursat 18 hoursat 24 hours
Non Transabdominal Plane Block15.6232.2439.3742.56
Transabdominal Plane Block10.5916.0920.7025.64

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Operating Procedure Time

Total number of minutes for the procedure, not including anesthesia time. (NCT02007096)
Timeframe: Procedure begin time to procedure end time

Interventionmin (Mean)
Transabdominal Plane Block97.41
Non Transabdominal Plane Block98.81

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Opioid Consumption

Opioid consumption (mg morphine equivalents) (NCT02008617)
Timeframe: 24 hours

Interventionmg morphine equivalents (Median)
Study Drug50
Preservative Free Normal Saline70

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Quality of Recovery (QoR15)

"Quality of recovery (QoR15) is a questionnaire that asks 15 questions regarding how the participant has felt in the last 24 hours. Each question is followed by an 11-point numerical rating scale (0 = none of the time to 10 = all of the time; maximum score 150). The higher the QoR15 total score, the worse the quality of recovery reported." (NCT02008617)
Timeframe: 24hrs

Interventionunits on a scale (Median)
Study Drug96
Preservative Free Normal Saline102

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Pain Score

Numeric Rating Scale (NRS) (NRS pain scores; 0 = no pain,10 = excruciating pain) in the back of the knee recorded every 4 hours up to 24hrs following surgery. Pain Bruden scale ranges from 0 (no pain) to 240 (extreme pain). For example, pain burden of 120 is equivalent to a NRS score of 5 out of 10. (NCT02008617)
Timeframe: Pain Burden at 24hrs

,
Interventionunits on a scale (Median)
Pain Score at RestPain Score during plantar flexion
Preservative Free Normal Saline135128
Study Drug102115

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Patient Satisfaction

Patient satisfaction with pain control scale ranges from 0 (no satisfaction) to 10 (very satisfied). (NCT02008617)
Timeframe: 24hr

Interventionunits on a scale (Median)
Study Drug8
Preservative Free Normal Saline8

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Side Effects of Analgesia

Secondary end points will include the incidence of opioid related side effects (nausea, vomiting, pruritis, constipation, respiratory depression, and hypoxia) and hemodynamic perturbations related to pain (NCT02011464)
Timeframe: 72 hours post-operative

Interventionparticipants (Number)
Exparel Inflitration3
Control2

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Post-operative Narcotic Use

Average postoperative narcotics administered in total milligrams of morphine equivalents (NCT02011464)
Timeframe: 72 hours post-operative

Interventionmgs (Mean)
Exparel Inflitration4.31
Control5.75

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Subjective Pain

Subject reported post-surgical pain using the visual analog scale (VAS) during the hospital stay and after discharge. This is a 0-10 point numeric rating scale where 0 is no pain and 10 is the highest level of pain. (NCT02011464)
Timeframe: 72 hours post-operative

Interventionunits on a scale (Mean)
Exparel Group/Average Pain Scores at 4 Hours3.80
Control Group/Average Pain Scores at 4 Hours4.00
Exparel Group/Average Pain Scores at 8 Hours3.44
Control Group/Average Pain Scores at 8 Hours5.30
Exparel Group/Average Pain Scores at 12 Hours3.50
Control Group/Average Pain Scores at 12 Hours3.90
Exparel Group/Average Pain Scores at 24 Hours3.80
Control Group/Average Pain Scores at 24 Hours4.20
Exparel Group/Average Pain Scores at 48 Hours2.60
Control Group/Average Pain Scores at 48 Hours3.50
Exparel Group/Average Pain Scores at 72 Hours3.00
Control Group/Average Pain Scores at 72 Hours3.70

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Postoperative Gluteal Pain

Pain measured using a pain numeric rating scale from 0 to 10 (0=no pain, 10= worst pain imaginable) (NCT02037061)
Timeframe: 6-weeks

,
Interventionunits on a scale (Mean)
Mean gluteal pain in immediate post opMean gluteal pain within week 1 of procedureMean gluteal pain 2 weeks after procedureMean gluteal pain 4 weeks after procedureMean gluteal pain 6 weeks after procedure
Bupivacaine4.02.01.00.30.1
Normal Saline3.62.01.10.30.1

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Need for Intervention for Postoperative Pain

Need for intervention through the use of trigger point injection, referral to pelvic floor physical therapy, or reoperation (NCT02037061)
Timeframe: 6-weeks

,
Interventionparticipants (Number)
Trigger point injectionReferral to pelvic floor physical therapyReoperation
Bupivicaine000
Normal Saline000

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Overall Pain Beyond Day of Discharge

Pain measured using the pain numeric rating scale from 0-10 (0=no pain, 10= worst pain imaginable) (NCT02037061)
Timeframe: 6 weeks

,
Interventionunits on a scale (Mean)
Mean overall pain 2 weeks after procedureMean overall pain 4 weeks after procedureMean overall pain 6 weeks after procedure
Bupivicaine1.00.30.1
Normal Saline1.10.30.1

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Time of Hospitalization

To see if the hospitalization time is shortened or not by the experimental treatment. (NCT02046772)
Timeframe: Up to 72 hours after the intervention

,
Interventionparticipants (Number)
1 day of hospitalization2 days of hospitalization3 days of hospitalization
Bupivacaine + Morphine Chloride2631
Bupivacaine Standard Dose3021

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Number of Adverse Events

To assess if the experimental treatment causes less, equal or more adverse events than the comparator treatment. (NCT02046772)
Timeframe: Up to 72 hours from the intervention and the hopitalary stay and during the next 7 days after discharge

,
Interventionparticipants (Number)
PruritusUrinary retentionNausea/VomitsFever
Bupivacaine + Morphine Chloride2701
Bupivacaine Standard Dose0310

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Measurement of Time to Start the Anaesthetic Effect

To compare whether the addition of morphine chloride to a low dose intradural solution of the local anaesthetic bupivacaine is as effective as an administration of a single dose of bupivacaine. (NCT02046772)
Timeframe: First 20 minutes between administration and beginning of surgery

,
Interventionminutes (Mean)
Time to sensitive blockingTime to motor blocking
Bupivacaine + Morphine Chloride2.17.7
Bupivacaine Standard Dose1.64.7

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Measurement of the Analgesic Effect After Surgery by VAS From 0 to 10, Where 0 is no Pain and 10 is the Worst Pain Imaginable.

To compare whether the addition of morphine chloride to a low dose solution of bupivacaine and improves the analgesic treatment than a single administration of bupivacaine. (NCT02046772)
Timeframe: Up to 72 hours from the end of the surgery in the hospital stay and during the next 7 days at home, after discharge

,
Interventionunits on a scale (Mean)
VAS at the enter in the reanimation unitVAS after 10 minutes in reanimation unitVAS after 30 minutes in reanimation unitVAS day 1 after surgeryVAS day 2 after surgeryVAS day 3 after surgeryVAS day 4 after surgeryVAS day 5 after surgeryVAS day 6 after surgeryVAS day 7 after surgery
Bupivacaine + Morphine Chloride0.0300.061.53.83.73.63.63.22.5
Bupivacaine Standard Dose0.150.30.723.344.54.443.53

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Greater and Earlier Mobilization Measured by Bromage Scale.

"To assess whether the administration of morphine chloride in addition to a low dose solution of local intradural anaesthetic (bupivacaine) improves the mobilization of the patients after surgery more than the single intradural administration of bupivacaine.~Total Score in the Bromage Scale goes from 1 to 5, where:~1: complete motor blocking - 2: capable to move the feet - 3: moves the feet and bends the knee - 4: raise the leg straight more or less than 30 degrees but no against resistance - 5: raise the leg straight more than 30 degrees against resistance (no motor blocking)" (NCT02046772)
Timeframe: During the first 24 hours after surgery and at the entry and exit of the resuscitation unit

,
Interventionunits on a scale (Mean)
Bromage at the exit of surgeryBromage at the enter in the reanimation unitBromage at the exit of the reanimation unit
Bupivacaine + Morphine Chloride44.14.7
Bupivacaine Standard Dose3.73.84.8

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Toradol Use

(NCT02052557)
Timeframe: participants will be followed for the duration of hospital stay, an expected average of 3 days

InterventionParticipants (Count of Participants)
Bupivacaine Liposome Suspension1
Bupivacaine0

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Home Oral Narcotic Use

The investigators will ask the patients how many of their narcotic pain pills they used after surgery up to the POD #13-15 (NCT02052557)
Timeframe: POD #13-15

InterventionParticipants (Count of Participants)
Bupivacaine Liposome Suspension2
Bupivacaine5

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Length of Stay

(NCT02052557)
Timeframe: participants will be followed for the duration of hospital stay, an expected average of 3 days

Interventiondays (Number)
Bupivacaine4
Bupivacaine Liposome Suspension6

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Readmission

(NCT02052557)
Timeframe: 30 days post operative readmission

InterventionParticipants (Count of Participants)
Bupivacaine0
Bupivacaine Liposome Suspension0

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Visual Analog Scale Pain Score Assessment (VAS)

Pain level at 4 hours after surgery VAS scale measures pain in whole numbers from 0 (no pain) to 10 (worst imaginable pain) (NCT02055053)
Timeframe: Post-operative period

Interventionscore on a scale (Mean)
Anesthetic Intervention2.96
Saline Intervention3.24

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Amount of Pain Medication Used in Oral Morphine Equivalents

Total mg of opiate after surgery (NCT02055053)
Timeframe: 4 hours after surgery

Interventionoral morphine equivalents (Mean)
Anesthetic Intervention8.37
Saline Intervention7.72

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Visual Analog Scale Pain Score Assessment (VAS)

Pain level recorded at 3 days after surgery. VAS scale measures pain in increments of whole numbers from 0 (no pain) to 10 (most sever pain imaginable) (NCT02055053)
Timeframe: Pain scale 3 days after surgery

Interventionunits on a scale (Mean)
Anesthetic Intervention3.71
Saline Intervention3.25

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Patient Satisfaction With Pain Treatment After Surgery

Responses to question pertaining to patient satisfaction with pain treatment (NCT02058290)
Timeframe: Wound closure at time hospital discharge order is written or Day 30, whichever is sooner.

,
Interventionparticipants (Number)
Extremely SatisfiedSatisfiedNeither Satisfied nor DissatisfiedDissatisfiedExtremely DissatisfiedNot Reported
EXPAREL1752002
IV Morphine Sulfate or Sponsor-approved Equivalent30190313

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Total Opioid Burden

Total opioid consumed (IV and PO) postsurgically until hospital discharge order is written or through Day 30, whichever is sooner. (NCT02058290)
Timeframe: Wound closure to time hospital discharge order is written or Day 30, whichever is sooner.

Interventionmg (Mean)
IV Morphine Sulfate or Sponsor-approved Equivalent96.47
EXPAREL32.06

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Health Economic Benefits - Total Cost of Hospitalization

Total cost of hospitalization until the time hospital discharge order is written or through Day 30, whichever was sooner. (NCT02058290)
Timeframe: Wound closure to time hospital discharge order is written or Day 30, whichever is sooner.

Interventiondollars (Mean)
IV Morphine Sulfate or Sponsor-approved Equivalent15158.79
EXPAREL14802.70

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Health Economic Benefits - Length of Stay (LOS)

Length of stay, recorded in days, defined as the time of completion of the wound closure until the hospital discharge order is written or through Day 30, whichever is sooner. (NCT02058290)
Timeframe: Wound closure at time hospital discharge order is written or Day 30, whichever is sooner

Interventiondays (Median)
IV Morphine Sulfate or Sponsor-approved Equivalent4.0
EXPAREL3.0

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Forced Expiratory Volume at 1 Second (% Change From Baseline)

(NCT02059070)
Timeframe: Within the first 4 days following surgery

Interventionpercentage of change from baseline (Mean)
0.125% Bupivacaine-22.4
0.2% Ropivacaine-29.4

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Highest Patient Pain Level

The Visual analog pain scale ranges from 0 to 10, with higher scores indicating higher pain (NCT02059070)
Timeframe: Within 36 hours of surgery

InterventionVAS units on a scale (Mean)
0.125% Bupivacaine4.9
0.2% Ropivacaine3.5

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Post-operative Oxycodone Use (mg)

The total amount of oxycodone medication (mg) that the patient consumed in the 24 hours post surgery. (NCT02059070)
Timeframe: The 24 hour period following surgery

Interventionmg (Mean)
0.125% Bupivacaine33.7
0.2% Ropivacaine35.1

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Ultrasonographic Evaluation of Diaphragmatic Excursion- Operative Side Sigh Test

For ultrasonographic evaluation if caudad movement of the hemidiaphragm was observed, the distance was measured recorded and assigned a positive (+) value. If paradoxical cephalad movement of the diaphragm was observed, the distance was given a negative value (-). Each measurement was performed 3 times and the best value was recorded. (NCT02059070)
Timeframe: Within 36hrs following surgery

Interventionpercentage of baseline change (Mean)
0.125% Bupivacaine-81.4
0.2% Ropivacaine-75.5

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Postoperative Pain Score on Coughing at 6 hr

Visual Analog Pain Scores (VAS); 0 (no pain) to 10 (worst possible pain) (NCT02074709)
Timeframe: Participants' pain score was assessed at 6 hr after surgery

Interventionunits on a scale (Mean)
TAP Block5.28
Wound Infiltration3.59

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Opioid Consumption (mg morEq)

Opioid consumption (morphine equivalents) (NCT02100579)
Timeframe: 36 hours

InterventionMorphine Equivalents (Median)
Active Group48
Control Group60

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Visual Analog Scale Pain Score

Visual Analog Scale pain score; 0 = no pain, 10 = excruciating pain) in the knee recorded every 6 hours up to 36hrs following surgery. (NCT02100579)
Timeframe: Pain burden at 36hr

Interventionscores*hours (Median)
Active Group71
Control Group131

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Length of Hospitalization

The average time to discharge in hours. Participants were discharged home went physical therapy criteria were met. (NCT02100579)
Timeframe: 0 to 192 hours

Interventionhours (Mean)
Active Group73
Control Group92

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Number of Participants With Pain During Bowel Movements

Number of participants with pain during postoperative bowel movements (NCT02104414)
Timeframe: Hourly from PACU arrival to discharge and Q4H from 10:00-22:00 postoperatively for 4 days

,,
InterventionParticipants (Count of Participants)
Day 1Day 2Day 3Day 4
Bupivacaine HCl With Epinephrine1344
Exparel1255
Normal Saline1122

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Number of Oxycodone Tablets Taken

Number of postoperative opioid consumption - oxycodone tablets (5mg each) (NCT02104414)
Timeframe: up to 4 days

,,
Interventiontablets (Mean)
Hour 1Hour 2Day 1Day 2Day 3Day 4
Bupivacaine HCl With Epinephrine002.671.671.51
Exparel002.221.42
Normal Saline001.52.52.51.5

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Number of Participants With Urinary Retention

(NCT02104414)
Timeframe: up to 4 days

,,
InterventionParticipants (Count of Participants)
Day 1Day 2Day 3Day 4
Bupivacaine HCl With Epinephrine0000
Exparel0000
Normal Saline0000

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Number of Participants With Postoperative Nausea and Vomiting

Number of participants with postoperative nausea and vomiting episodes (NCT02104414)
Timeframe: up to 4 days

,,
InterventionParticipants (Count of Participants)
Hour 1Hour 2Day 1Day 2Day 3Day 4
Bupivacaine HCl With Epinephrine000000
Exparel000000
Normal Saline000000

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Post Operative Pain Control

The primary objective is to evaluate analgesia following local infiltration of 30 mL Exparel or the same volume of 0.25% bupivacaine HCl with epinephrine or normal saline. The intensity of pain will be measured using a numerical rating scale (NRS-11) in which 0 represents no pain, and 10 represents extreme pain. (NCT02104414)
Timeframe: up to 4 days

,,
Interventionscore on a scale (Mean)
Hour 1Hour 2Day 1Day 2Day 3Day 4
Bupivacaine HCl With Epinephrine1.331.06.54.55.03.0
Exparel005.7532.252.67
Normal Saline72.55.5432

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Postoperative Opioid Consumption - Hydromorphone I.V

(NCT02104414)
Timeframe: 1 hour and 2 hours post op

,,
Interventionmg (Mean)
Hour 1Hour 2
Bupivacaine HCl With Epinephrine00
Exparel0.350.5
Normal Saline0.80.6

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Postoperative Pain as Assessed by the Brief Pain Inventory (BPI)

"The Brief Pain Inventory (BPI) ranges from 0 (no pain) to 10 (worst pain you can imagine)." (NCT02111746)
Timeframe: postoperative day 3

Interventionunits on a scale (Mean)
Exparel®4
Regular Bupivacaine3.53

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Postoperative Pain as Assessed by a Five-point Satisfaction Scale

The 5-point satisfaction scale ranges from 1 (extremely dissatisfied) to 5 (extremely satisfied). (NCT02111746)
Timeframe: postoperative day 1

Interventionunits on a scale (Mean)
Exparel®4.08
Regular Bupivacaine3.99

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Postoperative Pain as Assessed by a Five-point Satisfaction Scale

The 5-point satisfaction scale ranges from 1 (extremely dissatisfied) to 5 (extremely satisfied). (NCT02111746)
Timeframe: postoperative day 2

Interventionunits on a scale (Mean)
Exparel®4.23
Regular Bupivacaine4.12

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Postoperative Pain as Assessed by a Five-point Satisfaction Scale

The 5-point satisfaction scale ranges from 1 (extremely dissatisfied) to 5 (extremely satisfied). (NCT02111746)
Timeframe: postoperative day 3

Interventionunits on a scale (Mean)
Exparel®4.37
Regular Bupivacaine4.37

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Postoperative Pain as Assessed by a Numeric Pain Scale (NPS)

"The Numeric Pain Scale (NPS) ranges from 0 (no pain) to 10 (worst possible pain)." (NCT02111746)
Timeframe: postoperative day 1

Interventionunits on a scale (Mean)
Exparel®5.05
Regular Bupivacaine5.02

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Postoperative Pain as Assessed by a Numeric Pain Scale (NPS)

"The Numeric Pain Scale (NPS) ranges from 0 (no pain) to 10 (worst possible pain)." (NCT02111746)
Timeframe: postoperative day 2

Interventionunits on a scale (Mean)
Exparel®4.69
Regular Bupivacaine4.08

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Postoperative Pain as Assessed by a Numeric Pain Scale (NPS)

"The Numeric Pain Scale (NPS) ranges from 0 (no pain) to 10 (worst possible pain)." (NCT02111746)
Timeframe: postoperative day 3

Interventionunits on a scale (Mean)
Exparel®3.71
Regular Bupivacaine3.03

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Postoperative Pain as Assessed by the Brief Pain Inventory (BPI)

"The Brief Pain Inventory (BPI) ranges from 0 (no pain) to 10 (worst pain you can imagine)." (NCT02111746)
Timeframe: postoperative day 1

Interventionunits on a scale (Mean)
Exparel®5.49
Regular Bupivacaine5.41

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Postoperative Pain as Assessed by the Brief Pain Inventory (BPI)

"The Brief Pain Inventory (BPI) ranges from 0 (no pain) to 10 (worst pain you can imagine)." (NCT02111746)
Timeframe: postoperative day 2

Interventionunits on a scale (Mean)
Exparel®4.48
Regular Bupivacaine4.4

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Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)

The Western Ontario and McMaster Universities Arthritis Index (WOMAC) is widely used in the evaluation of Hip and Knee Osteoarthritis. It is a self administered questionnaire consisting of 24 items divided into 3 subscales: pain (5 items), stiffness (2 items), and physical function (17 items). The subscale scores can vary, with pain ranging from 0 to 20 points; stiffness, 0 to 8 points; and physical function, 0 to 68 points. Higher scores represent worse pain, stiffness, and functional limitations. A sum of the scores for all three subscales yields a total WOMAC score. (NCT02121392)
Timeframe: 3 and 6 weeks

,
Interventionscore on a scale (Mean)
3 weeks6 weeks
Epidural Catheter With Adductor Canal Nerve Block Catheter29.127.9
Epidural Catheter Without Adductor Canal Nerve Block Catheter37.832.9

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Visual Analog Score for Pain

"The visual analog scale (VAS) is a pain rating scale. Scores are based on self-reported measures of symptoms that are recorded with a single mark placed at one point along the length of a line that represents a continuum between the two ends of the scale-no pain on the left end of the scale (equal to a score of 0) and the worst pain on the right end of the scale (equal to a score of 100)." (NCT02121392)
Timeframe: 12 hours postoperatively and 20 hours after placement of catheter

,
Interventionmm (Mean)
12 hours postoperatively20 hours after placement of catheter
Epidural Catheter With Adductor Canal Nerve Block Catheter26.928.6
Epidural Catheter Without Adductor Canal Nerve Block Catheter27.936.4

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Range of Motion at 3 and 6 Week Follow up

(NCT02121392)
Timeframe: 3 and 6 weeks

,
Interventiondegrees (Mean)
3 weeks6 weeks
Epidural Catheter With Adductor Canal Nerve Block Catheter94.3105
Epidural Catheter Without Adductor Canal Nerve Block Catheter98.2109

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Range of Motion

Knee range of motion (ROM) was measured (in degrees) during physical therapy. (NCT02121392)
Timeframe: postoperative day 1 and 2

,
Interventiondegrees (Mean)
Postoperative Day 1Postoperative Day 2
Epidural Catheter With Adductor Canal Nerve Block Catheter40.662.5
Epidural Catheter Without Adductor Canal Nerve Block Catheter51.471.3

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Physical Therapy Ambulation Distance

(NCT02121392)
Timeframe: Daily on postoperative days one and two

,
Interventionmeters (Mean)
Postoperative Day 1Postoperative Day 2
Epidural Catheter With Adductor Canal Nerve Block Catheter17.639.4
Epidural Catheter Without Adductor Canal Nerve Block Catheter13.832.5

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Morphine Equivalents

(NCT02121392)
Timeframe: 12 hours postoperatively and 20 hours after placement of catheter

,
Interventionmilligrams of morphine (Mean)
12 hours postoperatively20 hours after placement of catheter
Epidural Catheter With Adductor Canal Nerve Block Catheter12.573.9
Epidural Catheter Without Adductor Canal Nerve Block Catheter11.996.5

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Number of Participants With Bleeding Complications at Adductor Canal Nerve Block Catheter Site

(NCT02121392)
Timeframe: within first 3 days (plus or minus 3 days) after surgery

InterventionParticipants (Count of Participants)
Epidural Catheter Without Adductor Canal Nerve Block Catheter0
Epidural Catheter With Adductor Canal Nerve Block Catheter0

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Number of Hospital Days Until Discharge Criteria Are Met

(NCT02121392)
Timeframe: within first 3 days (plus or minus 3 days) after surgery

InterventionDays (Mean)
Epidural Catheter Without Adductor Canal Nerve Block Catheter2.42
Epidural Catheter With Adductor Canal Nerve Block Catheter2.67

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Patient's Anxiety

We compared patient's anxiety using spielberger's state-trait anxiety inventory before and after surgery. This consists of two self-evaluation scales designed to assess state-anxiety and trait-anxiety. Each scale contains 20 items, each of which is rated from 1 to 4. Clinically significant levels of state or trait-anxiety were defined as scores >50 on the state- or trait-anxiety scale. State or trait-anxiety inventory's minimal score is 20 and maximal score is 80. We analyzed State Anxiety Inventory scale before and after surgery. (NCT02155010)
Timeframe: up to 3 days

,
Interventionpoints (Mean)
State Anxiety Inventory (Preoperative)State Anxiety Inventory (discharge from PACU)State Anxiety Inventory (postoperative first day)
After Spinal Anesthesia45.5238.5534.55
Before Spinal Anesthesia43.6537.0334.90

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Incidence of Hypotension

We compare incidence rate of hypotension during infusion of dexmedetomidine (NCT02155010)
Timeframe: up to 3 hours

Interventionparticipants (Number)
Before Spinal Anesthesia15
After Spinal Anesthesia5

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Fetal Heart Rate at 1 Hour

Baby's heart rate recorded with the external monitor that is placed on patient's belly, for a duration of 60 minutes after the placement of the combined spinal epidural. (NCT02159807)
Timeframe: at 1 hour

Interventionbeats per minute (Mean)
1.25 mg Bupivacaine134.73
1.66 mg Bupivacaine137.64
2.5 mg Bupivacaine135.57

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Mean Change in Visual Analog Scale for Pain

Mean change of her pain relief from the spinal epidural 60 minutes after she received it, using a VAS, scored from 0 to 10, with higher score indicating more pain. (NCT02159807)
Timeframe: baseline and 60 minutes

Interventionscore on a scale (Mean)
1.25 mg Bupivacaine0.43
1.66 mg Bupivacaine0.46
2.5 mg Bupivacaine0.26

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Maternal Blood Pressure

Maternal diastolic blood pressure at 60 minutes after epidural to measure maternal hypotension (NCT02159807)
Timeframe: at 1 hour

Interventionmm/Hg (Mean)
1.25 mg Bupivacaine78.2
1.66 mg Bupivacaine79.58
2.5 mg Bupivacaine80.52

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Numeric Rating Scale (NRS) Pain Assessment

Postoperative pain assessments using a 11-point numerical rating during physical therapy and at rest. This pain scale ranges from 0, being no pain at all, up to 10 being the worst pain ever experience. (NCT02161484)
Timeframe: 6 hours after the start of surgery

,
Interventionunits on a scale (Mean)
Pain at RestPain with Movement
Continuous Lumbar Plexus Block With Parasacral Nerve Block2.63.5
Lumbar Plexus Nerve Block3.65

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Incidence of Complications (e.g. Frequency of Foot-drop).

"Complications such as drug toxicity, arrhythmia, bradycardia, hematoma, Foot Drop, allergic reaction will be recorded" (NCT02161484)
Timeframe: 48 hours after the start of the surgery

InterventionNumber of complications (Number)
Continuous Lumbar Plexus Block With Parasacral Nerve Block0
Lumbar Plexus Nerve Block0

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Numeric Rating Scale (NRS) Pain Assessment

Postoperative pain assessments using a 11-point numerical rating during physical therapy and at rest. This pain scale ranges from 0, being no pain at all, up to 10 being the worst pain ever experience. (NCT02161484)
Timeframe: 24 hours after the start of surgery

,
Interventionunits on a scale (Mean)
Pain at RestPain with Movement
Continuous Lumbar Plexus Block With Parasacral Nerve Block4.257.25
Lumbar Plexus Nerve Block2.24.4

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Numeric Rating Scale (NRS) Pain Assessment

Postoperative pain assessments using a 11-point numerical rating during physical therapy and at rest. This pain scale ranges from 0, being no pain at all, up to 10 being the worst pain ever experience. (NCT02161484)
Timeframe: 48 hours after the start of surgery

,
Interventionunits on a scale (Mean)
Pain at RestPain with Movement
Continuous Lumbar Plexus Block With Parasacral Nerve Block18
Lumbar Plexus Nerve Block25

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Pain Scores at Rest on the Second Postoperative Day

NRS pain scores on a 0-10 scale at rest in the morning on the second postoperative day. Zero indicates no pain, and 10 indicates the worst pain one could imagine. (NCT02178553)
Timeframe: Each morning for two days postoperative

InterventionNRS pain scores on a scale from 0-10 (Mean)
Epidural2.8
Intercostal Bupivicaine (Exparel)3.2

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Pain Scores With Cough on First Postoperative Day

Pain with cough documented using the numerical rating scale pain scores (0-10) (NCT02178553)
Timeframe: In the morning (8 am) on first postoperative day

Interventionunits on a scale (Mean)
Epidural6.1
Intercostal Bupivicaine (Exparel)6.9

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Pain Scores With Cough on the Second Postoperative Day

Pain with cough documented using the numerical rating scale pain scores (0-10). Zero indicates no pain, and 10 indicates the worst pain one could imagine. (NCT02178553)
Timeframe: In the morning (8 am) on the second postoperative day

Interventionscore on a scale (Mean)
Epidural5.2
Intercostal Bupivicaine (Exparel)6.0

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Pain Scores at Rest in the Morning on the First Postoperative Day

NRS pain scores on a 0-10 scale at rest at 8 am on the first postoperative day. Zero indicates no pain, and 10 indicates the worst pain one could imagine. (NCT02178553)
Timeframe: Each morning for two days postoperative

InterventionNRS pain score on a scale from 0-10 (Mean)
Epidural2.9
Intercostal Bupivicaine (Exparel)4.0

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Mean Time of First Opioid Use

The time of first opioid use after surgery will be recorded for up to 72 hours. (NCT02179892)
Timeframe: Post-surgery (Up to 72 Hours)

Interventionhours (Mean)
Group 1-Exparel58
Group 2-Bupivacaine and Dexamethasone IV46

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Mean Opioid Consumption

The investigators will collect the total amount of opioid consumption for the 72 hour post operative period in each group. (NCT02179892)
Timeframe: Post Surgery (Up to 72 Hours)

Interventionmilligrams (Mean)
Group 1-Exparel507
Group 2-Bupivacaine and Dexamethasone IV392

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Mean Visual Analogue Scale (VAS) Pain Score With Movement

The VAS method of pain assessment (scale of 1-10) will be used to measure the patient's level of pain with movement each day during the 72 hour post surgical period. One represents the lowest level of pain and 10 represents the highest level of pain. (NCT02179892)
Timeframe: Post-Surgery 24 Hours, 48 Hours, 72 Hours

,
Interventionunits on a scale (Mean)
24 Hours Post Surgery48 Hours Post Surgery72 Hours Post Surgery
Group 1-Exparel6.86.63.6
Group 2-Bupivacaine and Dexamethasone IV5.86.34.8

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Mean Visual Analogue Scale (VAS) Pain Score at Rest

The VAS method of pain assessment (scale of 1- 10) will be used to measure the participant's pain level at rest each day during the 72 hours post surgical period. One represents the lowest level of pain and 10 represents the highest level of pain. (NCT02179892)
Timeframe: Post-Surgery 24 Hours, 48 Hours, 72 Hours

,
Interventionunits on a scale (Mean)
24 Hours Post Surgery48 Hours Post Surgery72 Hours Post Surgery
Group 1-Exparel4.21.81.8
Group 2-Bupivacaine and Dexamethasone IV3.53.33.5

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Change in Numerical Rating Scale (NRS) Pain Score

"The numerical rating scale (NRS) pain score is a self-reported pain scale from 0 to 10 where zero is equal to no pain and ten is equal to worst possible pain. The score was recorded every 12 hours for up to 144 hours (six days) post-operatively." (NCT02189317)
Timeframe: Day of Surgery, Post-Operative Day 6 (Up to 144 hours)

,
Interventionunits on a scale (Mean)
Baseline (recovery room)Evening on the day of surgeryDay 1 MorningDay 1 EveningDay 2 MorningDay 2 EveningDay 3 MorningDay 3 EveningDay 4 MorningDay 4 EveningDay 5 MorningDay 5 EveningDay 6 MorningDay 6 Evening
Bupivacaine HCl3.65.05.75.25.14.13.73.63.33.03.33.13.32.4
Exparel (Liposomal Bupivacaine)4.74.14.55.64.94.74.84.54.13.62.82.52.51.4

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Change in Home Opioid Use

The difference in amount of Percocet (7.5/325 tablets) usage post-surgery. (NCT02189317)
Timeframe: Day of Surgery, Post-Operative Day 6 (Up to 144 hours)

,
Interventionmiligrams (Mean)
Up to 72 hoursDay of SurgeryPostoperative Day 1Postoperative Day 2Postoperative Day 3Postoperative Day 4Postoperative Day 5Postoperative Day 6
Bupivacaine HCl10.21.64.94.02.31.71.61.6
Exparel (Liposomal Bupivacaine)9.32.54.12.31.30.80.20.3

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Difference in Time to First Opioid Use

The time difference in hours to first Percocet (7.5/325 tablets) usage post-surgery. (NCT02189317)
Timeframe: Day of Surgery, Post-Operative Day 6 (Up to 144 hours)

Interventionhours (Mean)
Bupivacaine HCl3.2
Exparel (Liposomal Bupivacaine)3.1

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Time to Post-operative Rescue Opioids (Hours)

(NCT02197273)
Timeframe: Immediately following discharge from operating room until the participant was discharged from the hospital, an expected average of 3 days

Interventionhours (Median)
Standard of Care Analgesia7.7
Liposomal Bupivacaine11.8

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Readmission or Emergency Department (ED) Visit Due to Pain Control Within 30 Days

(NCT02197273)
Timeframe: Date of discharge through 30 days following discharge

Interventionparticipants (Number)
Standard of Care Analgesia2
Liposomal Bupivacaine4

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Length of Stay in Hospital (Days)

(NCT02197273)
Timeframe: Participants were followed for the duration of hospital stay, an expected average of 3 days

Interventiondays (Median)
Standard of Care Analgesia2.0
Liposomal Bupivacaine2.0

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The Apparent Terminal Elimination Rate Constant (λz)

(NCT02199574)
Timeframe: From time of study drug administration through Day 7 postdose

Intervention1/hours (Mean)
EXPAREL0.07779

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Maximum Plasma Concentration (Cmax)

(NCT02199574)
Timeframe: From time of study drug administration through Day 7 postdose

Interventionng/mL (Mean)
EXPAREL254

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Area Under the Plasma Concentration Versus Time Curve (AUC(0-infinity))

(NCT02199574)
Timeframe: From time of study drug administration through Day 7 postdose

Interventionhours*ng/mL (Mean)
EXPAREL6379

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Apparent Terminal Elimination Half-life

(NCT02199574)
Timeframe: From time of study drug administration through Day 7 postdose

Interventionhours (Mean)
EXPAREL9.34

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Time to Maximum Plasma Concentration (Tmax)

(NCT02199574)
Timeframe: From time of study drug administration through Day 7 postdose

Interventionhours (Median)
EXPAREL0.50

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Area Under the Plasma Concentration Versus Time Curve (AUC(0-t))

(NCT02199574)
Timeframe: From time of study drug administration through Day 7 postdose

Interventionhours*ng/mL (Mean)
EXPAREL7150

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Post Operative Pain

Pain scores will either be verbally reported to nursing and recorded or reported on a questionnaire. Back of neck pain scores range 0-10, throat pain scores range 0-9, incisional pain scores range 0-9 (zero means no pain and 9 or 10 means severe pain). (NCT02205801)
Timeframe: At four hour after operation

,,,
Interventionunits on a scale (Mean)
IncisionBack of neckThroat
Local Wound Infiltration, Active4.42.36.4
Local Wound Infiltration, Placebo2.92.43.9
Superficial Cervical Block, Active31.44.3
Superficial Cervical Block, Placebo2.83.45.3

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Intraoperative Fentanyl Administration

The total amount of Fentanyl administered during the procedure will be recorded. (NCT02205801)
Timeframe: During the procedure

Interventionmcg (Mean)
Superficial Cervical Block, Active187.5
Superficial Cervical Block, Placebo185.7
Local Wound Infiltration, Active144.2
Local Wound Infiltration, Placebo156.3

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Total Pain Medication Utilization

Total operative opioid dosages administered converted to effective mg of Hydromorphine. (NCT02205801)
Timeframe: At follow up appointment 1-2 weeks postoperatively

Interventionmg (Mean)
Superficial Cervical Block, Active0.56
Superficial Cervical Block, Placebo0.71
Local Wound Infiltration, Active0.84
Local Wound Infiltration, Placebo0.79

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Post Operative Nausea Score

"Nausea scores will either be verbally reported to nursing and recorded or reported on a questionnaire. The scores range 0-9 (zero means no symptom and 9 means very severe)." (NCT02205801)
Timeframe: At 2 weeks after operation

,,,
Interventionunits on a scale (Mean)
IncisionBack of neckThroat
Local Wound Infiltration, Active1.41.32.0
Local Wound Infiltration, Placebo1.41.01.2
Superficial Cervical Block, Active1.31.71.4
Superficial Cervical Block, Placebo1.01.21.0

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Time to Maximum Concentration (Tmax)

(NCT02210247)
Timeframe: Period(P)1 all cohorts 15 m in pre, 15,30m, 1,2,34,8,12h postdose. C3: +24, 36 h postdose. C2: C3+48,60h postdose; C1 and C5: C2+72h postdose; P2: C2,3,4 only: 15m pre, 1,2,4,8,12,24,36,48,60,72h postdose. Final at D14- all subjects

Interventionhours (Median)
Cohort 124
Cohort 248
Cohort 348
Cohort 436
Cohort 524

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Maximum Plasma Concentration (Cmax)

(NCT02210247)
Timeframe: Period(P)1 all cohorts (C) 15 m in pre, 15,30m, 1,2,34,8,12h postdose. C3: +24, 36 h postdose. C2: C3+48,60h postdose; C1 and C5: C2+72h postdose; P2: C2,3,4 only: 15m pre, 1,2,4,8,12,24,36,48,60,72h postdose. Final at D14- all subjects

Interventionng/mL (Mean)
Cohort 1129
Cohort 2207
Cohort 3202
Cohort 4290
Cohort 5246

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Apparent Terminal Elimination Half-life

(NCT02210247)
Timeframe: Period(P)1 all cohorts 15 m in pre, 15,30m, 1,2,34,8,12h postdose. C3: +24, 36 h postdose. C2: C3+48,60h postdose; C1 and C5: C2+72h postdose; P2: C2,3,4 only: 15m pre, 1,2,4,8,12,24,36,48,60,72h postdose. Final at D14- all subjects

Interventionhours (Mean)
Cohort 180.24
Cohort 244.88
Cohort 351.70
Cohort 433.22
Cohort 559.13

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Area Under the Plasma Concentration Time Curve From Time 0 to the Time of the Last Quantifiable Concentration [AUC(0-last)]

(NCT02210247)
Timeframe: Period(P)1 all cohorts (C) 15 m in pre, 15,30m, 1,2,34,8,12h postdose. C3: +24, 36 h postdose. C2: C3+48,60h postdose; C1 and C5: C2+72h postdose; P2: C2,3,4 only: 15m pre, 1,2,4,8,12,24,36,48,60,72h postdose. Final at D14- all subjects

InterventionH*ng/mL (Mean)
Cohort 15917
Cohort 210976
Cohort 310201
Cohort 415227
Cohort 511567

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The Apparent Terminal Elimination Rate Constant (λz)

(NCT02210247)
Timeframe: Period(P)1 all cohorts 15 m in pre, 15,30m, 1,2,34,8,12h postdose. C3: +24, 36 h postdose. C2: C3+48,60h postdose; C1 and C5: C2+72h postdose; P2: C2,3,4 only: 15m pre, 1,2,4,8,12,24,36,48,60,72h postdose. Final at D14- all subjects

Intervention1/hours (Mean)
Cohort 10.009
Cohort 20.019
Cohort 30.016
Cohort 40.021
Cohort 50.014

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Number Physical Therapy Sessions Necessary for Discharge

Number of physical therapy (PT) sessions necessary for discharge. A significant decrease in the number of sessions will be defined as ≥ 2. Typically, there are 2 sessions per day, with each patient completing an average of 4-5 sessions during their admission. (NCT02219087)
Timeframe: Participants will be followed for the duration of their hospital stay, an expected average of 2.5 days.

InterventionPhysical Therapy Sessions (Mean)
Liposomal Bupivacaine3.0
Standard of Care3.6

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Opioid Consumption in Oral Morphine Equivalents (OMEs, in Milligrams)

(NCT02219087)
Timeframe: Participants will be followed for the duration of their hospital stay, an expected average of 2.5 days.

InterventionMilligrams (Mean)
Liposomal Bupivacaine274.6
Standard of Care304.8

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Mean Visual Analog Scale (VAS) Pain Scores During Hospital Stay

VAS was measured using a scale that ranged from 0 to 10. Higher scores indicate more pain, or a worse outcome. Patients had pain measured a variable number of times following surgery before discharge. Mean VAS score during the hospital stay for each patient was calculated (NCT02219087)
Timeframe: Participants will be followed for the duration of their hospital stay, an expected average of 2.5 days.

InterventionUnits on a scale (Mean)
Liposomal Bupivacaine4.4
Standard of Care4.7

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Total Cost of Care (Dollars)

(NCT02219087)
Timeframe: Participants will be followed for the duration of their hospital stay, an expected average of 2.5 days.

InterventionDollars (Median)
Liposomal Bupivacaine64582.90
Standard of Care62601.50

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Length of Stay (LOS, in Days)

(NCT02219087)
Timeframe: Participants will be followed for the duration of their hospital stay, an expected average of 2.5 days.

InterventionDays (Mean)
Liposomal Bupivacaine2.5
Standard of Care2.3

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Hospital Readmission Not Including Admissions Planned Procedures

(NCT02219087)
Timeframe: Participants will be followed for 30 days after leaving the hospital.

Interventionparticipants (Number)
Liposomal Bupivacaine0
Standard of Care1

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Total Opioid Consumption Measured in Intravenous Morphine Equivalents During the Postoperative Hospital Stay

Total opioid consumption measured in intravenous morphine equivalents during the postoperative hospital stay (NCT02222129)
Timeframe: All data was recorded during the patient's hospital stay, typically less than 5 days. All data was tabulated from the electronic medical record, typically within 30 days of discharge from hospital.

Interventionmg (morphine equivalents) (Median)
Bupivacaine17.3
Liposomal Bupivacaine15

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Hospital Length of Stay

The hospital length of stay was measured from the date of admittance until the date of discharge. (NCT02223364)
Timeframe: Approximately 3 days

Interventiondays (Median)
Peripheral Nerve Block (PNB)2
Ropivacaine (PAI-R)2
Liposomal Bupivacaine (PAI-L)2

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Average Pain POD 1 (24 Hours)

Pain was measured on a 1-10 numeric pain rating scale (NRS) with 0=no pain, and 10=worst pain imaginable. (NCT02223364)
Timeframe: POD 1, approximately 12 am to 12 am next day

Interventionunits on a scale (Median)
Peripheral Nerve Block (PNB)2.5
Ropivacaine (PAI-R)3.5
Liposomal Bupivacaine (PAI-L)3.7

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Average Pain POD 2 (24 Hours)

Pain was measured on a 1-10 numeric pain rating scale (NRS) with 0=no pain, and 10=worst pain imaginable. (NCT02223364)
Timeframe: POD 2, approximately 12 am to 12 am next day

Interventionunits on a scale (Median)
Peripheral Nerve Block (PNB)3.3
Ropivacaine (PAI-R)3.2
Liposomal Bupivacaine (PAI-L)3.5

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Average Pain Post-Postanesthesia Care Unit (PACU)

Pain was measured on a 1-10 numeric pain rating scale (NRS) with 0=no pain, and 10=worst pain imaginable. (NCT02223364)
Timeframe: Post-operative Day 0, approximately 12 pm to 12 am

Interventionunits on a scale (Median)
Peripheral Nerve Block (PNB)0.6
Ropivacaine (PAI-R)1.7
Liposomal Bupivacaine (PAI-L)2.4

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Intraoperative Opioid Use

Opioid consumption was documented in the patient electronic medical record by the nursing staff caring for the patient. (NCT02223364)
Timeframe: During the procedure, approximately 2 hours after start of the procedure

Interventionmg OME (Median)
Peripheral Nerve Block (PNB)10
Ropivacaine (PAI-R)10
Liposomal Bupivacaine (PAI-L)10

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Maximum Pain POD 1 (24 Hours)

Pain was measured on a 1-10 numeric pain rating scale (NRS) with 0=no pain, and 10=worst pain imaginable. (NCT02223364)
Timeframe: POD 1, approximately 12 am to 12 am next day

Interventionunits on a scale (Median)
Peripheral Nerve Block (PNB)5.5
Ropivacaine (PAI-R)6
Liposomal Bupivacaine (PAI-L)6

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Maximum Pain POD 2 (24 Hours)

Pain was measured on a 1-10 numeric pain rating scale (NRS) with 0=no pain, and 10=worst pain imaginable. (NCT02223364)
Timeframe: POD 2, approximately 12 am to 12 am next day

Interventionunits on a scale (Median)
Peripheral Nerve Block (PNB)5
Ropivacaine (PAI-R)6
Liposomal Bupivacaine (PAI-L)6

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Maximum Pain Post-Operative Day (POD) 1 (Morning)

Pain was measured on a 1-10 numeric pain rating scale (NRS) with 0=no pain, and 10=worst pain imaginable. (NCT02223364)
Timeframe: Post-Operative Day 1, approximately 6 am to 12:00 pm

Interventionunits on a scale (Median)
Peripheral Nerve Block (PNB)3
Ropivacaine (PAI-R)4
Liposomal Bupivacaine (PAI-L)4.5

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Maximum Pain Post-PACU

Pain was measured on a 1-10 numeric pain rating scale (NRS) with 0=no pain, and 10=worst pain imaginable. (NCT02223364)
Timeframe: Post-operative Day 0, approximately 12 pm to 12 am

Interventionunits on a scale (Median)
Peripheral Nerve Block (PNB)1
Ropivacaine (PAI-R)4
Liposomal Bupivacaine (PAI-L)5

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PACU Opioid Use

Opioid consumption was documented in the patient electronic medical record by the nursing staff caring for the patient. (NCT02223364)
Timeframe: Approximately 2 hours after entry in PACU

Interventionmg OME (Median)
Peripheral Nerve Block (PNB)0
Ropivacaine (PAI-R)0
Liposomal Bupivacaine (PAI-L)0

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POD 0 Post-PACU Opioid Use

Additional opioid medications that were taken by subjects (recorded at the same time as the time points for measuring pain). Opioid consumption was documented in the patient electronic medical record by the nursing staff caring for the patient. (NCT02223364)
Timeframe: POD 0, approximately 12 pm to 12 am

Interventionmg OME (Median)
Peripheral Nerve Block (PNB)0
Ropivacaine (PAI-R)8
Liposomal Bupivacaine (PAI-L)15

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POD 2 Opioid Use

Additional opioid medications that were taken by subjects (recorded at the same time as the time points for measuring pain). Opioid consumption was documented in the patient electronic medical record by the nursing staff caring for the patient. (NCT02223364)
Timeframe: POD 2, approximately 12 am to 12 am next day

Interventionmg OME (Median)
Peripheral Nerve Block (PNB)23
Ropivacaine (PAI-R)15
Liposomal Bupivacaine (PAI-L)23

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Preoperative Daily Opioid Use

Opioid consumption will be documented in the patient electronic medical record by the nursing staff caring for the patient. (NCT02223364)
Timeframe: baseline

Interventionmg oral morphine equivalents (OME) (Median)
Peripheral Nerve Block (PNB)15
Ropivacaine (PAI-R)15
Liposomal Bupivacaine (PAI-L)15

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Balance Testing on Operative Leg Using Unipedal Stance Time

In order to measure clinical balance, unipedal stance time (UST) was collected as an indicator of balance and fall risk. Timing (in seconds) began upon withdrawal of support and continued until the uplifted foot returned to the floor, the subject required support, or if the subject reached a time limit of 30 seconds. The best performance of three repetitions was recorded for analysis. Normative values for the UST are available. A UST threshold of 30 seconds yields a sensitivity of 95% and a specificity of 58% in identifying those with a history of falls. The first five seconds of unipedal stance is indicative of dynamic balance; inability to maintain unipedal stance for five seconds is a significant predictor of injurious falls. (NCT02223364)
Timeframe: baseline, approximately 12 weeks

,,
Interventionseconds (Median)
baseline12 weeks
Liposomal Bupivacaine (PAI-L)1723
Peripheral Nerve Block (PNB)2420
Ropivacaine (PAI-R)1630

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POD 1 Opioid Use

Additional opioid medications that were taken by subjects (recorded at the same time as the time points for measuring pain). Opioid consumption was documented in the patient electronic medical record by the nursing staff caring for the patient. (NCT02223364)
Timeframe: POD 1, approximately 12 am to 12 am next day

Interventionmg OME (Median)
Peripheral Nerve Block (PNB)26
Ropivacaine (PAI-R)38
Liposomal Bupivacaine (PAI-L)45

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Tmax

Time to maximum plasma concentration. (NCT02232178)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 36, 48, 72, and 96 hours after surgery.

Interventionhours (Mean)
2 100mg Xaracoll Implants7.271
3 100mg Xaracoll Implants8.567
150mg Bupivacaine HCl Injection8.783

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Cmax

Maximum drug plasma concentration (NCT02232178)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 36, 48, 72, and 96 hours after surgery.

Interventionng/mL (Mean)
2 100mg Xaracoll Implants340.4
3 100mg Xaracoll Implants524.8
150mg Bupivacaine HCl Injection348.4

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t1/2 (Hour)

Terminal half-life. (NCT02232178)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 36, 48, 72, and 96 hours after surgery.

Interventionhours (Mean)
2 100mg Xaracoll Implants16.922
3 100mg Xaracoll Implants18.058
150mg Bupivacaine HCl Injection8.819

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AUC0-last

Area under the plasma concentration-time curve from Time 0 to time of last quantifiable plasma concentration. (NCT02232178)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 36, 48, 72, and 96 hours after surgery.

Interventionng/mL∙hr (Mean)
2 100mg Xaracoll Implants10793.449
3 100mg Xaracoll Implants18589.907
150mg Bupivacaine HCl Injection8323.188

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Total Opioid Consumption During Hospitalization

Measured in daily oral morphine equivalents (OME) (NCT02242201)
Timeframe: Preoperative, Intraoperative, Postanesthesia Care Unit (PACU), Post Operative Day (POD) 0, day 1, and day 2

,,
InterventionOral morphine equivalent in milligrams (Median)
PreoperativeIntraoperativePostanesthesia Care Unit (PACU)Post Operative Day (POD) 0 post PACUPOD 1POD 2
PAI Liposomal Bupivacaine1510011.31511.3
PAI Ropivacaine151001533.815
PNB Bupivacaine151007.522.515

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Post-Operative Pain Score

Pain intensity (NRS) assessment at 3 month follow-up. Pain was measured on an ascending numeric rating scale (NRS) from 0-10 where 1-3 equaled mild pain, 4-6 equaled moderate pain, 7-9 equaled severe pain, and 10 equaled worst possible pain. (NCT02242201)
Timeframe: 3 month follow-up

,,
Interventionunits on a scale (Median)
Pain at restPain with movement
PAI Liposomal Bupivacaine01
PAI Ropivacaine01
PNB Bupivacaine00

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Number of Participants Reporting Complications Since Surgery

Complications were collected by telephone interview after surgery. (NCT02242201)
Timeframe: Post-operative Day 1 Through 3 - Month Follow-up

,,
InterventionParticipants (Count of Participants)
Operative extremity neurologic changesWound infectionFall requiring medical attention
PAI Liposomal Bupivacaine211
PAI Ropivacaine112
PNB Bupivacaine101

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Number of Participants Reporting a NRS Pain Score Greater Than 3

Pain was measured on an ascending numeric rating scale (NRS) from 0-10 where 1-3 equaled mild pain, 4-6 equaled moderate pain, 7-9 equaled severe pain, and 10 equaled worst possible pain. (NCT02242201)
Timeframe: 3 month follow up

,,
InterventionParticipants (Count of Participants)
Pain at restPain with movement
PAI Liposomal Bupivacaine12
PAI Ropivacaine14
PNB Bupivacaine00

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Change in Unipedal Stance Time

Length of time in seconds a patient could stand on involved leg (NCT02242201)
Timeframe: Baseline, 3 months

,,
Interventionseconds (Median)
Baseline3 months
PAI Liposomal Bupivacaine3030
PAI Ropivacaine3030
PNB Bupivacaine24.530

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Maximum Postoperative Pain Score

Pain was measured on an ascending numeric rating scale (NRS) from 0-10 where 1-3 equaled mild pain, 4-6 equaled moderate pain, 7-9 equaled severe pain, and 10 equaled worst possible pain. (NCT02242201)
Timeframe: Post-Operative Day 1 (0600-1200)

Interventionunits on a scale (Median)
PNB Bupivacaine3.0
PAI Ropivacaine4.0
PAI Liposomal Bupivacaine3.0

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Hospital Length of Stay

Discharge readiness was evaluated by the surgical team during morning and afternoon physical therapy sessions. (NCT02242201)
Timeframe: Post-operative Day 1 through discharge (approximately 3 days)

Interventiondays (Median)
PNB Bupivacaine2
PAI Ropivacaine2
PAI Liposomal Bupivacaine2

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Change in Short Form-36 (SF-36) Quality of Life Mental Component

Scores on the Medical Outcomes Study 36-Item Short-Form General Health Survey (SF-36). Subjects completed the SF-36 which consists of 8 sub-scales ranging from 0 to 100, with (0 = worst imaginable, 100 = best imaginable). (NCT02242201)
Timeframe: Baseline, 3 months

Interventionunits on a scale (Mean)
PNB Bupivacaine2.2
PAI Ropivacaine2.6
PAI Liposomal Bupivacaine3.0

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Change in Short Form-36 (SF-36) Quality of Life Physical Component

Scores on the Medical Outcomes Study 36-Item Short-Form General Health Survey (SF-36). Subjects completed the SF-36 which consists of 8 sub-scales ranging from 0 to 100, with (0 = worst imaginable, 100 = best imaginable). (NCT02242201)
Timeframe: Baseline, 3 months

Interventionunits on a scale (Mean)
PNB Bupivacaine12.5
PAI Ropivacaine12.6
PAI Liposomal Bupivacaine12.3

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The Apparent Terminal Elimination Half-life (t1/2el)

Blood samples for bupivacaine PK analysis were to be obtained from subjects at baseline (prior to bupivacaine HCl administration for nerve block), 15 minutes, 30 minutes, and 1, 2, 4, 8, 12, 24, 48, 72, and 96 hours, and 14 days after the beginning of EXPAREL administration (NCT02255500)
Timeframe: Baseline, 0.25, 0.5, 1, 2, 4, 8, 12, 24, 48, 72, and 96 hours, and 14 days post-dose

Interventionhours (Mean)
Bupivacaine FNB + EXPAREL Infiltration25.9
Bupivacaine FNB + EXPAREL Infiltration Admixed With Bupivacaine22

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Maximum Plasma Concentration (Cmax)

"The maximum observed plasma concentration of a drug in the body after the drug has been administered.~Blood samples for bupivacaine pharmacokinetic (PK) analysis were to be obtained from subjects at baseline (prior to bupivacaine HCl administration for nerve block), 15 minutes, 30 minutes, and 1, 2, 4, 8, 12, 24, 48, 72, and 96 hours, and 14 days after the beginning of EXPAREL administration" (NCT02255500)
Timeframe: Baseline, 0.25, 0.5, 1, 2, 4, 8, 12, 24, 48, 72, and 96 hours, and 14 days post-dose

Interventionng/mL (Mean)
Bupivacaine FNB + EXPAREL Infiltration499
Bupivacaine FNB + EXPAREL Infiltration Admixed With Bupivacaine775

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Time to Peak Plasma Concentration (Tmax)

"The time to reach the maximum observed plasma concentration (Cmax)~Blood samples for bupivacaine PK analysis were to be obtained from subjects at baseline (prior to bupivacaine HCl administration for nerve block), 15 minutes, 30 minutes, and 1, 2, 4, 8, 12, 24, 48, 72, and 96 hours, and 14 days after the beginning of EXPAREL administration" (NCT02255500)
Timeframe: Baseline, 0.25, 0.5, 1, 2, 4, 8, 12, 24, 48, 72, and 96 hours, and 14 days post-dose

Interventionhours (Median)
Bupivacaine FNB + EXPAREL Infiltration0.675
Bupivacaine FNB + EXPAREL Infiltration Admixed With Bupivacaine47.450

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Area Under the Plasma Concentration Versus Time Curve From Time 0 to the Time of the Last Quantifiable Concentration After Drug Administration (AUC0-last)

"Total drug exposure up to the last measurable concentration~Blood samples for bupivacaine PK analysis were to be obtained from subjects at baseline (prior to bupivacaine HCl administration for nerve block), 15 minutes, 30 minutes, and 1, 2, 4, 8, 12, 24, 48, 72, and 96 hours, and 14 days after the beginning of EXPAREL administration" (NCT02255500)
Timeframe: Baseline, 0.25, 0.5, 1, 2, 4, 8, 12, 24, 48, 72, and 96 hours, and 14 days post-dose

Interventionhours*ng/mL (Mean)
Bupivacaine FNB + EXPAREL Infiltration28234
Bupivacaine FNB + EXPAREL Infiltration Admixed With Bupivacaine46600

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Area Under the Plasma Concentration Versus Time Curve From Time 0 Extrapolated to Infinity After Drug Administration (AUC0-∞)

"Total drug exposure, extrapolated to infinity~Blood samples for bupivacaine PK analysis were to be obtained from subjects at baseline (prior to bupivacaine HCl administration for nerve block), 15 minutes, 30 minutes, and 1, 2, 4, 8, 12, 24, 48, 72, and 96 hours, and 14 days after the beginning of EXPAREL administration" (NCT02255500)
Timeframe: Baseline, 0.25, 0.5, 1, 2, 4, 8, 12, 24, 48, 72, and 96 hours, and 14 days post-dose

Interventionhours*ng/mL (Mean)
Bupivacaine FNB + EXPAREL Infiltration25134
Bupivacaine FNB + EXPAREL Infiltration Admixed With Bupivacaine38489

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The Apparent Terminal Elimination Rate Constant (λz)

Blood samples for bupivacaine PK analysis were to be obtained from subjects at baseline (prior to bupivacaine HCl administration for nerve block), 15 minutes, 30 minutes, and 1, 2, 4, 8, 12, 24, 48, 72, and 96 hours, and 14 days after the beginning of EXPAREL administration (NCT02255500)
Timeframe: Baseline, 0.25, 0.5, 1, 2, 4, 8, 12, 24, 48, 72, and 96 hours, and 14 days post-dose

Intervention1/hours (Mean)
Bupivacaine FNB + EXPAREL Infiltration0.0290
Bupivacaine FNB + EXPAREL Infiltration Admixed With Bupivacaine.0315

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Mean Plasma Bupivacaine Level

(NCT02274870)
Timeframe: 12hrs

Interventionmicrogram per mL (Mean)
Liposomal Bupivacaine0.49
Bupivacaine HCl0.74

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Mean Plasma Bupivacaine Level

(NCT02274870)
Timeframe: 4hrs

Interventionmicrogram per mL (Mean)
Liposomal Bupivacaine0.35
Bupivacaine HCl0.44

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Mean Plasma Bupivacaine Level

(NCT02274870)
Timeframe: Baseline

Interventionmicrogram per mL (Mean)
Liposomal Bupivacaine0.1
Bupivacaine HCl0.1

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Mean Plasma Bupivacaine Levels

(NCT02274870)
Timeframe: 48hrs

Interventionmicrogram per mL (Mean)
Liposome Bupivacaine,0.29
Bupivacaine HCl1.76

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Mean Plasma Bupivacaine Level

(NCT02274870)
Timeframe: 24hrs

Interventionmicrogram per mL (Mean)
Liposomal Bupivacaine0.5
Bupivacaine HCl1.16

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Mean Plasma Bupivacaine Level

(NCT02274870)
Timeframe: 2hrs

Interventionmicrogram per mL (Mean)
Liposomal Bupivacaine0.24
Bupivacaine HCl0.29

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Mean Plasma Bupivicaine Level

(NCT02274870)
Timeframe: 72hrs

Interventionmicrogram per mL (Mean)
Liposomal Bupivacaine0.04
Bupivacaine HCl1.08

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Opioid Consumption

(NCT02274870)
Timeframe: 24hrs

InterventionMorphine milligram equivalents (Mean)
Liposomal Bupivacaine28.91
Bupivacaine HCl26.32

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Pain Intensity at Movement

"Pain intensity at maximum knee flexion measured using a 0-10 visual analog scale.~Higher values represent a higher pain intensity or worse outcome." (NCT02274870)
Timeframe: 24hrs

InterventionVAS Scale (Mean)
Liposomal Bupivacaine,8.95
Bupivacaine HCl7.91

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Pain Intensity at Rest

"Pain intensity at maximum knee flexion measured using a 0-10 visual analog scale.~Higher values represent a higher pain intensity or worse outcome." (NCT02274870)
Timeframe: 24hrs

InterventionVAS Scale (Mean)
Liposomal Bupivacaine5.08
Bupivacaine HCl5.16

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Change in Blood Serum Levels of Bupivocaine From Baseline

Bupivocaine levels measured in the blood that is collected in a surgical drain post surgery. Blood samples will be tested for change in serum bupivicaine levels from baseline. (NCT02276040)
Timeframe: Change from baseline at 2 and 5 hours post-dose

Interventionug/cc (Median)
2 Hours Post-Dose5 Hours Post-Dose2 & 5 Hours Combined
Exparalel0.60.950.8

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Time to Peak Plasma Concentration (Tmax)

(NCT02284386)
Timeframe: baseline, 15,30 min, 1,2,4,8,12,24,48,72 hours post dose, day 14

Interventionhours (Median)
Bupivacaine SNB + EXPAREL Infiltration12.0

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Area Under the Plasma Concentration Versus Time Curve From Time 0 Extrapolated to Infinity After Drug Administration (AUC0-∞)

(NCT02284386)
Timeframe: baseline, 15,30 min, 1,2,4,8,12,24,48,72 hours post dose, day 14

Interventionhours x ng/mL (Mean)
Bupivacaine SNB + EXPAREL Infiltration13741

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Area Under the Plasma Concentration Versus Time Curve From Time 0 to the Last Collection Time After Drug Administration (AUC0-last)

(NCT02284386)
Timeframe: baseline, 15,30 min, 1,2,4,8,12,24,48,72 hours post dose, day 14

Interventionhours x ng/mL (Mean)
Bupivacaine SNB + EXPAREL Infiltration15286

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The Apparent Terminal Elimination Rate Constant (λz)

(NCT02284386)
Timeframe: baseline, 15,30 min, 1,2,4,8,12,24,48,72 hours post dose, day 14

Intervention1/hours (Mean)
Bupivacaine SNB + EXPAREL Infiltration0.0523

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Maximum Plasma Concentration (Cmax)

(NCT02284386)
Timeframe: baseline, 15,30 min, 1,2,4,8,12,24,48,72 hours post dose, day 14

Interventionng/mL (Mean)
Bupivacaine SNB + EXPAREL Infiltration408

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The Apparent Terminal Elimination Half-life (t1/2el)

(NCT02284386)
Timeframe: baseline, 15,30 min, 1,2,4,8,12,24,48,72 hours post dose, day 14

Interventionhours (Mean)
Bupivacaine SNB + EXPAREL Infiltration14.7

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Number of Patients With Post Operative Nausea/Vomiting

(NCT02287623)
Timeframe: 0-72 hours

Interventionparticipants (Number)
Liposomal Bupivacaine TAP7
Bupivacaine TAP15

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Postoperative Opioid Use

Use of opioids during 24-48 hours after surgery (NCT02287623)
Timeframe: 24-48 hours

InterventionMicrograms of fentanyl equivalents (Median)
Liposomal Bupivacaine TAP190
Bupivacaine TAP240

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Post Operative Opioid Use

Post operative opioid use from 0-24 hours after surgery. (NCT02287623)
Timeframe: 0-24 hours

Interventionmicrograms of fentanyl equivalents (Median)
Liposomal Bupivacaine TAP160
Bupivacaine TAP230

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Post Operative Opioid Use

(NCT02287623)
Timeframe: 48-72 hours

Interventionmicrograms of fentanyl equivalents (Median)
Liposomal Bupivacaine TAP70
Bupivacaine TAP170

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Numerical Rating Scale

This was a measure of patient's reported pain on a 0-10 verbal numerical rating scale. 10 being worst pain. The maximal value for the time period 48-72 hours was chosen as the maximal pain during that time period. (NCT02287623)
Timeframe: 48-72 hours after injection

Interventionscores on a scale (Median)
Liposomal Bupivacaine TAP5
Bupivacaine TAP3

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Post Operative Length of Stay

(NCT02287623)
Timeframe: up to 30 days after surgery

InterventionHOURS (Median)
Liposomal Bupivacaine TAP67.7
Bupivacaine TAP78.1

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Patient Satisfaction as Assessed Via Patient Survey

To determine if liposomal bupivacaine improves quality of recovery post-operatively when compared to bupivacaine when injected in a TAP block via a patient survey either in person or via telephone. (NCT02289079)
Timeframe: assessed at 72 hours after injection

Interventionparticipants satisfied with pain control (Number)
Liposomal Bupivacaine TAP26
Bupivacaine TAP24

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Numerical Rating Scale

This was a measure of patient's reported pain on a 0-10 verbal numerical rating scale. 10 being worst pain. The maximal value for the time period 48-72 hours was chosen as the maximal pain during that time period. (NCT02289079)
Timeframe: 48-72 hours

Interventionscores on a scale (Median)
Liposomal Bupivacaine TAP3
Bupivacaine TAP5

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Post Operative Opioid Use

To determine if liposomal bupivacaine provides decreased narcotic use when compared to bupivacaine when injected in a TAP block (NCT02289079)
Timeframe: 0-72 hours after injection

Interventionmicrograms of fentanyl equivalents (Median)
Liposomal Bupivacaine TAP24.9
Bupivacaine TAP51.7

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Post Operative Length of Stay

To determine if liposomal bupivacaine provides decreased length of stay when compared to bupivacaine when injected in a TAP block (NCT02289079)
Timeframe: up to 30 days after surgery

InterventionHours (Mean)
Liposomal Bupivacaine TAP11
Bupivacaine TAP17

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Knee Society Score (KSS) at 6 Weeks Postoperatively

KSS (Knee Society Score) score measured at 6 weeks postoperatively. The scale is from 0-100. Scores below 60 indicate poor function, 60-69 indicate fair, 70-79 indicate good, and 80-100 indicate excellent functional scores. KSS measures knee pain, flexion contracture,extension lag, alignment, stability, and total range of flexion and generates an associated score correlating to knee function. Higher is better. There is no sub score - only the cumulative Knee Society Score. (NCT02292082)
Timeframe: Post operatively at approximately 6 weeks after surgery

Interventionscore on a scale (Mean)
Peri-Articular Injections Only85.2
Peri-Articular Injections and Adductor Canal Block75.2

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Numerical Rating Scale (NRS) Pain Scores With Ambulation Postoperative Day 1

Patient reported pain scores on postoperative day 1 from 0-10. 0 being no pain, 10 being the worst pain imaginable. (NCT02292082)
Timeframe: 24 hours after operating room discharge

Interventionscore on a scale (Mean)
Peri-Articular Injections Only4.3
Peri-Articular Injections and Adductor Canal Block3.9

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Opioid Consumption POD2

Opioid consumption over hours 24-48 postoperatively. Measured in mg OME (oral morphine equivalents). Higher equates to more opioids consumed. (NCT02292082)
Timeframe: 24-48 hours postoperative

Interventionmg OME (Mean)
Peri-Articular Injections Only67.9
Peri-Articular Injections and Adductor Canal Block60.1

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Opioid Consumption Postoperative Day (POD) 1

Opioid consumption for patients from 0-24 hours postoperative, measured in mg OME (oral morphine equivalents) (NCT02292082)
Timeframe: 0-24 hours postoperatively

Interventionmg OME (Mean)
Peri-Articular Injections Only58.4
Peri-Articular Injections and Adductor Canal Block47.5

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NRS Pain Score With Movement POD2

NRS pain with movement as reported by the patient. Rated from 0-10. 0 being no pain, 10 being the worst pain imaginable. (NCT02292082)
Timeframe: 48 hours after surgery

Interventionscore on a scale (Mean)
Peri-Articular Injections Only4.7
Peri-Articular Injections and Adductor Canal Block5.2

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Patient Outcome Questionnaire (painOUT) Least Pain for 0-24 Hours Postoperatively

Measures: least pain in the last 24 hours. Scores are measured from 0-10. 0 being no pain to 10 being the worst pain imaginable. (NCT02292082)
Timeframe: Participants will be followed for the duration of 2 days post operatively in the hospital

Interventionscore on a scale (Mean)
Peri-Articular Injections Only1.5
Peri-Articular Injections and Adductor Canal Block0.8

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Patient Outcome Questionnaire (painOUT) Least Pain for 24-48 Hours Postoperatively

Least pain experienced from 24-48 hours postoperative on a scale from 0-10. 0 being no pain at all to 10 being the worst pain imaginable (NCT02292082)
Timeframe: 24-48 hours postoperative

Interventionscore on a scale (Mean)
Peri-Articular Injections Only1.7
Peri-Articular Injections and Adductor Canal Block1.8

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Patient Outcome Questionnaire (painOUT) Most Pain for 0-24 Hours Postoperatively

Painout most pain experienced 0-24 hours postoperatively, measured from 0-10. 0 being no pain to 10 being the worst pain imaginable (NCT02292082)
Timeframe: 0-24 hours postoperatively

Interventionscore on a scale (Mean)
Peri-Articular Injections Only6.7
Peri-Articular Injections and Adductor Canal Block5.3

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Patient Outcome Questionnaire (painOUT) Most Pain for 24-48 Hours Postoperatively

Painout most pain experienced 24-48 hours postoperatively measured on a scale from 0-10. Higher scores indicate higher pain levels. (NCT02292082)
Timeframe: 24-48 hours postoperative

Interventionscore on a scale (Mean)
Peri-Articular Injections Only6.9
Peri-Articular Injections and Adductor Canal Block6.6

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Hospital Length of Stay

Measured in minutes. (NCT02292082)
Timeframe: Average of 3 days

InterventionMinutes (Mean)
Peri-Articular Injections Only3491
Peri-Articular Injections and Adductor Canal Block3394.4

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Time to Meet Physical Therapy Discharge Criteria

Time to reach physical therapy (PT) goals (NCT02292082)
Timeframe: First 3 days post-operatively

InterventionMinutes (Mean)
Peri-Articular Injections Only2109.3
Peri-Articular Injections and Adductor Canal Block1883.1

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Pain at Bedtime (Average Pain)

Before going to bed each night the patient will record the average level of pain using a visual analog scale (VAS). The VAS scale ranges from 0 to 100 mm. The higher the VAS score the greater the level of pain reported. (NCT02296099)
Timeframe: Day 1

Interventionscore on a scale (Median)
Liposomal Bupivacaine21.5
Saline Placebo21.5

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Pain at Bedtime (Current Level of Pain)

Before going to bed each night the patient will record their pain level at that moment using a visual analog scale (VAS). The VAS scale ranges from 0 to 100 mm. The higher the VAS score the greater the level of pain reported. (NCT02296099)
Timeframe: Day 1

Interventionscore on a scale (Median)
Liposomal Bupivacaine18.5
Saline Placebo24.0

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Pain at Bedtime (Most Intense Pain)

Before going to bed each night the patient will record the most intense pain using a visual analog scale (VAS). The VAS scale ranges from 0 to 100 mm. The higher the VAS score the greater the level of pain reported. (NCT02296099)
Timeframe: Day 1

Interventionscore on a scale (Median)
Liposomal Bupivacaine34.5
Saline Placebo34.5

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Pain in the Morning

A visual analog scale (VAS) will be used to have the patient rate her pain in the morning of postoperative day one. The VAS scale ranges from 0 to 100 mm. The higher the VAS score the greater the level of pain reported. (NCT02296099)
Timeframe: Day 1

Interventionscores on a scale (Median)
Liposomal Bupivacaine9.5
Saline Placebo27.0

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Pain Upon Discharge From Post-anesthesia Care Unit (PACU)

A visual analog scale (VAS) will be used to have the patient rate her pain upon discharge from the PACU. The VAS scale ranges from 0 to 100 mm. The higher the VAS score the greater the level of pain reported. (NCT02296099)
Timeframe: 1 day

Interventionscore on a scale (Median)
Liposomal Bupivacaine1.0
Saline Placebo1.0

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Total Narcotic Consumption

Cumulative consumption postoperative days 1 - 3 (NCT02296099)
Timeframe: Day 1 - 3

Interventionmorphine equivalents (Mean)
Liposomal Bupivacaine11.50
Saline Placebo13.39

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Pain Upon Discharge From Same Day Surgery

A visual analog scale (VAS) will be used to have the patient rate her pain upon discharge from same day surgery. The VAS scale ranges from 0 to 100 mm. The higher the VAS score the greater the level of pain reported. (NCT02296099)
Timeframe: 1 day

Interventionscore on a scale (Median)
Liposomal Bupivacaine2.0
Saline Placebo4.0

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Number of Participants Reporting 'Very Satisfied' at the 1 Week Postoperative Visit

A likert type scale will be used to have the patient rate their satisfaction with pain control at their one week postoperative visit. Count information for those who were very satisfied were provided. (NCT02296099)
Timeframe: 1 week

InterventionParticipants (Count of Participants)
Liposomal Bupivacaine39
Saline Placebo45

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Number of Participants Reporting 'Very Satisfied' at the 2 Week Postoperative Visit

A likert type scale will be used to have the patient rate their satisfaction with pain control at their two week postoperative visit. Count information for those who were very satisfied were provided. (NCT02296099)
Timeframe: 2 weeks

InterventionParticipants (Count of Participants)
Liposomal Bupivacaine47
Saline Placebo49

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Pain at Four Hours After Discharge Home

A visual analog scale (VAS) will be used to have the patient rate her pain four hours after being discharged home. The VAS scale ranges from 0 to 100 mm. The higher the VAS score the greater the level of pain reported. (NCT02296099)
Timeframe: 1 day, 4 hours after discharge from Same Day Surgery

Interventionscore on a scale (Median)
Liposomal Bupivacaine3.5
Saline Placebo13.0

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Pain Scores (Visual Analog Pain Scores)

visual analog pain scores (scale 0=no pain; 10=worst pain imaginable) (NCT02299349)
Timeframe: 1 day following surgery

Interventionunits on a scale (Mean)
Bupivacaine Liposome Suspension2.6
Concentrated Multi Drug Injection3.3

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MS04 Equivalent Consumption

in hospital total MS04 equivalent consumption (NCT02299349)
Timeframe: 1 day following surgery

Interventionmg (Median)
Bupivacaine Liposome Suspension10.0
Concentrated Multi Drug Injection15.0

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Plasma Bupivacaine Levels

Blood samples will be drawn and analyzed to establish levels of bupivacaine detectable in the blood. Blood samples will be drawn at baseline (prior to injection), upon injection, at 15 minutes, 30 minutes, 1 hour, 2 hours, 4 hours, 8 hours, 12 hours, 24 hours, 48 hours, 72 hours post-injection and analyzed to determine levels of bupivacaine present. (NCT02349542)
Timeframe: Up to 72 hours following injection

Interventionug/ml (Mean)
Baseline (Pre-Injection)Immediately Following Injection15 minutes after injection30 minutes after injection1 hour after injection2 hours after injection4 hours after injection8 hours after injection12 hours after injection24 hours after injection48 hours after injection72 hours after injection
Liposomal Bupivacaine00.220.310.350.470.530.560.630.560.710.800.43

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Adverse Events

Number of Participants with Adverse Events (NCT02349542)
Timeframe: Up to 72 hours following injection

Interventionparticipants (Number)
Liposomal Bupivacaine0

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NRS Pain Score at 8 Hours

Pain scale (0-10), where 0 = no pain and 10 = worst pain imaginable (NCT02352922)
Timeframe: 8 hours post-op

InterventionScore on a scale (Mean)
Liposomal Bupivacaine3.77
Bupivacaine HCl3.67

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NRS Pain Score at 4 Hours

Pain scale measured from 0-10, where 0 = no pain and 10 = worst pain imaginable (NCT02352922)
Timeframe: 4 hours post-op

InterventionScore on a scale (Mean)
Liposomal Bupivacaine3.87
Bupivacaine HCl3

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NRS Pain Score at 2 Hours

numeric rating scale (0-10), mean and SD, where 0 = no pain and 10 = worst pain imaginable (NCT02352922)
Timeframe: 2 hours post-op

Interventionunits on a scale (Mean)
Liposomal Bupivacaine2.53
Bupivacaine HCl2.74

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NRS Pain Score at 16 Hours

Pain scale (0-10), where 0 = no pain and 10 = worst pain imaginable (NCT02352922)
Timeframe: 16 hours post-op

Interventionscore on a scale (Mean)
Liposomal Bupivacaine3.1
Bupivacaine HCl3.97

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Quality of Life as Measured by the Brief Pain Inventory (BPI)

The brief pain inventory scale uses the 0 to 10 numerical rating scale to measure pain intensity under four different conditions. On the four conditions 0 = no pain, no relief, and does not interfere, whereas 10 = pain as bad as you can imagine, complete relief, and completely interferes (NCT02352922)
Timeframe: Post-Operative Day 2

Interventionscore on a scale (Mean)
Liposomal Bupivacaine4.09
Bupivacaine HCl4.31

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Number of Participants With Adverse Events

(NCT02352922)
Timeframe: Post-Operative Day 14

,
InterventionParticipants (Count of Participants)
Gas distension/bloatedConstipationNauseaHeadacheSore throat/coughDizziness
Bupivacaine HCl926733
Liposomal Bupivacaine554211

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Total Opioid Use Prior to Hospital Discharge

Oral morphine equivalent of opioid use while in the hospital (NCT02352922)
Timeframe: 24 hours

Interventionmg (oral morphine equivalents) (Mean)
Liposomal Bupivacaine216
Bupivacaine HCl266

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NRS Pain Score Post-op Day 2

Pain scale (0-10), where 0 = no pain and 10 = worst pain imaginable (NCT02352922)
Timeframe: 2 days post-op

Interventionscore on a scale (Mean)
Liposomal Bupivacaine3.34
Bupivacaine HCl4.17

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Total Opioid Use End of Post-op Day 3

Total use of home opioids by pill count/ oral morphine equivalents (NCT02352922)
Timeframe: 72 hrs post-op

Interventionmg (oral morphine equivalents) (Mean)
Liposomal Bupivacaine320
Bupivacaine HCl344

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Total Opioid Use at Post-op Day 14

Total use of home opioids by pill count/ oral morphine equivalents (NCT02352922)
Timeframe: Post-Operative Day 14

Interventionmg (oral morphine equivalents) (Mean)
Liposomal Bupivacaine360
Bupivacaine HCl443

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Quality of Life as Measured by the Brief Pain Inventory (BPI)

The brief pain inventory scale uses the 0 to 10 numerical rating scale to measure pain intensity under four different conditions. On the four conditions 0 = no pain, no relief, and does not interfere, whereas 10 = pain as bad as you can imagine, complete relief, and completely interferes (NCT02352922)
Timeframe: Post-Operative Day 3

Interventionscore on a scale (Mean)
Liposomal Bupivacaine3.36
Bupivacaine HCl3.94

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Quality of Life as Measured by the Brief Pain Inventory (BPI)

at time of post-op visit The brief pain inventory scale uses the 0 to 10 numerical rating scale to measure pain intensity under four different conditions. On the four conditions 0 = no pain, no relief, and does not interfere, whereas 10 = pain as bad as you can imagine, complete relief, and completely interferes (NCT02352922)
Timeframe: Post-Operative Day 14

Interventionscore on a scale (Mean)
Liposomal Bupivacaine1.74
Bupivacaine HCl1.65

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Numerical Rating Scale (NRS) Post-operative Pain Score on Post-Operative Day 1 (POD1).

Numerical Rating Scale (0-10) post-operative pain score on POD1, where 0 = no pain and 10 = worst pain imaginable (NCT02352922)
Timeframe: 24 hours

Interventionunits on a scale (Mean)
Liposomal Bupivacaine4.17
Bupivacaine HCl4.97

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NRS Pain Score Post-op Day 3

Pain scale, where 0 = no pain and 10 = worst pain imaginable (NCT02352922)
Timeframe: 3 days post-op

Interventionscore on a scale (Mean)
Liposomal Bupivacaine2.79
Bupivacaine HCl4.07

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NRS Pain Score Post-op Day 14

Pain scale (0-10), where 0 = no pain and 10 = worst pain imaginable (NCT02352922)
Timeframe: Post-Operative Day 14

Interventionscore on a scale (Mean)
Liposomal Bupivacaine1.64
Bupivacaine HCl2.07

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Total Postsurgical Narcotic Consumption in Morphine Equivalents

Outcome measure data refer to 7 participants who received rescue medication (NCT02353754)
Timeframe: Through 72 hours postdose

InterventionMUEs (Mean)
Standard of Care6.1

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Total Postsurgical Narcotic Consumption in Morphine Equivalents

Outcome measure data refer to 7 participants who received rescue medication (NCT02353754)
Timeframe: Through 48 hours

InterventionMUEs (Mean)
Standard of Care6.1

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Total Postsurgical Narcotic Consumption in Morphine Equivalents

Outcome measure data refer to 6 participants who received rescue medication (NCT02353754)
Timeframe: Through 24 hours

InterventionMUEs (Mean)
Standard of Care4.9

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Total Morphine Milligram Equivalents Use (MME)

The total cumulative use of opioids administered within 48 hours after surgery. MME is a standard value based on morphine and its potency assigned to all opioids to represent relative potencies. (NCT02356198)
Timeframe: First 48 hours post operative

Interventiontotal morphine milligram equivalents (Median)
TAP Block (EXPAREL)47.5
Intrathecal Opioid (IT)32.5

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Mean Pain Score

Postoperative mean pain score for 48 hours after surgery. Pain was assessed on a 0 to 10 point visual analog scale (VAS), with 0 indicating no pain and 10 indicating severe pain. The mean pain score was summarized as the area under the curve (AUC) of the observed pain score, normalized for the total time of observation. (NCT02356198)
Timeframe: First 48 hours post operative

Interventionscore on a scale (Mean)
TAP Block (EXPAREL)3.0
Intrathecal Opioid (IT)2.4

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Number of Participants With Post-operative Ileus

Post-operative ileus was defined as the inability to tolerate oral diet and/or the absence of flatus over 24 hours after surgery. (NCT02356198)
Timeframe: 24 hours post-operatively

InterventionParticipants (Count of Participants)
TAP Block (EXPAREL)11
Intrathecal Opioid (IT)14

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Total Length of Hospital Stay

Length of stay was defined as the total number of nights spent in the hospital after surgery. (NCT02356198)
Timeframe: post-operative to discharge

Interventionnights (Median)
TAP Block (EXPAREL)3
Intrathecal Opioid (IT)3

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Use of Intravenous Patient-controlled Analgesia

The total number of patients that used patient-controlled analgesia within 48 hours after surgery. (NCT02356198)
Timeframe: First 48 hours post-operative

InterventionParticipants (Count of Participants)
TAP Block (EXPAREL)5
Intrathecal Opioid (IT)1

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Pain Med Consumption Assessed Using Questionnaire/Hospital Records

Questionnaire/Hospital Records - While patients are in the hospital, pain medication consumption will be tracked in their electronic medical record. At home, patients will be asked to keep a log of pain medication consumption. They will be asked to record this information on a questionnaire at their first post-operative visit. (NCT02420951)
Timeframe: 2 days

Interventionmorphine milligram equivalents (mgs) (Mean)
Injection79.45548
No Injection62.39041

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Pain Assessed Using the VAS 0-10 Pain Scale

Pain will be assessed using the VAS 0-10 pain scale. 0 is no pain and 10 in worst imaginable pain. (NCT02420951)
Timeframe: 7 days

Interventionunits on a scale (Mean)
Injection2.763
No Injection2.483

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Pain Score (Pain Scores on a 0/10 Scale)

"Subjects recorded pain scores four times a day in a daily pain diary using a Visual Analog Scale with markings from 0 to 10. 0 indicated no pain and 10 indicated worst possible pain" (NCT02444533)
Timeframe: day of surgery, 14 days after surgery

,
Interventionunits on a scale (Mean)
day of surgery14 days after surgery
Liposomal Bupivacaine3.071.76
No Treatment4.91.42

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Pain Medication Usage (Milligrams Used)

Subjects recorded pain medication usage in milligrams used of Tylenol, Ibuprofen, and Oxycodone over a 2 week time frame (NCT02444533)
Timeframe: 2 weeks after surgery

,
Interventionmg (Mean)
Ibuprofen (Motrin)Acetaminophen (Tylenol)Oxycodone (OxyContin)
Liposomal Bupivacaine1401330615265
No Treatment975331287244

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Number of Subjects With Post-tonsillectomy Bleeding

The rate of post-tonsillectomy bleeding will be recorded and compared to the arm who did not receive the injection. (NCT02444533)
Timeframe: 4 weeks

,
InterventionParticipants (Count of Participants)
Any form of bleedingRequired a trip back to the operating roomNo bleeding
Liposomal Bupivacaine4211
No Treatment2115

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Oral Intake (Patient Recorded Oral Intake)

Subjects recorded oral intake over one week after surgery (NCT02444533)
Timeframe: 1 week after surgery

InterventionmL (Mean)
Liposomal Bupivacaine13715
No Treatment12492

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Visual Analog Scales (VAS) for Pain at 18 Hours Postoperatively

VAS is a validated 100 millimeter scale with no pain as 0 mm and worst pain as 100 mm. Subjects drew a vertical line on the scale corresponding to their pain level. (NCT02449915)
Timeframe: 18 hours after surgery

Interventionmm (Median)
Bupivacaine Arm15.0
Placebo Arm20.5

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Time to Achieve Physical Therapy Discharge Criteria as Measured by 75-feet Walk Test. {Number of Hours After Conclusion of Surgery}

Ability to walk 75 feet if performed on POD#2 is usually considered the main criterion for discharge at UPMC Passavant. The patient is accompanied/supervised by physical therapist using a walker but without active intervention by therapist, unless necessary. The earliest day on which the patient achieves the 75-feet unassisted walk will be recorded for comparison among the arms/groups. (NCT02453321)
Timeframe: Participants will be followed for the duration of hospital stay, an average of 4 days

InterventionHours (Median)
Cont. Femoral Block - Low Dose Group67.3
Cont. Femoral Block - Higher Dose66
Continuous Adductor Canal46.5

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Postoperative Pain, Average Reported Score 11-point Scale

The outcome is measured using a Numeric pain scale. The patient reports their average pain felt on postoperative day one, on a scale of 0 to 10 inclusive. Zero in this case indicates no pain at all and 10 indicates the worst pain they have ever felt. (NCT02453321)
Timeframe: postoperative day one

Interventionunits on scale (Mean)
Cont. Femoral Block - Low Dose Group3.961
Cont. Femoral Block - Higher Dose4.116
Continuous Adductor Canal4.282

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Average Length of Stay (to be Reported in Hours After Surgery)

If pain is controlled and rehabilitation activity is optimal patient may be discharged at an earlier time (NCT02453321)
Timeframe: Participants will be followed for the duration of hospital stay; No patients will be discharged on the day of surgery; The earliest discharge would be at 24 hours. Those hospitalized beyond 96 hours will be excluded.

InterventionHours (Median)
Cont. Femoral Block - Low Dose Group75.5
Cont. Femoral Block - Higher Dose74.3
Continuous Adductor Canal72.5

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Pain With Activity at 24 Hours

Patient pain will be assessed by having participants describe pain using Numerical Ranking Scale (NRS) with a total score of 0-10 where 0 is no pain and 10 is the worst pain imaginable. Location of pain will also be assessed. (NCT02453360)
Timeframe: 24 Hours Following Surgery

InterventionScores on a scale (Mean)
5 ml5
10 ml5
20 ml6

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Opioid Consumption

Opioid Requirements will be retrieved from the patient's electronic medical record (NCT02453360)
Timeframe: PACU Discharge through 24 hours postoperatively

InterventionMorphine Equivalents (mg) (Mean)
5 ml33.8
10 ml30.9
20 ml29.1

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Number of Participants With Nausea at 24 Hours

Need for antiemetic therapy will be assessed through evaluation of the electronic medical record. (NCT02453360)
Timeframe: Perioperative through 48 hours postoperatively

InterventionParticipants (Count of Participants)
5 ml11
10 ml11
20 ml6

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10 Meter Walk Test

This will be evaluated by determining how quickly a patient is able to ambulate over 10 meters on POD 1 (10 meter walk test). (NCT02453360)
Timeframe: 24 hours postoperatively following total knee arthroplasty

InterventionSeconds (Mean)
5 ml38.6
10 ml49.8
20 ml43.3

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Percentage Change in Knee Extension Strength From Baseline

Patient strength will be assessed by asking subjects to maximally adduct their leg or extend their knee for five seconds. Subjects will be asked to repeat this measurement three times at each measurement (pre-block, 15 minutes post-block, 24 hours post-block and 48 hours post-block). Strength measurements will be made with the Kiio strength monitoring device. (NCT02453360)
Timeframe: 24 Hours Following Surgery

Interventionpercentage change of Baseline Strength (Mean)
5 ml-59.7
10 ml-55
20 ml-64.3

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Verbal Pain Scores

Verbal Pain Scores will be compared between groups as obtained every six hours during hospitalization. Patients will be asked to provide verbal pain scores both at rest and with movement on a scale of 0-10 (0 being no pain and 10 being the worst pain). These scores will be taken at 0, 6, 12, 18, 24, and 30 hours. (NCT02462148)
Timeframe: 0 to 30 hours

,,
Interventionunits on a scale (Mean)
0h6h12h18h24h30h
1 mg Perineural Dexamethasone2.31.32.11.81.83.1
4mg Perineural Dexamethasone2.10.81.71.61.52.4
Placebo2.11.13.03.33.14.3

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Time to First Opioid Analgesic Request

Time it took for the first opioid analgesic request was recorded. (NCT02462148)
Timeframe: 0 to 36 hours

Interventionminutes (Mean)
4 mg Perineural Dexamethasone Group686.18
1 mg Perineural Dexamethasone Group654.97
Placebo Group658.17

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Neurologic Complications

Each patient will be followed for neurologic complications (paresthesias, etc) if they should occur. (NCT02462148)
Timeframe: throughout study completion, up to 48 hours

Interventionneurological complications (Mean)
4 mg Perineural Dexamethasone Group0
1 mg Perineural Dexamethasone Group0
Placebo Group0

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Rate of Post Operative Nausea and Vomiting

Number of participants that experienced nausea and vomiting was recorded. (NCT02462148)
Timeframe: 0 to 30 hours

InterventionParticipants (Count of Participants)
4 mg Perineural Dexamethasone Group5
1 mg Perineural Dexamethasone Group14
Placebo Group4

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Post Operative Opioid Use and Consumption

Amount of opioid use and consumption was recorded. (NCT02462148)
Timeframe: 0-30 hours

Interventionmg oxycodone equivalents (Mean)
4 mg Perineural Dexamethasone Group27.16
1 mg Perineural Dexamethasone Group26.04
Placebo Group42.33

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Duration of Sensory Nerve Block

The primary outcome will be time to resolution of the nerve block as assessed by pinprick over the saphenous nerve distribution. Testing will occur every two hours. (NCT02462148)
Timeframe: 12 to 48 hours

Interventionhours (Mean)
4 mg Perineural Dexamethasone Group37.00
1 mg Perineural Dexamethasone Group31.75
Placebo Group29.67

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Total Opioid Consumption

(NCT02464176)
Timeframe: 30 hours

Interventionoxycodone mg equivalents (Median)
4 mg Dexamethasone Group36.6
8 mg Dexamethasone Group30
Control Group39.2

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Verbal Numeric Pain Score Comparisons

This secondary outcome includes pain scores utilizing the verbal numeric pain score scale (0 to 11). Higher values indicate worse outcomes (higher pain scores). Lower values are better. (NCT02464176)
Timeframe: 24 hour

Interventionscores on a scale (Median)
4 mg Dexamethasone Group3
8 mg Dexamethasone Group2
Control Group3

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Duration of Sensory Blockade

The primary outcome will be duration of sensory blockade in the distribution of the lumbar plexus as determined by pin-prick sensation as tested every two hours with pin-prick sensation. (NCT02464176)
Timeframe: 30 hours

Interventionhours (Mean)
4 mg Dexamethasone Group18.5
8 mg Dexamethasone Group18.1
Control Group19.6

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Time to First Analgesic Request

Time (in minutes) will be recorded to first analgesic request following the block placement (NCT02464176)
Timeframe: 30 hours

Interventionminutes (Median)
4 mg Dexamethasone Group474
8 mg Dexamethasone Group533
Control Group432

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Visual Analog Pain Scale

subjective patient's pain evaluation according to Visual Analog pain Scale (VAS). Visual Analog pain Scale a 1-10 score of pain. 1 being a lowest level of pain and 10 the worst pain felt by the patient. (NCT02469610)
Timeframe: post operative

Interventionunits on a scale (Mean)
Study3.53
Control3.63

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Analgesic Use

The amount of analgesic medication consumption by patients during and after thoracoscopic surgery. the measurement include A. Analgesic usage during the hours of operation and recovery unit (4-8Hr) B. Analgesic usage during postoperative days (first, second, third and fourth for each 24 Hr) (NCT02469610)
Timeframe: post operative

InterventionMG (Mean)
Study33.35
Control35.32

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Post Operative American Shoulder and Elbow Surgeons (ASES)

American Shoulder and Elbow Surgeons (ASES) score is an outcome reporting measure for assessments of shoulder function in patients with shoulder pathology and after shoulder arthroplasty surgery. ASES is a 100 points scale consisting of two measures: one pain scale (worth 50 points) and 10 activities of daily living(worth 50 points), the total score is the sum of both and the higher total score indicates better outcome. (NCT02472314)
Timeframe: Preoperative, 6 weeks and last follow up

,
Interventionscore on a scale (Mean)
Pre-operative6 Weeks after surgeryLast Followup
CISB Control for A27.757.359.7
Liposomal Bupivacaine A36.159.574.5

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Post Operative Opioid Consumption

Cumulative amount of opioids administered during the time frame (NCT02472314)
Timeframe: During hospital stay up to 48 hours after surgery

InterventionTotal MME per Group (Number)
Liposomal Bupivacaine A78.6
CISB Control for A52.8

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Incidence of Nerve Injury

Neuropraxia on the treatment side (NCT02472314)
Timeframe: During hospital stay and at 2 weeks and 6 weeks post-operatively

InterventionParticipants (Count of Participants)
Liposomal Bupivacaine A0
CISB Control for A0

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Subjective Shoulder Value (SSV)

Functional assessments after shoulder arthroplasty surgery. The SSV is defined as a patient's subjective shoulder assessment expressed as a percentage of an entirely normal shoulder, which would score 100%. The range is between 0% and 100% (NCT02472314)
Timeframe: Pre-operative, 6 weeks and last Follow up

,
Interventionscore on a scale (Mean)
Preoperativeat 6 weeks post-opAt last follow up
CISB Control for A24.363.169.3
Liposomal Bupivacaine A30.755.770.0

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Quality of Analgesia

Quality of analgesia as measured by numerical rating scores for pain (active and at rest) as (0=no pain, 10= worst pain) every two hours for the initial 36 hours, then on day2, day7 and day30 postoperatively (NCT02472314)
Timeframe: 30 days

,
Interventionscore on a scale (Mean)
At 24 to 48 hoursDay 2Day 7Day 30
CISB Control for A2.64.02.62.2
Liposomal Bupivacaine A2.14.13.42.0

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Verbal Rating Score (VRS) Pain Scores

Summary 24 hour Verbal rated numerical pain scores were gathered each day. Scale range 0-10 where 0 is no pain and 10 is worst imaginable pain (NCT02478372)
Timeframe: 24hours, 48 hours and 72 hours post-surgery

,
Interventionunits on a scale (Mean)
Theatre Day( asked at 24 hrs)Post-operative day one( asked at 48hrs)Post-operative day two(asked 72 hrs)
Local Infiltration Analgesia (LIA)344
Patient Controlled Epidural (PCEA)333

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Maximal Flexion Angle of the Operative Knee at Discharge From Rehabilitation

(NCT02478372)
Timeframe: On day of discharge from rehabilitation in-patient care (average 96 hours post surgery)

Interventionangle of flexion (degree) (Median)
Patient Controlled Epidural (PCEA)80
Local Infiltration Analgesia (LIA)80

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Average Post-operative Length of Stay

Participants will be followed for the duration of hospital stay, an expected average of 5 days (NCT02478372)
Timeframe: Average number of days spent in hospital follwoing surgery, an expected average of 5 days

Interventiondays (Median)
Patient Controlled Epidural (PCEA)4
Local Infiltration Analgesia (LIA)4

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Post-operative Nausea and Vomiting Scores

percentage of patients reporting either symptoms of nausea or vomiting over the first 72 hours following surgery. Scale 0-2 wherein 0=no nausea and vomiting, 1=nausea and 2= nausea and vomiting (NCT02478372)
Timeframe: 24hours, 48 hours and 72 hours post-surgery

Interventionpercentage of patients reporting PONV (Number)
Patient Controlled Epidural (PCEA)16
Local Infiltration Analgesia (LIA)14

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Post-operative Urinary Catheterisation Rates

% of patients requiring catheterisation for urinary retention post-surgery (NCT02478372)
Timeframe: 72 hours post-surgery

Interventionpercentage of patients catheterised (Number)
Patient Controlled Epidural (PCEA)9.2
Local Infiltration Analgesia (LIA)4.4

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Proportion of Patients Discharged From Rehabilitation by Day Four

"% of patients meeting predetermined discharge criteria at 96 Hours post-surgery.~The discharge criteria were: self dependent (dress, personal care); in and out of bedd independently; up and down stairs; walk with crutches/stick; 80 degrees knee flexion; able to straight leg raise operated limb." (NCT02478372)
Timeframe: 96 hours

Interventionpercentage of patients (Number)
Patient Controlled Epidural (PCEA)77
Local Infiltration Analgesia (LIA)82

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Day of Ambulation

Proportion of patients per day to ambulate for the first time with the physiotherapist > 3 Metres (NCT02478372)
Timeframe: theatre day, day 1 post-surgery, day two post-surgery

,
Interventionpercentage of patients (Number)
Theatre DayPost-operative day onePost-operative day two
Local Infiltration Analgesia (LIA)51490
Patient Controlled Epidural (PCEA)35654

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Patient Reported Outcome Measure - Oxford Knee Score

Units measured on old Oxford Score (12-60) from a 12 point questionnaire. Where in 60 is poor and lower scores are better patient reported outcome scores (NCT02478372)
Timeframe: one week prior to surgery, 6 weeks post-surgery , one year post-surgery

,
Interventionunits on a scale (Median)
Pre-operative Oxford ScoreSix week follow up scoreOne year Follow up score
Local Infiltration Analgesia (LIA)432619
Patient Controlled Epidural (PCEA)432819

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Total Number of Reported Participants With Complications and/or Adverse Events

The composite number of adverse events reported per group at 30 days and then one year post surgery (NCT02478372)
Timeframe: 30 days and one year post-surgery

,
Interventionparticipants (Number)
Reported complications at 30 daysReported complications at one year
Local Infiltration Analgesia (LIA)24
Patient Controlled Epidural (PCEA)02

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Pain Levels on a Visual Analog Scale ( VAS)

A Visual Analog Scale (VAS) ranging from 0 to 10 in increments of 1 was used to both qualitatively and quantitatively assess the level and severity of pain during the time points ranging from the immediate post-operative period through 72 hours post-operative. Each number on the scale is accompanied by a visual facial expression that indicates the level of pain, discomfort, and distress appropriate to the number on the scale. The more severe the level of pain, the higher the corresponding number and more distressing the accompanying facial expression. A VAS score of 0 indicates no active pain level and is accompanied by a pleasantly smiling face whereas a VAS score of 10 indicates the most severe active pain level and is accompanied by a visibly-distraught face that is frowning, grimacing, and sweating. The combination of facial expressions and numbers is supposed to provide a language-independent, validated means of assessing pain levels. (NCT02480621)
Timeframe: Immediate post-operative period until 72 hours post-operatively

,
Interventionunits on a scale (Mean)
4 Hours Post-operativePost-operative Day 1Post-operative Day 2Post-operative Day 3
Control7.057.496.645.72
Liposomal Bupivacaine With Bupivacaine4.036.605.224.08

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Change in Mean Arterial Pressure

(NCT02497040)
Timeframe: 220+-70 minutes

InterventionmmHg (Mean)
Bupivacaine,Levobupivacaine110
Levobupivacaine105
Bupivacaine100

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Return to Baseline Activity

Using surveys, patients are asked if they have been able to return to baseline activity levels. (NCT02499159)
Timeframe: Assessed at 30 days post-procedure

InterventionParticipants (Count of Participants)
Exparel40
0.25% Standard Bupivicaine47

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Return to Work

Using surveys, patients are asked if they have been able to return to work. (NCT02499159)
Timeframe: Assessed at 30 days post-procedure

InterventionParticipants (Count of Participants)
Exparel24
0.25% Standard Bupivicaine17

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Scores on a Analog Pain Scale (7 Days)

Using questionnaires, patients are asked what their pain level is based on a scale from 0-10, 10 being the absolute worst pain and 0 being no pain. (NCT02499159)
Timeframe: Assessed at day 7 post-procedure

InterventionMedian score on postoperative day 7 (Median)
Exparel1.5
0.25% Standard Bupivicaine1

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Scores on an Analog Pain Scale (30 Days)

Using questionnaires, patients are asked what their pain level is based on a scale from 0-10, 10 being the absolute worst pain and 0 being no pain. (NCT02499159)
Timeframe: Assessed at 30 days post-procedure

InterventionMedian score on postoperative day 30 (Median)
Exparel0
0.25% Standard Bupivicaine0

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Hospital Length of Stay

Median length of stay in days until discharge. (NCT02499159)
Timeframe: From end of procedure until discharge, usually 0-2 days.

Interventiondays (Median)
Exparel0
0.25% Standard Bupivicaine0

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Days Until Return to Work

Using surveys, the number of days to return to work was assessed for patients who were able to return to work. (NCT02499159)
Timeframe: Assessed at 30 days post-procedure

Interventiondays (Median)
Exparel6.5
0.25% Standard Bupivicaine5

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Proportion of Patients With Paresthesias (Postoperatively at 30 Days)

Patients are asked if they have experienced a pricking or tingling sensation caused by potential pressure or damage to peripheral nerves (NCT02499159)
Timeframe: Assessed at day 30 post-procedure

InterventionParticipants (Count of Participants)
Exparel6
0.25% Standard Bupivicaine5

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Overall Amounts of Pain Medications Consumed Through Post-operative Day 7

Using questionnaires, patients are asked if they took Dilaudid, Tylenol, Motrin, or other opioids and if so, how many tablets. (NCT02499159)
Timeframe: Assessed daily for 7 days post-procedure

Interventiontablets (Number)
Exparel1294
0.25% Standard Bupivicaine1455.5

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Number of Patients With Paresthesias (Postoperatively at 7 Days)

Patients are asked if they have experienced a pricking or tingling sensation caused by potential pressure or damage to peripheral nerves since the procedure. (NCT02499159)
Timeframe: Assessed at day 7 post-procedure

InterventionParticipants (Count of Participants)
Exparel10
0.25% Standard Bupivicaine20

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Total Opioid Use as Measured by Questionnaire

Compare total opioid use (reported as total morphine equivalents) over 72 hours between groups. (NCT02499575)
Timeframe: Daily through the third day (72 hours) post-surgery

Interventionmorphine equivalents (Number)
Regional Block18

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Opioid Use as Measured by Questionnaire

Compare time to first opioid use over 72 hours between groups (NCT02499575)
Timeframe: Daily through the third day (72 hours) post-surgery

Interventionhours (Number)
Regional Block6

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Pain Relief Measured by Defense and Veterans Pain Scale

Evaluate patient-reported pain scores (scale of 0 (no pain) - 10 (worst pain)) at 0, 6, 12, 24, 36, 48, 60, and 72 hours following surgery (NCT02499575)
Timeframe: Through 72 hours post-surgery (0, 6, 12, 24, 36, 48, 60, and 72 hours post-surgery)

Interventionunits on scale of 0 -10 (Number)
Pain score time 0Pain score time 6hrsPain score time 12hrsPain score time 24hrsPain score time 36hrsPain score time 48hrsPain score time 60hrsPain score time 72hrs
Regional Block03323322

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Total mg of Local Anesthetic Injected for Femoral Nerve Block

(NCT02501135)
Timeframe: length of surgery

Interventionml/kg (Median)
Amount of ropivacaine 0.2%Amount of ropivacaine 0.5%Amount of bupivacaine 0.25%
Femoral Nerve Blocks0.270.290.25

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Time to Discharge From PACU

(NCT02501135)
Timeframe: Conclusion of surgery until admission to assigned unit or to phase, an expected average of 1 hour

Interventionminutes (Median)
PACU time in pt who got ropivacaine 0.2%PACU time in pt who got ropivacaine 0.5%PACU time in pt who got bupivacaine 0.25%
Discharge From PACU in Minutes574755

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Concentration of Local Anesthetic Injected for Femoral Nerve Block

(NCT02501135)
Timeframe: length of surgery

InterventionParticipants (Count of Participants)
Patients who received ropivacaine 0.2%Patients who received ropivacaine 0.5%Patients who received bupivacaine 0.25%
Femoral Nerve Blocks1178183

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Post-operative Opioids Administered

Amount of opioid consumption in the post operative anesthesia care unit depending on if the patient received femoral nerve block with ropivacaine or bupivacaine (NCT02501135)
Timeframe: in PACU (1 hr post-op)

Interventionmg/kg (Median)
IV Morphine who got ropivacaine 0.5% nerve blockIV Morphine who got ropivacaine 0.2% nerve blockIV Morphine who got bupivacaine 0.25% nerve block
Post Operative Opioid Consumption00.020.02

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Intraoperative Tylenol Administered

Amount of Tylenol administered based on if got ropivacaine or bupivacaine femeral nerve block. (NCT02501135)
Timeframe: length of surgery

Interventionpercentage of participants (Number)
Increased Tylenol use in ropivacaine 0.5% NBIncreased Tylenol use in ropivacaine 0.2% NBIncreased Tylenol use in bupivacaine 0.25% NB
Intraoperative Tylenol Consumption1641

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Post-operative Pain Scale Using FLACC

The Face, Legs, Activity, Cry, Consolability scale or FLACC scale is a measurement used to assess pain for children between the ages of 2 months and 7 years or individuals that are unable to communicate their pain. The scale is scored in a range of 0-10 with 0 representing no pain. (NCT02501135)
Timeframe: 1 hour post-op

Interventionunits on a scale (Median)
FLACC in patient who had ropivacaine 0.2%FLACC in patient who had ropivacaine 0.5%FLACC in patient who had bupivacaine 0.25%
FLACC Pain Scores000

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Post-operative Pain Scale Using VAS

"The visual analogue scale (VAS) for pain is a validated, subjective measure where scores are recorded by making a handwritten mark on a 10-cm line that represents a continuum between no pain and worst pain." (NCT02501135)
Timeframe: 1 hour post-op

Interventionunits on a scale (Median)
Ropivacaine 0.2%Ropivacaine 0.5%Bupivacaine 0.25%
VAS Pain Scores000

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Mean Summed Pain Intensity (SPI) Score.

The SPI is derived by summing the pain intensity score weighted by the scheduled time duration. SPI0-24 will be calculated by summing the Pain intensity (PI) score at the relevant time points weighted by the scheduled time duration since the prior PI assessment as follows: SPI0-24= PI1+PI2+2*PI4+2*PI6+2*PI8+2*PI10+2*PI12+2*PI14+4*PI18+6*PI24. Min = 0 (if PI=0 at every time) and Max = 240 (if PI=10 at every time). (NCT02504580)
Timeframe: 24 hours

InterventionUnits on a scale (Mean)
HTX-011: 200 mg83.71
HTX-011: 400 mg77.63
HTX-011A: 200 mg95.24
HTX-011A: 400 mg89.28
HTX-011B: 200 mg97.16
HTX-011B: 300 mg73.81
HTX-011B: 400 mg86.61
HTX-002: 200 mg99.82
HTX-002: 400 mg99.53
HTX-009: 12 mg118.22
Saline Placebo121.93
Bupivacaine HCI108.72

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Opioid Consumption

(NCT02506660)
Timeframe: Postoperative day 2, postoperative day 3

,
Interventionmg (Mean)
Postoperative day 2postoperative day 3
Intravenous Dexamethasone67.333
Perineural Dexamethasone67.439.7

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Side Effects

"Opioid-related symptom distress scale is calculated using responses to the symptom severity questions only.~For each symptom, severity is assessed by the question: (If yes), how severe was it usually? (In the past 24 hours) The responses to the severity questions are measured on a 5-point scale from 0-4 in ascending order as follows: Did not have symptom (0) Slight (1) Moderate (2) Severe (3) Very severe (4)" (NCT02506660)
Timeframe: Postoperative day 2, postoperative day 3

,
Interventionunits on a scale (Mean)
Postoperative day 2postoperative day 3
Intravenous Dexamethasone0.50.4
Perineural Dexamethasone0.60.4

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Numerical Rating Scale Pain Scores

"The 11-point numeric scale ranges from '0' representing one pain extreme (e.g. no pain) to '10' representing the other pain extreme (e.g. pain as bad as you can imagine or worst pain imaginable)" (NCT02506660)
Timeframe: Duration of stay in recovery room after surgery (average of 3 hours)

InterventionUnits on a Scale (Median)
Intravenous Dexamethasone0
Perineural Dexamethasone0

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Block Satisfaction

0-10 scale (0=not satisfied; 10=extremely satisfied) (NCT02506660)
Timeframe: Postoperative day 2, postoperative day 3

,
Interventionunits on a scale (Mean)
postoperative day 2postoperative day 3
Intravenous Dexamethasone8.18.0
Perineural Dexamethasone8.17.5

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% of Participants Who Guessed the Correct Group

Patients will be asked whether they believe they were in the IV dexamethasone or intravenous dexamethasone group (NCT02506660)
Timeframe: Postoperative day 7-10

Intervention% of participants (Number)
Intravenous Dexamethasone-7
Perineural Dexamethasone3.4

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Nerve Block Duration

Time at which the pain relief from the block has completely worn off (NCT02506660)
Timeframe: Postoperative day 2+

InterventionHours (Median)
Intravenous Dexamethasone22.2
Perineural Dexamethasone25.7

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Patient-Controlled Analgesia (PCA) Fentanyl/Equivalent Day 0-1

(NCT02512861)
Timeframe: Day of Surgery and Postoperative Day 1

Interventionmcg/kg/day (Median)
Bupivacaine15.7
Placebo14.6

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Total Fentanyl/Equivalent Day 0-1

(NCT02512861)
Timeframe: Day of Surgery and Postoperative Day 1

Interventionmcg/kg/day (Median)
Bupivacaine23.6
Placebo22.4

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Postoperative Cortisol Levels

(NCT02512861)
Timeframe: 36 hours post-surgery

Interventionmicrogram/deciliter (Median)
Bupivacaine9.4
Placebo9.1

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Postoperative Pain Scores-State Behavioral Scale (SBS)

State Behavioral Scale (SBS): range is from -3 to 2. A higher score indicates a patient is more uncomfortable and agitated (worse outcome). (NCT02512861)
Timeframe: Day of Surgery

Interventionscore on a scale (Median)
Bupivacaine-0.25
Placebo-0.25

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Postoperative Length of Intubation

(NCT02512861)
Timeframe: 5 days post cardiac surgery

Interventionhours (Median)
Bupivacaine5.9
Placebo6.4

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Postoperative Pain Scores-Face, Legs, Activity, Cry, Consolability (FLACC) Scale

Face, Legs, Activity, Cry, Consolability (FLACC) scale: range is from 0 to 10 and a higher score indicates greater level of pain (worse outcome). (NCT02512861)
Timeframe: Day of Surgery

Interventionscore on a scale (Median)
Bupivacaine0
Placebo0

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Postoperative Cortisol Levels

(NCT02512861)
Timeframe: 12 hours post-surgery

Interventionmicrogram/deciliter (Median)
Bupivacaine25.4
Placebo27.7

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Change in Number of Hot Flashes From Baseline to 6 Months After Intervention. [Time Frame: 6 Months After Intervention]

Mean change in number of hot flashes from baseline to 6 months after intervention using a paper diary (subjective measure of frequency). Number is the change from mean baseline number of hot flashes to mean 6 months after procedure (number of ns/month) (NCT02513329)
Timeframe: 6 months after intervention

InterventionHot flashes/month (Mean)
Bupivicaine34.3
Saline172.62

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Change in Number of Night Sweats From Baseline to 6 Months After Intervention.

Change in number of mean night sweats from baseline to 6 months after intervention using a paper diary (subjective measure of frequency). Number is the change from mean baseline number of night sweats to mean 6 months after procedure (number of ns/month) (NCT02513329)
Timeframe: 6 months after intervention

Interventionnight sweats/month (Mean)
Bupivicaine5.46
Saline10.09

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Changes From Baseline of Pittsburg Sleep Quality Inventory (PSQI)

Change in Pittsburg Sleep Quality Inventory (PSQI) between baseline and 6 months post intervention. In scoring the PSQI, seven component scores are derived, each scored 0 (no difficulty) to 3 (severe difficulty). The component scores are summed to produce a global score (range 0 to 21). Higher scores indicate worse sleep quality. (NCT02513329)
Timeframe: 6 month following intervention

InterventionScore on a scale (Mean)
Bupivicaine10.84
Saline11.92

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Survey Score Changes From Baseline to 6 Months After Intervention Using the Epidemiological Studies-Depression(CES-D) Survey.

Baseline score change compared to the 6 month survey score using the Epidemiological Studies-Depression(CES-D) survey. This survey is a 20-item measure that asks to rate how often over the past week they experienced symptoms associated with depression, such as restless sleep, poor appetite, and feeling lonely. Response options range from 0 to 3 for each item (0 = Rarely or None of the Time, 1 = Some or Little of the Time, 2 = Moderately or Much of the time, 3 = Most or Almost All the Time). Scores range from 0 to 60, with high scores indicating greater depressive symptoms. CES-D also provides cutoff scores (e.g., 16 or greater) that aid in identifying individuals at risk for clinical depression (NCT02513329)
Timeframe: 6 months following intervention

InterventionScore on a scale (Mean)
Bupivicaine-.14
Saline1.16

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Intensity of Subjective Hot Flashes (HF) at Baseline and 6 Months

"Hot flashes intensity from baseline and at 6 months as reported by the subject using paper diary (subjective) measures of intensity (including mild, severe and very severe HF).Intensity scoring = Frequency*Severity = [(frequency of mild*1)+(frequency of moderate*2) + (frequency of severe*3) + (frequency of very severe*4)].~Mean intensity of hot flashes at baseline and 6 months. Score on a unlimited scale of 0- infinity based on number of hot flashes. A score on the scale where 0 is good higher scores are worse." (NCT02513329)
Timeframe: 6 months after stellate ganglion block procedure

,
Interventionscore on a scale (Mean)
Hot Flash Intensity BaselineHot Flash Intensity 6 Months
Bupivicaine411.4343.3
Saline229.8594.92

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Percentage of Opioid-free Subjects Through 72 Hours.

Percentage of opioid-free subjects through 72 hours. (NCT02517905)
Timeframe: 0-72 hours

InterventionParticipants (Count of Participants)
EXPAREL 133 mg18
Placebo12

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Percentage of Opioid-free Subjects Through 48 Hours.

Percentage of opioid-free subjects through 48 hours. (NCT02517905)
Timeframe: 0-48 hours

InterventionParticipants (Count of Participants)
EXPAREL 133 mg19
Placebo12

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Area Under the Curve (AUC) of Numeric Rating Scale (NRS) Pain Intensity Scores Through 72 Hours

AUC of NRS pain intensity scores through 72 hours. Pain intensity scores were measured on a 10-point scale (0=no pain and 10=worst possible pain) (NCT02517905)
Timeframe: 0-72 hours

Interventionunits on NRS scale*hr (Geometric Least Squares Mean)
EXPAREL 133 mg241.5
Placebo235.6

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Area Under the Curve (AUC) of Numeric Rating Scale (NRS) Pain Intensity Scores Through 24 Hours

AUC of NRS pain intensity scores through 24 hours. Pain intensity scores were measured on a 10-point scale (0=no pain and 10=worst possible pain) 0-24 hours (NCT02517905)
Timeframe: 0-24 hours

Interventionunits on NRS scale*hr (Least Squares Mean)
EXPAREL 133 mg102.4
Placebo106.4

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Area Under the Curve (AUC) of Numeric Rating Scale (NRS) Pain Intensity Scores Through 48 Hours

AUC of NRS pain intensity scores through 48 hours. Pain intensity scores were measured on a 10-point scale (0=no pain and 10=worst possible pain) (NCT02517905)
Timeframe: 0-48 hours

Interventionunits on NRS scale*hr (Least Squares Mean)
EXPAREL 133 mg178.9
Placebo181.6

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Percentage of Opioid-free Subjects Through 24 Hours.

Percentage of opioid-free subjects through 24 hours. (NCT02517905)
Timeframe: 0-24 hours

InterventionParticipants (Count of Participants)
EXPAREL 133 mg19
Placebo12

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Overall Benefit of Analgesia Score (OBAS)

The overall benefit of analgesia score is based off 7 questions given to patients it is scored 0-28. 28 is considered a worse outcome. (NCT02519023)
Timeframe: 72 hours post-procedure

Interventionscores on a scale (Median)
TAP-Block With Liposomal Bupivacaine2
Surgical Infiltration With Bupivacaine3

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Opioid Used From 24-48 Hours Post Surgery

opioids in mg of morphine equivalents used from 24-48 hours after surgery (NCT02519023)
Timeframe: 24-48 hours after the end of surgery

Interventionmg of morphine equivalents (Median)
TAP-Block With Liposomal Bupivacaine0
Surgical Infiltration With Bupivacaine.5

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Number of Patients Admitted Post Operatively

(NCT02519023)
Timeframe: 72 hours post-procedure

InterventionParticipants (Count of Participants)
TAP-Block With Liposomal Bupivacaine11
Surgical Infiltration With Bupivacaine16

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Number of Participants With Nausea and Vomiting

(NCT02519023)
Timeframe: 72 hours post-procedure

InterventionParticipants (Count of Participants)
TAP-Block With Liposomal Bupivacaine10
Surgical Infiltration With Bupivacaine16

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Maximum Pain Scores as Measured by Numerical Pain Rating Scale (0-10)

the Numerical rating scale goes from 0 (lowest) to 10 (highest). Higher values are a worse outcome. The maximal number for maximal pain scores from 0-72 hours is 30. Thus the range for this outcome is 0 to 30 with 30 being a worse outcome. This is because the 0-72 hour maximal pain scores are additive from the 0-24, 24-48, and 48-72 hours. Each 24 hour subset has a maximal score of 10 and adding all three results in maximal score of 30. (NCT02519023)
Timeframe: 0-72 hours post-procedure

Interventionscores on a scale (Median)
TAP-Block With Liposomal Bupivacaine8
Surgical Infiltration With Bupivacaine13

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Maximal Pain Score of Patient From Time 0-24 Hours After Surgery

the maximal pain score felt by patient during this time period. This is based on a numerical rating scale of 0-10. 0 is best outcome and 10 is worst outcome. (NCT02519023)
Timeframe: 0-24 hours after surgery

Interventionunits on a scale (Median)
TAP-Block With Liposomal Bupivacaine3
Surgical Infiltration With Bupivacaine5

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Maximal Pain Score for Patient From Time 24-48 Hours After Surgery

the maximal pain score felt by patient during this time period. This is based on a numerical rating scale of 0-10. 0 is best outcome and 10 is worst outcome. (NCT02519023)
Timeframe: 24-48 hours after surgery

Interventionunits on a scale (Median)
TAP-Block With Liposomal Bupivacaine3
Surgical Infiltration With Bupivacaine4

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Length of Time in Phase 1 and Phase 2 of Recovery

time from start of recovery until patient was deemed ready to discharge from phase 2 recovery. Phase 2 recovery is the phase of the post anesthesia care where patients are readied to be discharge form the post anesthesia care unit. There are guidelines with regards to when patients are able to be discharged and when those points are met by the patient they are deemed ready to discharge. (NCT02519023)
Timeframe: an expected average of 120 mins

Interventionhours (Median)
TAP-Block With Liposomal Bupivacaine3.3
Surgical Infiltration With Bupivacaine3.1

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Patient Satisfaction With Pain Management

number of patients who answered yes to if they were satisfied with their pain management (NCT02519023)
Timeframe: at 72 hours after surgery

InterventionParticipants (Count of Participants)
TAP-Block With Liposomal Bupivacaine30
Surgical Infiltration With Bupivacaine24

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Maximal Pain Score Patient Felt From 48-72 Hours After Surgery

the maximal pain score felt by patient during this time period. This is based on a numerical rating scale of 0-10. 0 is best outcome and 10 is worst outcome. (NCT02519023)
Timeframe: 48-72 hours after surgery

Interventionunits on a scale (Median)
TAP-Block With Liposomal Bupivacaine2
Surgical Infiltration With Bupivacaine3

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Total Opioid Use for Pain Control

total opioid used from time 0 after surgery through 72 hours after surgery was complete. (NCT02519023)
Timeframe: 72 hours

Interventionmg Morphine equivalents (Median)
TAP-Block With Liposomal Bupivacaine20.8
Surgical Infiltration With Bupivacaine25.0

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Total Opioid Taken by Patient as Tabulated and Converted to Morphine Equivalents

opioid use from time 48-72 hours in mg morphine equivalents (NCT02519023)
Timeframe: 48-72 hours after end of surgery

Interventionmg morphine equivalents (Median)
TAP-Block With Liposomal Bupivacaine0
Surgical Infiltration With Bupivacaine5

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Total Opioid Taken by Patient as Tabulated and Converted to Morphine Equivalents

(NCT02519023)
Timeframe: 0-24 post-procedure

Interventionmg of morphine equivalents (Median)
TAP-Block With Liposomal Bupivacaine7.5
Surgical Infiltration With Bupivacaine22.5

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Quality of Recovery 15 (QoR15) Score

The quality of recovery is a survey given to patients. It is 15 questions. The scale of the QOR 15 Score is 0 to 150. 150 is a better outcome. (NCT02519023)
Timeframe: 72 hours post-procedure

Interventionscores on a scale (Median)
TAP-Block With Liposomal Bupivacaine126
Surgical Infiltration With Bupivacaine115

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SPI48

"Sum of pain intensity (SPI).The time weighted sum of pain intensity from 0 to 48 hours (ie, the area under the NRS PI curve from 0 to 48 hours). For the purpose of SPI computation, Pain Intensity at Time 0 (Baseline PI) is set to zero for all patients who have test article implantation. Minimum value would be 0 and Maximum value would be 480. Time-weighted SPI is calculated as the sum of the pain intensities between successive time points (i.e., if SPI24 = ∑[PI x (time t - time t-1)], where t represents a given time point,t-1 represents the previous time point, and time is expressed in hours). This represents the AUC (Area Under the Curve) of the pain intensities when calculated with the trapezoidal rule." (NCT02523599)
Timeframe: 0 to 48 hours

Interventionunits on a scale (Median)
XaraColl165.7
Placebo190.1

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SPI24

"Sum of Pain Intensity (SPI24). The time weighted sum of pain intensity from 0 to 24 hours (ie, the area under the NRS PI curve from 0 to 24 hours). Where 0 indicated no pain and 10 indicated worst pain possible. This type of measurement scale is called NRS or Numerical Rating Scale For the purpose of (SPI) computation, PI at Time 0 (Baseline PI) is set to zero for all patients who have test article implantation. SPI will not be calculated for randomized but not treated patients. A lower score is a better outcome. Minimum value would be 0 and Maximum value would be 240. Time-weighted SPI is calculated as the sum of the pain intensities between successive time points (i.e., if SPI24 = ∑[PI x (time t - time t-1)], where t represents a given time point,t-1 represents the previous time point, and time is expressed in hours). This represents the AUC (Area Under the Curve) of the pain intensities when calculated with the trapezoidal rule." (NCT02523599)
Timeframe: 0 to 24 hours

Interventionunits on a scale (Mean)
XaraColl85.0
Placebo106.8

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SPI72

"Sum of pain intensity (SPI). The time weighted sum of pain intensity from 0 to 72 hours (ie, the area under the NRS PI curve from 0 to 72 hours). For the purpose of SPI computation, PI at Time 0 (Baseline PI) is set to zero for all patients who have test article implantation. Where 0 indicates no pain and 10 indicated worst pain possible. A lower score is a better outcome. Minimum value would be 0 and Maximum value would be 720. Time-weighted SPI is calculated as the sum of the pain intensities between successive time points (i.e., if SPI72 = ∑[PI x (time t - time t-1)], where t represents a given time point,t-1 represents the previous time point, and time is expressed in hours). This represents the AUC (Area Under the Curve) of the pain intensities when calculated with the trapezoidal rule." (NCT02523599)
Timeframe: 0 to 72 hours

Interventionunits on a scale (Median)
XaraColl245.2
Placebo263.3

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TOpA72

"Total use of Opioid Analgesia (TOpA) from Time 0 through 72 hours. This is a basic measurement of counting in total the number of morphine tablets patients had use within a 72-hour period (typically called rescue to help manage pain. Zero (0) is the lowest score. The lower the number of tablets the better outcome." (NCT02523599)
Timeframe: Time 0 through 72 hours

Interventionmorphine mg equivalent (Median)
XaraColl5.0
Placebo14.0

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TOpA24

"Total use of opioid analgesia (TOpA) from Time 0 through 24 hours (TOpA24). This is a basic measurement of counting in total the number of morphine tablets (15 mg) patients had use within a 24 hour period (typically called rescue to help manage pain. Zero (0) is the lowest score. The lower the number of tablets the better outcome." (NCT02523599)
Timeframe: Time 0 through 24 hours

Interventionmorphine mg equivalent (Median)
XaraColl5
Placebo10

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TOpA48

"Total use of Opioid Analgesia from Time 0 through 48 hours (TOpA48) This is a basic measurement of counting in total the number of morphine tablets (15 mg) patients had use within a 48-hour period (typically called rescue to help manage pain. Zero (0) is the lowest score. The lower the number of tablets the better outcome." (NCT02523599)
Timeframe: Time 0 through 48 hours

Interventionmorphine mg equivalent (Median)
XaraColl5.0
Placebo14.0

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TOpA72

"Total use of opioid analgesia (TOpA) from Time 0 through 72 hours (TOpA72) This is a basic measurement of counting in total the number of morphine tablets (15 mg) patients had use within a 72-hour period (typically called rescue to help manage pain. Zero (0) is the lowest score. The lower the number of tablets the better outcome." (NCT02525133)
Timeframe: Time 0 through 72 hours

Interventionmorphine tablets (Median)
XaraColl10
Placebo20

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TOpA48

"Total use of opioid analgesia (TOpA) from Time 0 through 48 hours (TOpA48) This is a basic measurement of counting in total the number of morphine tablets (15 mg) patients had use within a 48-hour period (typically called rescue to help manage pain. Zero (0) is the lowest score. The lower the number of tablets the better outcome." (NCT02525133)
Timeframe: Time 0 through 48 hours

Interventionmorphine equivalent (Median)
XaraColl5
Placebo14

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TOpA24

"Total use of opioid analgesia (TOpA) from Time 0 through 24 hours (TOpA24) This is a basic measurement of counting in total the number of morphine tablets (15 mg) patients had to use within a 24-hour period (typically called rescue to help manage pain. Zero (0) is the lowest score. The lower the number of tablets the better outcome." (NCT02525133)
Timeframe: Time 0 through 24 hours

Interventionmorphine equivalents (Median)
XaraColl5.0
Placebo14

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SPI72

"Time-weighted sum of pain intensity from Time 0 through 72 hours (SPI72) A lower score is a better outcome. Pain Intensity was assessed by the subject using the 11-point NRS, where 0 indicated no pain and 10 indicated worst pain possible Minimum value would be 0 and Maximum value would be 720. Time-weighted SPI is calculated as the sum of the pain intensities between successive time points (i.e., if SPI72 = ∑[PI x (time t - time t-1)], where t represents a given time point,t-1 represents the previous time point, and time is expressed in hours). This represents the AUC (Area Under the Curve) of the pain intensities when calculated with the trapezoidal rule." (NCT02525133)
Timeframe: 0 to 72 hours

Interventionunits on a scale (Median)
XaraColl264.5
Placebo299.7

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SPI48

"Time-weighted sum of pain intensity from Time 0 through 48 hours (SPI48). Lower score has a better outcome. Pain Intensity was assessed by the subject using the 11-point NRS, where 0 indicated no pain and 10 indicated worst pain possible. Minimum value would be 0 and Maximum value would be 480. Time-weighted SPI is calculated as the sum of the pain intensities between successive time points (i.e., if SPI48 = ∑[PI x (time t - time t-1)], where t represents a given time point,t-1 represents the previous time point, and time is expressed in hours). This represents the AUC (Area Under the Curve) of the pain intensities when calculated with the trapezoidal rule." (NCT02525133)
Timeframe: 0 to 48 hours

Interventionunits on a scale (Median)
XaraColl188.1
Placebo214.9

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SPI24

"The primary efficacy variable (time-weighted sum of pain intensity from Time 0 through 24 hours [SPI24]) was compared once at a 2-sided 0.05 level. Therefore, no multiplicity adjustment was necessary for the primary efficacy analysis. Pain Intensity was assessed by the subject using the 11-point NRS, where 0 indicated no pain and 10 indicated worst pain possible. Minimum value would be 0 and Maximum value would be 240. Time-weighted SPI is calculated as the sum of the pain intensities between successive time points (i.e., if SPI24 = ∑[PI x (time t - time t-1)], where t represents a given time point,t-1 represents the previous time point, and time is expressed in hours). This represents the AUC (Area Under the Curve) of the pain intensities when calculated with the trapezoidal rule." (NCT02525133)
Timeframe: 0 to 24 hours

Interventionunits on a scale (Mean)
XaraColl88.3
Placebo116.2

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Pain Score Using 10-point Visual Analog Scale (VAS)

"A study-specific pain form was provided to the patient and nursing staff that consisted of standard visual analogue scale (VAS) for patients to rate their pain level. Pain level was rated as a categorical level from 0 to 10, in 1 unit increments, with 0 being no pain at all and 10 being worst pain imaginable. Thus a total of 10 pain grades were possible." (NCT02525718)
Timeframe: 24 hrs

Interventionscore on a scale (Median)
Placebo4
0.25 % Bupivacaine w/ Epinephrine & 4mg Dexamethasone4

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Quality of Recovery Score

"The primary outcome measure is a well-validated and widely used survey measuring the quality of recovery from anesthesia entitled the Global 40 Item Quality of Recovery survey. This is a 40 question survey administered to patients to allow them to rate their quality of recovery along a number of different dimensions, including emotional state, physical comfort, psychological support, physical independence, and pain. The score ranges from 40 to 200, with 40 representing a very poor overall quality of recovery and 200 representing the best possible recovery. The following reference explains the Global 40 Item Quality of Recovery survey in detail:~Myles, P.S., et al., Validity and reliability of a postoperative quality of recovery score: the QoR-40. Br J Anaesth, 2000. 84(1): p. 11-5.~PMID: 10740540" (NCT02525718)
Timeframe: 24 hours post-operatively

Interventionscore on a scale (Median)
Placebo165
0.25 % Bupivacaine w/ Epinephrine & 4mg Dexamethasone169

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Length of Hospital Stay

Number of postoperative days patients stay in the hospital after surgery (NCT02525718)
Timeframe: 4 days

InterventionDays (Median)
Placebo1
0.25 % Bupivacaine w/ Epinephrine & 4mg Dexamethasone1

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Opioid Consumption

"Total opioid consumption in the first 24 hrs of recovery after surgery as measured in morphine equivalents. This involves converting the dose of a non-morphine narcotic (e.g. IV hydromorphone or oral hydrocodone) into the equi-analgesic dose of morphine, so that the total amount of narcotic utilized by the patient can be compared. This is a standard technique for comparison utilized in the pain management literature." (NCT02525718)
Timeframe: 24 hrs

InterventionMorphine equivalents (Median)
Placebo114
0.25 % Bupivacaine w/ Epinephrine & 4mg Dexamethasone92

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Morphine Requirement

Compare ultrasound-guided block of the transversus abdominis plane (TAP) vs laparoscopic-guided TAP block, versus no TAP block on opioid consumption in the first 24 hours. Patients hospital chart was queried for use of any intravenous opioid in the first 24 hours after surgery including fentanyl or hydromorphone and conversion to morphine per standard opioid dose conversion. Total morphine equivalents then summed for the 24 hour postoperative period and compared between groups. (NCT02538679)
Timeframe: 24 hours

Interventionmg (Mean)
PLACEBO31.4
US TAP Bupivacaine/Epinephrine39
Lap TAP Bupivacaine/Epinephrine22.8

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Pain Score

"Self-reported pain score 0-10 (0=no pain - 10=worst possible pain experienced) and higher scores indicate a worse outcome~Pain scores, collected every 4 hours per hospital care standards, were averaged (post-operatively up to 48 hours) to obtain individual mean pain scores and a mean score for the group was then calculated." (NCT02543801)
Timeframe: Starting post operatively and then every four hours up to 48 hours

Interventionscore on a scale (Mean)
Hip Cohort Liposomal Bupivacaine3.78
Hip Cohort Ropivacaine3.85
Knee Cohort Liposomal Bupivacaine3.3
Knee Cohort Ropivacaine3.4

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Narcotic Consumption

Total amount of narcotics administered as calculated in oral morphine equivalent dose immediate post operatively up to 48 hours. (NCT02543801)
Timeframe: Starting immediately post operatively up to 48 hours

Interventionmorphine equivalents (Mean)
Hip Cohort Liposomal Bupivacaine48.8
Hip Cohort Ropivacaine57.4
Knee Cohort Liposomal Bupivacaine52.2
Knee Cohort Ropivacaine50.0

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Length of Stay

Measured in hours (NCT02543801)
Timeframe: Start of surgery to hospital discharge up to 140 hours

InterventionHours (Mean)
Hip Cohort Liposomal Bupivacaine33.8
Hip Cohort Ropivacaine50.3
Knee Cohort Liposomal Bupivacaine36.0
Knee Cohort Ropivacaine38.4

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Pain Levels

Patients recorded pain levels every four hours using Visual analog scales for four days post operatively. Average daily pain was calculated for each patient. Range of the visual analog scale was 0-10, where 0 indicated a lower amount of pain and 10 indicated higher amount of pain. (NCT02570022)
Timeframe: four days postoperatively

,
Interventionunits on a scale (Mean)
Mean Pain score Day 0Mean Pain score Day 1Mean Pain score Day 2Mean Pain score Day 3
Inter-scalene Nerve Block4.04.03.64.3
Liposomal Bupivacaine4.84.74.34.1

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Morphine Equivalents

Patients recorded opioid intake for four days postoperatively. Patients average daily morphine consumption was determined by averaging total patients daily morphine consumption by the number of patients. (NCT02570022)
Timeframe: four days postoperatively

,
Interventionmg of morphine equivalent (Mean)
Mean Morphine equivalents used Day 0Mean Morphine equivalents used Day 1Mean Morphine equivalents used Day 2Mean Morphine equivalents used Day 3
Inter-scalene Nerve Block21.49.15.22.2
Liposomal Bupivacaine14.88.912.32.8

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Minimum Local Analgesic Concentration (MLAC) of the Final Participants in Each Respective Group at Study Completion

The mean concentration of Bupivacaine in patients who have success or failure outcome were compared between groups. (NCT02573597)
Timeframe: From initial epidural bolus to delivery (up to approximately 16 hours)

Intervention% mg/ml (Mean)
Part A Group 10.06
Part A Group 20.06
Part B Group 30.075
Part B Group 40.072

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Number of Participants Requiring Treatment for Pruritus, Nausea and Vomiting, or Hypotension

Number of Participants Requiring Treatment for pruritus, nausea and vomiting, and hypotension were reported. (NCT02573597)
Timeframe: From initial epidural bolus to delivery (up to 16 hours following initial bolus)

InterventionParticipants (Count of Participants)
Part A Group 10
Part A Group 20
Part B Group 32
Part B Group 43

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Number of Participants With Maternal Nausea/Vomiting

yes/no. (NCT02573597)
Timeframe: From initial epidural bolus to delivery (up to 16 hours following initial bolus)

InterventionParticipants (Count of Participants)
Part A Group 10
Part A Group 20
Part B Group 30
Part B Group 42

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Numerical Verbal Pain Scores

The initial pain score (VAS 0-10 scale with 0 means no pain and 10 means max pain) in patients who have success or failure outcome were compared between groups. (NCT02573597)
Timeframe: Patients were assessed once between initial epidural bolus to delivery (up to 16 hours following initial bolus)

Interventionscore on a scale (Mean)
Part A Group 16.3
Part A Group 28.4
Part B Group 37.7
Part B Group 48.2

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Time to First Clinician Rescue Analgesia Request (From Initial Epidural Dose)

The time to first clinician rescue analgesia request in patients who have success or failure outcome were compared between groups. (NCT02573597)
Timeframe: From initial epidural bolus to delivery (up to 16 hours following initial bolus)

Interventionhours (Mean)
Part A Group 14.3
Part A Group 25.3
Part B Group 37.5
Part B Group 44.8

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Labor Outcome (Spontaneous, Assisted, Cesarean)

Labor outcome in patients who have success or failure outcome were compared between groups. (NCT02573597)
Timeframe: At the time of delivery

,,,
InterventionParticipants (Count of Participants)
SpontaneousC-section
Part A Group 131
Part A Group 232
Part B Group 342
Part B Group 460

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Protocol Success or Failure

"Success - No supplemental analgesia request until vaginal exam c/w 8 cm dilation or more -> 0.01% w/v reduction in subsequent participant's local anesthetic.~Failure - Supplemental analgesia request c vaginal exam c/w less than 8 cm dilatation ->0.01% w/v increase in subsequent LA infusion." (NCT02573597)
Timeframe: From initial epidural bolus to delivery (up to 16 hours following initial bolus)

,,,
InterventionParticipants (Count of Participants)
SuccessFailure
Part A Group 113
Part A Group 232
Part B Group 324
Part B Group 424

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Patient Satisfaction With Labor Analgesia

0-100% (0 means least satisfaction and 100 means most satisfaction) (NCT02573597)
Timeframe: Participants were assessed once from initial epidural bolus to delivery (up to approximately 16 hours)

Interventionscore on a scale (Mean)
Part A Group 197.3
Part A Group 297.6
Part B Group 399.2
Part B Group 496.7

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Pain Intensity Using the NPRS-11 With Movement

A derived measure computed based on a patient-reported numerical pain rating scale assessing pain as a whole number from 0 (no pain) to 10 (worst pain imaginable) when the subject sits up from a supine position. This measure was evaluated by electronic diary at 17 planned time points from 0 to 72 hours post-treatment. The values reported are mean pain scores for each treatment group. (NCT02574520)
Timeframe: Assessed from 0 to 72 hours post-dose, summary measure (see description) reported.

Interventionscore on a scale (Mean)
Part 1 and Part 2: SABER-Bupivacaine4.94
Part 2: Bupivacaine HCl5.40

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Time to First Opioid Rescue Medication Use After Discharge From the PACU

Pooled SABER-Bupivacaine parts 1 + 2 vs. Bupivacaine HCl (NCT02574520)
Timeframe: From PACU Discharge to 72 Hours post-treatment

Interventionhours (Median)
Part 1 and Part 2: SABER-Bupivacaine5.5
Part 2: Bupivacaine HCl6.1

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Total IV Morphine-equivalent Dose of Rescue Opioids

IV morphine-equivalent dose (NCT02574520)
Timeframe: 0-72 hrs. post dose (after surgery)

InterventionIV morphine equivalent (mg) (Mean)
Part 1 and Part 2: SABER-Bupivacaine21.4
Part 2: Bupivacaine HCl22.6

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Time to PACU Discharge Eligibility as Assessed by Modified Post-Anesthesia Discharge Scoring System (mPADSS)

mPADSS is a tool used to determine eligibility for discharge from the PACU after ambulatory surgery. It includes an assessment of parameters such as vital signs, activity level, nausea/vomiting, pain, and surgical bleeding. For this trial, evaluation of eligibility for PACU discharge by mPADSS has been slightly modified to provide a standardized means of assessing eligibility for PACU discharge across multiple investigative sites and also ensures that nonmedical complications, such as a missing ride home, do not interfere with evaluation of test drug effects. (NCT02574520)
Timeframe: From admission to discharge from PACU (Approximately 0 to 12 hours)

Interventionhours (Median)
Part 1 and Part 2: SABER-Bupivacaine1.8
Part 2: Bupivacaine HCl1.9

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Subjects Not Taking Rescue Medication From PACU Discharge to 72 Hours

Pooled SABER-Bupivacaine parts 1 + 2 vs. Bupivacaine HCl (NCT02574520)
Timeframe: From PACU Discharge to 72 Hours post-treatment

Interventionparticipants (Number)
Part 1 and Part 2: SABER-Bupivacaine57
Part 2: Bupivacaine HCl42

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Pain Intensity on Movement From 0-48 Hours Post-Treatment

A derived measure computed based on a patient-reported numerical pain rating scale assessing pain as a whole number from 0 (no pain) to 10 (worst pain imaginable) when the subject sits up from a supine position. This measure was evaluated by electronic diary at 13 planned time points from 0 to 48 hours post-treatment. The values reported are mean pain scores for each treatment group. (NCT02574520)
Timeframe: Assessed from 0 to 48 hours post-dose, summary measure (see description) reported.

Interventionscore on a scale (Mean)
Part 2/SABER-Bupivacaine5.55
Part 2/Bupivacaine HCl5.87

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Composite Endpoint of Silverman's Integrated Analgesic (SIA) Assessment Score

Score of Integrated Analgesia (SIA) is a composite endpoint that integrates pain assessment scores with opioid use over various collections of timepoints by ranking the pain score and the opioid use separately across treatments. After the scores are computed the means are calculated across time points to provide a single overall treatment effect. The composite SIA score ranges from -200 to 200 with -200 being the best case and 200 the worst case. (NCT02574520)
Timeframe: 0 to 72 hours

Interventionscore on a scale (Mean)
Part 1 and Part 2: SABER-Bupivacaine-17.3
Part 2: Bupivacaine HCl-1.5

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Total Postop Opioid Consumption of Patients Receiving (1) Preoperative Femoral Nerve Block Plus Postoperative Continuous Adductor Canal Nerve Catheter Compared to (2) Preoperative Femoral Nerve Block Plus Postoperative Saphenous Nerve Block.

Total postop opioid consumption measured by total pain pills on POD 2 and 3 of patients receiving (1) preoperative femoral nerve block plus postoperative continuous adductor canal nerve catheter compared to (2) preoperative femoral nerve block plus postoperative saphenous nerve block. (NCT02584452)
Timeframe: Post Operative Day 2 and 3

InterventionParticipants (Count of Participants)
Post Operative Day 272081712Post Operative Day 272081714Post Operative Day 372081714Post Operative Day 372081712
0 pills1 pill2 pills3 pills4 pills4.5 pills5 pills6 pills7 pills8 pills9 pills10 pills11 pills12 pills13 pills
Long-Acting Single Bolus Adductor Canal Nerve Block3
Continuous Adductor Canal Nerve Catheter9
Long-Acting Single Bolus Adductor Canal Nerve Block5
Continuous Adductor Canal Nerve Catheter3
Continuous Adductor Canal Nerve Catheter6
Continuous Adductor Canal Nerve Catheter4
Long-Acting Single Bolus Adductor Canal Nerve Block4
Continuous Adductor Canal Nerve Catheter7
Continuous Adductor Canal Nerve Catheter2
Long-Acting Single Bolus Adductor Canal Nerve Block2
Long-Acting Single Bolus Adductor Canal Nerve Block0
Continuous Adductor Canal Nerve Catheter1
Long-Acting Single Bolus Adductor Canal Nerve Block1
Continuous Adductor Canal Nerve Catheter0

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Subjective Postoperative Pain Score at Post Operative Week 6 of Preoperative Femoral Nerve Block Plus Postoperative Continuous Adductor Canal Nerve Catheter Compared to Preoperative Femoral Nerve Block Plus Postoperative Saphenous Nerve Block

Subjective postoperative pain score at post operative week 6 of preoperative femoral nerve block plus postoperative continuous adductor canal nerve catheter compared to preoperative femoral nerve block plus postoperative saphenous nerve block using Subjective Numeric Pain Scale score with and without activity (on an 11 point scale when 0 is no pain and 10 is worst pain). (NCT02584452)
Timeframe: Post Operative Week 6

InterventionParticipants (Count of Participants)
With activity72081712With activity72081714Without activity72081714Without activity72081712
0 (Pain on Subjective Numeric Pain Scale)1 (Pain on Subjective Numeric Pain Scale)2 (Pain on Subjective Numeric Pain Scale)3 (Pain on Subjective Numeric Pain Scale)5 (Pain on Subjective Numeric Pain Scale)4 (Pain on Subjective Numeric Pain Scale)
Continuous Adductor Canal Nerve Catheter8
Long-Acting Single Bolus Adductor Canal Nerve Block9
Continuous Adductor Canal Nerve Catheter5
Long-Acting Single Bolus Adductor Canal Nerve Block1
Continuous Adductor Canal Nerve Catheter10
Continuous Adductor Canal Nerve Catheter3
Long-Acting Single Bolus Adductor Canal Nerve Block3
Continuous Adductor Canal Nerve Catheter22
Long-Acting Single Bolus Adductor Canal Nerve Block14
Continuous Adductor Canal Nerve Catheter4
Long-Acting Single Bolus Adductor Canal Nerve Block4
Continuous Adductor Canal Nerve Catheter2
Continuous Adductor Canal Nerve Catheter1
Long-Acting Single Bolus Adductor Canal Nerve Block0
Continuous Adductor Canal Nerve Catheter0

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Quadriceps Strength on POD Week 6- Pts Receiving (1) Long-acting Single Bolus Adductor Canal Nerve Block Comparied to (2) Continuous Adductor Canal Nerve Catheter.

Quadriceps strength on POD week 6- pts receiving (1) long-acting single bolus adductor canal nerve block comparied to (2) continuous adductor canal nerve catheter using Straight Leg Raise Tests, 0-5/5 scale, and knee extension, 0-5/5 scale. On both scales (straight leg raise test and knee extension) 0 indicates the minimum value (low muscle contraction/no movement) and 5 indicates the maximum (normal muscle contraction /pt holds position against pressure). (NCT02584452)
Timeframe: Post Operative Week 6

InterventionParticipants (Count of Participants)
Straight Leg Raise Test72081712Straight Leg Raise Test72081714Knee extension Test72081712Knee extension Test72081714
345
Continuous Adductor Canal Nerve Catheter1
Long-Acting Single Bolus Adductor Canal Nerve Block1
Continuous Adductor Canal Nerve Catheter15
Long-Acting Single Bolus Adductor Canal Nerve Block9
Long-Acting Single Bolus Adductor Canal Nerve Block10
Continuous Adductor Canal Nerve Catheter3
Long-Acting Single Bolus Adductor Canal Nerve Block3
Continuous Adductor Canal Nerve Catheter21
Long-Acting Single Bolus Adductor Canal Nerve Block12
Continuous Adductor Canal Nerve Catheter7
Long-Acting Single Bolus Adductor Canal Nerve Block5

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Quadriceps Strength of on POD 1 of Preoperative Femoral Nerve Block Plus Postoperative Continuous Adductor Canal Nerve Catheter Compared to Preoperative Femoral Nerve Block Plus Postoperative Saphenous Nerve Block at 48 Hours After Discharge From PACU

Quadriceps strength on POD 1 of preoperative femoral nerve block plus postoperative continuous adductor canal nerve catheter compared to preoperative femoral nerve block plus postoperative saphenous nerve block using Straight Leg Raise Tests, 0-5/5 scale, and knee extension, 0-5/5 scale. On both scales (straight leg raise test and knee extension) 0 indicates the minimum value (low muscle contraction/no movement) and 5 indicates the maximum (normal muscle contraction /pt holds position against pressure). (NCT02584452)
Timeframe: Post Operative Day 1

InterventionParticipants (Count of Participants)
Straight Leg Raise Test72081712Straight Leg Raise Test72081714Knee extension Test72081714Knee extension Test72081712
045123
Continuous Adductor Canal Nerve Catheter1
Continuous Adductor Canal Nerve Catheter3
Long-Acting Single Bolus Adductor Canal Nerve Block7
Long-Acting Single Bolus Adductor Canal Nerve Block4
Continuous Adductor Canal Nerve Catheter8
Continuous Adductor Canal Nerve Catheter2
Continuous Adductor Canal Nerve Catheter11
Long-Acting Single Bolus Adductor Canal Nerve Block9
Continuous Adductor Canal Nerve Catheter9
Long-Acting Single Bolus Adductor Canal Nerve Block3
Continuous Adductor Canal Nerve Catheter6
Long-Acting Single Bolus Adductor Canal Nerve Block2
Long-Acting Single Bolus Adductor Canal Nerve Block1

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Time to First Bowel Movement

Time to first bowel movement is defined as the amount of time, from midnight on post-operative Day 1 (ie, first midnight following the surgery), to when the participant was to be able to pass a stool post-operatively. The outcome is reported as the time in days, with standard deviation, for the group receiving transversus abdominis plane (TAP) nerve block and the group receiving the placebo control. (NCT02601027)
Timeframe: up to 1 week

Interventiondays (Mean)
0.125% Bupivacaine1.67
Placebo1.62

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Post-operative Pain Score

Post-operative Pain Score is defined using Visual Analog Scale (VAS), a patient-reported pain score based on viewing a graphic of a scale 0 to 10, and indicating pain level. Each participant was asked about 48 hours after breast reconstruction to indicate their their perceived pain according on the VAS scale. Higher scores represent greater pain. The outcome is reported as the mean VAS score at 48 hours, with standard deviation. (NCT02601027)
Timeframe: 2 days

Interventionunits on a scale (Mean)
0.125% Bupivacaine3.76
Placebo3.96

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Time to Ambulation

Time to ambulation is defined as the amount of time, from midnight on post-operative Day 1 (ie, first midnight following the surgery), to when the participant to be able to stand up and walk a few steps post-operatively. The assessment of whether or not the participant was able to walk was subjective on the part of the shift nurse (ie, no defined number of steps nor quantitative assessment of gait or stability), and was not explicitly defined in the protocol or elsewhere. The outcome is reported as the time to ambulation in days, with standard deviation, for the group receiving transversus abdominis plane (TAP) nerve block and the group receiving the placebo control. (NCT02601027)
Timeframe: up to 1 week

Interventiondays (Mean)
0.125% Bupivacaine1.28
Placebo1.45

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Post-operative Narcotic Usage

Narcotic usage was collected for first 48 hours post-operatively after breast reconstruction. The type and amount of each narcotic administered were each converted to the morphine equivalent amount that would be orally administered to achieve the same event. This term is known as the oral morphine equivalent (OME). Narcotic usage was assessed between the group receiving transversus abdominis plane (TAP) nerve block compared to the group receiving the placebo control. The outcome is reported as the observed OME for each group. (NCT02601027)
Timeframe: 48 hours

Interventionmilligrams (mg) (Mean)
0.125% Bupivacaine139.3
Placebo169.2

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Quality of Life Measurement

Quality of life for the study groups was assessed with the BREAST-Q questionnaire, a survey set of 6 pre-operative questionnaires comprised of 58 questions, and 15 post-operative questionnaires, collected 2 to 6 months after surgery, which is comprised of 109 questions. The results range for the pre-operative and post-operative questionnaire sets is 0 to 269 and 0 to 462, respectively. Because the baseline and post-operative domains are different, the BREAST-Q survey is not a measure of quality of life change over time. The Breast Q questionnaire was validated by Pusic, et al (citation provided). Higher scores for a domain represents better quality of life. The outcome is reported as the mean for each group and timepoint, with standard deviation. (NCT02601027)
Timeframe: Pre-operative Baseline and Post-operative (2-6 months)

,
Interventionscore on a scale (Mean)
Pre-operative baselinePost-operative (2 to 6 month)
0.125% Bupivacaine97.30342.11
Placebo99.08358.00

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Post-operative Anti-emetic Usage

Odansetron by intravenous administration was used to control nausea (ie, an anti-emetic drug). Anti-emetic usage was collected for first 48 hours post-operatively after breast reconstruction for the group receiving transversus abdominis plane (TAP) nerve block compared to the group receiving the placebo control. The outcome is reported as the mean quantity of Odansetron in milligrams (mg) administered to each group, with standard deviation. (NCT02601027)
Timeframe: 48 hours

Interventionmilligrams (mg) (Mean)
0.125% Bupivacaine5.14
Placebo9.93

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Morbidity

Collection of complications observed at any point during the hospital admission that included randomization, including pneumothorax, hemothorax, acute respiratory distress syndrome, pneumonia, empyema, need for tracheostomy, need for mechanical ventilation, length of time on mechanical ventilation, and an assessment of the degree of association of each event with the catheter insertion procedure or with underlying trauma. Each of these outcomes will be scored as yes/no. (NCT02604589)
Timeframe: 3 days or hospital length of stay, whichever is longer

Interventionnumber of complications (Number)
PCA Only0
Bupivicaine 0.25% (LOW DOSE)0
Bupivicaine 0.5% (HIGH DOSE)0

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Mortality

All cause death, death associated with infusion catheter, within 30 days from date of randomization. This outcome will be scored as yes/no and cause of death will be collected. (NCT02604589)
Timeframe: 30 days

InterventionParticipants (Count of Participants)
PCA Only0
Bupivicaine 0.25% (LOW DOSE)0
Bupivicaine 0.5% (HIGH DOSE)0

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Narcotic Use

Quantity of systemic narcotic used (hydromorphone hydrochloride, Dilaudid) averaged per day over the length of hospital stay, in mg/24 hours. (NCT02604589)
Timeframe: 3 days or hospital length of stay, if less than 3 days

Interventionmg/24 hours over days 1-3 (Mean)
PCA Only3.7
Bupivicaine 0.25% (LOW DOSE)8.2
Bupivicaine 0.5% (HIGH DOSE)2.5

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Surgical Intensive Care Unit (SICU) Length of Stay

Integer days of admission to the surgical intensive care unit. For patients not requiring admission to surgical intensive care, patient is not analyzed. Usual range is 3-5 days. (NCT02604589)
Timeframe: from admission to Surgical Intensive Care unit to discharge from Surgical Intensive Care Unit

Interventiondays (Mean)
PCA Only2.3
Bupivicaine 0.25% (LOW DOSE)5.1

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Time to Improvement in Pain Intensity

Determine the impact of catheter-infused medications on self-reported pain intensity reported as a change from baseline (admission) at 24, 48, 72 hours and at 3 days post catheter placement or at discharge (or PCA placement in comparator group) on a 0-10 point Likert scale, with 0=no pain, and 10= the worst pain ever. Response will be defined as time to a decrease of at least two points on the scale. (NCT02604589)
Timeframe: 3 days or hospital length of stay, if less than 3 days

Interventiondays (Mean)
PCA Only2.0
Bupivicaine 0.25% (LOW DOSE)3.0
Bupivicaine 0.5% (HIGH DOSE)1.0

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Time to Improvement in Pulmonary Function

Determine the impact of catheter-infused medications on maximal inspiratory lung volume measured by incentive spirometer (IS) as a change from baseline at 24, 48, 72 hours and at 3 days post catheter placement or at discharge (or PCA placement in comparator group). Endpoint will be the time to improvement of vital capacity to greater than 1.4 liters (or 15 mL/kg). (NCT02604589)
Timeframe: 3 days or hospital length of stay, if less than 3 days

Interventiondays (Mean)
PCA Only1.7
Bupivicaine 0.25% (LOW DOSE)1.8
Bupivicaine 0.5% (HIGH DOSE)1.0

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Hospital Length of Stay

Integer days of inpatient admission in the hospital stay that included randomization. (NCT02604589)
Timeframe: from randomization to discharge, usually within the range of 5-15 days

Interventiondays (Mean)
PCA Only5.0
Bupivicaine 0.25% (LOW DOSE)11.1
Bupivicaine 0.5% (HIGH DOSE)3.6

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Duration of Motor Block

(hip felxion) of the non operative leg (NCT02619409)
Timeframe: 12 hours

Interventionhours (Mean)
Bupivacaine Only3.74
EPI25 Group3.36
EPI50 Group3.39
EPI75 Group4.06
EPI100 Group5.20

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Duration of Sensory Block

Duration of the sensory block at the T12 dermatome will be assessed in the post operative phase (NCT02619409)
Timeframe: 12 hours

Interventionhours (Mean)
Bupivacaine Only3.41
EPI25 Group2.81
EPI50 Group3.23
EPI75 Group3.12
EPI100 Group3.22

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Number of Days Required for a Patient to Get Out of Bed

Patients will be assessed each day following the day of surgery for the ability to get out of bed. (NCT02652156)
Timeframe: Assessed daily for up to 3 days post-surgery

Interventiondays (Mean)
Single Injection of Bupivacaine1.0
Single Injection of Exparel®0.8
Continuous Infusion of Ropivacaine0.3

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Number of Days Required for a Patient to Walk Unassisted

Patients will be assessed each day following the day of surgery for the ability to walk unassisted (NCT02652156)
Timeframe: Assessed daily for up to 3 days post-surgery

Interventiondays (Mean)
Single Injection of Bupivacaine1.3
Single Injection of Exparel®1.5
Continuous Infusion of Ropivacaine1.3

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Patient Reported Pain by VAS Scale

Patients will rate their pain by VAS scale 1 day post surgery. Scale is a 0 to 10 visual analog scale with 0 representing no pain and 10 representing severe pain. (NCT02652156)
Timeframe: Postoperative Day 1

Interventionscore on a scale (Mean)
Single Injection of Bupivacaine4.4
Single Injection of Exparel®3.8
Continuous Infusion of Ropivacaine4.5

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Patient Reported Pain by VAS Scale

Patients will rate their pain by VAS scale 2 days post surgery. Scale is a 0 to 10 visual analog scale with 0 representing no pain and 10 representing severe pain. (NCT02652156)
Timeframe: Postoperative Day 2

Interventionscore on a scale (Mean)
Single Injection of Bupivacaine4.2
Single Injection of Exparel®2.0
Continuous Infusion of Ropivacaine5.3

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Patient Reported Pain by VAS Scale

Patients will rate their pain by VAS scale 3 days post surgery. Scale is a 0 to 10 visual analog scale with 0 representing no pain and 10 representing severe pain. (NCT02652156)
Timeframe: Postoperative Day 3

Interventionscore on a scale (Mean)
Single Injection of Bupivacaine4.0
Single Injection of Exparel®2.2
Continuous Infusion of Ropivacaine3.8

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Postoperative Vomiting (Events)

Total number of vomiting episodes over the three postoperative days. (NCT02652156)
Timeframe: 3 postoperative days

InterventionVomiting Events (Number)
Single Injection of Bupivacaine0
Single Injection of Exparel®0
Continuous Infusion of Ropivacaine0

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Total Dosage of Narcotic

The total use of analgesic medications will be recorded during the 3 days immediately following surgery. (NCT02652156)
Timeframe: 3 postoperative days

,,
InterventionMophine Equivalent Units (Mean)
Narcotic Use - Day of Surgery - Recovery roomNarcotic Use - Postoperative Day 0Narcotic Use - Postoperative Day 1Narcotic Use - Postoperative Day 2Narcotic Use - Postoperative Day 3
Continuous Infusion of Ropivacaine35.745.047.944.768.0
Single Injection of Bupivacaine23.233.087.7127.0318.0
Single Injection of Exparel®14.442.2139.0103.341.6

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Phase 2: Morphine

Phase 2: Total morphine use (NCT02654860)
Timeframe: At 24 and 48 h after anaesthetic IT injection and entire study period, up to 7 days

,,,
Interventionmg (Mean)
first 24 hoursfirst 48 hoursentire study period
120 mg Paracetamol 3% (4mL)22.833.533.8
60 mg Paracetamol 3% (2 mL)14.124.524.8
90 mg Paracetamol 3% (3 mL)12.615.815.8
Phase II Only: Saline Solution 0.9%14.32121.1

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Phase 2: Number of Participants With Need for Supplemental Analgesia

Phase 2: Need for supplementary analgesia, other than the planned morphine PCA (NCT02654860)
Timeframe: Postoperative, up to 48 hours after end of surgery

InterventionParticipants (Count of Participants)
60 mg Paracetamol 3% (2 mL)9
90 mg Paracetamol 3% (3 mL)11
120 mg Paracetamol 3% (4mL)11
Phase II Only: Saline Solution 0.9%10

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Phase 2: ECG

Electrocardiography is the process of producing an electrocardiogram (ECG), it is a graph of voltage versus time of the electrical activity of the heart using electrodes placed on the skin. (NCT02654860)
Timeframe: screening, baseline and end of study (Day 6±1)

InterventionParticipants (Count of Participants)
screening72042191screening72042192screening72042193screening72042194baseline72042191baseline72042193baseline72042192baseline72042194end of study72042192end of study72042193end of study72042191end of study72042194
normalAbnormal, Not Clinically SignificantAbnormal, Clinically Significant
60 mg Paracetamol 3% (2 mL)10
90 mg Paracetamol 3% (3 mL)9
Phase II Only: Saline Solution 0.9%11
60 mg Paracetamol 3% (2 mL)5
90 mg Paracetamol 3% (3 mL)6
Phase II Only: Saline Solution 0.9%4
60 mg Paracetamol 3% (2 mL)13
90 mg Paracetamol 3% (3 mL)11
120 mg Paracetamol 3% (4mL)11
60 mg Paracetamol 3% (2 mL)2
90 mg Paracetamol 3% (3 mL)4
120 mg Paracetamol 3% (4mL)4
Phase II Only: Saline Solution 0.9%3
60 mg Paracetamol 3% (2 mL)0
90 mg Paracetamol 3% (3 mL)0
120 mg Paracetamol 3% (4mL)0
60 mg Paracetamol 3% (2 mL)12
90 mg Paracetamol 3% (3 mL)13
Phase II Only: Saline Solution 0.9%12
60 mg Paracetamol 3% (2 mL)3
90 mg Paracetamol 3% (3 mL)2
Phase II Only: Saline Solution 0.9%0

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Phase2: Concomitant Medications

record the concomitant medications intaked during the study (NCT02654860)
Timeframe: at screening, at baseline until the end of the study (Day 6)

,,,
Interventionparticipants (Number)
heparin groupSecond-generation cephalosporinsSolutions affecting the electrolyte balanceDirect factor Xa inhibiAmino acidspropofolAdrenergic and dopaminergic agentsPropionic acid derivativesPyrazolonesAcetic acid derivatives and related substancesOsmotically acting laxativesProton pump inhibitorsSerotonin (5HT3) antagonistsBenzodiazepine derivativesANTIEMETICS AND ANTINAUSEANTSOther opioidsPlatelet aggregation inhibitors excl. heparinAngiotensin II antagonists,Natural opium alkaloids
120 mg Paracetamol 3% (4mL)1515151412131210118642411001
60 mg Paracetamol 3% (2 mL)15151515141110746121211110
90 mg Paracetamol 3% (3 mL)15151515131311877346021110
Phase II Only: Saline Solution 0.9%15151515151412698334232101

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Phase 2: Time to Sensory Block

Time to maximum level of sensory block (NCT02654860)
Timeframe: Intraoperative

Interventionminutes (Median)
60 mg Paracetamol 3% (2 mL)18
90 mg Paracetamol 3% (3 mL)15
120 mg Paracetamol 3% (4mL)15
Phase II Only: Saline Solution 0.9%17

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Phase 2: Time to Regression of Spinal Block

"Time period from spinal injection (time 0 h) to the time when the Bromage score returns to 0 and sensitive perception returns to S1. Bromage scale:~I - Free movement of legs and feet II - Just able to flex knees with free movement of feet III - Unable to flex knees, but with free movement of feet IV - Unable to move legs or feet" (NCT02654860)
Timeframe: from readiness for surgery,then every 10 min until the maximum level is reached (two consecutive observations with the same level of sensory block) and then every 30 min until regression of spinal block

Interventionminutes (Median)
60 mg Paracetamol 3% (2 mL)285
90 mg Paracetamol 3% (3 mL)246
120 mg Paracetamol 3% (4mL)265
Phase II Only: Saline Solution 0.9%280

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Phase 2: Time to Readiness for Surgery

Time period from completion of spinal injection (time 0 h) to achievement of sensory and motor block adequate for surgery. (NCT02654860)
Timeframe: Intraoperative

Interventionminutes (Median)
60 mg Paracetamol 3% (2 mL)9
90 mg Paracetamol 3% (3 mL)10
120 mg Paracetamol 3% (4mL)10
Phase II Only: Saline Solution 0.9%8

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Phase 2: Time to First Morphine Use

Phase 2: Time to first morphine use (minutes) (NCT02654860)
Timeframe: Postoperative, up to 48 hours after end of surgery

Interventionminutes (Median)
60 mg Paracetamol 3% (2 mL)351
90 mg Paracetamol 3% (3 mL)236
120 mg Paracetamol 3% (4mL)318
Phase II Only: Saline Solution 0.9%279

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Phase 2:Maximum Level of Sensory Block

Sensorial block will be verified by bilateral Pinprick test using a 20-G hypodermic needle and will be recorded. Pinprick sensation will be scored as being present (score 1) or absent (score 0). Onset of sensory block is defined as an absent touch sensation (score 0) (NCT02654860)
Timeframe: Intraoperative

,,,
Interventionparticipants (Number)
T1T2T3T4T5T6T7T8T9T10T11
120 mg Paracetamol 3% (4mL)000003110010
60 mg Paracetamol 3% (2 mL)00002417021
90 mg Paracetamol 3% (3 mL)00021427200
Phase II Only: Saline Solution 0.9%000103628200

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Phase 2: Vital Signs

Systolic and Diastolic Blood Pressure (mmHg) (NCT02654860)
Timeframe: at screening, at baseline (before the spinal injection) and at end of the study (Day 6).

,,,
InterventionmmHg (Mean)
systolic Blood Pressure at screeningsystolic Blood Pressure at baselinesystolic Blood Pressure at end of the study (day6)Diastolic Blood Pressure at screeningDiastolic Blood Pressure at baselineDiastolic Blood Pressure at end of the study (day6)
120 mg Paracetamol 3% (4mL)148.5138.7133.590.977.879
60 mg Paracetamol 3% (2 mL)137145.513087.18379.5
90 mg Paracetamol 3% (3 mL)144.6146.3130.385.778.978.2
Phase II Only: Saline Solution 0.9%147.7144.8138.18785.983.1

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Phase 2: SpO2

Oxygen saturation is the fraction of oxygen-saturated hemoglobin relative to total hemoglobin (unsaturated + saturated) in the blood. (NCT02654860)
Timeframe: at screening, at baseline (before the spinal injection) and at the end of the study (day 6)

,,,
InterventionOxygen Saturation percentage (Mean)
screeningbaselineend of the study (day 6)
120 mg Paracetamol 3% (4mL)98.2797.3397.8
60 mg Paracetamol 3% (2 mL)97.9397.2797.73
90 mg Paracetamol 3% (3 mL)9897.0797.53
Phase II Only: Saline Solution 0.9%97.8096.8797.6

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Phase 2: Pain Intensity

Phase 2: Pain intensity at rest evaluated as VAS scores ( 0-100 mm visual analogue scale : 0 is the absence pain and 100 is the maximum pain sensation) (NCT02654860)
Timeframe: baseline (0 h), 1, 6, 9, 12, 15, 24, and 48 h after anaesthetic IT injection and at discharge

,,,
Interventionunits on a scale (Mean)
baseline1 hour after anaesthetic6 hours after anaesthetic9 hours after anaesthetic12 hours after anaesthetic15 hours after anaesthetic24 hours after anaesthetic48 hours after anaestheticDischarge
120 mg Paracetamol 3% (4mL)24.5020.317.311.210.613.67.74.8
60 mg Paracetamol 3% (2 mL)11.9021.521.613.115.411.46.12.5
90 mg Paracetamol 3% (3 mL)17.3032.213.610.110.29.53.24.1
Phase II Only: Saline Solution 0.9%10.7042.326.317.920.5168.78.0

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The Effect of Liposomal Bupivacaine on Postoperative Diazepam Consumption

Benzodiazepine consumption, in mg of diazepam, was recorded for all patients and compared over the first 24 hours post-operatively. (NCT02659501)
Timeframe: 24 hours

Interventionmg of diazepam/hr (Mean)
Bupivacaine With Epinephrine Injections0.35
Liposomal Bupivacaine0.18

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The Effect of Liposomal Bupivacaine on Length of Hospital Stay

Length of hospital stay will be determined for patients in each group, in total hours. (NCT02659501)
Timeframe: 24-60 hours

Interventionhrs (Mean)
Bupivacaine With Epinephrine Injections46.7
Liposomal Bupivacaine29.8

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The Effect of Liposomal Bupivacaine on Average Postoperative Pain Levels on Postoperative Day 1.

Postoperative pain levels were determined with a numeric rating scale (NRS), rating pain from 0 - 10, where 0 = no pain, 10 = worst possible pain. Higher scores indicate a worse outcome. Pain levels were determined during routine vital signs every 4 hours post-operatively. (NCT02659501)
Timeframe: Average Pain Scores 24 hours Post-Operatively

Interventionscore on a scale (Mean)
Bupivacaine With Epinephrine Injections3.66
Liposomal Bupivacaine3.68

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The Effect of Liposomal Bupivacaine on Antiemetic Consumption

The effect of liposomal bupivacaine on antiemetic consumption was assessed in mg of ondansetron consumed over first 24 hours post-operatively. (NCT02659501)
Timeframe: 24 hours

Interventionmg of ondansetron (Mean)
Bupivacaine With Epinephrine Injections7.33
Liposomal Bupivacaine5.75

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The Effect of Liposomal Bupivacaine on Postoperative Opioid Consumption

Postoperative opioid consumption will be determined in each group. Opioid consumption post-operatively will be determined for patients in each group in standardized units of morphine milligram dosing equivalents per hour. (NCT02659501)
Timeframe: 24 hours

InterventionMorphine equivalent dosage per hour (Mean)
Bupivacaine With Epinephrine Injections1.31
Liposomal Bupivacaine.76

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Postoperative Pain Score

"Pain will be assessed using a 10 point visual analog scale. On the scale 0 represented no pain and 10 represented the highest pain level. Eligibility for analgesia was available for patients who reported pain higher than 5 out of 10 on the scale.~Pain levels were assessed by trained nursing staff blinded to the study. Lower numbers on the 10 point scale represented a positive outcome.~Patients" (NCT02660918)
Timeframe: Immediate postoperatively through 8 hours post operation.

,
Interventionunits on a scale (Mean)
1 Hour Postoperative Pain Score4 Hours Postoperative Pain Score8 Hours Postopeartive Pain Score
Control2.713.372.47
Treatment1.442.812.24

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Postoperative Opioid Administered Following the Procedure But Prior to Discharge.

Narcotic medications administered in the recovery area before the patient was discharged from the Surgicenter. (NCT02660918)
Timeframe: Predischarge from hospital

,
InterventionParticipants (Count of Participants)
PercocetVicodinDialudidRoxicodonetylenol with Codeine
Control308150
Treatment10690

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Occurrence of Intraoperative Complication

This represents any unanticipated complication related to the endometrial ablation. (NCT02660918)
Timeframe: During Surgery

,
InterventionParticipants (Count of Participants)
BleedingUterine PerfortaionFailed AblationIncomplete AblationFluid Overload
Control00200
Treatment00100

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Postoperative Complication

Any unanticipated complication related to the endometrial ablation. (NCT02660918)
Timeframe: 1 Day Postoperative

,
InterventionParticipants (Count of Participants)
BleedingInfectionHospital Readmission
Control010
Treatment020

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Postoperative Anti-emetic

Data was collected on any nausea medicine administered following the endometrial ablation. (NCT02660918)
Timeframe: Postoperative

,
InterventionParticipants (Count of Participants)
BenadrylZofranReglanPhenergan
Control2601
Treatment1100

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Time Between Recovery Initiation and Discharge

Time between arrival to the recovery room after surgery and discharge to home (NCT02660918)
Timeframe: hours between recovery initiation and discharge

Interventionhours (Mean)
Control1.63
Treatment1.59

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Intraoperative Total Blood Loss

Amount of operative blood lost measured in milliliters (NCT02660918)
Timeframe: Intraoperative

Interventioncc (Median)
Control6.38
Treatment7.15

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Postoperative Toradol

Data was collected on whether or not the patient received Toradol following the endometrial ablation. Toradol is a non-narcotic pain medication. (NCT02660918)
Timeframe: Postoperative

InterventionParticipants (Count of Participants)
Control36
Treatment32

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Remaining Tylenol Tablets With Codeine Not Taken at the End of Day 1 Following Discharge

All patients were given 10 tablets of Tylenol with codeine upon discharge for pain. This Outcome measure details the remaining number of tablets after day 1. (NCT02660918)
Timeframe: Postoperative

InterventionPills (Mean)
Control9.18
Treatment8.74

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Analgesic Effectiveness of Liposomal Bupivacaine (Exparel) Versus Bupivacaine HCl as Measured by Pain Scores

"Pain scale uses Wong-Baker FACES Pain Rating Scale~The scale uses cartoon faces ranging from 0-10 with 0 meaning no pain and 10 meaning worst possible pain" (NCT02662036)
Timeframe: 72 hours after surgery

Interventionscore on a scale (Median)
Group 1: Bupivicaine2
Group 2: Liposomal Bupivacaine0.5

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Analgesic Effectiveness of Liposomal Bupivacaine (Exparel) Versus Bupivacaine HCl as Measured by Opioid Use During Hospital Stay

(NCT02662036)
Timeframe: Up to day of discharge from hospital (expected hospital stay of 5 days)

,
Interventionmg (Median)
IntraoperativePostoperative acute care unitPostoperative floorTotal
Group 1: Bupivicaine99.50165300
Group 2: Liposomal Bupivacaine110.010138.8283

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Analgesic Effectiveness of Liposomal Bupivacaine (Exparel) Versus Bupivacaine HCl as Measured by Change From Baseline in Patient Satisfaction With Recovery

"Quality of Recovery -15 questionnaire~Part A has 10 questions that asks how the participant has been feeling in the last 24 hours with answers ranging from 0=none of the time to 10=all of the time~Part B has 5 questions asking the participant if they have had any of the following including pain, nausea, vomiting, anxiety, and depression) with answers ranging from 0=none of the time to 10=all of the time.~The total score allowed is 150 (range 0-150) with the higher the number the worse the participant is feeling and the lower the number the better the participant is feeling" (NCT02662036)
Timeframe: At post operative day 2, discharge, and at 1-2 week follow-up

,
Interventionscore on a scale (Median)
Post-operative day 2Discharge1-2 week follow-up
Group 1: Bupivicaine-33-10-18.5
Group 2: Liposomal Bupivacaine-24-6-10

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Analgesic Effectiveness of Liposomal Bupivacaine (Exparel) Versus Bupivacaine HCl as Measured by Antiemetic Use During the Hospital Stay

(NCT02662036)
Timeframe: Up to day of discharge from hospital (expected hospital stay of 5 days)

,
Interventionmg (Median)
Postoperative acute care unitFloorTotal
Group 1: Bupivicaine011
Group 2: Liposomal Bupivacaine011

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Analgesic Effectiveness of Liposomal Bupivacaine (Exparel) Versus Bupivacaine HCl as Measured by Time Until Ambulation

(NCT02662036)
Timeframe: Up to 2 weeks post-operation

Interventiondays (Median)
Group 1: Bupivicaine2.20
Group 2: Liposomal Bupivacaine1.81

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Analgesic Effectiveness of Liposomal Bupivacaine (Exparel) Versus Bupivacaine HCl as Measured by Duration of Urinary Catheter

(NCT02662036)
Timeframe: Up to 2 weeks post-operation

Interventiondays (Median)
Group 1: Bupivicaine1.27
Group 2: Liposomal Bupivacaine1.02

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Analgesic Effectiveness of Liposomal Bupivacaine (Exparel) Versus Bupivacaine HCl as Measured by Pain Scores

"Pain scale uses Wong-Baker FACES Pain Rating Scale~The scale uses cartoon faces ranging from 0-10 with 0 meaning no pain and 10 meaning worst possible pain" (NCT02662036)
Timeframe: 48 hours after surgery

Interventionscore on a scale (Median)
Group 1: Bupivicaine2
Group 2: Liposomal Bupivacaine2

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Analgesic Effectiveness of Liposomal Bupivacaine (Exparel) Versus Bupivacaine HCl as Measured by Pain Scores

"Pain scale uses Wong-Baker FACES Pain Rating Scale~The scale uses cartoon faces ranging from 0-10 with 0 meaning no pain and 10 meaning worst possible pain" (NCT02662036)
Timeframe: 24 hours after surgery

Interventionscore on a scale (Median)
Group 1: Bupivicaine2.0
Group 2: Liposomal Bupivacaine3

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Analgesic Effectiveness of Liposomal Bupivacaine (Exparel) Versus Bupivacaine HCl as Measured by Pain Scores

"Pain scale uses Wong-Baker FACES Pain Rating Scale~The scale uses cartoon faces ranging from 0-10 with 0 meaning no pain and 10 meaning worst possible pain" (NCT02662036)
Timeframe: 12 hours after surgery

Interventionscore on a scale (Median)
Group 1: Bupivicaine2.0
Group 2: Liposomal Bupivacaine0

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Analgesic Effectiveness of Liposomal Bupivacaine (Exparel) Versus Bupivacaine HCl as Measured by Length of Hospital Stay

(NCT02662036)
Timeframe: Up to day of discharge from hospital, up to 7 days

Interventiondays (Median)
Group 1: Bupivicaine3.56
Group 2: Liposomal Bupivacaine2.91

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Number of Participants Who Achieve Freedom From Headache

"Pain assessed using a standard ordinal headache intensity scale, in which subjects describe their headache as severe, moderate, mild, or none. Those with headache level = none, experience freedom from headache." (NCT02665273)
Timeframe: 30 minutes

InterventionParticipants (Count of Participants)
Greater Occipital Nerve Block4
Sham0

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Change in Pain Score Assessed by Verbal Pain Scale (0-10)

"The numerical scale, 0-10 pain scores will be obtained with 0 being no pain and 10 being the worst pain imaginable." (NCT02665273)
Timeframe: 60 minutes

Interventionunits on a scale (Mean)
Greater Occipital Nerve Block3.3
Sham5.5

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Would Want the Same Treatment Again During a Subsequent Migraine

Participants will be asked the following question: Do you want to receive the same procedure the next time you come to the ER with migraine? (NCT02665273)
Timeframe: 48 hours

InterventionParticipants (Count of Participants)
Greater Occipital Nerve Block5
Sham3

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Sustained Headache Relief

"Attaining a headache level of mild or none within one hour of procedure and maintaining this for 48 hours without use of additional medication" (NCT02665273)
Timeframe: 48 hours

InterventionParticipants (Count of Participants)
Greater Occipital Nerve Block3
Sham0

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Average Daily Opioid Use During Admission

Opioid use will be monitored daily from the time of admission in comparison of standard knee injection post-operatively. (NCT02682498)
Timeframe: Up to 48 hours

InterventionTotal Morphine Equivalents (Mean)
EXPAREL® Bupivacaine Liposome Suspension100
Standard Periarticular Joint Injection103

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Average Daily Patient Pain Score

Examining the average daily patient pain score in comparison of standard knee injection post-operatively. The measure is the Visual-Analog-Scale (VAS) for subjective pain reporting. The minimum 0 (no pain) and the maximum is 10 (worst pain imagineable). There is only one measure in the scale (i.e. there are no subscales). Lower scores on the VAS scale equate to less pain and are therefore desirable. (NCT02682498)
Timeframe: Up to 48 hours

InterventionVisual Analog Scale Rating (Mean)
EXPAREL® Bupivacaine Liposome Suspension4.75
Standard Periarticular Joint Injection5.75

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Post-operative Complications

Examining the post-operative complication in comparison of standard knee injection post-operatively. (NCT02682498)
Timeframe: Up to 1 month

Interventioncomplications (Number)
EXPAREL® Bupivacaine Liposome Suspension0
Standard Periarticular Joint Injection0

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Recovery Room Opioid Use

Post anesthesia care unit (recovery room) opioid use in total mg morphine IV equivalent in comparison of standard knee injection post-operatively. (NCT02682498)
Timeframe: Up to 48 hours

InterventionTotal morphine equivalents (Median)
EXPAREL® Bupivacaine Liposome Suspension5
Standard Periarticular Joint Injection5

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48 Hour Post-surgical Opioid Use

A comparison of group means between the control group and study group with regards to 48 hour opioid use. (NCT02682498)
Timeframe: 48 hours

Interventionmorphine equivalents (Mean)
EXPAREL® Bupivacaine Liposome Suspension5.32
Standard Periarticular Joint Injection5.07

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Summed Pain Intensity Scores Collected Over 24 Hours

The SPI is derived by summing the pain intensity score weighted by the scheduled time duration. SPI0-24 will be calculated by summing the Pain intensity (PI) score at the relevant time points weighted by the scheduled time duration since the prior PI assessment as follows: SPI0-24= PI1+PI2+2*PI4+2*PI6+2*PI8+2*PI10+2*PI12+2*PI14+4*PI18+6*PI24. Min = 0 (if PI=0 at every time) and Max = 240 (if PI=10 at every time). (NCT02689258)
Timeframe: 24 Hours

InterventionUnits on a scale (Mean)
Part A, Cohort A: HTX-011A92.60
Parts A and B, Cohort B: Saline Placebo96.16
Part A, Cohort C: HTX-011B79.53
Part A, Cohort D: HTX-011B74.64
Part A, Cohort E: HTX-011B66.38
Part A, Cohort F: HTX-011B89.46
Part B, Cohort A: HTX-00283.85
Part C, Cohort A: HTX-011B113.72
Part C, Cohort B: HTX-011B83.23
Part C, Cohort C: HTX-011B104.65
Part C, Cohort D: Bupivacaine HCI110.22
Part C, Cohort E: Saline Placebo121.93

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Cumulative Fentanyl Dose

(NCT02691572)
Timeframe: 24 h

Interventionmcg (Mean)
Wound Infiltration157.4
Transversus Abdominis Plane Block153.3

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Time to First Opioid Rescue Through 72 Hours

"Time to first opioid rescue medication consumed through 72 hours. The time to rescue is estimated for each quartile from the Kaplan-Meier analysis, in which first quartile represents the time it took for the first 25% of the population to receive rescue medication, median quartile represents the time it took 50% of the population to receive rescue medication, and third quartile represents the time it took 75% of the population to receive rescue medication." (NCT02713178)
Timeframe: 0-72 hours

,,
Interventionh (Number)
First quartileSecond quartileThird quartile
EXPAREL 133 mg1.803.035.07
EXPAREL 266 mg1.532.875.78
Placebo1.082.403.72

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Total Postsurgical Opioid Consumption Through 72 Hours

Total postsurgical opioid consumption (converted to IV morphine equivalents) through 72 hours (NCT02713178)
Timeframe: 0-72 hours

Interventionmg (Least Squares Mean)
EXPAREL 133 mg69.466
EXPAREL 266 mg74.393
Placebo81.469

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Area Under the Curve (AUC) of Visual Analog Scale (VAS) Pain Intensity Scores Through 72 Hours

"AUC of VAS pain intensity scores through 72 hours. Visual Analog Scale (VAS) is a pain scale. The VAS was presented as a straight 10 cm line, where 0 cm is no pain and 10 cm is the worst pain possible. Patients were asked, How much pain are you experiencing right now? Please place a vertical mark on the line below to indicate the level of pain you are experiencing right now." (NCT02713178)
Timeframe: 0-72 hours

Interventioncm*hr (Least Squares Mean)
EXPAREL 133 mg259.545
EXPAREL 266 mg250.998
Placebo279.794

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Percentage of Opioid-free Participants Through 72 Hours

Percentage of participants who did not receive opioid medication through 72 hours (NCT02713178)
Timeframe: 0-72 hours

InterventionParticipants (Count of Participants)
EXPAREL 133 mg0
EXPAREL 266 mg0
Placebo0

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Area Under the Curve (AUC) of Visual Analog Scale (VAS) Pain Intensity Scores

"AUC of VAS pain intensity scores through 48 hours, which represents total pain experienced through 48 hours. VAS is a pain scale. The VAS was presented as a straight 10 cm line, where 0 cm is no pain and 10 cm is the worst pain possible. Patients were asked, How much pain are you experiencing right now? Please place a vertical mark on the line below to indicate the level of pain you are experiencing right now." (NCT02713230)
Timeframe: 0-48 hours

Interventioncm*hr (Least Squares Mean)
EXPAREL 133 mg136.431
Placebo254.119

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Time to First Opioid Rescue Through 48 Hours

Time to first opioid rescue medication consumed through 48 hours. Time to rescue was estimated from Kaplan-Meier analysis and presented as quartiles (ie, time to rescue for the first 25% / 50% / 75% of subjects within each treatment group). (NCT02713230)
Timeframe: 0-48 hours

,
Interventionhours (Number)
First quartileMedian quartileThird quartile
EXPAREL 133 mg0.704.1518.82
Placebo0.380.580.87

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Total Postsurgical Opioid Consumption Through 48 Hours

Total postsurgical opioid consumption (converted to IV morphine equivalents) through 48 hours (NCT02713230)
Timeframe: 0-48 hours

Interventionmg (Least Squares Mean)
EXPAREL 133 mg11.973
Placebo54.303

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Percentage of Opioid-free Participants Through 48 Hours

Percentage of participants who did not receive opioid medication through 48 hours (NCT02713230)
Timeframe: 0-48 hours

InterventionParticipants (Count of Participants)
EXPAREL 133 mg9
Placebo1

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Overall Benefit of Analgesia Score at 48 Hours

"The overall benefit of analgesic score (OBAS) comprises seven questions to assess pain intensity, adverse effects, and patients' satisfaction with analgesia (eg, Please rate your current pain at rest on a scale between 0=minimal pain and 4=maximum imaginable pain). Overall scores ranged between 0- 28. OBAS measures patients' benefit from postoperative pain therapy. A lower composite score indicates greater benefit from the therapy." (NCT02713490)
Timeframe: 48 hours

Interventionscore on a scale (Mean)
EXPAREL4.1
Bupivacaine4.6

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Percentage of Opioid-free Subjects at 48 Hours

(NCT02713490)
Timeframe: 48 hours

InterventionParticipants (Count of Participants)
EXPAREL7
Bupivacaine0

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Time to First Opioid Rescue in the First 48 Hours

Time to first opioid rescue was estimated from Kaplan-Meier analysis and presented as quartiles (ie, time to rescue for the first 25% / 50% / 75% of subjects within each treatment group). (NCT02713490)
Timeframe: 48 hours

,
Interventionh (Number)
First quartileMedian quartileThird quartile
Bupivacaine1.002.9177.200
EXPAREL2.6174.1259.667

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Total Postsurgical Opioid Consumption Through 48 Hours

Total postsurgical opioid consumption (converted to oral morphine equivalents) through 48 hours (NCT02713490)
Timeframe: 0-48 hours

Interventionmg (Least Squares Mean)
EXPAREL16.321
Bupivacaine80.328

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Area Under The Curve (AUC) of Visual Analog Scale (VAS) Pain Intensity Scores From 12 to 48 Hours

"AUC of VAS pain intensity scores from 12 to 48 hours, which represents total pain experienced from 12 to 48 hours. Visual Analog Scale (VAS) is a pain scale. The VAS was presented as a straight 10 cm line, where 0 cm is no pain and 10 cm is the worst pain possible. Patients were asked, How much pain are you experiencing right now? Please place a vertical mark on the line below to indicate the level of pain you are experiencing right now." (NCT02713490)
Timeframe: From 12-48 hours

Interventioncm*hr (Least Squares Mean)
EXPAREL181.523
Bupivacaine208.407

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Incidence of a MAP < 60 mmHg for > 20 Minutes

Incidence of a mean arterial pressure (MAP) < 60 mmHg for a cumulative duration of all hypotensive episodes of more than 20 minutes during the anesthetic phase of the procedure. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group3632
Hypotension Decision Support792

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Incidence of a MAP < 60 mmHg for > 10 Minutes

Incidence of a mean arterial pressure (MAP) < 60 mmHg for a cumulative duration of all hypotensive episodes of more than 10 minutes during the anesthetic phase of the procedure. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group6989
Hypotension Decision Support1723

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Incidence of a MAP < 60 mmHg

Incidence of a mean arterial pressure (MAP) < 60 mmHg during anesthesia for 1 minute or more. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group13779
Hypotension Decision Support3798

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Incidence of a MAP < 55 mmHg for > 20 Minutes

Incidence of a mean arterial pressure (MAP) < 55 mmHg for a cumulative duration of all hypotensive episodes of more than 20 minutes during the anesthetic phase of the procedure. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group1223
Hypotension Decision Support284

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Incidence of a MAP < 55 mmHg for > 10 Minutes

Incidence of a mean arterial pressure (MAP) < 55 mmHg for a cumulative duration of all hypotensive episodes of more than 10 minutes during the anesthetic phase of the procedure. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group3181
Hypotension Decision Support759

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Incidence of a MAP < 55 mmHg

Incidence of a mean arterial pressure (MAP) < 55 mmHg during anesthesia for 1 minute or more. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group10991
Hypotension Decision Support3045

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Incidence of a MAP < 50 mmHg for > 20 Minutes

Incidence of a mean arterial pressure (MAP) < 50 mmHg for a cumulative duration of all hypotensive episodes of more than 20 minutes during the anesthetic phase of the procedure. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group304
Hypotension Decision Support85

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Incidence of a MAP < 50 mmHg for > 10 Minutes

Incidence of a mean arterial pressure (MAP) < 50 mmHg for a cumulative duration of all hypotensive episodes of more than 10 minutes during the anesthetic phase of the procedure. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group1159
Hypotension Decision Support326

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Incidence of a MAP < 50 mmHg

Incidence of a mean arterial pressure (MAP) < 50 mmHg during anesthesia for 1 minute or more. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group7781
Hypotension Decision Support2196

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In-hospital Mortality

Hospital mortality rate during a single hospital admission after the surgery (NCT02726620)
Timeframe: All postoperative days during a single hospital admission, expected median of 5 days

InterventionParticipants (Count of Participants)
Usual Care Group487
Hypotension Decision Support137

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Estimated Intraoperative Blood Loss

The estimated blood loss in mL during the surgical procedure (NCT02726620)
Timeframe: During the surgical procedure: an expected average of 2 hours

InterventionmL (Median)
Usual Care Group100
Hypotension Decision Support75

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Depth and Duration of Intraoperative Hypotension - Threshold MAP 75 mmHg

Depth and duration of intraoperative hypotension will be modeled by calculating areas under the threshold for mean arterial pressures (MAPs). Thresholds will vary from 75 mmHg to 50 mmHg in 5 mmHg decrements. Together these variables represent the depth and duration of intraoperative hypotension. To optimize goodness of fit of these variables, the decremental steps may be increased to 10 mmHg and more restrictive lowest and highest thresholds may be chosen for the statistical analysis. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionmmHg*minute (Median)
Usual Care Group485
Hypotension Decision Support417

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Depth and Duration of Intraoperative Hypotension - Threshold MAP 70 mmHg

Depth and duration of intraoperative hypotension will be modeled by calculating areas under the threshold for mean arterial pressures (MAPs). Thresholds will vary from 75 mmHg to 50 mmHg in 5 mmHg decrements. Together these variables represent the depth and duration of intraoperative hypotension. To optimize goodness of fit of these variables, the decremental steps may be increased to 10 mmHg and more restrictive lowest and highest thresholds may be chosen for the statistical analysis. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionmmHg*minute (Median)
Usual Care Group273
Hypotension Decision Support235

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Depth and Duration of Intraoperative Hypotension - Threshold MAP 65 mmHg

Depth and duration of intraoperative hypotension will be modeled by calculating areas under the threshold for mean arterial pressures (MAPs). Thresholds will vary from 75 mmHg to 50 mmHg in 5 mmHg decrements. Together these variables represent the depth and duration of intraoperative hypotension. To optimize goodness of fit of these variables, the decremental steps may be increased to 10 mmHg and more restrictive lowest and highest thresholds may be chosen for the statistical analysis. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionmmHg*minute (Median)
Usual Care Group96
Hypotension Decision Support86

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Depth and Duration of Intraoperative Hypotension - Threshold MAP 60 mmHg

Depth and duration of intraoperative hypotension will be modeled by calculating areas under the threshold for mean arterial pressures (MAPs). Thresholds will vary from 75 mmHg to 50 mmHg in 5 mmHg decrements. Together these variables represent the depth and duration of intraoperative hypotension. To optimize goodness of fit of these variables, the decremental steps may be increased to 10 mmHg and more restrictive lowest and highest thresholds may be chosen for the statistical analysis. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionmmHg*minute (Median)
Usual Care Group57
Hypotension Decision Support52

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Depth and Duration of Intraoperative Hypotension - Threshold MAP 55 mmHg

Depth and duration of intraoperative hypotension will be modeled by calculating areas under the threshold for mean arterial pressures (MAPs). Thresholds will vary from 75 mmHg to 50 mmHg in 5 mmHg decrements. Together these variables represent the depth and duration of intraoperative hypotension. To optimize goodness of fit of these variables, the decremental steps may be increased to 10 mmHg and more restrictive lowest and highest thresholds may be chosen for the statistical analysis. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionmmHg*minute (Median)
Usual Care Group23
Hypotension Decision Support23

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Depth and Duration of Intraoperative Hypotension - Threshold MAP 50 mmHg

Depth and duration of intraoperative hypotension will be modeled by calculating areas under the threshold for mean arterial pressures (MAPs). Thresholds will vary from 75 mmHg to 50 mmHg in 5 mmHg decrements. Together these variables represent the depth and duration of intraoperative hypotension. To optimize goodness of fit of these variables, the decremental steps may be increased to 10 mmHg and more restrictive lowest and highest thresholds may be chosen for the statistical analysis. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionmmHg*minute (Median)
Usual Care Group19
Hypotension Decision Support19

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Average Use of Cardiovascular Drugs: Phenylephrine

Cardiovascular drugs as defined under interventions. Average use for each drug will be calculated. Cardiovascular drugs that were given in <1% of cases are not reported, as the average dosage would be meaningless. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionmg (Median)
Usual Care Group0.90
Hypotension Decision Support1.30

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30-day Mortality

Vanderbilt University Medical Center: combination of in-hospital mortality and 'alive-index' (which checks for visits to the hospital in the electronic healthcare record as indication of being alive at 30 days) (NCT02726620)
Timeframe: 30 days after surgery

InterventionParticipants (Count of Participants)
Usual Care Group511
Hypotension Decision Support143

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Average Use of Cardiovascular Drugs: Ephedrine

Cardiovascular drugs as defined under interventions. Average use for each drug will be calculated. Cardiovascular drugs that were given in <1% of cases are not reported, as the average dosages would be meaningless. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionmg (Median)
Usual Care Group20
Hypotension Decision Support15

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Average Use of Cardiovascular Drugs: Epinephrine

Cardiovascular drugs as defined under interventions. Average use for each drug will be calculated. Cardiovascular drugs that were given in <1% of cases are not reported, as the average dosage would be meaningless. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionmg (Median)
Usual Care Group1.00
Hypotension Decision Support0.70

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Average Use of Cardiovascular Drugs: Glycopyrrolate

Cardiovascular drugs as defined under interventions. Average use for each drug will be calculated. Cardiovascular drugs that were given in <1% of cases are not reported, as the average dosage would be meaningless. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionmg (Median)
Usual Care Group0.40
Hypotension Decision Support0.40

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Average Use of Cardiovascular Drugs: Norepinephrine

Cardiovascular drugs as defined under interventions. Average use for each drug will be calculated. Cardiovascular drugs that were given in <1% of cases are not reported, as the average dosage would be meaningless. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionmg (Median)
Usual Care Group0.62
Hypotension Decision Support0.70

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Usage Frequency of Cardiovascular Drugs: Phenylephrine

Cardiovascular drugs as defined under interventions. Frequency of patients receiving the drug. Cardiovascular drugs that were given in <1% of cases are not reported. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group12211
Hypotension Decision Support3685

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Inhaled Anesthetic Drug Use During Intraoperative Hypotension: MAP < 65 mmHg

Average concentrations of inhalational anesthesia during MAP < 65 mmHg episodes (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

,
InterventionEndTidal% (other) (Median)
Sevoflurane (EndTidal %)Isoflurane (EndTidal %)Desflurane (EndTidal %)
Hypotension Decision Support1.270.682.31
Usual Care Group1.350.684.10

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Inhaled Anesthetic Drug Use During Intraoperative Hypotension: MAP < 60 mmHg

Average concentrations of inhalational anesthesia during MAP < 60 mmHg episodes (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

,
InterventionEndTidal% (other) (Median)
Sevoflurane (EndTidal %)Isoflurane (EndTidal %)Desflurane (EndTidal %)
Hypotension Decision Support1.250.672.33
Usual Care Group1.350.684.36

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Inhaled Anesthetic Drug Use During Intraoperative Hypotension: MAP < 55 mmHg

Average concentrations of inhalational anesthesia during MAP < 55 mmHg episodes (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

,
InterventionEndTidal% (other) (Median)
Sevoflurane (EndTidal %)Isoflurane (EndTidal %)Desflurane (EndTidal %)
Hypotension Decision Support1.250.674.65
Usual Care Group1.340.684.60

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Inhaled Anesthetic Drug Use During Intraoperative Hypotension: MAP < 50 mmHg

Average concentrations of inhalational anesthesia during MAP < 50 mmHg episodes (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

,
InterventionEndTidal% (other) (Median)
Sevoflurane (EndTidal %)Isoflurane (EndTidal %)Desflurane (EndTidal %)
Hypotension Decision Support1.230.654.70
Usual Care Group1.320.654.28

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Usage Frequency of Cardiovascular Drugs: Norepinephrine

Cardiovascular drugs as defined under interventions. Frequency of patients receiving the drug. Cardiovascular drugs that were given in <1% of cases are not reported. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group762
Hypotension Decision Support233

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Usage Frequency of Cardiovascular Drugs: Glycopyrrolate

Cardiovascular drugs as defined under interventions. Frequency of patients receiving the drug. Cardiovascular drugs that were given in <1% of cases are not reported. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group11093
Hypotension Decision Support1257

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Usage Frequency of Cardiovascular Drugs: Ephinephrine

Cardiovascular drugs as defined under interventions. Frequency of patients receiving the drug. Cardiovascular drugs that were given in <1% of cases are not reported. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group1215
Hypotension Decision Support409

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Usage Frequency of Cardiovascular Drugs: Ephedrine

Cardiovascular drugs as defined under interventions. Frequency of patients receiving the drug. Cardiovascular drugs that were given in <1% of cases are not reported. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group9310
Hypotension Decision Support2718

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Timing of Cardiovascular Drugs for MAP < 65 mmHg

Cardiovascular drugs as defined under interventions. Time of first administration of cardiovascular drug relative to the time at which the mean arterial pressure (MAP) drops below 60 mmHg. Per patient the average time to first administration of all hypotensive episodes was calculated. That average time is used as the outcome variable. A negative value indicates that administration occurred before the drop in MAP. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionminutes (Median)
Usual Care Group2
Hypotension Decision Support1.14

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Timing of Cardiovascular Drugs for MAP < 60 mmHg

Cardiovascular drugs as defined under interventions. Time of first administration of cardiovascular drug relative to the time at which the mean arterial pressure (MAP) drops below 60 mmHg. Per patient the average time to first administration of all hypotensive episodes was calculated. That average time is used as the outcome variable. A negative value indicates that administration occurred before the drop in MAP. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionminutes (Median)
Usual Care Group0.8
Hypotension Decision Support1.5

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Timing of Cardiovascular Drugs for MAP < 55 mmHg

Cardiovascular drugs as defined under interventions. Time of first administration of cardiovascular drug relative to the time at which the mean arterial pressure (MAP) drops below 55 mmHg. Per patient the average time to first administration of all hypotensive episodes was calculated. That average time is used as the outcome variable. A negative value indicates that administration occurred before the drop in MAP. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionminutes (Median)
Usual Care Group1
Hypotension Decision Support0.5

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Timing of Cardiovascular Drugs for MAP < 50 mmHg

Cardiovascular drugs as defined under interventions. Time of first administration of cardiovascular drug relative to the time at which the mean arterial pressure (MAP) drops below 50 mmHg. Per patient the average time to first administration of all hypotensive episodes was calculated. That average time is used as the outcome variable. A negative value indicates that administration occurred before the drop in MAP. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionminutes (Median)
Usual Care Group1
Hypotension Decision Support0

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Time to Discharge Readiness at the Postanesthesia Care Unit (PACU)

The time from arriving at the postanesthesia care unit (PACU) until the time the patient is considered ready for discharge (in minutes). (NCT02726620)
Timeframe: A specific time frame on the day of surgery: from the start of admission to the PACU to discharge from the PACU, an expected average of 4 hours

Interventionminutes (Median)
Usual Care Group67
Hypotension Decision Support60

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Postoperative Rise in Creatinine Levels

Absolute values for serum creatinine before and after surgery will be compared. When multiple postoperative creatinine measurements are made, the maximum difference is reported. (NCT02726620)
Timeframe: Within 7 days after surgery

Interventionmg/dL (Median)
Usual Care Group0.00
Hypotension Decision Support0.00

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Intravenous Anesthetic Drug Use During Intraoperative Hypotension: MAP < 65 mmHg

Average concentrations of propofol infusion rates during MAP < 65 mmHg episodes (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionmcg/kg/min (propofol) (Median)
Usual Care Group60.10
Hypotension Decision Support48.59

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Intravenous Anesthetic Drug Use During Intraoperative Hypotension: MAP < 60 mmHg

Average concentrations of propofol infusion rates during MAP < 60 mmHg episodes (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionmcg/kg/min (propofol) (Median)
Usual Care Group61.07
Hypotension Decision Support50.00

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Intravenous Anesthetic Drug Use During Intraoperative Hypotension: MAP < 55 mmHg

Average concentrations of propofol infusion rates during MAP < 55 mmHg episodes (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionmcg/kg/min (propofol) (Median)
Usual Care Group63.95
Hypotension Decision Support50.00

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Intravenous Anesthetic Drug Use During Intraoperative Hypotension: MAP < 50 mmHg

Average concentrations of propofol infusion rates during MAP < 50 mmHg episodes (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionmcg/kg/min (propofol) (Median)
Usual Care Group65.00
Hypotension Decision Support50.00

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Intraoperative Administration of Intravenous Fluids

Total amount (mL) of intravenous fluids (as defined under interventions) administered during the surgical procedure. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionmL (Median)
Usual Care Group1500.00
Hypotension Decision Support1400.00

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Participants Opioid-Free After Gynecologic Surgery

Treatment arms compared with respect to the number of opioid-free days using the Cochran-Mantel-Haenszel test stratified by surgeon. (NCT02740114)
Timeframe: 8 weeks

InterventionParticipants (Count of Participants)
Active Comparator: Bupivacaine Group6
Experimental: Liposomal Bupivacaine + Bupivacaine Group8

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Participants Opioid-Free After Gynecologic Surgery for 48 Hours

Treatment arms compared with respect to the proportion of patients opioid-free at 48 hours using the Cochran-Mantel-Haenszel test stratified by surgeon. (NCT02740114)
Timeframe: 48 hours

Interventionpercentage of participants (Number)
Active Comparator: Bupivacaine Group14.8
Experimental: Liposomal Bupivacaine + Bupivacaine Group16.70

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Symptom Scores

"Daily pain scores were ascertained by routine nursing care every 4 hours while awake, on a 0 to 10 scale. Descriptive statistics and graphical methods used to summarize MD Anderson Symptom Inventory (MDASI) scores at each assessment time by treatment arm. For each symptom component, individuals were asked to rank symptom severity during the previous 24 hours on a scale of 0 to 10, with 0 being not present and 10 being as bad as you can imagine. Symptom interference was also assessed on a 0 to 10 scale, with 0 being did not interfere and 10 being interfered completely. Higher values represent worst outcomes." (NCT02740114)
Timeframe: Days 0, 2 and 4 postoperatively, up to 8 weeks

,
Interventionscore on a scale (Median)
Median daily pain scores Postoperative day 0Median daily pain scores Postoperative day 2Median daily pain scores Postoperative day 4
Active Comparator: Bupivacaine Group2.52.20.8
Experimental: Liposomal Bupivacaine + Bupivacaine Group2.72.51.2

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Time From Block Placement to Onset of Axillary Pain

Time self-reported by patients in the Interscalene Plus PECS Blocks group during data collection phone call at 24 hours post-block. (NCT02741713)
Timeframe: Assessed 24hrs post-block in hours

InterventionHours (Mean)
Interscalene Plus PECS Blocks16.7

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Total Opioid Usage

Recorded in oxycodone equivalents in the first 24 hours post-discharge from the PACU. (NCT02741713)
Timeframe: Assessed 24hrs post-block in mg

Interventionmg (Mean)
Interscalene Block Plus Sham Block31.6
Interscalene Plus PECS Blocks26.9

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Percentage of Participants With Episodes of Nausea or Vomiting

Any episodes during the first 24 hours will be recorded as a yes. (NCT02741713)
Timeframe: Assessed 24hrs post-block (yes/no)

Interventionpercentage of participants (Number)
Interscalene Block Plus Sham Block39
Interscalene Plus PECS Blocks37

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Post-operative Axillary Pain

Post-operative ambulatory surgery subjects will be asked 6 hours after block placement about the presence of axillary pain at rest. Numerical Rating Scale scores (0-10) will be recorded with 0= no pain, 10=most pain possible. Higher scores denotes worse outcome. (NCT02741713)
Timeframe: 6 hours post-block.

Interventionunits on a scale (Median)
Interscalene Block Plus Sham Block3
Interscalene Plus PECS Blocks0

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Numerical Rating Scale Pain Scores (0-10) at Rest

Subjects were asked about their overall shoulder pain during the followup phone call at 24hrs post-block. Numerical Rating Scale scores (0-10) will be recorded with 0= no pain, 10=most pain possible. Higher scores denotes worse outcome. (NCT02741713)
Timeframe: Assessed 24hrs post-block on a scale from 0-10.

Interventionunits on a scale (Median)
Interscalene Block Plus Sham Block6
Interscalene Plus PECS Blocks6

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Opioid Requirement at 48 Hours Post-randomization.

Opioid requirement (in morphine equivalents) at 48 hours post-randomization (NCT02749968)
Timeframe: 48 hours following randomization.

Interventionmorphine milligram equivalents (Mean)
Liposomal Bupivacaine298
0.9% Sodium Chloride82

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Opioid Requirement at 24 Hours Post-randomization

Opioid requirement (in morphine equivalents) at 24 hours post-randomization (NCT02749968)
Timeframe: 24 hours following randomization.

Interventionmorphine milligram equivalents (Mean)
Liposomal Bupivacaine38
0.9% Sodium Chloride202

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Development of Pneumonia

Development of pneumonia defined as >100,000 colony forming units/milliliter bacteria on bronchoalveolar lavage or clinically with leukocytosis, pulmonary infiltrate and fever with 96 hours post-randomization. (NCT02749968)
Timeframe: 96 hours following randomization

InterventionParticipants (Count of Participants)
Liposomal Bupivacaine3
0.9% Sodium Chloride1

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Opioid Requirement at 72 Hours Post-randomization

Opioid requirement (in morphine equivalents) at 72 hours post-randomization (NCT02749968)
Timeframe: 72 hours following randomization.

Interventionmorphine milligram equivalents (Mean)
Liposomal Bupivacaine413
0.9% Sodium Chloride116

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Opioid Requirement at 96 Hours Post-randomization

Opioid requirement (in morphine equivalents) at 96 hours post-randomization (NCT02749968)
Timeframe: 96 hours following randomization.

Interventionmorphine milligram equivalents (Mean)
Liposomal Bupivacaine637
0.9% Sodium Chloride39

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Self-reported Pain at 96 Hours Post-randomization

Self-reported pain will be measured using the verbal NRS, a 0-10 ordinal scale. Pain assessments will be reported at 96 hours after enrollment, as this is the reported duration of effect for liposomal bupivacaine. Higher scores (10) indicate more pain, lower scores (0) indicate lower pain. (NCT02749968)
Timeframe: At 96 hours post-randomization

Interventionscore on a scale (Mean)
Liposomal Bupivacaine6.32
0.9% Sodium Chloride6.44

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Postoperative Visual Analog Scale (VAS) Pain Scores

We analyzed postoperative VAS pain scores at 6, 12, 18, 30, 36, 42, 48, 54, 60, 66, 72, 78, 84, 90, 96 hours and at the first postoperative visit. VAS pain scores range from 0 (no pain) to 10 (unbearable pain). (NCT02762071)
Timeframe: Up to first postoperative visit, maximum 30 days

,
Interventionscore on a scale (Mean)
6 hours postoperative12 hours postoperative18 hours postoperative30 hours postoperative36 hours postoperative42 hours postoperative48 hours postoperative54 hours postoperative60 hours postoperative66 hours postoperative72 hours postoperative78 hours postoperative84 hours postoperative90 hours postoperative96 hours postoperative1st postoperative visit
Interscalene Nerve Block2.94.05.24.84.14.04.24.24.13.83.84.04.03.93.83.4
Liposomal Bupivacaine5.14.64.64.65.14.64.34.43.93.63.74.24.14.14.34.4

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Patient Satisfaction With Pain Management

Visual Analog Scale (VAS) score for satisfaction with pain control in the hospital and at home. This was assessed at subjects' first postoperative visit.VAS satisfaction scores range from 0 (not satisfied) to 10 (completely satisfied). (NCT02762071)
Timeframe: At first postoperative visit, up to 30 days

,
Interventionscore on a scale (Mean)
Satisfaction with pain management in the hospitalSatisfaction with pain management at home
Interscalene Nerve Block8.48.7
Liposomal Bupivacaine7.88.1

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Opioid Medication Consumption in Morphine Milligram Equivalents

We analyzed intraoperative opioid consumption; postoperative opioid consumption at days 1, 2, 3, and 4; total opioid consumption at day 1 (intraoperative + postoperative day 1). This was measured in morphine milligram equivalents. (NCT02762071)
Timeframe: Up to 4 days postoperatively

,
Interventionmorphine milligram equivalents (Mean)
Total Intraoperative + Postoperative day 1IntraoperativePostoperative day 1Postoperative day 2Postoperative day 3Postoperative day 4
Interscalene Nerve Block382118932
Liposomal Bupivacaine602536742

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Visual Analog Scale Pain Score at 24 Hours Postoperatively

The primary outcome was pain score on a visual analog scale (VAS) at 24 hours postoperatively. VAS pain scores range from 0 (no pain) to 10 (unbearable pain). (NCT02762071)
Timeframe: At 24 hours after surgery

Interventionscore on a scale (Mean)
Interscalene Nerve Block5.0
Liposomal Bupivacaine4.9

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Length of Stay in the Post-anesthesia Care Unit (PACU)

Duration of stay in the post-anesthesia care unit (minutes) after shoulder replacement surgery. (NCT02762071)
Timeframe: At the time of discharge from PACU, Up to 1 day

Interventionminutes (Mean)
Interscalene Nerve Block102
Liposomal Bupivacaine139

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Length of Hospital Stay

Duration of stay in hospital (hours) after shoulder replacement surgery. (NCT02762071)
Timeframe: At the time of discharge from hospital, Up to 4 days

Interventionhours (Mean)
Interscalene Nerve Block39
Liposomal Bupivacaine36

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Mean Summed Pain Intensity (SPI) Score Over 24 Hours

The SPI is derived by summing the pain intensity score weighted by the scheduled time duration. SPI0-24 will be calculated by summing the Pain intensity (PI) score at the relevant time points weighted by the scheduled time duration since the prior PI assessment as follows: SPI0-24= PI1+PI2+2*PI4+2*PI6+2*PI8+2*PI10+2*PI12+2*PI14+4*PI18+6*PI24. Min = 0 (if PI=0 at every time) and Max = 240 (if PI=10 at every time). (NCT02762929)
Timeframe: 0-24 hours

InterventionUnits on a scale (Mean)
HTX-011A: 200 mg69.16
HTX-011B: 30 mg96.83
HTX-011B: 60 mg83.38
HTX-011B: 120 mg85.70
HTX-011B: 200 mg49.23
Bupivacaine HCI: 50 mg118.16
Saline Placebo126.46
HTX-002, 60 mg112.00
HTX-002, 120 mg129.97
HTX-002, 200 mg107.82
HTX-009127.83

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Range of Knee Flexion

Range of knee flexion for active motion will be recorded at 3 week follow-up for all groups. The greater range of motion the better, with a good outcome considered at least 115 degrees of motion. (NCT02777749)
Timeframe: Postoperative day 21

Interventiondegrees (Mean)
Adductor Canal Block99
Periarticular SB104
ACB + SB101

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Length of Hospital Stay

Total length of hospital stay from time of surgery through time of discharge will be recorded. The shorter the length of stay (days) the better. Range 0 days to 5 days. (NCT02777749)
Timeframe: Up to Day 5

Interventiondays (Mean)
Adductor Canal Block2.9
Periarticular SB2.5
ACB + SB2.5

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Opioid Consumption

Total amount of opioid consumption post-operatively will be recorded. The less opioids consumed (mg) postoperatively the better. A morphine equivalence metric will be used for equianalgesic comparison. Minimum is 0 mg, maximum is unlimited. (NCT02777749)
Timeframe: Day 0 through Day 3

,,
Interventionmorphine equivalents (Mean)
Combined (POD0 through POD3)POD0POD1POD2POD3
ACB + SB983540184.3
Adductor Canal Block13133483513
Periarticular SB1003142205.5

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Change in VAS Pain Scores

"Post-operatively, visual analog scale (VAS) pain scores will be recorded two times/day from Post-Operative Day (POD) 0 through POD3. VAS Scores range from 0 to 10, with 0 being No Pain and 10 being the Worst Pain" (NCT02777749)
Timeframe: Day 0 through Day 3

,,
Interventionscores on a scale (Mean)
Day 0Day 1Day 2Day 3
ACB + SB2.73.03.32.0
Adductor Canal Block3.03.94.14.2
Periarticular SB3.03.83.83.0

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Change in Activity Level

Daily steps taken will be recorded. The more steps taken daily the better. Minimum is 0 steps, maximum is unlimited. (NCT02777749)
Timeframe: Day 0 and Day 1

,,
Interventionsteps (Mean)
Day 0Day 1
ACB + SB65139
Adductor Canal Block26124
Periarticular SB68120

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Adductor Canal Block Complications

Incidence of catheter dislodgement or site infection (NCT02798835)
Timeframe: From time of catheter insertion until catheter removal, up to Day2/48 hours

InterventionParticipants (Count of Participants)
Adductor Canal Block0
Adductor Canal Block With Dexamethasone0
Adductor Canal Catheter0

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Time to First Use of PCA

from time zero to first press of PCA button (NCT02798835)
Timeframe: 0 to 48 hours

Interventionhours (Median)
Adductor Canal Block4.1
Adductor Canal Block With Dexamethasone4.9
Adductor Canal Catheter3.8

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Length of Stay

Time to hospital discharge (NCT02798835)
Timeframe: From surgical date until hospital discharge, up to 3 weeks

Interventionhours (Median)
Adductor Canal Block70.8
Adductor Canal Block With Dexamethasone71.5
Adductor Canal Catheter71.5

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Nerve Block Complications

Nerve block complications at any time point during study (NCT02798835)
Timeframe: 0 to 48 hours

InterventionParticipants (Count of Participants)
Adductor Canal Block0
Adductor Canal Block With Dexamethasone0
Adductor Canal Catheter0

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Cumulative 12 Hour Oral Morphine Equivalent Consumption

Post-operative analgesia at 12 hours (NCT02798835)
Timeframe: 12 hours (Day 0)

Interventionmg (Median)
Adductor Canal Block61.5
Adductor Canal Block With Dexamethasone49.5
Adductor Canal Catheter82

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Quality of Recovery (QoR-40)

Quality of recovery measured using the QoR-40 at 48 hours postoperatively. This is a validated scale where a higher score denotes better recovery/satisfaction after surgery. The range is 40-200. (NCT02798835)
Timeframe: 48 hours (Day 2)

Interventionscore on a scale (Mean)
Adductor Canal Block160.5
Adductor Canal Block With Dexamethasone166.5
Adductor Canal Catheter167.2

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Pain Score

Patient's level of pain using NRS (Numeric Ratings Scale) pain scale where the range is 0 (no pain) to 10 (worst pain) (NCT02798835)
Timeframe: 12, 24 and 48 hours

,,
Interventionscore on a scale (Median)
12h24h48h
Adductor Canal Block332
Adductor Canal Block With Dexamethasone333
Adductor Canal Catheter433

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Incidence of Participants With Nausea/Vomiting Requiring Anti-emetics

Number of Participants with Nausea/Vomiting requiring anti-emetics from 0-48 hours after surgery. (NCT02798835)
Timeframe: 0 to 48 hours

,,
InterventionParticipants (Count of Participants)
0-12h12-24h24-48h
Adductor Canal Block192615
Adductor Canal Block With Dexamethasone141717
Adductor Canal Catheter192417

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Cumulative 48 Hour Oral Morphine Equivalent Consumption

Post-operative analgesia at 48 hours (NCT02798835)
Timeframe: 48 hours (Day 2)

Interventionmg (Median)
Adductor Canal Block192.9
Adductor Canal Block With Dexamethasone196
Adductor Canal Catheter223.5

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Cumulative 24 Hour Oral Morphine Equivalent Consumption

Post-operative analgesia at 24 hours (NCT02798835)
Timeframe: 24 hours (Day 1)

Interventionmg (Median)
Adductor Canal Block111.8
Adductor Canal Block With Dexamethasone118
Adductor Canal Catheter153

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Transient Neurological Symptoms Score on Post-Operative Day 7

Following a prepared questionnaire, a study team member asked about symptoms of TNS and pain that was not associated with the operation area. Participants were asked to grade the symptoms on a verbal analogue scale from 0 to 10, with zero as no discomfort and ten as unbearable discomfort. (NCT02818894)
Timeframe: Post-Operative Day 7

Interventionscore on a scale (Mean)
Lidocaine Spinal Anesthesia2.33
Bupivacaine Spinal Anesthesia5.75

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Transient Neurological Symptoms Score on Post-Operative Day 14

Following a prepared questionnaire, a study team member asked about symptoms of TNS and pain that was not associated with the operation area. Participants were asked to grade the symptoms on a verbal analogue scale from 0 to 10, with zero as no discomfort and ten as unbearable discomfort. (NCT02818894)
Timeframe: Post-Operative Day 14

Interventionscore on a scale (Mean)
Lidocaine Spinal Anesthesia2.56
Bupivacaine Spinal Anesthesia5.67

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Count of Participants With Hypotension

The number of participants experiencing hypotension, defined as systolic blood pressure of <90 mmHg, is presented here. Blood pressure information was obtained from reviewing the inpatient medical charts. (NCT02818894)
Timeframe: Day 1 (day of surgery) Post-Operation

InterventionParticipants (Count of Participants)
Lidocaine Spinal Anesthesia2
Bupivacaine Spinal Anesthesia1

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Post-Operative Transient Neurological Symptoms Score on Day 1 Post-Operation

Following a prepared questionnaire, a study team member asked about symptoms of TNS and pain that was not associated with the operation area. Participants were asked to grade the symptoms on a verbal analogue scale from 0 to 10, with zero as no discomfort and ten as unbearable discomfort. (NCT02818894)
Timeframe: Day 1 (day of surgery) Post-Operation

Interventionscore on a scale (Mean)
Lidocaine Spinal Anesthesia2
Bupivacaine Spinal Anesthesia4

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Number of Participants With Transient Neurological Symptoms on Post-Operative Day 7

Following a prepared questionnaire, a study team member asked about TNS and pain that was not associated with the operation area. The count of participants reporting any type of TNS is presented here. (NCT02818894)
Timeframe: Post-Operative Day 7

InterventionParticipants (Count of Participants)
Lidocaine Spinal Anesthesia3
Bupivacaine Spinal Anesthesia4

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Number of Participants With Transient Neurological Symptoms on Post-Operative Day 14

Following a prepared questionnaire, a study team member asked about symptoms of TNS and pain not associated with the operation area. The count of participants reporting any type of TNS is presented here. (NCT02818894)
Timeframe: Post-Operative Day 14

InterventionParticipants (Count of Participants)
Lidocaine Spinal Anesthesia9
Bupivacaine Spinal Anesthesia3

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Number of Participants With Transient Neurological Symptoms (TNS) on Day 1 Post-Operation

Following a prepared questionnaire, a study team member asked about TNS and pain that was not associated with the operation area. The count of participants reporting any type of TNS is presented here. (NCT02818894)
Timeframe: Day 1 (day of surgery) Post-Operation

InterventionParticipants (Count of Participants)
Lidocaine Spinal Anesthesia3
Bupivacaine Spinal Anesthesia1

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Number of Participants Voiding Without Complications After Recovery From Spinal Anesthesia

Urine retention after recovery from spinal anesthesia was assessed as the count of participants voiding without complications. Data were obtained through review of the inpatient records. (NCT02818894)
Timeframe: Day 1 (day of surgery) Post-Operation

InterventionParticipants (Count of Participants)
Lidocaine Spinal Anesthesia47
Bupivacaine Spinal Anesthesia47

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Time to Ambulation After Recovery From Spinal Anesthesia

Time to ambulation after recovery from spinal anesthesia is assessed in minutes. Information about time to full ambulation was obtained by asking participants or from inpatient medical charts. (NCT02818894)
Timeframe: Day 1 (day of surgery) Post-Operation

Interventionminutes (Mean)
Lidocaine Spinal Anesthesia279.3
Bupivacaine Spinal Anesthesia242.0

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Time to Ambulate

Time from spinal anesthesia placement to ability to ambulate. (NCT02862912)
Timeframe: 5 hours

Interventionminutes (Median)
Chloroprocaine (CP)158
Bupivacaine (BUP)229

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Time to Resolution of Motor Block

"The mean difference between groups in time between the end of spinal injection (t IT) to time for no motor block (t motor), i.e. tIT - T motor. Motor block will be assessed using the Bromage scale:~Bromage Scale I = free movement of the legs and feet = no block II = able to flex knees, with free movement of feet = partial (33%) block III = unable to flex knees, but with free movement of the feet = almost complete (66%) block IV = unable to move legs or feet = complete block (100%)" (NCT02862912)
Timeframe: 3 hours

Interventionminutes (Median)
Chloroprocaine (CP)109
Bupivacaine (BUP)112

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Time to Void

Time from spinal anesthesia injection to ability to void spontaneously. (NCT02862912)
Timeframe: 5 hours

Interventionminutes (Median)
Bupivacaine (BUP)229
Chloroprocaine (CP)158

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Quality of Recovery

Score of QoR survey to determine recovery status. 0-18 where 0 is the worst and 18 is the best feeling. (NCT02882633)
Timeframe: Change from baseline through 24 hours

InterventionScore on a scale (Mean)
Lumbar Plexus Block14.52
Fascia Iliac Block15.91

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Pain Score Change

Change in pain scores, as measured by the Visual Analog Scale (0-10). 10 is worst imaginable pain and 0 means no pain at all. (NCT02882633)
Timeframe: Change from baseline through 15 minutes

Interventionchange in score on a scale (Mean)
Lumbar Plexus Block3
Fascia Iliac Block1.72

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Amount of Opiate Consumption

Participants need for pain relief as measured by opiate consumption (NCT02882633)
Timeframe: While in PACU. An average length of stay for Lumbar Plexus Block group was 165.04 min and 139.72 min for Fascia Iliaca Block group.

Interventionmg (Mean)
Lumbar Plexus Block16.98
Fascia Iliac Block20.80

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Change From Baseline in Average Weekly Numeric Pain Rating Score (NRS)

"Average Weekly Numeric Pain Rating Score (NRS) over the past week~Numerical Rating Pain Scale (NRS): scale from 0-10 0 = no pain 10 = worst imaginable pain" (NCT02886286)
Timeframe: Day 0, 7, 14, score at day 7 or day 14 reported

Interventionunits on a scale (Mean)
Bupivacaine + Opioid-0.47
Opioid-0.38

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Change From Baseline in Oswestry Disability Index (ODI)

"Oswestry Disability Index (ODI): calculated as a percentage based on scores from 0-5 in 10 categories (pain intensity, personal care, lifting, walking, sitting, standing, sleeping, sex life, social life, travelling). 0 signifies no pain interference while 5 signifies maximum possible pain interference in the 10 categories. Scores from 0-5 for 10 categories are added and divided by total possible score (50) X 100 to give percentage.~Interpretation of percentage scores:~0 - 20% minimal disability 21-40% moderate disability 41-60% severe disability 61-80% crippled 81-100% either bed bound or patient is exaggerating symptoms" (NCT02886286)
Timeframe: Day 0, 7, 14, score at day 7 or day 14 reported

Interventionunits on a scale (Mean)
Bupivacaine + Opioid.88
Opioid2.67

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Change From Baseline in Treatment Satisfaction

A 5-point qualitative Likert scale was used to report measures of patient satisfaction (i.e., not satisfied at all, not satisfied, somewhat, satisfied, very satisfied). To quantify satisfaction, these responses were transformed to a scale of 0-4, with higher numbers representing greater levels of satisfaction. (NCT02886286)
Timeframe: Day 0, 7, 14, score at day 7 or day 14 reported

Interventionunits on a scale (Mean)
Bupivacaine + Opioid2.36
Opioid1.94

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Change From Baseline in painDETECT

painDETECT is a nine-item questionnaire that consists of seven sensory symptom items for pain that are graded from 0= never to 5= strongly, one temporal item on pain-course pattern graded -1 to +1, and one spatial item on pain radiation graded 0 for no radiation or +2 for radiating pain. A total score that ranges from -1 to 38 can be calculated from the nine items, with higher scores indicating higher levels of pain. (NCT02886286)
Timeframe: Day 0, 7, 14, score at day 7 or day 14 reported

Interventionunits on a scale (Mean)
Bupivacaine + Opioid0.69
Opioid0.25

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Change From Baseline in Patient Global Impression of Change (PGIC)

"Patient Global Impression of Change (PGIC): reflects patient's belief about the efficacy of treatment~= very much improved~= much improved~= minimally improved~= no change~= worse~= much worse~= very much worse" (NCT02886286)
Timeframe: Day 0, 7, 14, score at day 7 or day 14 reported

Interventionunits on a scale (Mean)
Bupivacaine + Opioid-0.06
Opioid1.25

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Change From Baseline in the Numerical Rating Pain Scale (NRS)

"Patients will be provided with a diary to record pain scores just before a PTM bolus and the lowest pain score within half an hour after a PTM bolus.~Numerical Rating Pain Scale (NRS): scale from 0-10 0 = no pain 10 = worst imaginable pain" (NCT02886286)
Timeframe: Before self-administered bolus using Patient Therapy Manager device (PTM) and within 30 minutes of PTM bolus

Interventionunits on a scale (Mean)
Bupivacaine + Opioid1.87
Opioid1.81

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Performed-based Physical Function is Assessed Using the Standing Balance Test.

"The Standing Balance Test score based on the ability of the participant to perform a series of standing exercises. Scores range from 0 to 4, with 4 indicating a longer time holding the stand (a better outcome).~This test is germane to subjects with total joint replacement that are easily performed in the clinical settings. The test will capture the domains of muscle strength and activation, and balance." (NCT02891798)
Timeframe: 6 weeks post-operation

Interventionscore on a scale (Mean)
Bupivacaine + BCD (Buprenorphine, Clonidine, Dexamethasone)3.86
Bupivacaine Only (Control Arm)3.94

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Quality of Recovery 15 Item Scale (QoR-15) Total Score

Quality of Recovery 15 Item Scale, total score 0-150, 150 reflecting a perfect score and better recovery. (NCT02891798)
Timeframe: Day after surgery (7AM-9AM EST)

Interventionscore on a scale (Mean)
Bupivacaine + BCD (Buprenorphine, Clonidine, Dexamethasone)106.08
Bupivacaine Only (Control Arm)90.13

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SF-MPQ2 Intermittent Pain Subscore Difference From Baseline

Intermittent pain subscore difference of Post-Operative Day 1 value minus the Baseline value. Differences can range from -10 to +10. Negative scores indicate a decrease in pain. (NCT02891798)
Timeframe: Baseline, Post-Operative day after surgery (7AM-9AM EST)

Interventionunits on a scale (Mean)
Bupivacaine + BCD (Buprenorphine, Clonidine, Dexamethasone)-2.79
Bupivacaine Only (Control Arm)-1.14

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Performed-based Physical Function is Assessed Using the Repeated Chair Stand Test.

"The Repeated Chair Stand Test is a timed test based on the ability of the participant to perform a series of standing exercises.~This test is germane to subjects with total joint replacement that are easily performed in the clinical settings. The test will capture the domains of muscle strength and activation, and balance." (NCT02891798)
Timeframe: 6 weeks post-operation

Interventionseconds (Mean)
Bupivacaine + BCD (Buprenorphine, Clonidine, Dexamethasone)12.34
Bupivacaine Only (Control Arm)11.93

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Performed-based Physical Function is Assessed Using the Self-Selected Gait Speed Test.

"The Self-Selected Gait Speed Test is a timed test based on the ability of the participant to walk a 4 meter distance.~This test is germane to subjects with total joint replacement that are easily performed in the clinical settings. The test captures the ability to walk." (NCT02891798)
Timeframe: 6 weeks post-operation

Interventionmeters per second (Mean)
Bupivacaine + BCD (Buprenorphine, Clonidine, Dexamethasone)0.88
Bupivacaine Only (Control Arm)0.94

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SF-MPQ2 Continuous Pain Subscore Difference From Baseline

Continuous pain subscore difference of Post-Operative Day 1 value minus the Baseline value. Differences can range from -10 to +10. Negative scores indicate a decrease in pain. (NCT02891798)
Timeframe: Baseline, Post-Operative day after surgery (7AM-9AM EST)

Interventionunits on a scale (Mean)
Bupivacaine + BCD (Buprenorphine, Clonidine, Dexamethasone)-2.29
Bupivacaine Only (Control Arm)0.33

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Short-Form McGill Pain Questionnaire (Version 2) Total Score Difference From Baseline

SF-MPQ version 2 total score difference of Post-Operative Day 1 value minus the Baseline value. Differences can range from -10 to +10. Negative scores indicate a decrease in pain. (NCT02891798)
Timeframe: Baseline, Post-Operative day after surgery (7AM-9AM EST)

Interventionscore on a scale (Mean)
Bupivacaine + BCD (Buprenorphine, Clonidine, Dexamethasone)-1.85
Bupivacaine Only (Control Arm)-0.05

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Quality of Recovery 15 Item Scale (QoR-15) Total Score

Quality of Recovery 15 Item Scale, total score 0-150, 150 reflecting a perfect score and better recovery. (NCT02891798)
Timeframe: 6 weeks post-operation

Interventionscore on a scale (Mean)
Bupivacaine + BCD (Buprenorphine, Clonidine, Dexamethasone)128.89
Bupivacaine Only (Control Arm)130.06

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Hospital Length of Stay

Time to discharge from hospital, measured in hours (NCT02922985)
Timeframe: From time of hospital admission to time of discharge home up to 168 hours.

Interventionhours (Median)
Placebo Control Group50.2
Multimodal Pain Regimen Group50

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Pain Score at 24 Hours Post-operatively

Pain Score at 24 Hours Post Operatively, expressed on a pain scale from 0-10 with the higher score meaning worse pain (outcome). (NCT02922985)
Timeframe: 24 hours post-operatively

Interventionscore on a scale (Median)
Placebo Control Group5
Multimodal Pain Regimen Group6

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Need for Respiratory Support

neonate receipt of oxygen by nasal cannula or mechanical ventilation (NCT02922985)
Timeframe: after birth and before hospital discharge

InterventionParticipants (Count of Participants)
Placebo Control Group0
Multimodal Pain Regimen Group4

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Number of Opioid Pain Tablets Remaining on Post-operative Day #7 From the Discharge Prescription.

Number of opioid pain tablets remaining on post-operative day #7 from hospital discharge as reported by patients (NCT02922985)
Timeframe: 7 days post delivery

InterventionTablets (Median)
Placebo Control Group18
Multimodal Pain Regimen Group19

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NICU Admission

Rate of admission to the neonatal intensive care unit (NCT02922985)
Timeframe: after birth and before hospital discharge

InterventionParticipants (Count of Participants)
Placebo Control Group2
Multimodal Pain Regimen Group6

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Apgar Score at 5 Minutes

This is the Apgar score of the newborn collected at 5 minutes. Range is from 0-10, with the higher scores meaning a better outcome. (NCT02922985)
Timeframe: 5 minutes after birth

Interventionscore on a scale (Median)
Placebo Control Group9
Multimodal Pain Regimen Group9

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Total Opioid Intake in Morphine Milligram Equivalents in the First 48 Hours After Cesarean Delivery (CD)

Every opioid intake by the patient in the first 48 hours after CD will be recorded and quantified in morphine milligram equivalents (NCT02922985)
Timeframe: 48 hours post cesarean delivery

Interventionmorphine milligram equivalents (Median)
Placebo Control Group42
Multimodal Pain Regimen Group49.5

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Time to First Administration of Opioid Pain Medication Post Operatively

Time, in hours, to first administration of opioid pain medication post operatively (NCT02922985)
Timeframe: 48 hours post cesarean delivery

Interventionhours (Median)
Placebo Control Group6.05
Multimodal Pain Regimen Group6.35

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Pain Score at 6-12 Hours Post Operatively

Pain score at 6-12 hours post-operatively, expressed on a pain scale from 0-10 with the higher score meaning worse pain (outcome). (NCT02922985)
Timeframe: 6-12 hours post-operatively

Interventionscore on a scale (Median)
Placebo Control Group6
Multimodal Pain Regimen Group6

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Pain Score at 48 Hours Post-operatively

Pain Score at 48 Hours Post-operatively, expressed on a pain scale from 0-10 with the higher score meaning worse pain (outcome). (NCT02922985)
Timeframe: 48 hours post-operatively

Interventionscore on a scale (Median)
Placebo Control Group4
Multimodal Pain Regimen Group3

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VAS

The Pain will be measured with this scale from 0 (No pain) -10 (Worst pain possible) according to the investigator at 24 hours after surgery. (NCT02949674)
Timeframe: Change in Visual Analogue Scale at 24 hours

,,
Interventionunits on a scale (VAS) (Mean)
VAS at 4 hoursVAS at 8 hoursVAS at 12 hoursVAS at 24 hours
Bupivacaine2.814.524.424.03
Control3.525.024.844.10
Ropivacaine2.133.043.553.87

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Numerical Rating Scale (NRS) Pain Scores

Twenty-four hours after injury, patients will self report their numerical rating scale (NRS) score. The NRS score ranges from 0 to 10 with higher scores indicating greater pain. (NCT02951884)
Timeframe: 24 hours

Interventionunits on a scale (Number)
Aspiration With Injection7
Control2

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Supplemental Analgesia

Twenty-four hours after injury, the researchers will record the number of participants that required supplemental analgesia. (NCT02951884)
Timeframe: 24 hours

InterventionParticipants (Count of Participants)
Aspiration0
Aspiration With Injection0
Control1

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Number of Patients With Allergic Reaction Attributable to Local Anesthestic

incisional rash, hives, anaphylaxis (NCT02959996)
Timeframe: 0-96 hours postoperatively

InterventionParticipants (Count of Participants)
Placebo0
Intervention0

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Number of Patients With Wound Complication - Separation, Dehiscence, Infection

Wound complication - separation, dehiscence, infection (NCT02959996)
Timeframe: 14 days postoperatively

InterventionParticipants (Count of Participants)
Placebo3
Intervention1

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Pain Score With Activity

"Pain score with activity. PAIN OUT scale, which is a 0-10 scale, where 10 is more pain.~2 patients in the liposomal bupivacaine group were discharged prior to 48 hour assessment, therefore denominator for this outcome is 37, not 39" (NCT02959996)
Timeframe: at 48-hours post-operatively

Interventionunits on a scale (Median)
Placebo3.5
Intervention4

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Pain Score With Activity

"Pain score with activity. PAIN OUT scale, which is a 0-10 scale, where 10 is more pain.~4 patients in the placebo group and 7 patients in the liposomal bupivacaine group were discharged prior to the 72 hour assessment" (NCT02959996)
Timeframe: at 72 -hours post-operatively

Interventionunits on a scale (Median)
Placebo3
Intervention2.5

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Patient Satisfaction With Pain Management at 6w Postpartum

Phone follow up to ascertain satisfaction with pain control, Likert 5 point scale used (NCT02959996)
Timeframe: 6 weeks postpartum

InterventionParticipants (Count of Participants)
Placebo35
Intervention33

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Postoperative Hospital Length of Stay

Postoperative hospital length of stay (NCT02959996)
Timeframe: 0 to 96 hours postoperatively

Interventiondays (Mean)
Placebo3.5
Intervention3.4

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Satisfaction With Post-operative Pain Control

PAIN OUT Tool, 0-10 scale, where 0 is not satisfied and 10 is satisfied (NCT02959996)
Timeframe: 48-hours post-operatively

Interventionunits on a scale (Median)
Placebo9
Intervention9

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Total Opioid Use (in Morphine Equivalents)

Total opioid use (in morphine equivalents) (NCT02959996)
Timeframe: 72-hours post-operatively

Interventionmorphine milligram equivalents (MME) (Median)
Placebo78.8
Intervention75

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Operative Time of Cesarean Delivery

Operative time of cesarean delivery (NCT02959996)
Timeframe: Intraoperative time measurement, from skin incision to skin closure. Measured within 24h of admission.

Interventionhours (Median)
Placebo1.2
Intervention1.2

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Total Amount of Opioids at 48 Hours

The total amount of opioids used will be recorded from the nurse chart. (NCT02969187)
Timeframe: At 48 hours post operative

Interventionmg (Mean)
Experimental29.5
Control27.1

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Cumulative Pain Score Through 48 Hours After Surgery

"Description: We used a time weight average (TWA) pain score in frequent measurements of pain score.~Cumulative pain score through 48 hours after surgery is the summation of all the time weight average pain scores with a range from 0 to 440.~The high score represents the worse outcomes. 0 means no pain during the whole time and 440 means severe pain during the whole time." (NCT02969187)
Timeframe: Pain assessed when the patient is admitted to the recovery room after surgery, every 8 hrs thereafter for up to 48 hours post operatively

Interventionscore on a scale (Mean)
Experimental177.0
Control167.8

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Cumulative Nausea Score

"Description: We used a time weight average (TWA) method in adjusting the nausea score.~Cumulative nausea score through 72 hours after surgery is the summation of all the time weight average nausea scores with a range from 68-272.~The high score represents the worse outcomes. 68 means no nausea during the whole time and 272 means severe nausea during the whole time." (NCT02969187)
Timeframe: Nausea assessed when the patient is admitted to the recovery room after surgery, every 8 hrs thereafter for up to 72 hours post operatively

Interventionscore on a scale (Mean)
Experimental79
Control98

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Number of Participants Per Maximal Level of Sensory Block Attained After Spinal Anesthesia

"Level of Sensory block is assessed as loss of sensation to cold, and represents the dermatomal level under which anesthesia is effective. It is measured every 2 minutes after spinal anesthesia during 15 minutes, then every 5 minutes until the end of surgery, thereafter, once 30 minutes until total regression of sensory block (T12-S1). A dermatome is the area of skin that is supplied by a single spinal nerve - Dermatome levels : C5-C8 for Cervical levels and T1-T4 for Thoracic levels.~To perform cesarean section loss of cold sensation at a dermatome of at least T4 has to be obtained.~The results are expressed as the number of patients reaching each dermatomal level from T4 and above (see below) as maximal sensory level, this is a usual outcome used to evaluate the quality of anesthesia." (NCT02973048)
Timeframe: until complete release of sensory block (T12-S1) (average 4 hours)

,
InterventionParticipants (Count of Participants)
Sensory level dermatome C5Sensory level dermatome C6Sensory level dermatome C7Sensory level dermatome C8Sensory level dermatome T1Sensory level dermatome T2Sensory level dermatome T3Sensory level dermatome T4
Hyperbaric Bupivacaine03020473
Hyperbaric Prilocaine11010266

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Number of Patients With Hypotension and Use of Vasopressors

Arterial blood pressure will be measured at every 1 minute during the first 15 minutes, then at every 2.5 minutes until the end of surgery, and at every 20 minutes in the Post Anesthesia Care Unit (PACU). A low blood pressure (hypotension) is defined as a systolic blood pressure lower than 20% or more than the basal blood pressure (Systolic blood pressure before spinal anesthesia) (NCT02973048)
Timeframe: up to 2 hours after surgery

,
InterventionParticipants (Count of Participants)
HypotensionVasopressors use
Hyperbaric Bupivacaine1716
Hyperbaric Prilocaine910

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Number of Participants With Adverse Events (Nausea, Vomiting, Pruritis, Headache)

Evaluation from 15 minutes after spinal injection to the end of surgery, then every 4 hours for 24 hours, then once a day for 3 days (score 0=no symptom; 1=symptom with no necessary treatment; 2=symptom present and treated) (NCT02973048)
Timeframe: up to 72 hours after surgery

InterventionParticipants (Count of Participants)
Peroperative72548744Peroperative72548745Day 072548744Day 072548745Day 172548744Day 172548745Day 272548744Day 272548745Day 372548744Day 372548745
score 0 (no symptom)score 1 (symptom with no necessary treatment)score 2 (symptom present and treated)
Hyperbaric Prilocaine13
Hyperbaric Prilocaine1
Hyperbaric Prilocaine3
Hyperbaric Bupivacaine14
Hyperbaric Prilocaine12
Hyperbaric Bupivacaine4
Hyperbaric Prilocaine5
Hyperbaric Prilocaine0
Hyperbaric Bupivacaine16
Hyperbaric Prilocaine17
Hyperbaric Bupivacaine3
Hyperbaric Bupivacaine18
Hyperbaric Bupivacaine1
Hyperbaric Bupivacaine0

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Pain as Assessed by Visual Analogue Scale

Pain levels will be determined at incision, baby delivery, peritoneal and skin closure, every 5 minutes during surgery, and thereafter every 4 hours for 24 hours. Visual analog pain score (scale = 0 no pain; 10 = worst pain imaginable). Patient will receive additional analgesic treatment above VAS>3. (NCT02973048)
Timeframe: up to 24 hours after surgery

InterventionParticipants (Count of Participants)
VAS at 1 Hour72548744VAS at 1 Hour72548745VAS at 2 Hours72548744VAS at 2 Hours72548745VAS at 3 Hours72548744VAS at 3 Hours72548745VAS at 4 Hours72548744VAS at 4 Hours72548745
VAS 1-2 (No additional analgesic treatment)VAS >3 (additional analgesic treatment)VAS=0 (no pain)
Hyperbaric Bupivacaine13
Hyperbaric Prilocaine7
Hyperbaric Bupivacaine6
Hyperbaric Prilocaine9
Hyperbaric Bupivacaine0
Hyperbaric Prilocaine1
Hyperbaric Bupivacaine11
Hyperbaric Prilocaine3
Hyperbaric Prilocaine13
Hyperbaric Bupivacaine9
Hyperbaric Prilocaine6
Hyperbaric Bupivacaine3
Hyperbaric Prilocaine2
Hyperbaric Bupivacaine10
Hyperbaric Prilocaine12
Hyperbaric Bupivacaine7
Hyperbaric Prilocaine5
Hyperbaric Bupivacaine2
Hyperbaric Prilocaine0

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Maternal Rehabilitation Assessed by Visual Analogic Scale (VASR)

Maternal rehabilitation is evaluated at postoperative Day1, postoperative Day 2 and postoperative Day 3. Evaluation by Visual analog scale (0 cm= very poor and 10cm = excellent) (NCT02973048)
Timeframe: up to 72 hours after surgery

Interventionscore on a scale (Median)
Hyperbaric Bupivacaine9
Hyperbaric Prilocaine9

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Maternal Satisfaction Assessed by Visual Analogic Scale (VASS)

All patients will be asked to rate their satisfaction about anesthetic technique during surgery and in the arrival in the Post Anesthesia Care Unit (PACU). Satisfaction evaluated by Visual analog scale (0 cm= very unsatisfied and 10cm = very satisfied) (NCT02973048)
Timeframe: up to 24 hours after surgery

Interventionscore on a scale (Median)
Hyperbaric Bupivacaine9
Hyperbaric Prilocaine9

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Midwife Satisfaction

Satisfaction ranged between 1 (totally unsatisfied) to 4 (totally satisfied) assessed at postoperative Day 3 (NCT02973048)
Timeframe: 72 hours after surgery

Interventionscore on a scale (Median)
Hyperbaric Bupivacaine3
Hyperbaric Prilocaine4

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Newborn Methemoglobinemia (MetHb)

"Newborn Methemoglobinemia (MetHb) will be assessed at delivery by cordal blood sample, as a routine control in obstetrics, and expressed as a percentage of total hemoglobinemia.~Methemoglobinemia (MetHb) is a blood disorder in which an abnormal amount of methemoglobin (hemoglobin in the form metalloprotein) is produced. This specific type of of Hemoglobin carries oxygen through your blood but doesn't release it to the cells." (NCT02973048)
Timeframe: average 1 hour

Interventionpercentage of MetHb (Median)
Hyperbaric Bupivacaine1.8
Hyperbaric Prilocaine1.7

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Newborn Umbilical pH

Newborn umbilical pH will be assessed at delivery by cordal blood sample, as a routine control, and expressed as standard value (NCT02973048)
Timeframe: average 1 hour

InterventionpH (Median)
Hyperbaric Bupivacaine7.33
Hyperbaric Prilocaine7.32

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Number of Participants With Transient Neurologic Symptoms (TNS)

Evaluation of apparition of TNS at postoperative Day 1, postoperative Day 2, postoperative Day 3 and postoperative Day 15. TNS are defined as pain and/or dysesthesia occurred after complete release of sensory block at the gluteal level, at the thighs and at the legs. (NCT02973048)
Timeframe: up to 15 Days after surgery

InterventionParticipants (Count of Participants)
Hyperbaric Bupivacaine0
Hyperbaric Prilocaine0

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Number of Participants With Urinary Retention

All parturients will be questioned and examined for urinary retention (yes or no) (NCT02973048)
Timeframe: up to 4 hours after surgery

InterventionParticipants (Count of Participants)
Hyperbaric Bupivacaine2
Hyperbaric Prilocaine2

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Obstetrician Satisfaction

Satisfaction ranged between 1 (totally unsatisfied) to 4 (totally satisfied) assessed at the end of surgery (NCT02973048)
Timeframe: average 1 hour

Interventionscore on a scale (Median)
Hyperbaric Bupivacaine4
Hyperbaric Prilocaine4

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Time From Baby Delivery to End of Surgery

Time between baby delivery, and the end of surgery (NCT02973048)
Timeframe: average 1 hour

Interventionminutes (Mean)
Hyperbaric Bupivacaine36.68
Hyperbaric Prilocaine38.24

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Time From Spinal Injection to Baby Delivery

Time between spinal injection and baby delivery (NCT02973048)
Timeframe: average 1 hour

Interventionminutes (Median)
Hyperbaric Bupivacaine24
Hyperbaric Prilocaine25

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Time of Surgery

Time between incision and end of surgery (NCT02973048)
Timeframe: average 1 hour

Interventionminutes (Median)
Hyperbaric Bupivacaine45
Hyperbaric Prilocaine50

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Time to First Walk

Time for the patients to be able to walk in their room then in the hallway without any assistance for the first time. (NCT02973048)
Timeframe: up to 24h after surgery

InterventionMinutes (Median)
Hyperbaric Bupivacaine318
Hyperbaric Prilocaine198

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Time to Motor Block Onset

Time of installation of the motor block (time between spinal injection and maximum motor block of 1, as evaluated by the Modified Bromage scale). Degree of motor blockade is assessed before and 10, 15, 20 minutes after spinal anesthesia (NCT02973048)
Timeframe: From spinal injection of the local anesthetic to bilateral T4 level and during surgery (average 1 hour)

Interventionminutes (Median)
Hyperbaric Bupivacaine16
Hyperbaric Prilocaine10

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Time to Regression of Motor Block

Time to regression of motor block is the time between maximal blockade (score 1, as evaluated by the Modified Bromage scale), and no blockade (score 6). Degree of motor blockade is assessed before and 10, 15, 20 minutes after spinal anesthesia, then every 15 minutes until the end of surgery, and thereafter, every 30 minutes until complete regression of motor block (NCT02973048)
Timeframe: until complete regression of motor block (up to 4 hours)

Interventionminutes (Median)
Hyperbaric Bupivacaine180
Hyperbaric Prilocaine130

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Time to Resolution of Sensory Block

Evaluation at every 2 minutes after spinal anesthesia during 15 minutes, then every 5 minutes until the end of surgery, and thereafter, every 30 minutes until total regression of sensory block (T12-S1). (NCT02973048)
Timeframe: until complete release of sensory block (T12-S1) (average 4 hours)

Interventionminutes (Mean)
Hyperbaric Bupivacaine212.95
Hyperbaric Prilocaine169.59

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Time to Successful Anesthesia (Successful Sensory Block)

Time between spinal injection and reached bilateral T4 sensory level. (NCT02973048)
Timeframe: From spinal injection of the local anesthetic to bilateral T4 level (average 20 minutes)

Interventionminutes (Mean)
Hyperbaric Bupivacaine9.63
Hyperbaric Prilocaine11.18

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Total Blood Loss

Total blood loss (milliliters) during surgery (NCT02973048)
Timeframe: average 1 hour

Interventionmilliliters (Median)
Hyperbaric Bupivacaine415
Hyperbaric Prilocaine485

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Newborn Apgar Score

"Newborn Apgar score assessed at 1, 5, 10 minutes after baby extraction. The Apgar score is determined by evaluating the newborn baby on five simple criteria on a scale from 0 to 2, then summing up the five values thus obtained. The overall resulting score ranges from 0 to 10 ( 0-3 : severely depressed, 4-6 : Moderately depressed and 7-10 : Excellent condition).~The five criteria are summarized using words chosen to form an abbreviation (Appearance, Pulse, Grimace, Activity, Respiration)." (NCT02973048)
Timeframe: up to 10 minutes after baby extraction

,
Interventionscore on a scale (Median)
Apgar at 1 minuteApgar at 3 minutesApgar at 5 minutes
Hyperbaric Bupivacaine91010
Hyperbaric Prilocaine91010

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Patients Satisfaction

Patient's satisfaction was recorded using a score ranging from 0 for not satisfied to 10 for totally satisfied. (NCT02988050)
Timeframe: 1 hour after the operation

Interventionscore on a scale (Mean)
Conscious sedation16.33
Conscious sedation26.45

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Incidence of Perioperative Cardiac Arrhythmias Evaluated by a Continuous ECG Holter Monitoring in the Perioperative Period

"The investigator evaluates the incidence of cardiac arrhythmias, the type of arrhythmias and whether additional interventions were needed to treat them~Arrhythmias observed:~tachycardia >100 bpm bradycardia < 50 bpm pause (P-P interval > 2 seconds) ventricular extrasystoles (VE) > 1000/ 24 hours supraventricular extrasystoles (SVE) >200/24 hours" (NCT02988219)
Timeframe: 60 months

InterventionParticipants (Count of Participants)
Tachycardia < 140 bpm before surgery72559413Tachycardia < 140 bpm before surgery72559414Tachycardia < 140 bpm during surgery72559414Tachycardia < 140 bpm during surgery72559413Tachycardia < 140 bpm after surgery72559413Tachycardia < 140 bpm after surgery72559414Bradycardia before surgery72559414Bradycardia before surgery72559413Bradycardia during surgery72559414Bradycardia during surgery72559413Bradycardia after surgery72559413Bradycardia after surgery72559414Bradycardia in the perioperative period72559414Bradycardia in the perioperative period72559413pause > 2s before surgery72559413pause > 2s before surgery72559414pause > 2s during surgery72559414pause > 2s during surgery72559413pause > 2s after surgery72559414pause > 2s after surgery72559413pause > 2s in the perioperative period72559414pause > 2s in the perioperative period72559413SVE before surgery72559413SVE before surgery72559414SVE during surgery72559413SVE during surgery72559414SVE after surgery72559414SVE after surgery72559413SVE in the perioperativ72559413SVE in the perioperativ72559414VE before surgery72559414VE before surgery72559413VE during surgery72559413VE during surgery72559414VE after surgery72559413VE after surgery72559414VE in the perioperative period72559413VE in the perioperative period72559414Additional intervention needed72559413Additional intervention needed72559414
observednot observed
Combined General/Epidural (G/E)6
General Anesthesia (G)18
Combined General/Epidural (G/E)16
General Anesthesia (G)2
Combined General/Epidural (G/E)5
General Anesthesia (G)22
Combined General/Epidural (G/E)17
General Anesthesia (G)5
General Anesthesia (G)19
Combined General/Epidural (G/E)3
Combined General/Epidural (G/E)19
General Anesthesia (G)14
Combined General/Epidural (G/E)10
General Anesthesia (G)10
Combined General/Epidural (G/E)12
General Anesthesia (G)6
Combined General/Epidural (G/E)4
Combined General/Epidural (G/E)18
General Anesthesia (G)16
Combined General/Epidural (G/E)11
General Anesthesia (G)8
General Anesthesia (G)0
General Anesthesia (G)24
Combined General/Epidural (G/E)2
Combined General/Epidural (G/E)20
Combined General/Epidural (G/E)1
Combined General/Epidural (G/E)21
General Anesthesia (G)1
General Anesthesia (G)23
General Anesthesia (G)3
General Anesthesia (G)21
Combined General/Epidural (G/E)0
Combined General/Epidural (G/E)22

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The Prevention of Cardiac Arrhythmias Occurence by Epidural Anesthesia Added to General Anesthesia Evaluated by a Number and Type of Arrhythmias Observed

The investigator evaluates the incidence of cardiac arrhythmias depending on anesthesia method by observing the number and type of arrhythmias and whether additional interventions were needed to treat them (NCT02988219)
Timeframe: 60 months

InterventionParticipants (Count of Participants)
arrhythmia before surgery72559413arrhythmia before surgery72559414arrhythmia during surgery72559413arrhythmia during surgery72559414arrhythmia after surgery72559413arrhythmia after surgery72559414QTc long > 0.45s before surgery72559413QTc long > 0.45s before surgery72559414QTc long > 0.45s during surgery72559413QTc long > 0.45s during surgery72559414QTc long > 0.45s after surgery72559413QTc long > 0.45s after surgery72559414QTc long > 0.45s in the perioperative time72559413QTc long > 0.45s in the perioperative time72559414Additional intervention needed72559414Additional intervention needed72559413
observednot observed
General Anesthesia (G)3
Combined General/Epidural (G/E)4
General Anesthesia (G)21
Combined General/Epidural (G/E)18
Combined General/Epidural (G/E)12
Combined General/Epidural (G/E)10
General Anesthesia (G)8
Combined General/Epidural (G/E)6
General Anesthesia (G)16
Combined General/Epidural (G/E)16
Combined General/Epidural (G/E)2
Combined General/Epidural (G/E)20
General Anesthesia (G)1
General Anesthesia (G)23
Combined General/Epidural (G/E)8
Combined General/Epidural (G/E)14
General Anesthesia (G)0
Combined General/Epidural (G/E)0
General Anesthesia (G)24
Combined General/Epidural (G/E)22

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Cognitive Recovery at 2 Hours Post-operative

Postoperative Quality Recovery Scale Cognitive Domain questionnaire. Asked at 2 hour post-operatively. Either yes (return to pre-operative cognitive function levels) or no (not yet returned to pre-operative function levels) (NCT02996591)
Timeframe: 2 hours after PACU admission

,
InterventionParticipants (Count of Participants)
NoYes
General Anesthesia With Popliteal and Adductor Canal Blocks.413
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.116

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Incidence of Transient Neurologic Symptoms

(NCT02996591)
Timeframe: Postoperative day 1 and if present, monitored until resolution

,
InterventionParticipants (Count of Participants)
NormalTransient Neurological Symptoms
General Anesthesia With Popliteal and Adductor Canal Blocks.180
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.180

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Cognitive Recovery on POD1

Postoperative Quality Recovery Scale Cognitive Domain questionnaire. Asked on postoperative day 1. Either yes (return to pre-operative cognitive function levels) or no (not yet returned to pre-operative function levels) (NCT02996591)
Timeframe: Postoperative day 1

,
InterventionParticipants (Count of Participants)
NoYes
General Anesthesia With Popliteal and Adductor Canal Blocks.215
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.314

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Back Pain on POD1

Back pain (yes/no) on POD1 (NCT02996591)
Timeframe: Postoperative day 1

,
InterventionParticipants (Count of Participants)
NoYes
General Anesthesia With Popliteal and Adductor Canal Blocks.143
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.162

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Time Until Patient is Ready for Discharge From Post-Anesthesia Care Unit (PACU) to Home.

Modified Aldrete Scoring System and Marshall and Chung Postanesthesia Discharge Scoring System, measured in time until discharge criteria is met (in minutes) (NCT02996591)
Timeframe: Duration of stay in recovery room after surgery

InterventionMinutes (Mean)
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.81
General Anesthesia With Popliteal and Adductor Canal Blocks.43.5

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Postoperative Discomfort and Needs (Post-op Pain, Sore Throat, Back Pain, Nausea, Cold, Hunger, Thirst)

Leiden Perioperative Care Patient Satisfaction questionnaire (LPPSq) score. Performed at 1 hour postoperatively. To what degree did patients have the following symptoms. Rated 1-5, 1 being not at all. 5 being extremely. (NCT02996591)
Timeframe: 1 hour after surgery

,
Interventionscore on a scale (Mean)
PainA Sore ThroatBack PainVomitingColdHungerThirst
General Anesthesia With Popliteal and Adductor Canal Blocks.1.61.61.211.31.72.5
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.1.11.21.211.41.92.7

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Numerical Rating Scale (NRS) Pain Scores at 1 Hour Postop

NRS Pain scores at 1 hour after surgery. Rated on a scale of 0 (no pain) to 10 (worst pain imaginable). (NCT02996591)
Timeframe: 1 hour after PACU admission

Interventionunits on a scale (Mean)
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.0
General Anesthesia With Popliteal and Adductor Canal Blocks.1.8

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Opioid Consumption Through First Postoperative Day. Measured in mg OME

(NCT02996591)
Timeframe: Postoperative day 1

Interventionmg OME (Mean)
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.8.3
General Anesthesia With Popliteal and Adductor Canal Blocks.11

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Opioid Consumption

Opioid consumption (mg OME) during inpatient stay (NCT02996591)
Timeframe: Duration of stay in recovery room after surgery (average 2 hours)

Interventionmg OME (Mean)
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.2.2
General Anesthesia With Popliteal and Adductor Canal Blocks.5

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Numerical Rating Scale Pain Scores on Postoperative Day (POD) 1

Numerical Rating Scale Pain from 0-10. 0 being no pain at all. 10 being the worst pain imaginable. (NCT02996591)
Timeframe: 24 hours after surgery

Interventionscore on a scale (Mean)
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.1
General Anesthesia With Popliteal and Adductor Canal Blocks.1

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Numerical Rating Scale Pain Scores at 2 Hours Postop

Numerical rating scale pain score as reported by the patient at 2 hours post-operatively. Rated on a scale of 0 (no pain) to 10 (worst pain imaginable). (NCT02996591)
Timeframe: 2 hours after PACU admission

Interventionunits on a scale (Mean)
Spinal Anesthesia With Popliteal and Adductor Canal Blocks..4
General Anesthesia With Popliteal and Adductor Canal Blocks..9

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Nausea Intensity

Nausea intensity ranked on NRS score following PACU admission to 2 hours after discharge. Scored from 0-10. 0 Being no nausea, 10 being worst nausea imaginable. (NCT02996591)
Timeframe: 2 hours after PACU admission

Interventionscore on a scale (Mean)
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.0
General Anesthesia With Popliteal and Adductor Canal Blocks.0

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Assessment of Patient Blinding to Group Assignment

Patients will be asked whether they believe they were in the general anesthesia or spinal anesthesia group. These responses are then validated using the Bang Blinding Index, which either confirms or refutes the validity of the blinding. The scale runs from -1 to 1, with a score of 0 indicating complete blinding, -1 indicating opposite guessing of groups, and 1 indicating a complete lack of blinding. (NCT02996591)
Timeframe: Postoperative day 1

InterventionBang blinding index (Number)
Spinal Anesthesia With Popliteal and Adductor Canal Blocks..588
General Anesthesia With Popliteal and Adductor Canal Blocks..722

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Postoperative Discomfort and Needs (Post-op Pain, Sore Throat, Back Pain, Nausea, Cold, Hunger, Thirst)

Rating the Nausea/Vomiting of patients post-operatively. (NCT02996591)
Timeframe: 2 hours after surgery

,
Interventionscore on a scale (Mean)
PainSore ThroatBack PainVomitingColdHungerThirst
General Anesthesia With Popliteal and Adductor Canal Blocks.1.41.61.211.11.21.8
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.1.21.21.111.11.42.1

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Postoperative Discomfort and Needs (Post-op Pain, Sore Throat, Back Pain, Nausea, Cold, Hunger, Thirst)

Leiden Perioperative Care Patient Satisfaction questionnaire (LPPSq). From 1-5. 1 being not at all. 5 being extremely. (NCT02996591)
Timeframe: Postoperative day 1

,
Interventionscore on a scale (Mean)
PainSore ThroatBack PainVomitingColdHungerThirst
General Anesthesia With Popliteal and Adductor Canal Blocks.1.51.51.2111.72.2
Spinal Anesthesia With Popliteal and Adductor Canal Blocks.1.41.21.111.31.42.3

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Number of Patients That Experienced a Fall

(NCT03001453)
Timeframe: 72 hours postoperation

Interventionparticipants (Number)
Liposomal Bupivacaine0
Bupivacaine With Epinephrine0

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Time to Ambulation More Than 20 Feet (in Hours)

The length of time (in hours) until the patient first ambulates more than 20 feet from the time of surgery will be recorded. (NCT03001453)
Timeframe: from time of surgery until patient first ambulates more than 20 feet or 72 hours post-surgery or patient discharge, whichever comes first

Interventionhours (Mean)
Liposomal Bupivacaine10.9
Bupivacaine With Epinephrine14.0

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Patient Morphine Equivalent Consumption

All opioid doses were administered to the patient at 12-hour intervals post-surgery. Doses were recorded till either of the following criteria was met, the patient was discharged or the 72-hour post-surgery timeframe ended. The doses were then collected and converted to OMEs, in milligrams. (NCT03001453)
Timeframe: 72 hours postoperation, divided into six 12-hour periods

,
Interventionmg (Mean)
0-1212-2424-3636-4848-6060-72Total
Bupivacaine With Epinephrine50.529.621.027.415.420.7121.2
Liposomal Bupivacaine35.128.016.820.623.720.9100.3

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Length of Stay (LOS, in Days)

(NCT03001453)
Timeframe: From time of surgery until patient is discharged, an average of 1.5 days.

InterventionHours (Mean)
Liposomal Bupivacaine46.0
Bupivacaine With Epinephrine44.4

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Change in Patient-reported Visual Analog Scale (VAS) Pain Intensity Score

Patient-reported VAS pain intensity score (0 = no pain, 10 = worst pain possible) will be collected. Mean VAS scores for the 72-hour period were calculated using the cohort's reported average pain scores at each 12-hour interval. (NCT03001453)
Timeframe: 72 hours post-operation, divided into six 12-hour periods

Interventionunits on a scale (Mean)
Liposomal Bupivacaine3.8
Bupivacaine With Epinephrine3.7

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Total Opioid Consumption

Total opioids consumed during the first 24hrs post operatively. Measured as 24hr Oxycodone Equivalent (NCT03007966)
Timeframe: 24 hrs Post Nerve Block

Interventionmilligrams (Mean)
Ilioinguinal / Iliohypogastric Block19.7
Quadratus Lumborum Block25.2

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Post-operative Verbal Pain Score With Activity

Assessed on an 11 point (0-10) numeric analog scale with a higher score denoting a worse outcome (NCT03007966)
Timeframe: 24hrs Post Nerve Block

Interventionscore on a scale (Mean)
Ilioinguinal / Iliohypogastric Block4.9
Quadratus Lumborum Block5.3

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Post-operative Verbal Pain Score at Rest

Assessed on an 11 point (0-10) numeric analog scale with a higher score denoting a worse outcome (NCT03007966)
Timeframe: 24 hrs Post Nerve Block

Interventionscore on a scale (Mean)
Ilioinguinal / Iliohypogastric Block3
Quadratus Lumborum Block2.7

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Post-operative Verbal Pain Score With Movement

Assessed on an 11-point (0-10) numeric analog scale with a higher score denoting a worse outcome. (NCT03007966)
Timeframe: 8 hrs Post Nerve Block

Interventionscore on a scale (Mean)
Ilioinguinal / Iliohypogastric Block5.10
Quadratus Lumborum Block5.03

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Time to First Oral Analgesic

When does the patient require their first post operative analgesic dose? (NCT03007966)
Timeframe: 24hrs Post Nerve Block

Interventionminutes (Median)
Ilioinguinal / Iliohypogastric Block141
Quadratus Lumborum Block91

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Post-operative Verbal Pain Score at Rest

Assessed on an 11-point (0-10) numeric analog scale with a higher score denoting a worse outcome (NCT03007966)
Timeframe: 8 hrs Post Nerve Block

Interventionscore on a scale (Mean)
Ilioinguinal / Iliohypogastric Block3.6
Quadratus Lumborum Block3.3

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Mean Area Under the Curve (AUC) of the NRS-A (Windowed Worst Observation Carried Forward) Pain Intensity Scores

"Pain intensity scores are assessed using an 11-point Numeric Rating Scale (NRS) (0-10) where 0 represents no pain and 10 represents worst pain imaginable. NRS scores are recorded with activity (NRS-A), raising the hands above the head (with wrists above the crown of the head) for at least 5 seconds." (NCT03011333)
Timeframe: 24 hours

Interventionpain intensity score*hr (Mean)
Group 1: HTX-011124.51
Group 2: HTX-011136.17
Group 3: HTX-011136.76
Group 4: HTX-011116.71
Group 5: HTX-011114.87
Group 6: Bupivacaine HCl133.83
Group 7: Saline Placebo151.52

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Mean Total Postoperative Opioid Consumption (in Morphine Equivalents)

(NCT03011333)
Timeframe: 72 Hours

InterventionMorphine milligram equivalents (MME) (Mean)
Group 1: HTX-01138.71
Group 2: HTX-01124.39
Group 3: HTX-01138.00
Group 4: HTX-01128.84
Group 5: HTX-01137.46
Group 6: Bupivacaine HCl33.57
Group 7: Saline Placebo36.38

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Mean Area Under the Curve (AUC) of the NRS-R (Windowed Worst Observation Carried Forward) Pain Intensity Scores

"Pain intensity scores are assessed using an 11-point Numeric Rating Scale (NRS) (0-10) where 0 represents no pain and 10 represents worst pain imaginable. NRS scores are recorded at rest (NRS-R)." (NCT03015532)
Timeframe: 72 hours

Interventionpain intensity score*hr (Mean)
Cohort 1, Group 1: HTX-011543.14
Cohort 1, Group 2: HTX-011560.85
Cohort 1, Group 3: Saline Placebo576.44
Cohort 1, Group 4: Bupivacaine HCI468.58
Cohort 2, Group 1: HTX-011471.19
Cohort 2, Group 2: HTX-011 + Ropivacaine452.54
Cohort 2, Group 3: Saline Placebo577.93
Cohort 2, Group 4: Bupivacaine HCI516.93

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Mean Area Under the Curve (AUC) of the NRS-R (Windowed Worst Observation Carried Forward) Pain Intensity Scores

"Pain intensity scores are assessed using an 11-point Numeric Rating Scale (NRS) (0-10) where 0 represents no pain and 10 represents worst pain imaginable. NRS scores are recorded at rest (NRS-R)." (NCT03015532)
Timeframe: 48 hours

Interventionpain intensity score*hr (Mean)
Cohort 1, Group 1: HTX-011386.12
Cohort 1, Group 2: HTX-011391.56
Cohort 1, Group 3: Saline Placebo405.82
Cohort 1, Group 4: Bupivacaine HCI347.56
Cohort 2, Group 1: HTX-011322.08
Cohort 2, Group 2: HTX-011 + Ropivacaine307.25
Cohort 2, Group 3: Saline Placebo396.36
Cohort 2, Group 4: Bupivacaine HCI352.74

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Mean Total Postoperative Opioid Consumption (in Morphine Equivalents)

(NCT03015532)
Timeframe: 72 hours

Interventionmorphine milligram equivalent (MME) (Mean)
Cohort 1, Group 1: HTX-01165.53
Cohort 1, Group 2: HTX-01166.86
Cohort 1, Group 3: Saline Placebo70.41
Cohort 1, Group 4: Bupivacaine HCI60.70
Cohort 2, Group 1: HTX-01164.39
Cohort 2, Group 2: HTX-011 + Ropivacaine60.32
Cohort 2, Group 3: Saline Placebo73.55
Cohort 2, Group 4: Bupivacaine HCI68.35

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Area Under the Curve (AUC) of Visual Analog Scale (VAS) Pain Intensity Scores From 0 to 72 Hours

"AUC of VAS pain intensity scores from 0 to 72 hours postsurgery. Visual Analog Scale (VAS) is a pain scale. The VAS was presented as a straight 10 cm line, where 0 cm is no pain and 10 cm is the worst pain possible. Patients were asked, How much pain are you experiencing right now? Please place a vertical mark on the line below to indicate the level of pain you are experiencing right now. AUC curve is derived using the trapezoidal rule (see formula below) on the pain scores. AUC start with the first pain assessment obtained after surgery and use all subsequent pain assessments up to 72 hours post-surgery. (Where pi is the VAS pain score at time i and ti is the time, in hours, from end of surgery. Note t1 is pain score collected after surgery.)" (NCT03015961)
Timeframe: 0-72 hours

Interventionscore on a scale*hours (Mean)
EXPAREL Admixed With Bupivacaine HCl342.8
Bupivacaine HCl369.0

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Percentage of Opioid-Free Patients

Percentage of opioid-free patients through 24, 48 and 72 hours post-surgery (NCT03015961)
Timeframe: 0-24, 0-48, 0-72 hours

,
Interventionpercentage of opioid-free patients (Number)
0-24 hours0-48 hours0-72 hours
Bupivacaine HCl11.115.565.56
EXPAREL Admixed With Bupivacaine HCl11.1111.1111.11

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Area Under the Curve (AUC) of the Visual Analog Scale (VAS) Pain Intensity Scores From 24-48 and 48-72 Hours Postsurgery

"AUC of the VAS pain intensity scores from 24-48 and 48-72 hours postsurgery. Visual Analog Scale (VAS) is a pain scale. The VAS was presented as a straight 10 cm line, where 0 cm is no pain and 10 cm is the worst pain possible. Patients were asked, How much pain are you experiencing right now? Please place a vertical mark on the line below to indicate the level of pain you are experiencing right now. AUC from 24-48 hours start with the pain assessment obtained at 24 hours post-surgery and use all subsequent pain assessments up to 48 hours post-surgery. AUC from 48-72 hours start with the pain assessment obtained at 48 hours post-surgery and use all subsequent pain assessments up to 72 hours post-surgery. (Where pi is the VAS pain score at time i and ti is the time, in hours, from end of surgery.)" (NCT03015961)
Timeframe: 24-48 hours, 48-72 hours

,
Interventionscore on a scale*hours (Mean)
24-48 hours48-72 hours
Bupivacaine HCl98.190.6
EXPAREL Admixed With Bupivacaine HCl97.386.8

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Total Opioid Consumption Through 48 Hours Postsurgery

Total Opioid Consumption Through 48 Hours Postsurgery (NCT03015961)
Timeframe: 0-48 hours

InterventionMED, mg (Mean)
EXPAREL Admixed With Bupivacaine HCl103.6
Bupivacaine HCl90.8

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Parenting Self-efficacy (PMP-SE)

Self-completed questionnaire, electronically completed. Scores range from 20-80, with higher scores indicating higher parenting self-efficacy. (NCT03022526)
Timeframe: 6 weeks postpartum

Interventionscore on a scale (Mean)
Combined Spinal Epidural (CSE)71.45
Epidural71.92

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Parenting Self-Efficacy (PMP-SE)

Self-completed questionnaire, electronically completed. Scores range from 20-80, with higher scores indicating higher parenting self-efficacy. (NCT03022526)
Timeframe: 3 months postpartum

Interventionscore on a scale (Mean)
Combined Spinal Epidural (CSE)73.20
Epidural74.48

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Parent-Infant Attachment (MPAS)

Self-completed questionnaire, electronically completed. Scores range from 19-95, with higher scores indicating higher attachment. (NCT03022526)
Timeframe: 6 weeks postpartum

Interventionscore on a scale (Mean)
Combined Spinal Epidural (CSE)84.09
Epidural87.68

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Parent-Infant Attachment (MPAS)

Self-completed questionnaire, electronically completed. Scores range from 19-95, with higher scores indicating higher attachment. (NCT03022526)
Timeframe: 3 months postpartum

Interventionscore on a scale (Mean)
Combined Spinal Epidural (CSE)88.08
Epidural88.70

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Pain Score on Average (BPI - Short Form)

"Self-completed questionnaire, electronically completed. Pain scores range from 0 (no pain) to 10 (pain as bad as you can imagine). Participants only answered this question if answered yes to question: Have you had pain other than everyday kinds of pain today?" (NCT03022526)
Timeframe: 6 weeks postpartum

Interventionscore on a scale (Mean)
Combined Spinal Epidural (CSE)3.00
Epidural4.00

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Pain Score on Average (BPI - Short Form)

"Self-completed questionnaire, electronically completed. Pain scores range from 0 (no pain) to 10 (pain as bad as you can imagine). Participants only answered this question if answered yes to question: Have you had pain other than everyday kinds of pain today?" (NCT03022526)
Timeframe: 3 months postpartum

Interventionscore on a scale (Mean)
Combined Spinal Epidural (CSE)4.50
Epidural2.00

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Pain Score on Average (BPI - Short Form)

"Self-completed questionnaire, electronically completed. Pain scores range from 0 (no pain) to 10 (pain as bad as you can imagine). Participants only answered this question if answered yes to question: Have you had pain other than everyday kinds of pain today?" (NCT03022526)
Timeframe: 2 days postpartum

Interventionscore on a scale (Mean)
Combined Spinal Epidural (CSE)4.64
Epidural4.19

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Child Development (ASQ-3) Personal Social Score

Self-completed questionnaire, electronically completed. Scores range from 0-60, with higher scores indicating higher personal-social development. (NCT03022526)
Timeframe: 3 months postpartum

Interventionscore on a scale (Mean)
Combined Spinal Epidural (CSE)45.00
Epidural47.33

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Child Development (ASQ-3) Personal Social Score

Self-completed questionnaire, electronically completed. Scores range from 0-60, with higher scores indicating higher personal-social development. (NCT03022526)
Timeframe: 6 weeks postpartum

Interventionscore on a scale (Mean)
Combined Spinal Epidural (CSE)43.64
Epidural46.04

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Edinburgh Postnatal Depression Score (EPDS)

Self-completed questionnaire, electronically completed. Scores range from 0-30, with higher score indicating higher likelihood of depressive illness. A score of 10 or greater is characterized as possible depression. (NCT03022526)
Timeframe: 3 months

Interventionscore on a scale (Mean)
Combined Spinal Epidural (CSE)3.53
Epidural3.96

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Number of Participants Currently Breastfeeding at 2 Days Postpartum (Yes/No)

Self-completed questionnaire, electronically completed. Results represent the percentage of each arm currently breastfeeding at this time point. (NCT03022526)
Timeframe: 2 Days Postpartum

InterventionParticipants (Count of Participants)
Combined Spinal Epidural (CSE)22
Epidural18

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Number of Participants Currently Breastfeeding at 3 Months Postpartum (Yes/No)

Self-completed questionnaire, electronically completed. Results represent the percentage of each arm currently breastfeeding at this time point. (NCT03022526)
Timeframe: 3 months postpartum

InterventionParticipants (Count of Participants)
Combined Spinal Epidural (CSE)9
Epidural8

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Number of Participants Currently Breastfeeding at 6 Weeks Postpartum (Yes/No)

Self-completed questionnaire, electronically completed. Results represent the percentage of each arm currently breastfeeding at this time point. (NCT03022526)
Timeframe: 6 weeks postpartum

InterventionParticipants (Count of Participants)
Combined Spinal Epidural (CSE)15
Epidural12

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Perceived Stress (PSS)

Self-completed questionnaire, electronically completed. Scores range from 0-40, with higher scores indicating higher perceived stress. (NCT03022526)
Timeframe: 2 days postpartum

Interventionscore on a scale (Mean)
Combined Spinal Epidural (CSE)13.08
Epidural12.39

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Edinburgh Postnatal Depression Score (EPDS)

Self-completed questionnaire, electronically completed. Scores range from 0-30, with higher score indicating higher likelihood of depressive illness. A score of 10 or greater is characterized as possible depression. (NCT03022526)
Timeframe: 6 weeks

Interventionscore on a scale (Mean)
Combined Spinal Epidural (CSE)4.23
Epidural4.71

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Pain Reported on the Visual Analogue Scale (VAS) at 30 Minutes Postoperative

Scale used is the Visual analogue scale for pain. Scale ranges from 0 being no pain, to 10 being worse pain ever experienced. (NCT03027661)
Timeframe: 30 minutes post-operative stop time

InterventionVAS scale 0-10 (Mean)
Control Group5.7
Study Group3.2

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Pain Reported on the Visual Analogue Scale (VAS) at 60 Minutes Postoperative

Postoperative pain score on the Visual analgoue scale at 60 minutes from surgical stop time. Scale ranges from 0 being no pain, to 10 being worse pain ever experienced. (NCT03027661)
Timeframe: 60 minutes

InterventionVAS scale 0-10 (Mean)
Control Group5.9
Study Group2.3

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Return to Baseline Activities Using the Activities Assessment Scale

"Resumed normal daily activities using the Activities Assessment Scale (AAS) by 12 weeks after surgery. The AAS is a 13-point scale on which patients rate their difficulty performing a range of activities from No difficulty to Not able to do it. A final score ranging from 0-100 is transformed, with higher numbers reflecting less difficulty with activities.~We defined return to normal as when a patient's postoperative AAS scores was at or greater than the baseline AAS score. We report the proportion of patients in each study arm who returned to baseline activity at each timepoint." (NCT03040011)
Timeframe: 12 weeks postoperative

InterventionParticipants (Count of Participants)
Bupivacaine/Dexamethasone Arm21
Bupivacaine Arm19
Placebo Arm18

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Nausea and Vomiting Measured by the PONV Scale

Intensity of postoperative nausea and vomiting (PONV) measured by the PONV scale prior to discharge. The Postoperative Nausea and Vomiting Intensity Scale is a four-question assessment to measure clinically significant nausea and vomiting with a range from 0-7 with higher scores signifying more clinically significant nausea and vomiting. (NCT03040011)
Timeframe: 6 hours postoperatively

Interventionscore on a scale (Median)
Bupivacaine/Dexamethasone Arm0
Bupivacaine Arm0
Placebo Arm0

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Return to Baseline Activities Using the Activities Assessment Scale

"Resumed normal daily activities using the Activities Assessment Scale (AAS) by 6 weeks after surgery. The AAS is a 13-point scale on which patients rate their difficulty performing a range of activities from No difficulty to Not able to do it. A final score ranging from 0-100 is transformed, with higher numbers reflecting less difficulty with activities.~We defined return to normal as when a patient's postoperative AAS scores was at or greater than the baseline AAS score. We report the proportion of patients in each study arm who returned to baseline activity at each timepoint." (NCT03040011)
Timeframe: 6 weeks postoperative

InterventionParticipants (Count of Participants)
Bupivacaine/Dexamethasone Arm19
Bupivacaine Arm17
Placebo Arm17

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Adverse Events

The number of adverse events in each study group was assessed and compared between study groups. An adverse event was described as any medical or surgical complication that occurred either intraoperatively or postoperatively. (NCT03040011)
Timeframe: 0-12 weeks postoperatively

Interventionnumber of adverse events (Number)
Bupivacaine/Dexamethasone Arm7
Bupivacaine Arm6
Placebo Arm9

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6 Hour Postoperative Pain Measured by the NRS

"Postoperative pain as measured by the NRS at 6 hours after surgery. The Numeric Rating Scale is an 11 point scale ranging from 0-10 with higher scores indicating worse pain.~Of note, there is a typographical error in the protocol section and refers to this outcome as a NRS score at 3 hours postoperatively. The final IRB approved protocol is a 6 hour postoperative timepoint and this is the correct outcome reported here in the results section." (NCT03040011)
Timeframe: 6 hours postoperatively

Interventionscore on a scale (Median)
Bupivacaine/Dexamethasone Arm1.0
Bupivacaine Arm3.0
Placebo Arm1.75

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Postoperative Urinary Retention

Urinary retention was defined as the need to perform self-catheterization or have an indwelling catheter placed postoperatively. The proportion of patients with urinary retention was compared between groups. (NCT03040011)
Timeframe: 0-24 hours postoperatively

InterventionParticipants (Count of Participants)
Bupivacaine/Dexamethasone Arm13
Bupivacaine Arm11
Placebo Arm14

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Primary Postoperative Pain Measured by the Numerical Rating Scale (NRS)

Postoperative pain measured by the numerical rating scale (NRS) at 24 hours postoperatively. The Numeric Rating Scale is an 11 point scale ranging from 0-10 with higher scores indicating worse pain. (NCT03040011)
Timeframe: 24 hours postoperatively

Interventionscore on a scale (Median)
Bupivacaine/Dexamethasone Arm3.0
Bupivacaine Arm4.0
Placebo Arm3.75

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POD 2 Narcotic Consumption

The total amount of narcotic pain medication used on postoperative day 2 was calculated and measured in oral morphine equivalents. (NCT03040011)
Timeframe: Postoperative day 2

Interventionoral morphine equivalents (Median)
Bupivacaine/Dexamethasone Arm7.5
Bupivacaine Arm0.0
Placebo Arm7.5

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1 Week Postoperative Pain Measured by the NRS

Postoperative Pain Measured by the Numeric Rating Scale 1 week after surgery. The Numeric Rating Scale is an 11 point scale ranging from 0-10 with higher scores indicating worse pain. (NCT03040011)
Timeframe: 1 week after surgery

Interventionscore on a scale (Median)
Bupivacaine/Dexamethasone Arm1.75
Bupivacaine Arm2.0
Placebo Arm1.0

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POD 2 Postoperative Pain Measured by the NRS

Postoperative Pain Measured by the NRS 2 days after surgery. The Numeric Rating Scale is an 11 point scale ranging from 0-10 with higher scores indicating worse pain. (NCT03040011)
Timeframe: 2 days after surgery

Interventionscore on a scale (Median)
Bupivacaine/Dexamethasone Arm3.0
Bupivacaine Arm3.0
Placebo Arm4.0

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POD 3 Ibuprofen Consumption

The total amount of ibuprofen medication used on postoperative day 3. (NCT03040011)
Timeframe: Postoperative day 3

Interventionmilligrams (Median)
Bupivacaine/Dexamethasone Arm1200
Bupivacaine Arm1200
Placebo Arm1800

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POD 3 Narcotic Consumption

The total amount of narcotic pain medication used on postoperative day 3 was calculated and measured in oral morphine equivalents. (NCT03040011)
Timeframe: Postoperative day 3

Interventionoral morphine equivalents (Median)
Bupivacaine/Dexamethasone Arm7.5
Bupivacaine Arm0.0
Placebo Arm0.0

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POD 3 Postoperative Pain Measured by the NRS

Postoperative Pain Measured by the NRS 3 days after surgery. The Numeric Rating Scale is an 11 point scale ranging from 0-10 with higher scores indicating worse pain. (NCT03040011)
Timeframe: 3 days after surgery

Interventionscore on a scale (Median)
Bupivacaine/Dexamethasone Arm3.0
Bupivacaine Arm2.5
Placebo Arm3.5

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POD 2 Ibuprofen Consumption

The total amount of ibuprofen medication used on postoperative day 2. (NCT03040011)
Timeframe: Postoperative day 2

Interventionmilligrams (Median)
Bupivacaine/Dexamethasone Arm1200
Bupivacaine Arm1200
Placebo Arm1800

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POD 1 Narcotic Consumption

The total amount of narcotic pain medication used on postoperative day 1 was calculated and measured in oral morphine equivalents. (NCT03040011)
Timeframe: Postoperative day 1

Interventionoral morphine equivalents (Median)
Bupivacaine/Dexamethasone Arm7.5
Bupivacaine Arm4.4
Placebo Arm7.5

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Proportion of Patients With Same Day Discharge

Same day discharge was defined as a patient being discharged on the same day as surgery and did not require an admission after surgery. The proportion of patients who were discharged on the day of surgery was compared between groups. (NCT03040011)
Timeframe: Day of surgery

InterventionParticipants (Count of Participants)
Bupivacaine/Dexamethasone Arm20
Bupivacaine Arm22
Placebo Arm20

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Return to Baseline Activities Using the Activities Assessment Scale

"Resumed normal daily activities using the Activities Assessment Scale (AAS) by 2 weeks after surgery. The AAS is a 13-point scale on which patients rate their difficulty performing a range of activities from No difficulty to Not able to do it. A final score ranging from 0-100 is transformed, with higher numbers reflecting less difficulty with activities.~We defined return to normal as when a patient's postoperative AAS scores was at or greater than the baseline AAS score. We report the proportion of patients in each study arm who returned to baseline activity at each timepoint." (NCT03040011)
Timeframe: 2 week postoperative

InterventionParticipants (Count of Participants)
Bupivacaine/Dexamethasone Arm15
Bupivacaine Arm16
Placebo Arm14

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Return to Baseline Activities Using the Activities Assessment Scale

"Resumed normal daily activities using the Activities Assessment Scale (AAS) by 1 week after surgery. The AAS is a 13-point scale on which patients rate their difficulty performing a range of activities from No difficulty to Not able to do it. A final score ranging from 0-100 is transformed, with higher numbers reflecting less difficulty with activities.~We defined return to normal as when a patient's postoperative AAS scores was at or greater than the baseline AAS score. We report the proportion of patients in each study arm who returned to baseline activity at each timepoint." (NCT03040011)
Timeframe: 1 week postoperative

InterventionParticipants (Count of Participants)
Bupivacaine/Dexamethasone Arm11
Bupivacaine Arm11
Placebo Arm12

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POD 1 Ibuprofen Consumption

The total amount of ibuprofen medication used on postoperative day 1. (NCT03040011)
Timeframe: Postoperative day 1

Interventionmilligrams (Median)
Bupivacaine/Dexamethasone Arm1200
Bupivacaine Arm1200
Placebo Arm1200

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Mean Opioid Consumption in Morphine Opioid Equivalents in mg

"Anticipate superior efficacy and pain control with liposomal bupivacaine TAP blocks measured by use of opioids (measured in oral morphine equivalents) in the first 48 hours following surgery~Will use opioid consumption in morphine equivalents as a comparison" (NCT03080142)
Timeframe: 48 hours from start of surgery

InterventionIV morphine equivalents (mg) (Mean)
Group 1112.12
Group 297.95

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Average Pain as Measured by the Brief Pain Inventory (BPI) at 1 Year

"The participant is asked to rate their pain by circling the one number that best describes their pain on the average.~0=no pain and 10 = pain as bad as they can imagine. The higher number indicates worse pain." (NCT03084536)
Timeframe: At 1 year

Interventionscore on a scale (Median)
Preoperative PECS Blocks0
Placebo PECS Blocks0

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Change in Quality of Life as Measured by the Veterans RAND12 Questionnaire Mental Health Summary Measure

"The 12 items in the questionnaire correspond to eight principal physical and mental health domains including general health perceptions; physical functioning; role limitations due to physical and emotional problems; bodily pain; energy-fatigue, social functioning and mental health. The 12 items are summarized into two scores, a Physical Health Summary Measure (PCS) and a Mental Health Summary Measure (MCS).~The higher the score the better quality of life.~Scores are standardized to a mean of 50 with a range of -1.465-77.09." (NCT03084536)
Timeframe: At baseline and 1 year post-surgery

Interventionscore on a scale (Median)
Preoperative PECS Blocks0
Placebo PECS Blocks1.9

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Worst Pain as Measured by the Brief Pain Inventory (BPI) at 1 Year

"The participant is asked to rate their pain by circling the one number that best describes their pain at its worst in the past week.~0=no pain and 10 = pain as bad as they can imagine. The higher number indicates worse pain." (NCT03084536)
Timeframe: At 1 year

Interventionscore on a scale (Median)
Preoperative PECS Blocks0
Placebo PECS Blocks0

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Interference as Measured by the Brief Pain Inventory (BPI) at 1 Year

"The participant is asked circle the one number that describes how much, during the past week pain has interfered with general activity, mood, walking ability, normal work (includes both work outside the home and housework), relations with other people, sleep, and enjoyment of life.~0=does not interference and 10 = completely interferes. The higher number indicates more interference from pain.~The scores for each subsection will be averaged." (NCT03084536)
Timeframe: At 1 year

Interventionscore on a scale (Median)
Preoperative PECS Blocks0
Placebo PECS Blocks0

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Change in Quality of Life as Measured by the Veterans RAND12 Questionnaire Physical Health Summary Measure

"The 12 items in the questionnaire correspond to eight principal physical and mental health domains including general health perceptions; physical functioning; role limitations due to physical and emotional problems; bodily pain; energy-fatigue, social functioning and mental health. The 12 items are summarized into two scores, a Physical Health Summary Measure (PCS) and a Mental Health Summary Measure (MCS).~The higher the score the better quality of life.~Scores are standardized to a mean of 50 with a range of -0.809-70.71." (NCT03084536)
Timeframe: At baseline and 1 year post-surgery

Interventionscore on a scale (Median)
Preoperative PECS Blocks-3.1
Placebo PECS Blocks-0.8

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Opioid Consumption During the First 3 Days Post-op

Opioids consumed in the first 3 after surgery (cumulative consumption). (NCT03090152)
Timeframe: Postoperative day 0,1,2,3

InterventionOral Morphine Equivalent (mg) (Median)
Periarticular Injection (PAI)52.5
Epidural Patient-Controlled Analg (EPCA)45
PAI + EPCA40

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Neuropathic Pain Assessed With S-LANSS

via S-LANSS (Self-report Leeds Assessment of Neuropathic Symptoms and Signs). Scores range from 0-24. A lower score is a better outcome. (NCT03090152)
Timeframe: Postoperative Day 7, Postoperative Day 90

,,
Interventionscore on a scale (Median)
POD7POD90
Epidural Patient-Controlled Analg (EPCA)88
PAI + EPCA7.58
Periarticular Injection (PAI)88

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Readiness for Discharge Time

When patient meets all readiness for discharge criteria (NCT03090152)
Timeframe: From end of surgery until the date/time of first documented clearance for discharge, assessed up to 1 week.

Interventionhours (Median)
Periarticular Injection (PAI)46.5
Epidural Patient-Controlled Analg (EPCA)48.7
PAI + EPCA48.8

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Opioid Use

Oral morphine equivalents, cumulative (NCT03090152)
Timeframe: within 24 hours after surgery

InterventionOral Morphine Equivalent (mg) (Mean)
Periarticular Injection (PAI)30
Epidural Patient-Controlled Analg (EPCA)22.5
PAI + EPCA15

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No Opioids Consumed

Number of patients who did not consume any opioids (NCT03090152)
Timeframe: 0 to 24 hours post-operatively

Interventionparticipants (Number)
Periarticular Injection (PAI)5
Epidural Patient-Controlled Analg (EPCA)12
PAI + EPCA14

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Post-operative Pain

via PAINOUT (Improvement in postoperative PAIN OUTcome) Minumum value is zero, maximum is ten. Higher scores mean worse outcomes. (NCT03090152)
Timeframe: Postoperative Day 1

,,
Interventionscore on a scale (Median)
The worst pain you had in the last 24 hoursThe least pain you had in the last 24 hoursHow often were you in severe pain in the last 24 hours?How much pain interfered with doing activities in bed like turning, sitting up, changing position?How much pain interfered with or prevented you from breathing deeply or coughing?How much pain interfered with or prevented you from sleeping?How much pain interfered with doing activities out of bed?In the last 24 hours, have you had any nausea?In the last 24 hours, have you had any drowsiness?In the last 24 hours, have you had any itching?
Epidural Patient-Controlled Analg (EPCA)5012002000
PAI + EPCA4011002030
Periarticular Injection (PAI)5.501100202.50

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Quality of Recovery

Via QoR-40 (Quality of Recovery). Minimum value of 40, maximum of 200. Higher values mean better outcome (NCT03090152)
Timeframe: Postoperative Day 1,2,3

,,
Interventionscore on a scale (Mean)
POD1POD2POD3
Epidural Patient-Controlled Analg (EPCA)102.3103.198.5
PAI + EPCA101.6102.198.4
Periarticular Injection (PAI)102.2102.9100.7

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Patient Satisfaction

via Likert scale. A higher score is a better outcome. the scale is from 0-10. (NCT03090152)
Timeframe: Postoperative Day 1,2,3,7

,,
Interventionscore on a scale (Mean)
POD1POD2POD3POD7
Epidural Patient-Controlled Analg (EPCA)9.69.19.19.4
PAI + EPCA9.59.19.18.9
Periarticular Injection (PAI)9.69.39.59.6

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Blinding Assessment

What group do you think you were in (NCT03090152)
Timeframe: Assessed on day of discharge and on seventh post operative day

InterventionParticipants (Count of Participants)
Discharge72519071Discharge72519072Discharge72519070POD772519071POD772519072POD772519070
EPCAPAI+EPCADo Not KnowPAI
Periarticular Injection (PAI)5
Epidural Patient-Controlled Analg (EPCA)13
PAI + EPCA7
Periarticular Injection (PAI)10
Epidural Patient-Controlled Analg (EPCA)10
PAI + EPCA6
Periarticular Injection (PAI)18
Epidural Patient-Controlled Analg (EPCA)11
PAI + EPCA15
Epidural Patient-Controlled Analg (EPCA)18
PAI + EPCA23
Epidural Patient-Controlled Analg (EPCA)8
Periarticular Injection (PAI)6
Epidural Patient-Controlled Analg (EPCA)3
PAI + EPCA4
Periarticular Injection (PAI)17
Epidural Patient-Controlled Analg (EPCA)16
PAI + EPCA13
PAI + EPCA18

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Pain With Activity

NRS (Numeric Pain Rating Scale). 0 means no pain, 10 means worst pain imaginable. A lower score is a better outcome. (NCT03090152)
Timeframe: Postoperative Day 1,2,3,7,90

,,
Interventionscore on a scale (Mean)
POD1POD2POD3POD7POD90
Epidural Patient-Controlled Analg (EPCA)3.43.63.22.70.6
PAI + EPCA3.743.231.4
Periarticular Injection (PAI)3.64.23.82.80.7

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Pain at Rest

NRS (Numeric Pain Rating Scale). 0 means no pain, 10 means worst pain imaginable. A lower score is a better outcome. (NCT03090152)
Timeframe: Postoperative Day 1,2,3,7,90

,,
Interventionscore on a scale (Mean)
POD1POD2POD3POD7POD90
Epidural Patient-Controlled Analg (EPCA)1.91.81.21.10.3
PAI + EPCA1.71.91.31.50.6
Periarticular Injection (PAI)22.21.81.50.3

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Opioid Side Effects

via ORSDS (Opioid-Related Symptom Distress Scale). Each symptom was rated on a 4 point scale from 0-4. A lower score is a better outcome. (NCT03090152)
Timeframe: Postoperative Day 1,2

,,
Interventionscore on a scale (Mean)
POD1- FatiguePOD1- DrowsinessPOD1- Inability to ConcentratePOD1- NauseaPOD1- DizzinessPOD1- ConstipationPOD2- FatiguePOD2- DrowsinessPOD2- Inability to ConcentratePOD2- NauseaPOD2-DizzinessPOD2- Constipation
Epidural Patient-Controlled Analg (EPCA)0.60.60.10.30.50.50.70.70.10.30.40.7
PAI + EPCA0.91.30.30.60.90.411.20.30.60.61
Periarticular Injection (PAI)0.81.10.20.70.40.20.710.20.20.40.7

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Average Opioid Consumption

Average opioid consumption 48 hrs postoperatively between the study group and the control (NCT03098420)
Timeframe: from the time of delivery to 48hrs postoperatively

Interventionmg of morphine equivalents (Mean)
Control Group37.93
2mg Dexamethasone47.11
4mg Dexamethasone42.38

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Average Pain Score

Average pain score (VAS) 48 hrs postoperatively between the study group and the control. The visual analog scale (VAS) is a validated, subjective measure for acute and chronic pain. 0 represents no pain, whereas 10 represents unbearable pain. (NCT03098420)
Timeframe: 48 hours postoperatively

Interventionunits on a scale (Mean)
Control Group1.49
2mg Dexamethasone1.40
4mg Dexamethasone1.62

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First Post-Operative Opioid Administration

Time until first dose post-operative opioid administration between the study group and the control (NCT03098420)
Timeframe: baseline to 48 hrs postoperatively

InterventionHours (Mean)
Control Group22.43
2mg Dexamethasone12.56
4mg Dexamethasone18.25

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Number of Patients Who Achieve Adequate Analgesia

The number of patients who received an adequate epidural level of T10 or higher (NCT03103100)
Timeframe: Baseline to 1 hour

InterventionParticipants (Count of Participants)
1% Lidocaine23
0.25% Bupivacaine25
Bupivacaine Plus Lidocaine23

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Number of Patients Who Experienced of Maternal Hypotension

Number of patients who experienced maternal hypotension defined as a blood pressure (BP) >20% decline from baseline and need for vasopressor therapy (NCT03103100)
Timeframe: Baseline to 1 hour

InterventionParticipants (Count of Participants)
1% Lidocaine4
0.25% Bupivacaine0
Bupivacaine Plus Lidocaine0

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Time to Achieve an Adequate Epidural Level for Labor Analgesia

time it takes to achieve a T10 dermatome level by pinprick. A T10 dermatome level is what is needed to control labor pain. (NCT03103100)
Timeframe: Baseline to 1 hour

Interventionminutes (Mean)
1% Lidocaine7.0
0.25% Bupivacaine11.0
Bupivacaine Plus Lidocaine8.5

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Degree of Motor Block

degree of motor block which means the amount of weakness in the legs experienced by the participants. this was determined by using the Bromage scale where 4 = greatest amount of motor block or muscle weakness and 0 = the least amount of motor block. (NCT03103100)
Timeframe: Baseline to 1 hour

InterventionBromage Score (Mean)
1% Lidocaine2.0
0.25% Bupivacaine1.7
Bupivacaine Plus Lidocaine1.9

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Number of Adverse Events During Procedure

Number of total specific adverse events such as: fetal bradycardia, emergent cesarean section, or abruption. (NCT03106753)
Timeframe: Day 1

Interventionevents (Number)
Spinal Anesthesia Immediately for ECV.11
Spinal Anesthesia if no Intervention Fails for ECV.5

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Number of NICU Admission

Number of patients whose neonate was admitted to the NICU in each group. (NCT03106753)
Timeframe: Day 1

InterventionParticipants (Count of Participants)
Spinal Anesthesia Immediately for ECV.1
Spinal Anesthesia if no Intervention Fails for ECV.1

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Time From Procedure to Delivery.

Number of days from procedure to delivery. (NCT03106753)
Timeframe: up to day 42

Interventionhours (Mean)
Spinal Anesthesia Immediately for ECV.12.6
Spinal Anesthesia if no Intervention Fails for ECV.11.3

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Number of Participants With Newborns With Apgar Score 7 or 9

Newborns with Apgar Score 7 or 9 at 5 minutes after delivery. The Apgar score is based on a total score of 1 to 10. The higher the score, the better the baby is doing after birth. A score of 7, 8, or 9 is normal and is a sign that the newborn is in good health. (NCT03106753)
Timeframe: 7 minutes and 9 minutes after delivery

,
InterventionParticipants (Count of Participants)
79
Spinal Anesthesia if no Intervention Fails for ECV.115
Spinal Anesthesia Immediately for ECV.116

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Number of Participants With Success Rate of External Cephalic Version to Cephalic Presentation.

Success rate will be measured by comparing the percentage of successful external cephalic versions in each group. (NCT03106753)
Timeframe: Day 1

,
InterventionParticipants (Count of Participants)
NulliparousMultiparous
Spinal Anesthesia if no Intervention Fails for ECV.53
Spinal Anesthesia Immediately for ECV.43

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Number of Participants With Various Mode of Delivery

Mode of delivery as incidence of spontaneous vaginal delivery, operative vaginal delivery, or cesarean section. (NCT03106753)
Timeframe: up to day 42

,
InterventionParticipants (Count of Participants)
Spontaneous Vaginal DeliveryOperative Vaginal DeliveryCesarean Section
Spinal Anesthesia if no Intervention Fails for ECV.619
Spinal Anesthesia Immediately for ECV.6011

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Numeric Rating Scale (NRS-11)

Patient discomfort rated with NRS-11. Total scale from 0-10, with higher score indicating more pain. (NCT03106753)
Timeframe: Day 1

Interventionscore on a scale (Mean)
First procedure
Spinal Anesthesia Immediately for ECV.2.0

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Numeric Rating Scale (NRS-11)

Patient discomfort rated with NRS-11. Total scale from 0-10, with higher score indicating more pain. (NCT03106753)
Timeframe: Day 1

Interventionscore on a scale (Mean)
First procedureSecond procedure
Spinal Anesthesia if no Intervention Fails for ECV.6.12.2

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Newborn Birth Weight

Newborn birth weight in grams. (NCT03106753)
Timeframe: Day 1 of delivery

Interventiongrams (Mean)
Spinal Anesthesia Immediately for ECV.3321.6
Spinal Anesthesia if no Intervention Fails for ECV.3257.7

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Cord pH

Arterial cord pH level (NCT03106753)
Timeframe: Day 1

InterventionpH (Mean)
Spinal Anesthesia Immediately for ECV.7.2
Spinal Anesthesia if no Intervention Fails for ECV.7.2

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Time Until PACU Discharge in Minutes

Time from entrance into the PACU until PACU discharge criteria met (NCT03110003)
Timeframe: Baseline up to 48 hrs postoperatively

Interventionminutes (Median)
10 mg Bupivacaine135
5 mg Bupivacaine50

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Degree of Peak Motor Blockade by Modified Bromage Scale

"Motor blockade will be determined by the patient's ability to lift her legs~This is simple scale used to assess motor function in the patients' legs. A numerical value from 0 to 4 is assigned to visual inspection of how well the patient can move her legs. 0=ability to maintain a leg lift for prolonged periods; 1=ability to lift legs briefly; 2=ability to bend knees; 3=ability to wiggle toes; 4=no movement in legs. A score of 0 means complete movement (no blockade) in the legs, whereas a score of 4 means no movement (complete blockade) in the legs." (NCT03110003)
Timeframe: Baseline up to 3 hours

Interventionscore on a scale (Mean)
10 mg Bupivacaine3
5 mg Bupivacaine3

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Time Elapsed Until Motor Block Regresses to Modified Bromage Score = 0

"Time until score of <2 reached on Modified Bromage scale~This is simple scale used to assess motor function in the patients' legs. A numerical value from 0 to 4 is assigned to visual inspection of how well the patient can move her legs. 0=ability to maintain a leg lift for prolonged periods; 1=ability to lift legs briefly; 2=ability to bend knees; 3=ability to wiggle toes; 4=no movement in legs. A score of 0 means complete movement (no blockade) in the legs, whereas a score of 4 means no movement (complete blockade) in the legs. Once the patient received as score of 0, the time ended. Again, 0=ability to maintain a leg lift for prolonged periods." (NCT03110003)
Timeframe: Baseline up to 6 hours

InterventionMinutes (Median)
10 mg Bupivacaine181
5 mg Bupivacaine66

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Peak Block Height

Thoracic dermatome level as assessed by pinprick (NCT03110003)
Timeframe: Baseline up to 3 hours

InterventionThoracic dermatome (Median)
10 mg Bupivacaine5
5 mg Bupivacaine5

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Visual Analog Pain Score (VAS)

Postoperative Visual Analog Pain Score following lumbar fusion surgery. VAS on the scale 0 to 100 (0= no pain, 100= worst pain). (NCT03115151)
Timeframe: VAS score at postoperative 24 hours

Interventionunits on a scale (Mean)
Patient-Controlled Epidural Analgesia40.23
Intravenous Patient-controlled Analgesia54.27

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2 Month Subject Reported Daily Hot Flashes (Mean)

2 month subject reported daily hot flashes measured from day 60 to day 90 after treatment (mean value). (NCT03122301)
Timeframe: 2 months after treatment

InterventionNumber of hot flashes/night (Mean)
Bupivicaine.36
Saline4.13

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Mean NRS Pain Score at Rest on Postoperative Day 2

Mean of patient-reported NRS pain scores on postoperative day 2. Patients recorded pain scores at rest with each oral analgesic tablet taken. Zero implies no pain, whereas a score of 10 translates to very severe pain. Outcome score is mean of reported pain scores for this day. (NCT03149887)
Timeframe: Postoperative day 2

Interventionscore on a scale (Mean)
Experimental (Liposomal Bupivacaine)5.2
Control (Normal Saline)6.4

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Oral Analgesic Requirements on Postoperative Day 1

Oral analgesic dose (5 mg oxycodone tablets) required expressed as oral morphine equivalents. Outcome is total oral opioid used on postoperative day 1 expressed as oral morphine equivalents in mg. (NCT03149887)
Timeframe: Postoperative day 1

InterventionOral morphine equivalents in mg (Mean)
Experimental (Liposomal Bupivacaine)42.9
Control (Normal Saline)41.4

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Mean NRS Pain Score With Motion

NRS Pain score with passive motion (for those patients who performed this), on 0-10 scale, with zero being no pain and 10 representing severe pain. Outcome score is mean of reported pain scores for passive motion episodes on all three postoperative days. (NCT03149887)
Timeframe: Mean value of reported pain scores on postoperative days 1,2 and 3

InterventionScore on a scale (Mean)
Experimental (Liposomal Bupivacaine)4.5
Control (Normal Saline)5.1

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Oral Analgesic Requirements on Postoperative Day 3

Patients reported the number of oral analgesic tablets (5 mg oxycodone tablets) ingested on postoperative day 3. This is expressed as Oral Morphine Equivalents in mg. (NCT03149887)
Timeframe: Postoperative Day 3

InterventionOral morphine equivalents in mg (Mean)
Experimental (Liposomal Bupivacaine)29.8
Control (Normal Saline)36.4

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Mean NRS Pain Score at Rest on Postoperative Day 1

Mean NRS pain score on scale of 1-10, at rest (zero is no pain, 10 is severe pain). Patients recorded their pain score at rest with administration of each oral analgesic tablet. Outcome score is mean of reported pain scores for this day. (NCT03149887)
Timeframe: Postoperative day 1

InterventionScore on a scale (Mean)
Experimental (Liposomal Bupivacaine)5.7
Control (Normal Saline)6.1

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Mean NRS Pain Scores at Rest on Postoperative Day 3

Patients recorded their pain scores at rest with ingestion of each oral analgesic table on postoperative day 3. Zero implies no pain, whereas 10 implies very severe pain. Outcome score is mean of reported pain scores for this day. (NCT03149887)
Timeframe: Postoperative Day 3

Interventionscore on a scale (Mean)
Experimental (Liposomal Bupivacaine)4.6
Control (Normal Saline)6.3

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Numeric Rating Pain Score [NRS] at Time of Block Resolution

"Numeric rating score pain level at time of nerve block resolution, on scale of 0-10, as reported by patient at time of 24 hour follow up phone call. A reported score of zero implies no pain, whereas a score of 10 implies very severe pain. Outcome score is mean of reported pain scores by participants at time of nerve block resolution." (NCT03149887)
Timeframe: At the time of block resolution, as reported by patients at follow up phone call

InterventionScore on a scale (Mean)
Experimental (Liposomal Bupivacaine)5.4
Control (Normal Saline)5.8

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Oral Analgesic Requirements on Postoperative Day 2

Amount of oral opioids (oxycodone 5 mg tablets) ingested by patients on Postoperative Day 2, expressed as Oral Morphine Equivalents in mg. (NCT03149887)
Timeframe: Postoperative day 2

InterventionOral morphine equivalents in mg (Mean)
Experimental (Liposomal Bupivacaine)36.6
Control (Normal Saline)39.0

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Subjects Overall Satisfaction Scores

Subjects will be followed up at 24 hours post operatively by a study team member to document patient overall satisfaction scores. Score was recorded as 0=dissatisfied, 1=satisfied, 2=very satisfied. (NCT03151434)
Timeframe: post operatively at hour 24

Interventionunits on a scale (Mean)
Group #10.89
Group #20.95
Group #31.33

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Secondary Endpoint Includes Total Intravenous Opioid Consumption at 72 Hours

Opioid consumption will be collected by a study team member post operatively up to 3 days per protocol time requirements (NCT03151434)
Timeframe: Opioid consumption will be measured at 1 hour post op, 24,48, and 72 hours post op. The total amount will be recorded.

Interventionmiligram morphine equivalent (Median)
Group #157
Group #235
Group #321.3

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Subjects Overall Satisfaction Scores

Subjects will be followed up at 48 hours post operatively by a study team member to document patient overall satisfaction scores. Scores will be recorded as 0=dissatisfied, 1=satisfied, 2=very satisfied. (NCT03151434)
Timeframe: post operatively at hour 48

Interventionunits on a scale (Mean)
Group #11.19
Group #21.05
Group #31.32

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Average Sedation Scores Over 72 Hours

Sedation scores will be documented by a study team member post operatively up to 3 days per protocol requirements. Determining if patient is 0=awake and alert, 1=quietly awake, 2=asleep and arousable, or 3=deep sleep. (NCT03151434)
Timeframe: Sedation scores will be documented at 1 hour post op, 24,48,and 72 hours after the sugery. The scores will then be averaged.

Interventionunits on a scale (Mean)
Group #10.38
Group #20.32
Group #30.22

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Average Nausea Scores Over 72 Hours

Nausea scores will be collected by a study team member post operatively up to 3 days per protocol. Nausea will be recorded as 0=none, 1=mild, 2=moderate, or 3=severe (NCT03151434)
Timeframe: Nausea scores will be documented at 1 hour post op, 24,48,and 72 hours after the surgery.The scores will then be averaged.

Interventionunits on a scale (Mean)
Group #10.27
Group #20.27
Group #30.29

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The Primary Endpoint of This Study Will be VAS Pain Score at 48 Hours

"The VAS scores will be taken with both rest and movement (knee flexion) and will be measured by a study team investigator using Visual Analog Scale (VAS). Usingunits on a scale scale of 1-10 for documentation with 10 being the worst pain and 0 being no pain" (NCT03151434)
Timeframe: Pain scores will be measured 48 hours after surgery.

Interventionunits on a scale (Median)
US Guided Single Shot Paravertebral Block3.0
US Guided Paravertebral Catheter4.0
Thoracic Epidural2.0

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The Primary Endpoint of This Study Will be VAS Pain Score at 24 Hours

"The VAS score will be taken with both rest and movement (knee flexion) and will be measured by a study team investigator using Visual Analog Scale (VAS). Using units on a scale of 1-10 for documentation with 10 being the worst pain and 0 being no pain" (NCT03151434)
Timeframe: Pain scores will be measured 24 hours after surgery.

Interventionunits on a scale (Median)
US Guided Single Shot Paravertebral Block4.0
US Guided Paravertebral Catheter4.5
Thoracic Epidural3.0

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Time to First Rescue Medication Use

The time to a subject's first use of an opioid medication for breakthrough pain after the end of surgery (NCT03176459)
Timeframe: From the end of surgery

Interventionhours (Median)
EXPAREL 266mg + Immediate Release (IR) Bupivacaine53.2
IR Bupivacaine41.1

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Total Postsurgical Opioid Consumption Through 168 Hours (Day 7)

(NCT03176459)
Timeframe: 0-168 hours

InterventionMED mg (Least Squares Mean)
EXPAREL 266mg + Immediate Release (IR) Bupivacaine23.3
IR Bupivacaine45.8

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Total Postsurgical Opioid Consumption Through 24 Hours

(NCT03176459)
Timeframe: 0-24 hours

InterventionMED mg (Least Squares Mean)
EXPAREL 266mg + Immediate Release (IR) Bupivacaine2.4
IR Bupivacaine5.6

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Total Postsurgical Opioid Consumption Through 336 Hours (Day 14)

(NCT03176459)
Timeframe: 0-336 hours

InterventionMED mg (Least Squares Mean)
EXPAREL 266mg + Immediate Release (IR) Bupivacaine28.2
IR Bupivacaine47.8

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Total Postsurgical Opioid Consumption Through 48 Hours

(NCT03176459)
Timeframe: 0-48 hours

InterventionMED mg (Least Squares Mean)
EXPAREL 266mg + Immediate Release (IR) Bupivacaine9.1
IR Bupivacaine20.5

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Total Postsurgical Opioid Consumption Through 72 Hours After TAP Infiltration During Elective Cesarean Section

The primary endpoint is the total postsurgical opioid consumption (mg) in oral morphine equivalent dose (OMED) through 72 hours. (NCT03176459)
Timeframe: 0-72 hours

InterventionMED, mg (Least Squares Mean)
EXPAREL 266mg + Immediate Release (IR) Bupivacaine15.5
IR Bupivacaine32.0

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Area Under the Curve (AUC) for Visual Analog Scale (VAS) Pain Scores Through 72 Hours

"AUC for VAS pain scores through 72 hours. Pain intensity scores were measured on a 10-cm VAS (0 cm= no pain to 30 cm=pain as bad as it could be).~Subjects were evaluated for pain intensity scores at rest using the 10-cm VAS at rest at 6, 12, 18, 24, 30, 36, 42, 48, and 72 hours after surgery and then once daily (at noon ± 4 hours) through Day 14. To assess pain intensity (VAS) at rest, the subject should rest quietly in a supine or seated position that does not exacerbate her postsurgical pain for 3-5 minutes before entering the pain score. While in the hospital, subjects are to assess, How much pain are you experiencing right now? and a vertical mark is placed on a 10-cm straight line to indicate the level of pain experienced at the time of assessment.~Note higher AUC means more pain over time." (NCT03176459)
Timeframe: 0-72 hours

Interventioncm*hr (Least Squares Mean)
EXPAREL 266mg + Immediate Release (IR) Bupivacaine147.9
IR Bupivacaine178.5

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Opioid Spared Subjects Through 72 Hours

"Subjects were considered opioid-spared if:~For 0-72 hours opioid consumption, all doses add up to ≤15mg (oral morphine equivalent dose [OMED])~AND the overall benefit of anesthesia score (OBAS) score was 0 for questions 2, 3, 4, 5, and 6. For the OBAS questionnaire, 0 is considered minimal pain and 4 is considered maximum imaginable pain." (NCT03176459)
Timeframe: 0-72 hours

Interventionpercent of participants (Number)
EXPAREL 266mg + Immediate Release (IR) Bupivacaine53.5
IR Bupivacaine24.7

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Opioid-Free Subjects Through 72 Hours

Percentage of subjects who did not received an opioid rescue medication starting from the end of surgery through 72 hours (NCT03176459)
Timeframe: 0-72 hours

Interventionpercent of opioid-free participants (Number)
EXPAREL 266mg + Immediate Release (IR) Bupivacaine51.9
IR Bupivacaine48.6

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Post-Operative Pain

Patient-reported pain levels, on a 0-100 Visual Analog Scale (VAS) with 0 representing less pain and 100 representing more pain. (NCT03187379)
Timeframe: 24 hours post-surgery

Interventionunits on a Visual Analog Scale (VAS) (Mean)
Exparel, Liposomal Bupivacaine49.4
Control56.6

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Post-Operative Pain

Patient-reported pain levels, on a 0-100 Visual Analog Scale (VAS) with 0 representing less pain and 100 representing more pain. (NCT03187379)
Timeframe: 48 hours post-surgery

Interventionunits on a Visual Analog Scale (VAS) (Mean)
Exparel, Liposomal Bupivacaine42.2
Control51.5

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Morphine Equivalents

in hospital total oral and IV morphine equivalents required after laparoscopic bariatric surgery. (NCT03196505)
Timeframe: within 1 week post-operatively

InterventionMEU (Mean)
Liposomal Bupivacaine8.3
Control7.5

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Cumulative Pain Score

Average pain scores by blinded nurse obtained. Analogue pain rating scale ranged from 0 to 10 with 0 being no pain and 10 being the worst possible pain. Assessment of pain and nausea were performed every 4 hours after operation until discharge. (NCT03196505)
Timeframe: within 48 hours post operatively

Interventionscore on a scale (Mean)
Liposomal Bupivacaine3.5
Control3.6

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Measurement of Serum Adrenaline Levels (ng/ml) Using ELISA Technique.

Measurement of serum adrenaline levels (ng/ml) 1 hour after the start of the surgery using ELISA technique. (NCT03225313)
Timeframe: 1 hour after the start of the surgery using ELISA technique.

Interventionng/ml (Mean)
Control Group2.508
Ultra- Sound Rectus Sheath Block Group2.556
Local Infilteration Group2.704

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Measurement of Serum Cortisol Level (Nmol/ Liter) Using ELISA Technique.

Measurement of serum cortisol level (nmol/ liter) using ELISA technique 30 minutes before the start of the surgery (NCT03225313)
Timeframe: 30 minutes before the start of the surgery

Interventionnmol/ liter (Mean)
Control Group159.02
Ultra- Sound Rectus Sheath Block Group327.05
Local Infilteration Group170.52

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Immediate Postoperative Pain

"Evaluation of the intensity of postoperative pain using Visual Analogue Scale (VAS) for pain: 0- 10 Scale; 0 the lowest pain score, 10 the highest pain scale.~0 score: Better pain control achieved. 10 score: Worst pain control achieved. 3 score: Controllable pain control achieved." (NCT03225313)
Timeframe: evaluation of postoperative pain in patients immediately after the procedure.

Interventionscore on a scale (Mean)
Control Group7.36
Ultra- Sound Rectus Sheath Block Group1.04
Local Infilteration Group6.56

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Change in the Level of Serum Cortisol.

Measurement of serum cortisol level (nmol/ liter) using the ELISA technique after 1 hour of the start of the surgery. (NCT03225313)
Timeframe: Measurement of serum cortisol level (nmol/ liter) using the ELISA technique after 1 hour of the start of the surgery.

Interventionnmol/ liter (Mean)
Control Group307.84
Rectus Block Group214.00
Local Group286.92

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Postoperative Pain at 6 Hours After Procedure.

"Evaluation of the intensity of postoperative pain using Visual Analogue Scale (VAS) for pain: 0- 10 Scale; 0 the lowest pain score, 10 the highest pain scale.~0 score: Better pain control achieved. 10 score: Worst pain control achieved. 3 score: Controllable pain control achieved." (NCT03225313)
Timeframe: Evaluation of postoperative pain in patients at 6 hours after procedure.

Interventionscore on a scale (Mean)
Control Group5.28
Ultra- Sound Rectus Sheath Block Group2.64
Local Infilteration Group5.16

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Postoperative Pain at 2 Hours After Procedure.

"Evaluation of the intensity of postoperative pain using Visual Analogue Scale (VAS) for pain: 0- 10 Scale; 0 the lowest pain score, 10 the highest pain scale.~0 score: Better pain control achieved. 10 score: Worst pain control achieved. 3 score: Controllable pain control achieved." (NCT03225313)
Timeframe: evaluation of postoperative pain in patients at 2 hours after procedure.

Interventionscore on a scale (Mean)
Control Group6.04
Ultra- Sound Rectus Sheath Block Group1.20
Local Infilteration Group5.12

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Measurement of Serum Noradrenaline Levels (ng/ml) Using ELISA Technique.

Measurement of serum noradrenaline levels (ng/ml) using ELISA technique 30 minutes before the start of the surgery. (NCT03225313)
Timeframe: 30 minutes before the start of the surgery.

Interventionng/ml (Mean)
Control Group9.960
Ultra- Sound Rectus Sheath Block Group20.880
Local Infilteration Group12.932

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Measurement of Serum Adrenaline Level (ng/ml) Using ELISA Technique.

Measurement of serum adrenaline level (ng/ml) using ELISA technique 30 minutes before the start of the surgery. (NCT03225313)
Timeframe: 30 minutes before the start of the surgery

Interventionng/ml (Mean)
Control Group1.42
Ultra- Sound Rectus Sheath Block Group3.96
Local Infilteration Group2.00

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Measurement of Serum Noradrenaline Levels (ng/ml) Using ELISA Technique.

Measurement of serum noradrenaline levels (ng/ml) 1 hour after the start of the surgery using ELISA technique. (NCT03225313)
Timeframe: 1 hour after the start of the surgery

Interventionng/ml (Mean)
Control Group12.088
Ultra- Sound Rectus Sheath Block Group17.380
Local Infilteration Group15.920

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Tlag

Lag-time (NCT03234374)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 5, 6, 9, 12, 18, 24, 36, 48 and 72 hours

Interventionhours (Mean)
INL-0010.51
Marcaine 0.25% Infiltration0.47

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t½ Terminal Half Life

Terminal half-life (NCT03234374)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 5, 6, 9, 12, 18, 24, 36, 48 and 72 hours

Interventionhours (Mean)
INL-0010.04
Marcaine 0.25% Infiltration0.09

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Cmax

Maximum (peak) plasma concentration (NCT03234374)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 5, 6, 9, 12, 18, 24, 36, 48 and 72 hours.

Interventionng/ml (Mean)
INL-001663.412
Marcaine 0.25% Infiltration641.000

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AUC0-∞

AUC from Time 0 to infinity (NCT03234374)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 5, 6, 9, 12, 18, 24, 36, 48 and 72 hours

Interventionh*ng/[mL*mg] (Geometric Mean)
INL-00119,012.5
Marcaine 0.25% Infiltration8920.1

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Tmax

Time to maximum (peak) plasma concentration (NCT03234374)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 5, 6, 9, 12, 18, 24, 36, 48 and 72 hours

Interventionhours (Median)
INL-0013.03
Marcaine 0.25% Infiltration1.01

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AUC

Area under the plasma concentration-time curve from Time 0 to last time of last quantifiable plasma concentration (AUC0-last) (NCT03234374)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 5, 6, 9, 12, 18, 24, 36, 48 and 72 hours

Interventionh*ng/[mL*mg] (Geometric Mean)
INL-00118,186.9
Marcaine 0.25% Infiltration8836.9

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AUC Extrapolated

AUC = area under the plasma concentration-time curve; (NCT03234374)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 5, 6, 9, 12, 18, 24, 36, 48 and 72 hours

Intervention(h*ng/mL) (Geometric Mean)
INL-0012.96
Marcaine 0.25% Infiltration0.65

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λz

Terminal phase rate constant (NCT03234374)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 5, 6, 9, 12, 18, 24, 36, 48 and 72 hours

Intervention1/hour (Mean)
INL-00118.95
Marcaine 0.25% Infiltration9.08

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Percetange of Subjects Who Are Opioid-free for HTX-011 Compared With Bupivacaine HCl.

(NCT03237481)
Timeframe: 72 hours

InterventionParticipants (Count of Participants)
Treatment Group 1: HTX-01184
Treatment Group 2: Bupivacaine HCI69

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Mean Area Under the Curve (AUC) of the Numeric Rating Scale of Pain Intensity Scores With Activity (NRS-A; Windowed Worst Observation Carried Forward) for HTX 011 Compared With Saline Placebo.

"Pain intensity scores are assessed using an 11-point Numeric Rating Scale (NRS) (0-10) where 0 represents no pain and 10 represents worst pain imaginable. NRS scores are recorded with activity (NRS-A), sitting up from a resting position." (NCT03237481)
Timeframe: 72 hours

Interventionpain intensity score*hr (Mean)
Treatment Group 1: HTX-011269.39
Treatment Group 3: Saline Placebo350.82

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Mean AUC of the NRS-A Pain Intensity Scores (Windowed Worst Observation Carried Forward) for HTX 011 Compared With Bupivacaine HCl.

"Pain intensity scores are assessed using an 11-point Numeric Rating Scale (NRS) (0-10) where 0 represents no pain and 10 represents worst pain imaginable. NRS scores are recorded with activity (NRS-A), sitting up from a resting position." (NCT03237481)
Timeframe: 72 hours

Interventionpain intensity score*hr (Mean)
Treatment Group 1: HTX-011269.39
Treatment Group 2: Bupivacaine HCI341.88

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Mean Total Postoperative Opioid Consumption (in Morphine Equivalents) for HTX 011 Compared With Bupivacaine HCl.

(NCT03237481)
Timeframe: 72 hours

InterventionIV milligram morphine equivalent (MME) (Mean)
Treatment Group 1: HTX-01110.85
Treatment Group 2: Bupivacaine HCI14.51

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Mean Total Postoperative Opioid Consumption (in Morphine Equivalents) for HTX 011 Compared With Saline Placebo.

(NCT03237481)
Timeframe: 72 hours

InterventionIV milligram morphine equivalent (MME) (Mean)
Treatment Group 1: HTX-01110.85
Treatment Group 3: Saline Placebo17.53

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Total Opioid Consumption During the First 72 Hours Postoperatively as Measured in Morphine Equivalents (mg)

Total opioid consumption (NCT03250507)
Timeframe: 0 - 72 hours post-operatively

Interventionmg morphine equivalents (Median)
Bupivacaine208
Liposomal Bupivacaine203
Liposomal Bupivacaine and Bupivacaine202

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Pain Scores Using Visual Analogue Scale ( 0-10)

Maximum pain score 0 - 24 hr. Pain scores are reported on a scale of 0-10. 0 = no pain, 1-3 = mild pain, 4-6 = moderate pain, and 7-10 = severe pain. (NCT03250507)
Timeframe: 0-24 postoperative pain scores

Interventionunits on a scale (Median)
Bupivacaine8
Liposomal Bupivacaine7
Liposomal Bupivacaine and Bupivacaine7

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Number of Patients With Local Anesthetic Toxicity

Presence of local anesthetic toxicity (NCT03250507)
Timeframe: 0 - 72 hours post-operatively

InterventionParticipants (Count of Participants)
Bupivacaine0
Liposomal Bupivacaine0
Liposomal Bupivacaine and Bupivacaine0

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Number of Patients With Hypotension < 60 mmHg Mean Arterial Pressure

Presence of hemodynamic instability (NCT03250507)
Timeframe: 0 - 72 hours post-operatively

InterventionParticipants (Count of Participants)
Bupivacaine0
Liposomal Bupivacaine1
Liposomal Bupivacaine and Bupivacaine5

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Length of Stay in the Hospital

Length of stay in the hospital, maximum time until discharge from the hospital (NCT03250507)
Timeframe: until the patient is discharged from the hospital

Interventionhours (Median)
Bupivacaine79
Liposomal Bupivacaine82
Liposomal Bupivacaine and Bupivacaine80

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Time to First Opioid Consumption as Measured in Hours Until the First Dose of Breakthrough Opioid Medication Given

time to first opioid given (NCT03250507)
Timeframe: 0 - 72 hours post-operatively

Interventionminutes (Median)
Bupivacaine51
Liposomal Bupivacaine63
Liposomal Bupivacaine and Bupivacaine51

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Patient Satisfaction Using 3 Point Scale - Very Satisfied, Satisfied, Not Satisfied

Patient satisfaction post-operatively. The number of patients who were very satisfied is reported. (NCT03250507)
Timeframe: 0 - 72 hours post-operatively

Interventionparticipants (Number)
Bupivacaine9
Liposomal Bupivacaine13
Liposomal Bupivacaine and Bupivacaine9

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Sustained Headache Relief

Headache level = mild or none. Achieved in emergency department and maintained for 48 hours without rescue medication (NCT03269435)
Timeframe: 48 hours

InterventionParticipants (Count of Participants)
Greater Occipital Nerve Block11
Metoclopramide18

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Sustained Headache Freedom

Headache = none, achieved in emergency department and maintained for 48 hours (NCT03269435)
Timeframe: 48 hours

InterventionParticipants (Count of Participants)
Greater Occipital Nerve Block3
Metoclopramide7

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0-10 Pain Score

Pain score assessed at baseline and one hour. 0= no pain, 10 = worst imaginable. This outcome is the change in pain between baseline and one hour (NCT03269435)
Timeframe: one hour

Interventionunits on a scale (Mean)
Greater Occipital Nerve Block5.0
Metoclopramide6.1

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Use of Incentive Spirometry

Frequency of incentive spirometry will be measured (NCT03270514)
Timeframe: From time of end of surgery to 72 hours post-operatively

InterventionParticipants (Count of Participants)
Exparel Injectable Product29
Bupivacaine Hydrochloride31

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Patient Time to Mobilization

The time it takes until patient ambulates will be measured (NCT03270514)
Timeframe: From time of end of surgery to time of mobilization up to 72 hours or discharge, *assessed up to 120 hours*

Interventionhours (Median)
Exparel Injectable Product42
Bupivacaine Hydrochloride45

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Patient Satisfaction

Patient will give an assessment regarding pain management on a scale of 0 - 10 with 0 indicating the lowest satisfaction with pain management and 10 indicating the highest satisfaction with pain management (NCT03270514)
Timeframe: Given at the time of discharge up to 30 days post-operatively

Interventionscore on a scale (Median)
Exparel Injectable Product10
Bupivacaine Hydrochloride10

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Non-invasive Ventilation (NIV) Requirement

Episodes of NIV such as upper airway masks or similar devices will be quantified (NCT03270514)
Timeframe: From time of end of surgery to 72 hours post-operatively or until hospital discharge

InterventionParticipants (Count of Participants)
Exparel Injectable Product6
Bupivacaine Hydrochloride5

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Total Narcotic Consumption

All narcotics administered in the first 0-8, 8-24, 24-48, and 48-72 hours and the total narcotics administered in the 0-72 hours postoperative period(PCA narcotics, nurse-administered IV narcotics, and oral narcotics). All narcotics will be converted to total IV morphine equivalent for comparison between two groups. (NCT03270514)
Timeframe: 0-72 hours post-operative period

,
Interventionoral morphine equivalents in mg (Median)
0-8 hours8-24 hours24-48 hours48-72 hours0-72 hours
Bupivacaine Hydrochloride1034.54526.5105
Exparel Injectable Product15454515139

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Serum Cortisol Levels

Stress response suppression as a result of treatment will be evaluated by comparing hormone levels between the groups. Serum cortisol levels will be taken to measure this. (NCT03270514)
Timeframe: Measured 8, 48, and 72 hours post-operatively

,
Interventionµg/dL (Median)
8 hours postoperatively48 hours postoperatively72 hours postoperatively
Bupivacaine Hydrochloride36.51917
Exparel Injectable Product301516

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Hospital Readmission

Readmission to hospital will be noted (NCT03270514)
Timeframe: From end of surgery assessed up to 30 days post-operatively

InterventionParticipants (Count of Participants)
Exparel Injectable Product3
Bupivacaine Hydrochloride3

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Length of Hospital and ICU Stay

Length of both hospital and ICU stay will be measured (NCT03270514)
Timeframe: From date of surgery assessed up to 30 day post-operatively

,
Interventiondays (Median)
Length of ICU stayLength of postoperative hospital stay
Bupivacaine Hydrochloride1.716
Exparel Injectable Product1.517

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Mortality

Mortality will be noted at specific timepoints (NCT03270514)
Timeframe: From end of surgery assessed up to 30 days post-operatively

InterventionParticipants (Count of Participants)
Exparel Injectable Product0
Bupivacaine Hydrochloride1

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Post-operative Pain Intensity

Postoperative pain scores evaluated by numeric rating scale or (NRS) where 0- no pain and 10- worst pain, at rest and at movement (NCT03270514)
Timeframe: NRS scores will be evaluated every 4 hours until 24 hours post-operatively, every 8 hours until 48 hours post-operatively, and every 12 hours for 72 hours post-operatively

,
Interventionscore on a scale (Mean)
4hrs. at rest4hrs. with movement8hrs. at rest8hrs. with movement12hrs. at rest12hrs. with movement16hrs. at rest16hrs. with movement20hrs. at rest20hrs. with movement24hrs. at rest24hrs. with movement32hrs. at rest32hrs. with movement40hrs. at rest40hrs. with movement48hrs. at rest48hrs. with movement60hrs. at rest60hrs. with movement72hrs. at rest72hrs. with movement
Bupivacaine Hydrochloride5.036.644.9966.64.9626.564.9286.524.8946.484.866.444.7926.324.7246.244.6566.164.5546.044.4525.92
Exparel Injectable Product4.74825.754.72625.744.70425.734.68225.724.66025.714.63825.74.59425.684.52825.664.46225.644.37425.614.28625.58

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Post-operative Nausea and Vomiting

Whether a patient experiences at least one episode of nausea and emesis will be measured (NCT03270514)
Timeframe: From time of end of surgery to 72 hours post-operatively

InterventionParticipants (Count of Participants)
Exparel Injectable Product3
Bupivacaine Hydrochloride9

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Re-intubation

Instances of re-intubation will be recorded (NCT03270514)
Timeframe: From time of end of surgery to patient discharge up to one week

InterventionParticipants (Count of Participants)
Exparel Injectable Product3
Bupivacaine Hydrochloride3

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Time to Extubation

The time it takes until the patient is extubated post-operatively will be measured (NCT03270514)
Timeframe: From the end of surgery until the patient is extubated up to 72 hours post-operatively

Interventionhours (Median)
Exparel Injectable Product3.85
Bupivacaine Hydrochloride3.47

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Patient Time to Out of Bed to Chair

The time it takes until the patient advances from bedrest to out of bed (OOB) to chair will be measured (NCT03270514)
Timeframe: From time of end of surgery to time of mobilization up to 72 hours post-operatively

Interventionhours (Median)
Exparel Injectable Product16
Bupivacaine Hydrochloride16

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Patient Time to Oral Intake

The time it takes until the patient is able to/medically cleared to consume food or liquid will be measured (NCT03270514)
Timeframe: From time of end of surgery to time of oral intake up to 72 hours post-operatively or until hospital discharge

Interventionhours (Median)
Exparel Injectable Product7
Bupivacaine Hydrochloride5.6

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Numerical Pain Rating System (NRS) Pain Scores

"Numerical Pain Rating System Pain scores after the superior trunk block and interscalene block at rest measured after the surgery every 30 minute until discharge according to the Post Anaesthetic Discharge Scoring System.~Numerical Rating Scale 0-10; with 0 being no pain and 10 pain as bad as you can imagine." (NCT03272139)
Timeframe: Average pain scores at rest recorded Day of Surgery every 30 minutes until discharge according to Post Anaesthetic Discharge Scoring System

Interventionunits on a scale (Median)
Interscalene Block (ISB)0
Superior Trunk Block (STB)0

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Number of Participants With Incidence of Hemidiaphragmatic Paralysis (HDP)

Our primary outcome will be the incidence of hemidiaphragmatic paralysis (HDP) with superior trunk block and interscalene blocks as measured by ultrasound before and after the surgery. (NCT03272139)
Timeframe: Day of Surgery, diagnosis confirmed from trained anesthesiologist ultrasound readers

,
Interventionparticipants (Number)
HDPNo HDP
Interscalene Block (ISB)4518
Superior Trunk Block (STB)359

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Block Duration

Length of nerve block reported by Phone call on POD 1 and POD 2 by patient phone call (NCT03272139)
Timeframe: Time of block wearing off recorded on Post Operative Day 1 and Post Operative Day 2 as reported via patient phone call.

InterventionHours (Median)
Interscalene Block (ISB)23.18
Superior Trunk Block (STB)23.15

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Postoperative Opioid Use

Patients will be asked to complete a daily diary for one week that records their daily postoperative opioid consumption. (NCT03283436)
Timeframe: Admission to recovery unit to 1 week post op, assessed up to 1 week after surgery

,
Interventionmilligrams morphine equivalents (Median)
postoperative day 0postoperative day 1postoperative day 2postoperative day 3postoperative day 4postoperative day 5postoperative day 6
No Block10.252.53.5000
Superior Hypogastric Plexus Block52.500000

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Postoperative Pain Scores

Patients will be asked to complete a daily diary for one week following the procedure, which details their pain level using VAS pain scores from the Brief Pain Inventory (BPI). Pain is reported on a scale of 1 to 10, and a higher score indicates greater pain intensity. (NCT03283436)
Timeframe: Discharge to 1 week after surgery, assessed up to 1 week after surgery

,
Interventionscore on a scale (Median)
postoperative day 0postoperative day 1postoperative day 2postoperative day 3postoperative day 4postoperative day 5postoperative day 6
No Block65.65443.52.8
Superior Hypogastric Plexus Block56.35.54.1432.8

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Postoperative Pain Scores

The primary outcome will be immediate postoperative patient pain scores using the Visual Analog Scale (VAS) in the recovery unit. Postoperative pain scores will be collected every one hour, on a scale from 1 to 10. Higher score indicates greater pain intensity. The score reported here is the mean VAS score in the first 2 hours. (NCT03283436)
Timeframe: Admission to recovery unit and every hour after for 2 hours

Interventionscore on a scale (Mean)
Superior Hypogastric Plexus Block3.9
No Block4.7

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Opiate Requirements

Morphine meq given (NCT03289858)
Timeframe: 72 hours

InterventionMorphine mEq (Mean)
Exparel (Liposomal Bupivacaine)52.5
Saline Control65.39

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Inter-rater Agreement of Budapest Criteria

Investigators will assess the reproducibility of the Budapest clinical criteria for newly suspected cases of SHS. This will be achieved by determining the level of inter-rater agreement between a resident and a staff physician working in stroke rehabilitation. Investigators will thus determine if there is variability in the clinical diagnosis among physicians with different levels of expertise. (NCT03291197)
Timeframe: 12 months

InterventionIntraclass correlation coefficient (Number)
All Participants0.75

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Number of Participants Demonstrating Tolerability of Suprascapular and Median Nerve Blocks

To evaluate the tolerability of ultrasound-guided suprascapular and median nerve blocks in stroke patients with SHS as determined using the Budapest criteria. Since tolerability is a subjective measure, it will be defined by a composite outcome including: A) Pain score prior to, during, and immediately following the procedure as measured by the visual analog scale (VAS); B) the rate of serious adverse events associated with this procedure; and C) the level of patient acceptance and satisfaction as determined by a validated post-procedure survey. (NCT03291197)
Timeframe: 12 months

InterventionParticipants (Count of Participants)
Tolerability5

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Visual Analog Scale (VAS)

Pain scale used to address a difference following intervention. Pain is measured on a horizontal line from 0 to 100mm, with 0 being no pain and 100 being the worst imaginable pain. Participants place a vertical mark on the line indicating their pain intensity. (NCT03291197)
Timeframe: measured at baseline, within 1 hour after, and 2 weeks post intervention

,,
Interventionscore on a scale (Median)
ShoulderHand
1 Hour VAS1716
2 Weeks VAS2228
Baseline VAS7536

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Discharge Criteria

Time to meet discharge criteria utilizing the modified post anesthetic discharge scoring system. The frame represents when the measurements began, i.e. 3 hours after the administration of the anesthetic block. This represents time zero, at which recording would then begin. (NCT03292926)
Timeframe: From 3 hours post-block administration on Post-operative day (POD) 0 until met discharge criteria, assessed up to 1 day

Interventionminutes (Mean)
Adductor Canal Block (ACB)180.67
Adductor Canal Block & IPACK (ACB/IPACK)189.92

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Pain With Ambulation

NRS Pain score with ambulation & stairs. A lower score is a better outcome. Score range is from 0 to 10. (NCT03292926)
Timeframe: 3 hours post-block administration on Post-operative day (POD) 0

,
Interventionscore on a scale (Mean)
NRS with AmbulationNRS with Stairs
Adductor Canal Block (ACB)1.592.05
Adductor Canal Block & IPACK (ACB/IPACK)1.262.1

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Pain While at Rest

Average numerical rating scale (NRS) at rest. A lower score is a better outcome. scale ranges from 0 to 10. (NCT03292926)
Timeframe: 24 hours post-block administration

Interventionscore on a scale (Mean)
Adductor Canal Block (ACB)3.84
Adductor Canal Block & IPACK (ACB/IPACK)3.95

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Patient Satisfaction With Pain Management

"The Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R) survey score on variable Satisfaction with Pain Treatments. This is a scale ranging from 0-10, with 0 being extremely dissatisfied, a poor outcome, with pain treatment to 10 being extremely satisfied, a better outcome." (NCT03294109)
Timeframe: Day 1

Interventionscore on a scale (Mean)
Study8.6
Control9.1

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Change in Pain Score

Visual Analog Score (VAS) for pain, scores range from 0-10, with lower scores indicating lower pain level (NCT03294109)
Timeframe: 3 days post-op

Interventionscore on a scale (Mean)
Study4.20
Control4.62

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Return of Bowel Function

Bowl activity survey asked participants how big a problem the bowel function was after surgery, on a scale of 1 (no problem) to 5 (a big problem). (NCT03294109)
Timeframe: Day 5

Interventionscore on a scale (Mean)
Study1.9
Control1.9

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Nausea and Vomiting, Defined as Requiring Pre-op Scopolamine Patch or Rescue Antiemetics

Number of patients requiring pre-op scopolamine patch, and number of patients requiring rescue antiemetics in PACU. (NCT03294109)
Timeframe: Day 1

,
InterventionParticipants (Count of Participants)
pre-op Scopolamine patchRescue antiemetics in PACU
Control118
Study96

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Opioid Use Dose/Day

Milligram Morphine Equivalent /day (NCT03294109)
Timeframe: Day 3

,
InterventionParticipants (Count of Participants)
0 MME>0 - 5 MMe>5 - 10 MME>10-15 MME>15-20 MME>20 MME
Control988211
Study1163320

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Mean Total Postoperative Opioid Consumption (in Morphine Equivalents) for HTX 011 Compared With Bupivacaine HCl.

(NCT03295721)
Timeframe: 72 hours

InterventionIV milligram morphine equivalent (MME) (Mean)
Treatment Group 1: HTX-01118.80
Treatment Group 3: Bupivacaine HCl25.09

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Percentage of Subjects Who Are Opioid-free for HTX-011 Compared With Bupivacaine HCl.

(NCT03295721)
Timeframe: 72 hours

InterventionParticipants (Count of Participants)
Treatment Group 1: HTX-01145
Treatment Group 3: Bupivacaine HCI17

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Mean Total Postoperative Opioid Consumption (in Morphine Equivalents) for HTX 011 Compared With Saline Placebo.

(NCT03295721)
Timeframe: 72 hours

InterventionIV milligram morphine equivalent (MME) (Mean)
Treatment Group 1: HTX-01118.80
Treatment Group 2: Saline Placebo30.06

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Mean AUC of the NRS-A Pain Intensity Scores (Windowed Worst Observation Carried Forward) for HTX 011 Compared With Bupivacaine HCl.

"Pain intensity scores are assessed using an 11-point Numeric Rating Scale (NRS) (0-10) where 0 represents no pain and 10 represents worst pain imaginable. NRS scores are recorded with activity (NRS-A) seated with the plantar surface of the ball of the surgically attended foot touching the floor (no weight-bearing)." (NCT03295721)
Timeframe: 72 hours

Interventionpain intensity score*hr (Mean)
Treatment Group 1: HTX-011323.29
Treatment Group 3: Bupivacaine HCI393.45

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Mean Area Under the Curve (AUC) of the Numeric Rating Scale of Pain Intensity Scores With Activity (NRS-A; Windowed Worst Observation Carried Forward) for HTX-011 Compared With Saline Placebo.

"Pain intensity scores are assessed using an 11-point Numeric Rating Scale (NRS) (0-10) where 0 represents no pain and 10 represents worst pain imaginable. NRS scores are recorded with activity (NRS-A), seated with the plantar surface of the ball of the surgically attended foot touching the floor (no weight-bearing)." (NCT03295721)
Timeframe: 72 hours

Interventionpain intensity score*hr (Mean)
Treatment Group 1: HTX-011323.29
Treatment Group 2: Saline Placebo445.34

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Pain Scores During 48 Hrs Postoperatively

Will use Numeric Pain Rating Scale (NPRS) to measure pain with 0 being no pain and 10 being the worst pain. (NCT03303794)
Timeframe: 48 hours postoperatively

Interventionscore on scale (Mean)
Bupivicaine4
Bupivicaine + Exparel4

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Opioid Consumption During the First 48 Hours After TKA Surgery

Monitor how much opioid patient consumes (NCT03303794)
Timeframe: During the first 48 hours after surgery

Interventionmilligram (Mean)
Bupivicaine90
Bupivicaine + Exparel76

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AM-PAC Score to Measure Patients Fitness for Discharge

AM-PAC (activity measure for post-acute care) will be used to determine if a patient is fit to discharge based on mobility with 6 being unable to mobilize up to 24 being independent. Patients who scored above 20 were considered fit to discharge. (NCT03303794)
Timeframe: Post-Operation Day 1

Interventionscore on scale (Mean)
Bupivicaine23
Bupivicaine + Exparel23

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Time to Ambulation

The time difference between local anesthetic injection and patient's walking for the first time postoperatively. (NCT03305575)
Timeframe: 6 hours

Interventionminutes (Mean)
Chloroprocaine110
Bupivacaine179

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Duration of Sensory Block

The time difference between local anesthetic injection and complete resolution of sensory block. The sensory level was tested using a blunt needle tip along the patient's demratomal distribution of the spinal anesthetic. (NCT03305575)
Timeframe: 6 hours

Interventionminutes (Mean)
Chloroprocaine127
Bupivacaine210

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Duration of Motor Block

"The time difference between local anesthetic injection and complete resolution of motor block -as measured on the Bromage scale:~I = free movement of feet, legs and hip = No block II = able to flex knees, with free movement of feet = Mild block III = unable to flex knees, but with free movement of feet = Moderate block IV = unable to move legs or feet = Complete block" (NCT03305575)
Timeframe: 6 hours

Interventionminutes (Mean)
Chloroprocaine75
Bupivacaine99

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Time to Micturation

The time difference between local anesthetic injection and the patient's voiding for the first time postoperatively. (NCT03305575)
Timeframe: 6 hours

Interventionminutes (Mean)
Chloroprocaine111
Bupivacaine233

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Daily Narcotic Requirements Using Equi-analgesic Doses

Narcotic pain medication requirements were recorded daily over the duration of inpatient hospital stay, however due to variance in length of stay, only the first 5 postoperative days were recorded for this analysis. Scores were averaged across patients providing one daily postoperative mean score per treatment group. The narcotics provided to patients varied based on standard of care, so an Equi-Analgesic Scale was used to standardize dosages across narcotic type. A 1:1 ratio for narcotic dosages is calculated with the following measured as equivalent: 1.5 milligrams (mg) of intravenous (IV) Hydromorphone; 7.5 mg of per oral (PO) Hydromorphone; 100 micrograms (mcg) of IV Fentanyl; 10 mg of IV Morphine; 30 mg of PO Morphine; 20 mg of PO Oxycodone (Percocet); and 30 mg of PO Hydrocodone (Vicodin). In the context of this scale, lower scores are best, indicating fewer narcotics required and higher scores are worse indicating the need for more narcotics based on subjective patient pain. (NCT03305666)
Timeframe: Mean narcotic requirement scores were recorded for the first 5 postoperative hospital inpatient days.

,
Interventionunits on a scale (Mean)
Postoperative Day #1Postoperative Day #2Postoperative Day #3Postoperative Day #4Postoperative Day #5
Bupivacaine Indwelling Catheter8.86.84.04.24.1
Liposomal Bupivacaine Injection6.54.02.61.62.2

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Daily Sequential Clinical Assessment of Respiratory Function (SCARF) Score

The SCARF score is a validated, dynamic tool that ranges from 0-4, with 0 being the best score and 4 being the worst. One point is given for each of the following four parameters: (1) respiratory rate ≥ 20 breaths per minute; (2) numeric pain score ≥ 5; (3) incentive spirometry < 50% of predicted based upon a nomogram including sex, height, and age; (4) cough deemed inadequate to clear respiratory secretions by respiratory therapists. The parameters used to calculate the SCARF score are summed to create the total 0-4 score and these results were recorded by clinical personnel not involved in the trial. SCARF scores were taken at 10 am daily for all postoperative inpatient hospital days, however due to variance in length of stay, only scores from the first 5 postoperative days were recorded for the purpose of this results analysis. Scores were then aggregated across the patients and timeframe to result in one median score per group. (NCT03305666)
Timeframe: Median SCARF scores were recorded for the first 5 postoperative days.

Interventionscore on a scale (Median)
Bupivacaine Indwelling Catheter2
Liposomal Bupivacaine Injection2

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Percentage of Participants Experiencing Failure of Primary Loco-Regional Analgesia (LRA)

The failure of LRA for this study was defined as the percentage number of instances a patient required a secondary LRA modality within 72 hours of placement of the primary modality for either treatment arm. Requirement of this secondary LRA was determined by the patients' medical team with criteria based on subjective patient experience of pain. (NCT03305666)
Timeframe: 72 hours

Interventionpercentage of participants (Number)
Bupivacaine Indwelling Catheter18.8
Liposomal Bupivacaine Injection5.6

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Average Pain Interference

Minimum is 0, maximum is 10. 10 indicates highest pain interference. (NCT03307174)
Timeframe: While epidural in place (up to 72 hours postoperatively)

,
Interventionscore on a scale (Median)
24 hours postoperatively24 - 48 hours postoperatively48 - 72 hours postoperatively
Continuous Epidural Infusion212
Programmed Intermittent Epidural Bolus311

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Total Local Anesthetic Utilized in First 24 Hours

Total local anesthetic consumed while epidural in place, recorded on infusion pump (NCT03307174)
Timeframe: In first 24 hours

Interventionmg (Median)
Continuous Epidural Infusion126
Programmed Intermittent Epidural Bolus123

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Average Pain Severity

Measured by modified pain inventory on a daily basis while epidural in place. Minimum is 0, maximum is 10. 10 indicates highest pain severity. (NCT03307174)
Timeframe: While epidural in place (up to 72 hours postoperatively)

,
Interventionunits on a scale (Median)
24 hours postoperatively24 - 48 hours postoperatively48 - 72 hours postoperatively
Continuous Epidural Infusion333
Programmed Intermittent Epidural Bolus523

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Patient Satisfaction Score

"Ranked patient satisfaction scores while epidural in place. Measured by modified pain inventory.~Minimum is 0, maximum of 10. 10 indicates highest patient satisfaction." (NCT03307174)
Timeframe: While epidural in place (up to 72 hours postoperatively)

,
Interventionscore on a scale (Median)
24 hours postoperatively24 - 48 hours postoperatively48 - 72 hours postoperatively
Continuous Epidural Infusion999
Programmed Intermittent Epidural Bolus899

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Total Opioid Consumed

Total opioid consumed (intravenous or po) while epidural in place (NCT03307174)
Timeframe: While epidural in place (up to 72 hours post operatively)

,
InterventionMME (Median)
24 hours postoperatively24 - 48 hours postoperatively48 - 72 hrs postoperatively
Continuous Epidural Infusion1200
Programmed Intermittent Epidural Bolus1601

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Worst Reported 24 Hour Pain

Minimum is 0, maximum is 10. 10 indicates highest pain severity. (NCT03307174)
Timeframe: While epidural in place (up to 72 hours postoperatively)

,
Interventionscore on a scale (Median)
24 hours postoperatively24 - 48 hours postoperatively48 - 72 hours postoperativley
Continuous Epidural Infusion567
Programmed Intermittent Epidural Bolus866

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Incidence of Hypotension

Most common side effect post-operatively with epidural anesthesia. Documented by recorded vitals signs, fluid resuscitation, and temporary cessation of epidural medication. (NCT03307174)
Timeframe: While epidural in place (24 hours postoperatively)

InterventionParticipants (Count of Participants)
Continuous Epidural Infusion9
Programmed Intermittent Epidural Bolus18

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Mean Pain Scores of the Knee at Rest for the First 48 Hours After Surgery

Mean pain scores post operative reported using the VAS (visual analog scale) for knee pain at rest on a scale of 0 (no pain to 10 worst pain imaginable). This will be assessed every 6 hours up to 48 hours with the visual analog scale where 0 equals no pain and 10 represents excruciating pain. (NCT03316118)
Timeframe: 48 hours after surgery

Interventionscore on a scale (Mean)
Group 13.05

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Overall Satisfaction With Pain Control 72 Hours After Surgery

Overall satisfaction with pain control 72 hours after surgery using a visual analog scale where 0 = not satisfied and 10 being extremely satisfied (NCT03316118)
Timeframe: 72 hours after surgery

Interventionscore on a scale (Mean)
Group 17

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Post-operative Opioid Consumption During the Hospital Stay

Post-operative opioid consumption measured in morphine milligram equivalents (MME)during the hospital stay up to 36 hours after surgery. (NCT03316118)
Timeframe: 36 hours after surgery

InterventionMorphine milligram equivalents (MME) (Mean)
Group 124.17

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Length of Hospitalization

Length of hospitalization in hours from time to admission to time of discharge. (NCT03316118)
Timeframe: Admission to discharge from hospital

InterventionElapsed time in hours (Mean)
Group 138.29

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Analgesia Satisfaction Score

Analgesia Satisfaction Score - Full scale from 0-10 with higher score indicating higher satisfaction. (NCT03326999)
Timeframe: 2 weeks after surgery

Interventionscore on a scale (Mean)
Bupivacaine Arm9.24
Saline Control Arm8.59

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Morphine Equivalence Consumption

Total amount of opioids consumed (NCT03326999)
Timeframe: up to 24 hours after surgery

InterventionMME (Mean)
Bupivacaine Arm12.6
Saline Control Arm18.85

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Number of Participants With Nausea or Vomiting

Yes or No responses when the subject is asked if the subject is feeling nauseous or has vomited (NCT03326999)
Timeframe: up to 24 hours after surgery

InterventionParticipants (Count of Participants)
Bupivacaine Arm11
Saline Control Arm16

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Time to Breakthrough Pain Medication

Time before pain medication needed for breakthrough pain (NCT03326999)
Timeframe: up to post operative day 2 after surgery

Interventionminutes (Mean)
Bupivacaine Arm872.54
Saline Control Arm510.13

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Pain Score

Likert scale ranging from 0-10 - 0 being no pain, and 10 being the worst pain ever experienced (NCT03326999)
Timeframe: 1, 6, 12, and 24 hours after surgery

,
Interventionscore on a scale (Mean)
1 hour6 hours12 hours24 hours
Bupivacaine Arm0.172.274.106.10
Saline Control Arm0.232.775.137.00

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Time to Ambulation

The length of time that it takes before the patient is first able to walk with assistance after surgery as assessed by a physical therapist. (NCT03326999)
Timeframe: on postoperative day 1 after surgery

Interventionhours (Mean)
Bupivacaine Arm8.98
Saline Control Arm7.87

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Comparison of the Total Opioid Consumption Between Patients With 4Q-TAP Versus TEA

Opioid Consumption reported as morphine equivalents required during the 48 hours after the end of surgery. (NCT03359811)
Timeframe: During the 48 hours after CRS-HIPEC surgery

Interventionmorphine milligram equivalents (MME) (Median)
Standard-of-Care Thoracic Epidural Analgesia (TEA)4.5
Four Quadrant Transverse Abdominus Plane (4Q-TAP) Block21

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4Q-TAP Versus TEA on Postoperative Pain

Pain intensity at rest and cough measure using a Validity and Reliability of the Verbal Numerical Rating Scale (VNRS) (0 = no pain - 10 = worst pain ever). Higher numerical scores on the scale indicate more pain, thus a worse outcome. Data reported as time-weighted pain scores from discharge from the PACU until 48 hours after the end of surgery. (NCT03359811)
Timeframe: 48 hours after CRS-HIPEC surgery

,
Interventionscore on a scale (Median)
Pain at RestPain with Cough
Four Quadrant Transverse Abdominus Plane (4Q-TAP) Block45
Standard-of-Care Thoracic Epidural Analgesia (TEA)35

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Efficacy of TEA vs 4Q-TAP in QoR at Postoperative Day (POD)2

To compare the efficacy of 4 quadrants TAP blocks (4Q-TAP) versus Thoracic Epidural Analgesia (routine care) on the quality of recovery 48 hours after CRS-HIPEC surgery, measure by QoR-15 changes from Pre-Op to POD2. The QoR scale is a validated scoring system that allows for the quantification of a patient's early postoperative health status. The minimum score 0 and maximum score 150. The higher score mean a better outcome. (NCT03359811)
Timeframe: 48 hours after CRS-HIPEC surgery

Interventionscore on a scale (Median)
Standard-of-Care Thoracic Epidural Analgesia (TEA)-45
Four Quadrant Transverse Abdominus Plane (4Q-TAP) Block-50

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Comparison of the Length of Stay (LOS) Between Patients With 4Q-TAP Versus TEA

Length of stay calculated from day of surgery to date of hospital discharge. (NCT03359811)
Timeframe: Length of stay calculated from day of surgery to date of hospital discharge, up to 46 days

Interventiondays (Median)
Standard-of-Care Thoracic Epidural Analgesia (TEA)11
4Q-TAP Blocks11

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Number of Participants With Incidence of Postoperative Complications and Morbidity in Patients Receiving 4Q-TAP Versus TEA

Postoperative complications recorded using Clavien-Dindo scale and POMS. (NCT03359811)
Timeframe: 48 hours after CRS-HIPEC surgery

,
InterventionParticipants (Count of Participants)
Pulmonary ComplicationsRenal ComplicationsGastrointestinal ComplicationsCardiac ComplicationsHematological Complications
Four Quadrant Transverse Abdominus Plane (4Q-TAP) Block85046
Standard-of-Care Thoracic Epidural Analgesia (TEA)55172

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Nausea

Number of participants with presence or absence of nausea reported and recorded by the nurse. (NCT03373591)
Timeframe: 24 hours post surgery.

InterventionParticipants (Count of Participants)
Liposomal Bupivacaine TAP Block27
Regular Bupivacaine TAP Block41
No TAP Block34

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Fentanyl PCA mcg

Fentanyl PCA (patient controlled analgesia) total microgram usage. (NCT03373591)
Timeframe: 24 hours post surgery.

InterventionMicrograms (Mean)
Liposomal Bupivacaine TAP Block351.4
Regular Bupivacaine TAP Block360.7
No TAP Block353.9

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Acetaminophen Usage

Total amount of acetaminophen used for analgesia. (NCT03373591)
Timeframe: During hospitalization, up t 7 days.

InterventionMiligrams (Mean)
Liposomal Bupivacaine TAP Block486.4
Regular Bupivacaine TAP Block501.0
No TAP Block353.4

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Time to Ambulation

(NCT03373591)
Timeframe: Assessed every 24 hours post surgery, up to 168 hour post-surgery.

InterventionHours (Mean)
Liposomal Bupivacaine TAP Block51
Regular Bupivacaine TAP Block60
No TAP Block59

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Total Fentanyl Usage

Total fentanyl usage in micrograms, including both PCA and IV push administered medication. (NCT03373591)
Timeframe: During hospitalization, up to 7 days.

InterventionMicrograms (Mean)
Liposomal Bupivacaine TAP Block424.1
Regular Bupivacaine TAP Block434.2
No TAP Block427.5

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Pain Score

Patient reported composite measure pain score, with a total range of 0 to 10, with 0 being the absence of pain, 1 being the least amount of pain and 10 being the highest amount of pain. (NCT03373591)
Timeframe: 24 hours post surgery.

Interventionunits on a scale (Mean)
Liposomal Bupivacaine TAP Block4.3
Regular Bupivacaine TAP Block4.7
No TAP Block4.7

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NSAID Usage

Total amount of NSAID (ketorolac) use for analgesia. (NCT03373591)
Timeframe: During hospitalization, up to 7 days.

InterventionMiligrams (Mean)
Liposomal Bupivacaine TAP Block14.2
Regular Bupivacaine TAP Block42.5
No TAP Block21.3

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Walking Distance

The distance the patient is able to walk with physical therapy during their first session (NCT03375112)
Timeframe: Post operative day one

InterventionFeet (Mean)
Fascia Iliaca Compartment Block67.1
Control68.3

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Time to Discharge Readiness

Time in hours since surgery to when the patient's pain is controlled on oral medications, has cleared physical and occupational therapy, and has no medical issues that require inpatient treatment. (NCT03375112)
Timeframe: Every 6 hours after surgery until completion of inpatient stay, an average of two days days after surgery

Interventionhours (Mean)
Fascia Iliaca Compartment Block35.1
Control35.2

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Morphine Equivalents Consumed

Total morphine equivalents (consumed at 4-hour time intervals) received in postoperative inpatient stay. (NCT03375112)
Timeframe: Postoperative inpatient stay, which averages approximately two days.

Interventionmorphine milliequivalents (Mean)
Fascia Iliaca Compartment Block75.3
Control86.0

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Averaged Pain Score

Analog pains scale 0-10. A pain score of 10 represents maximum pain and a pain score of 0 represents no pain. (NCT03375112)
Timeframe: Pain scores were at 30 minute intervals for the first hour post-operative, hourly for the next 4 hours, 2 hour intervals for the next 12 hours, then at 4 hour intervals until the 48 hour post-operative or discharge. The mean of these scores is reported.

Interventionscore on a scale (Mean)
Fascia Iliaca Compartment Block3.75
Control4.11

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Time to Up-and-go

Time to up and go test performed on the first postoperative day. This test is administered by having the patient sit in a chair. When the patient is instructed to start, the stand from the chair, walk to a marker ten feet away from the chair, turn around, return to the chair, and sit back down. The time is measured as the time from when the start command is given to when they are returned to a seated position. (NCT03375112)
Timeframe: Post operative day one

InterventionSeconds (Mean)
Fascia Iliaca Compartment Block63.7
Control66.3

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Duration of Analgesia

Duration of analgesia perception by patient measured bilaterally using Visual Analog Scale (NCT03383198)
Timeframe: up to 48 hours

Interventionhours (Mean)
Liposomal Bupivacaine Left21.5
Liposomal Bupivacaine Right36

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Subjective Bilateral Pain Comparison

"Subjective, binary question Does one side of your chest have more surgical pain than the other?" (NCT03383198)
Timeframe: up to 48 hours

InterventionParticipants (Count of Participants)
Liposomal Bupivacaine Left1
Liposomal Bupivacaine Right0

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Amount of Supplemental Oxycodone Used

Cumulative opioid pain medication used in the first 24 hours postoperatively as recorded in the medical record (NCT03383588)
Timeframe: 4-24 hours post operative

Interventionmg of supplemental oxycodone (Mean)
Bupivacaine 0.25%19
Bupivacaine 0.25% + Epinephrine25
Saline Solution23

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Total Opioid Consumption Postop Measured by Amounts of Morphine Equivalents

Amount of morphine equivalents administered postoperatively in 24 hours (NCT03401450)
Timeframe: 24 Hours

Interventionmg of morphine equivalents (Mean)
ACB Within True AC With Bupivacaine10
ACB Proximal to True AC With Bupivacaine13.18

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Side Effects Such as Nausea, Itching, Constipation.

(NCT03401450)
Timeframe: 24 hours

InterventionParticipants (Count of Participants)
ACB Within True AC With Bupivacaine0
ACB Proximal to True AC With Bupivacaine0

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Total Opioid Consumption Intraop Measured by Amounts of Morphine Equivalents

Amount of morphine equivalents administered intraoperatively in 24 hours (NCT03401450)
Timeframe: 24 Hours

Interventionmilligrams of morphine equivalents (Mean)
ACB Within True AC With Bupivacaine23.21
ACB Proximal to True AC With Bupivacaine18.93

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Opioid Consumption (Oral Morphine Equivalents)

Total oral morphine equivalent consumption calculated (NCT03408483)
Timeframe: from 24 hours to 48 hours postoperatively

Interventionmg of morphine equivalents (Mean)
Quadratus Lumborum Block (QLB)24.26
Standard of Care40.52

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Opioid Consumption (Oral Morphine Equivalents)

Total oral morphine equivalent consumption calculated (NCT03408483)
Timeframe: immediately postoperatively to 24 hours postoperatively

Interventionmg of morphine equivalents (Mean)
Quadratus Lumborum Block (QLB)30.05
Standard of Care47.14

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Distance Ambulated

Physical therapist documentation of ambulation distance measured in feet (NCT03408483)
Timeframe: 48 hours

Interventionfeet (Mean)
Quadratus Lumborum Block (QLB)127.75
Standard of Care106.69

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Patient Satisfaction

"Patient Satisfaction Score:~Determined by patient interview conducted at the 24 hour Time Frame.~The interview follows a script requesting current pain level based on a scale of 1-10:~1 = very not satisfied 10 = very satisfied~Patient satisfaction is subjective." (NCT03408483)
Timeframe: 24 hours

Interventionscore on a scale (Mean)
Quadratus Lumborum Block (QLB)9.14
Standard of Care7.46

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Opioid Consumption (Oral Morphine Equivalents)

Total oral morphine equivalent consumption calculated (NCT03408483)
Timeframe: immediately postoperatively to 48 hours postoperatively

Interventionmg of morphine equivalents (Mean)
Quadratus Lumborum Block (QLB)54.63
Standard of Care90.76

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Pain Scores Using Visual Analog Scale (VAS) Scores

"The Visual Analogue Scale (VAS) is a psychometric response scale which is used in surveys/questionnaires. It is a measurement instrument for subjective characteristics or attitudes that cannot be directly measured.~The Numeric Rating Scale (NRS-11) is an 11-point scale for patient self-reporting of pain. It is for adults and children 10 years old or older:~Rating - Pain Level~0 - No Pain~1-3 - Mild Pain (nagging, annoying, interfering little with *ADLs)~4-6 - Moderate Pain (interferes significantly with ADLs)~7-10 - Severe Pain (disabling; unable to perform ADLs)~*ADL=Activities of Daily Living" (NCT03408483)
Timeframe: Assessed between immediately postoperatively to 12 hours postoperatively

Interventionunits on a scale (Mean)
Quadratus Lumborum Block (QLB)2.34
Standard of Care3.33

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Pain Scores Using Visual Analog Scale (VAS) Scores

"The Visual Analogue Scale (VAS) is a psychometric response scale which is used in surveys/questionnaires. It is a measurement instrument for subjective characteristics or attitudes that cannot be directly measured.~The Numeric Rating Scale (NRS-11) is an 11-point scale for patient self-reporting of pain. It is for adults and children 10 years old or older:~Rating - Pain Level~0 - No Pain~1-3 - Mild Pain (nagging, annoying, interfering little with *ADLs)~4-6 - Moderate Pain (interferes significantly with ADLs)~7-10 - Severe Pain (disabling; unable to perform ADLs)~*ADL=Activities of Daily Living" (NCT03408483)
Timeframe: Assessed between immediately postoperatively to 24 hours postoperatively

Interventionunits on a scale (Mean)
Quadratus Lumborum Block (QLB)2.31
Standard of Care4.06

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Pain Scores Using Visual Analog Scale (VAS) Scores

"The Visual Analogue Scale (VAS) is a psychometric response scale which is used in surveys/questionnaires. It is a measurement instrument for subjective characteristics or attitudes that cannot be directly measured.~The Numeric Rating Scale (NRS-11) is an 11-point scale for patient self-reporting of pain. It is for adults and children 10 years old or older:~Rating - Pain Level~0 - No Pain~1-3 - Mild Pain (nagging, annoying, interfering little with *ADLs)~4-6 - Moderate Pain (interferes significantly with ADLs)~7-10 - Severe Pain (disabling; unable to perform ADLs)~*ADL=Activities of Daily Living" (NCT03408483)
Timeframe: Assessed between immediately postoperatively to 48 hours postoperatively

Interventionunits on a scale (Mean)
Quadratus Lumborum Block (QLB)3.33
Standard of Care4.11

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Pain Scores Using Visual Analog Scale (VAS) Scores

"The Visual Analogue Scale (VAS) is a psychometric response scale which is used in surveys/questionnaires. It is a measurement instrument for subjective characteristics or attitudes that cannot be directly measured.~The Numeric Rating Scale (NRS-11) is an 11-point scale for patient self-reporting of pain. It is for adults and children 10 years old or older:~Rating - Pain Level~0 - No Pain~1-3 - Mild Pain (nagging, annoying, interfering little with *ADLs)~4-6 - Moderate Pain (interferes significantly with ADLs)~7-10 - Severe Pain (disabling; unable to perform ADLs)~*ADL=Activities of Daily Living" (NCT03408483)
Timeframe: Immediately postoperatively to 12 hours postoperatively

Interventionscore on a scale (Mean)
Quadratus Lumborum Block (QLB)2.34
Standard of Care3.33

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Distance Ambulated

Physical therapist documentation of ambulation distance measured in feet (NCT03408483)
Timeframe: 24 hours

Interventionfeet (Mean)
Quadratus Lumborum Block (QLB)114.51
Standard of Care100.85

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Hours to Hospital Discharge

From time of the surgical procedure to the time of hospital discharge (measured in hours) up to 3 hours. (NCT03408483)
Timeframe: Maximum 96 Hours

Interventionhours (Mean)
Quadratus Lumborum Block (QLB)53.17
Standard of Care55.97

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Numerical Pain Rating System (NRS) Pain Scores

Pain scores at rest and with movement will be through 24 hours after surgery. Score scale is from 0-10. 0 means no pain, 10 means worst pain. A lower score is a better outcome. (NCT03432650)
Timeframe: 2 hours after Post Anesthesia Care Unite (PACU) arrival

,
Interventionscore on a scale (Mean)
NRS at RestNRS with Movement
QLB Block + Standard of Care4.14.5
Standard of Care4.64.8

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Numerical Pain Rating System (NRS) Pain Scores

Pain scores at rest and with movement will be through 24 hours after surgery. Score scale is from 0-10. 0 means no pain, 10 means worst pain. A lower score is a better outcome. (NCT03432650)
Timeframe: 24 hours after Post Anesthesia Care Unite (PACU) arrival

,
Interventionscore on a scale (Mean)
NRS at RestNRS with Movement
QLB Block + Standard of Care3.35.7
Standard of Care3.85.7

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Numerical Pain Rating System (NRS) Pain Scores

Pain scores at rest and with movement will be through 24 hours after surgery. Score scale is from 0-10. 0 means no pain, 10 means worst pain. A lower score is a better outcome. (NCT03432650)
Timeframe: 3 hours after Post Anesthesia Care Unite (PACU) arrival

,
Interventionscore on a scale (Mean)
NRS at RestNRS with Movement
QLB Block + Standard of Care4.14.6
Standard of Care4.64.8

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Numerical Pain Rating System (NRS) Pain Scores

Pain scores at rest and with movement will be through 24 hours after surgery. Score scale is from 0-10. 0 means no pain, 10 means worst pain. A lower score is a better outcome. (NCT03432650)
Timeframe: 30min after Post Anesthesia Care Unite (PACU) arrival

,
Interventionscore on a scale (Mean)
NRS at RestNRS with Movement
QLB Block + Standard of Care3.34.5
Standard of Care4.44.7

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Patient Satisfaction With Post Op Pain Control

Scale of 0-10; 0 being extremely dissatisfied and 10 being extremely satisfied (NCT03432650)
Timeframe: Up to Post Op Day 1

,
Interventionscore on a scale (Mean)
PACUPOD1
QLB Block + Standard of Care88
Standard of Care99

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Patient Score on Quality of Recovery-40 (QoR40) Inventory.

Validated QoR40 survey score. Survey questions are added up to provide a final score. Higher score is reflective of a better outcome. Minimum score is 40, maximum score is 200. (NCT03432650)
Timeframe: Up to Post Op Day 1

,
Interventionscore on a scale (Mean)
PACUPOD1
QLB Block + Standard of Care104.9105.6
Standard of Care107.5105

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Change in Quadriceps Motor Strength on Surgical Side

Change in Quadriceps Motor Strength from Pre-Op Baseline Quadriceps Strength (NCT03432650)
Timeframe: Up to Post Op Day 1

Interventionkg (Mean)
QLB Block + Standard of Care-4.4
Standard of Care-3.5

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Incidence of Hypotension

(NCT03432650)
Timeframe: Up to Post Op Day 1

InterventionParticipants (Count of Participants)
QLB Block + Standard of Care16
Standard of Care19

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Number of Patients With Presence of IAFE (Intraabdominal Fluid Extravasation) Following Surgery

(NCT03432650)
Timeframe: Immediately post-op in OR

InterventionParticipants (Count of Participants)
QLB Block + Standard of Care9
Standard of Care11

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Opioid Use

Amount of opioids taken after surgery (NCT03432650)
Timeframe: After Surgery to Post Operative Day 1

Interventionoral morphine equivalent units (mg) (Median)
QLB Block + Standard of Care75
Standard of Care68

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Urinary Retention

Incidence of Urinary Retention in recovery (NCT03432650)
Timeframe: Up to Post Op Day 1

InterventionParticipants (Count of Participants)
QLB Block + Standard of Care1
Standard of Care0

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Number of Patients With Nausea/Vomiting

(NCT03432650)
Timeframe: Up to Post Op Day 1

,
InterventionParticipants (Count of Participants)
Nausea PACUNausea POD1 (24hr)Vomiting PACUVomiting POD1 (24hr)
QLB Block + Standard of Care122102
Standard of Care71913

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Numerical Pain Rating System (NRS) Pain Scores

Pain scores at rest and with movement will be through 24 hours after surgery. Score scale is from 0-10. 0 means no pain, 10 means worst pain. A lower score is a better outcome. (NCT03432650)
Timeframe: 1 hour after Post Anesthesia Care Unite (PACU) arrival

,
Interventionscore on a scale (Mean)
NRS at RestNRS with Movement
QLB Block + Standard of Care3.74.1
Standard of Care4.65.2

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Number of Participants With Hospital Admission

(NCT03432650)
Timeframe: Up to Post Op Day 1

InterventionParticipants (Count of Participants)
QLB Block + Standard of Care11
Standard of Care9

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Antiemetic Use

(NCT03432650)
Timeframe: Up to Post Op Day 1

InterventionParticipants (Count of Participants)
QLB Block + Standard of Care18
Standard of Care12

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Postoperative Pain

postoperative pain scores (rest and movement) (ward) Pain scores were assessed with a 10-cm Visual Analogue Scale (VAS) (with 0 = no pain and 10 = the worst imaginable pain) (NCT03479216)
Timeframe: 24 hours

,
Interventionscore on a scale (Mean)
VAS 2 RVAS2 MVAS4 RVAS4 MVAS6 RVAS6 MVAS8 RVAS8 MVAS12 RVAS12 MVAS18 RVAS18 M
Magnesium Sulfate0.040.230.121.191.313.311.774.081.153.190.271.69
Precedex00.190.812.041.503.461.233.080.732.620.231.62

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Rescue Analgesic Time

Time to first analgesic demand at the orthopedics ward (from intraarticular injection to first analgesic requirement) (NCT03479216)
Timeframe: 24 hours

Interventionminutes (Mean)
Precedex477.33
Magnesium Sulfate498.46

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Number of Participants With Complications Due to Intraarticular Injection

post-injection complications due to intraarticular injection will be noted. (NCT03479216)
Timeframe: 24 hours

InterventionParticipants (Count of Participants)
Precedex0
Magnesium Sulfate0

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Mobilization

First mobilization time after surgery (NCT03479216)
Timeframe: 24 hours

Interventionminutes (Mean)
Precedex143.27
Magnesium Sulfate139.42

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Time to the End of Spinal Anesthesia

time from the start of spinal anesthesia (total block = Bromage 3) to the end of spinal anesthesia (Bromage 0) (NCT03479216)
Timeframe: 24 hours

Interventionminutes (Mean)
Precedex148.1
Magnesium Sulfate147.5

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Surgery Time

time from skin incision to closure (NCT03479216)
Timeframe: 24 hours

Interventionminutes (Mean)
Precedex24.23
Magnesium Sulfate25.58

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Postoperative Opioid/NSAID Consumption

nonsteroid antiinflammatory drugs (NSAID) or opioid drugs that are applied to patients will be noted. (NCT03479216)
Timeframe: 24 hours

,
Interventionvials (Number)
NSAIDopioid
Magnesium Sulfate141
Precedex170

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Pain Scores

Patient reported pain scores on a scale from 0-10 until discharge for the index admission. Where the minimum score is 0 and, the maximum score is 10. A score of 0 means no pain and the higher the score, the greater the pain intensity, with a score of 10 means worse imaginable pain. Pain scores recorded at 6-8 hourly intervals every day until discharge or 4 days, computed as an average pain score. (NCT03482973)
Timeframe: At 6-8 hourly intervals every day until discharge or 4 days

Interventionscore on a scale (Mean)
Interventional Bupivacaine4.8
Interventional Placebo5.1

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Opioid Consumption

Total opioid consumption in the first 48 hours post-operatively, measured as milligram morphine equivalents (MME). (NCT03482973)
Timeframe: 48 hours

InterventionMilligram Morphine Equivalents (MME) (Mean)
Interventional Bupivacaine40.8
Interventional Placebo49.1

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Number of Participants With Complications

This includes infection, hematoma, local anesthetic systemic toxicity directly related to the block or the drug used in the block (NCT03482973)
Timeframe: 7 days post-op on an average

InterventionParticipants (Count of Participants)
Interventional Bupivacaine0
Interventional Placebo0

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Hospital Length of Stay

Their stay in the hospital for the index admission (NCT03482973)
Timeframe: Measured in days admitted in the hospital, an average of 5 days

Interventiondays (Median)
Interventional Bupivacaine8
Interventional Placebo7.5

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ICU Length of Stay

Total duration of stay in ICU for the index admission (NCT03482973)
Timeframe: Time of ICU admission until time of discharge to hospital floor; through the hospital stay, an average of 5 days

Interventiondays (Median)
Interventional Bupivacaine1.2
Interventional Placebo1.7

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Effect of Transversus Abdominis Plane (TAP) Block Using Either 0.5% or 0.25% Bupivacaine on Analgesia for Cesarean Section Patients When Compared to Placebo.

The total the number of Patient Controlled Analgesia (PCA) boluses used by the patients postoperatively within 24 hours (NCT03493828)
Timeframe: 0-24 hours

InterventionPCA bolus (Mean)
TAP Using Bupivacaine 0.5%9.45
TAP Using Bupivacaine 0.25%8.95
Placebo17.65

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Postoperative Total Morphine Equivalent

Total dose in milligrams of opiates measured in total morphine equivalents. This was measured by calculating the sum of total morphine equivalents administered within 48 hours postoperatively. Assessed at 12, 24, 36, 48 hours after surgery, total postoperative total morphine equivalents at 48 hours after surgery reported (NCT03502018)
Timeframe: 48 hours after surgery

InterventionMorphine Equivalent (Mean)
Saline9.98
Bupivacaine Liposome12.09

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Post-operative Pain

Primary outcome measure will be postoperative visual analogue scale (VAS from 0-10) pain scores. 0 = no pain, 10 = most pain (NCT03502018)
Timeframe: 8hrs after surgery

Interventionscore on a scale (Mean)
Saline3.04
Bupivacaine Liposome2.12

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Post-operative Pain

Primary outcome measure will be postoperative visual analogue scale (VAS from 0-10) pain scores. 0 = no pain, 10 = most pain (NCT03502018)
Timeframe: 4hrs after surgery

Interventionscore on a scale (Mean)
Saline3.29
Bupivacaine Liposome2.64

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Time to Ambulation

Measure of time to ambulation with physical therapy (NCT03502018)
Timeframe: 24 and 48 hours after surgery

InterventionDays (Mean)
Saline1.44
Bupivacaine Liposome1.12

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Length of Stay

Total days until discharge from hospital (NCT03502018)
Timeframe: 7 days from day of admission

InterventionDays (Mean)
Saline3.88
Bupivacaine Liposome3.92

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Post-operative Pain

Primary outcome measure will be postoperative visual analogue scale (VAS from 0-10) pain scores. 0 = no pain, 10 = most pain (NCT03502018)
Timeframe: 12hrs after surgery

Interventionscore on a scale (Mean)
Saline2.42
Bupivacaine Liposome2.08

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Post-operative Pain

Primary outcome measure will be postoperative visual analogue scale (VAS from 0-10) pain scores. 0 = no pain, 10 = most pain (NCT03502018)
Timeframe: 24hrs after surgery

Interventionscore on a scale (Mean)
Saline2.58
Bupivacaine Liposome2.00

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Post-operative Pain

Primary outcome measure will be postoperative visual analogue scale (VAS from 0-10) pain scores. 0 = no pain, 10 = most pain (NCT03502018)
Timeframe: 48hrs after surgery

Interventionscore on a scale (Mean)
Saline2.71
Bupivacaine Liposome2.04

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Average Daily In-Hospital Pain Score

Measured 0-10 Visual Analog Scale for Pain (Higher Score Means Worse Pain). (NCT03508830)
Timeframe: Average over Length of Hospitalization - Up to 1 Week

InterventionUnits on a Scale (Mean)
Liposomal Bupivacaine2.7
Standard Bupivacaine3.1

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Average Daily In-Hospital Use of Opioids

Measured in Oral Morphine Equivalents per Day (NCT03508830)
Timeframe: Average over Entire Length of Hospitalization (Up to 1 Week)

InterventionOral Morphine Equivalent per Day (Mean)
Liposomal Bupivacaine40
Standard Bupivacaine45

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Length of Stay

Measured in Days (NCT03508830)
Timeframe: Index Hospitalization following Surgery until Discharge - Up to 1 Week

InterventionDays (Mean)
Liposomal Bupivacaine2.2
Standard Bupivacaine2.3

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Number of Participants With Postoperative Pneumonia

Pneumonia (Y/N) (NCT03508830)
Timeframe: Index Hospitalization following Surgery until Discharge - Up to 1 Week

InterventionParticipants (Count of Participants)
Liposomal Bupivacaine0
Standard Bupivacaine1

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Mean Postoperative Pain Score

Wong-Baker pain faces scale of 0-no pain, to 10-extreme pain (NCT03514277)
Timeframe: last day of hospitalization, average of 3 days in hospital

Interventionunits on a scale (Mean)
Local Infiltration of EXPAREL and Bupivacaine5.2
Local Infiltration of Exparel4.2
Local Infiltration of Bupivacaine5.6

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Total Consumption of Opioids During Hospital Stay

All opioid analgesics will be converted into oral mg morphine equivalent to determine the total dose of opioids (NCT03514277)
Timeframe: last day of hospitalization, average of 3 days in hospital

Interventionmilligram (Mean)
Local Infiltration of EXPAREL and Bupivacaine106.1
Local Infiltration of Exparel87.3
Local Infiltration of Bupivacaine46.1

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Change in Medication

Number of participants that had increases or decreases in the dose or frequency of pain medication (NCT03523000)
Timeframe: Assessing any changes in pain medications from baseline (Day 1) through the 12-month post-implant clinic follow up

InterventionParticipants (Count of Participants)
Active Solution Followed by Inactive Place Solution0
Inactive Placebo Solution Followed by Active Solution3

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Adverse Event (AE)

AE is any untoward medical occurrence in the patient which does not necessarily have a causal relationship with this infusion treatment (NCT03523000)
Timeframe: Assessing any AEs that occur from baseline (Day 1) through the 12-month post-implant clinic follow up

InterventionAdverse events (Number)
All Study Participants9

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Change in Numerical Rating Scale Pain Scores (NRS) at Rest

Numerical Rating Scale is an 11-point pain scale whereby 0 signifies no pain and 10 the worse pain ever (NCT03523000)
Timeframe: Comparing change in NRS from baseline (Day 1) to: end of intrathecal infusion of solution 1 (Day 2), end of intrathecal infusion of solution 2 (Day 3)

,
InterventionScore on a scale (Mean)
BaselineEnd of intrathecal infusion of solution (Day 2)End of intrathecal infusion of solution (Day 3)
Active Solution Followed by Inactive Placebo Solution6.53.674.25
Inactive Placebo Solution Followed by Active Solution6.753.696.73

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Change in Numerical Rating Scale Pain Scores (NRS) With Activity

Numerical Rating Scale is an 11-point pain scale whereby 0 signifies no pain and 10 the worse pain ever (NCT03523000)
Timeframe: Comparing change in NRS from baseline (Day 1) to: end of intrathecal infusion of solution 1 (Day 2), end of intrathecal infusion of solution 2 (Day 3)

,
InterventionScore on a scale (Mean)
BaselineEnd of intrathecal infusion of solution (Day 2)End of intrathecal infusion of solution (Day 3)
Active Solution Followed by Inactive Placebo Solution8.404.134.38
Inactive Placebo Solution Followed by Active Solution8.004.196.73

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Change in Oswestry Disability Score (ODI)

Oswestry Disability Index (ODI) This scale based on a questionnaire of activities measures the impact of pain on multiple factors within a patient's daily life. Higher values represent worse outcomes, or a higher impact from pain on the patient's daily life. The total score range is 0-50. Subcategories include: 0-4: no disability. 5-14: mild disability. 15-24: moderate disability. 25-34: sever disability. 35-50: completely disabled. (NCT03523000)
Timeframe: Comparing change in ODI from baseline (Day 1) to: end of intrathecal infusion of solution 2 (Day 3)

,
Interventionscore on a scale (Mean)
BaselineEnd of intrathecal infusion of solution (Day 3)
Active Solution Followed by Inactive Placebo Solution27.1320.38
Inactive Placebo Solution Followed by Active Solution26.8127.07

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Change in painDETECT Final

The painDETECT questionnaire was specifically developed to detect neuropathic pain components in adult patients with low back pain. PainDETECT is a scale 0 to 38, with 0 being no disability to 38 being max disability. (NCT03523000)
Timeframe: Comparing change in PainDETECT from baseline (Day 1) to: end of intrathecal infusion of solution 2 (Day 3)

,
Interventionscore on a scale (Mean)
BaselineEnd of intrathecal infusion of solution (Day 3)
Active Solution Followed by Inactive Placebo Solution16.410.81
Inactive Placebo Solution Followed by Active Solution13.3115.27

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Change in painDETECT Total

The painDETECT questionnaire was specifically developed to detect neuropathic pain components in adult patients with low back pain. PainDETECT is a scale of 0 to 35, with 0 being no disability to 35 being max disability. (NCT03523000)
Timeframe: Comparing change in PainDETECT from baseline (Day 1) to: end of intrathecal infusion of solution 2 (Day 3)

,
Interventionscore on a scale (Mean)
BaselineEnd of intrathecal infusion of solution (Day 3)
Active Solution Followed by Inactive Placebo Solution15.04710.19
Inactive Placebo Solution Followed by Active Solution11.9414.27

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Change in Patient Global Impression of Change (PGIC)

Patient Global Impression of Change (PGIC) scale is a seven-point single-item scale ranging from 7 'very much worse' to 1 'very much improved'. (NCT03523000)
Timeframe: Comparing change in PGIC from end of intrathecal infusion of solution 1 (Day 2), to end of intrathecal infusion of solution 2 (Day 3)

,
Interventionscore on a scale (Mean)
End of intrathecal infusion of solution (Day 2)End of intrathecal infusion of solution (Day 3)
Active Solution Followed by Inactive Placebo Solution4.534.07
Inactive Placebo Solution Followed by Active Solution4.662.48

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Treatment Satisfaction Questionnaire (TSQ)

TSQ is a questionnaire to rate level of satisfaction or dissatisfaction with the Intrathecal Drug Delivery- patients were asked preference for either intrathecal solution. Patient preferences for each solution were measured. This data represents the total number of patient's that received a trial and the total number of patients who preferred each solution. Higher values indicate a greater number of study participants preferred a specific arm. Patients with no preference are listed separately. (NCT03523000)
Timeframe: Up to one year

InterventionParticipants (Count of Participants)
Intrathecal Infusion 1- Sequence 1Intrathecal Infusion 2- Sequence 1No preference- Sequence1Intrathecal Infusion 1- Sequence 2Intrathecal Infusion 2- Sequence 2No preference- Sequence 2
All Study Participants11225110

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Pain Scores at Postoperative Day 1

"Measured using a 100mm Visual Analog Scale, at the end of the postoperative day 1.~The scale ranges from 0mm (No pain) to 100mm (Pain as bad as it could possibly be). A paper-based version of the VAS will be used, containing a 100mm line, where the left-end (0mm) contains the sentence No Pain and in the right-end (100mm) contains the sentence Pain as bad as it could possibly be. Patients will be asked to indicate on the line where the pain is in relation to the two extremes. This will be performed with a pen. Measure with a ruler will be performed from the left hand side to the mark and this will be recorded in mm. Lower values represent less pain and higher values represent more pain. There are no subscale components for this measurement." (NCT03541941)
Timeframe: Measured once, from 00:00am of postoperative day 1 until the end of postoperative day 1 (23:59pm of postoperative day 1)

Interventionscore on a scale (Median)
Exparel58.0
Bupivacaine Hcl 0.25% Inj49.0
Placebo42.5

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Pain Scores at Postoperative Day 2

"Measured using a 100mm Visual Analog Scale, at the end of the postoperative day 2 The scale ranges from 0mm (No pain) to 100mm (Pain as bad as it could possibly be). A paper-based version of the VAS will be used, containing a 100mm line, where the left-end (0mm) contains the sentence No Pain and in the right-end (100mm) contains the sentence Pain as bad as it could possibly be. Patients will be asked to indicate on the line where the pain is in relation to the two extremes. This will be performed with a pen. Measure with a ruler will be performed from the left hand side to the mark and this will be recorded in mm. Lower values represent less pain and higher values represent more pain. There are no subscale components for this measurement." (NCT03541941)
Timeframe: Measured once, from 00:00am of postoperative day 2 until the end of postoperative day 2 (23:59pm of postoperative day 2)

Interventionscore on a scale (Median)
Exparel56.0
Bupivacaine Hcl 0.25% Inj39.0
Placebo42.5

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Pain Scores at Postoperative Day 3

"Measured using a 100mm Visual Analog Scale, at the end of the postoperative day 3 The scale ranges from 0mm (No pain) to 100mm (Pain as bad as it could possibly be). A paper-based version of the VAS will be used, containing a 100mm line, where the left-end (0mm) contains the sentence No Pain and in the right-end (100mm) contains the sentence Pain as bad as it could possibly be. Patients will be asked to indicate on the line where the pain is in relation to the two extremes. This will be performed with a pen. Measure with a ruler will be performed from the left hand side to the mark and this will be recorded in mm. Lower values represent less pain and higher values represent more pain. There are no subscale components for this measurement." (NCT03541941)
Timeframe: Measured once, from 00:00am of postoperative day 3 until the end of postoperative day 3 (23:59pm of postoperative day 3)

Interventionscore on a scale (Median)
Exparel46.0
Bupivacaine Hcl 0.25% Inj45.0
Placebo40.0

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30-day Pain Scores

Measured using the Patient-Reported Outcome Measurement Information System (PROMIS) Pain Intensity 3a survey. This survey has 3 questions:(1) How intense was your pain as its worst? (2) How intense was your average pain? and (3) What is your level of pain right now?. Each question has 5 response options ranging in value from 1 to 5. To find the total raw score, sum of the values for each question is performed; lowest possible raw score is 3 and highest possible raw score is 15.A raw score of 10 converts to a T-score of 54.5 with a standard error (SE) of 2.9. Thus, the 95% confidence interval around the observed score ranges from 48.8 to 54.5 (T-score + (1.96*SE) or 54.5 + (1.96*2.9). A score of 50 is the average for the United States general population with a standard deviation of 10. For negatively-worded concepts like Pain Intensity, a T-score of 60 is one SD worse than average. By comparison, a Pain Intensity Tscore of 40 is one SD better than average. (NCT03541941)
Timeframe: Measured during the 30-day follow-up visit, expected to occur 30-days after the day of surgery, up to a maximum of 90 days

InterventionT-Score (Median)
Exparel19.0
Bupivacaine Hcl 0.25% Inj16.5
Placebo11.0

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30-day Patient-Reported Quality of Life

"Measured using the Hernia Related Quality of Life survey (HerQLes) during the 30-day follow-up visit. The HerQLes is a valid and reliable hernia-specific quality of life measure. Each questions has 6 response options ranging in value from one to six. To find the raw score for the HerQles, a sum of the values of the response to each question is performed. For example, the lowest possible score is 12; the highest possible score is 72. All questions must be answered to provide a valid score. Mean and standard deviations of the scores of the entire study population will be calculated. Next, the Z score will be calculated as follows:~(Raw score-mean) / Standard Deviation. Next step is to calculate the Standard Score, as follows: (-(Z score)*Mean)+Standard Deviation. The standard score will be used for comparisons and reports, and should provide a value ranging from 0 to 100. Lower scores means lower quality of life and higher scores means higher quality of life." (NCT03541941)
Timeframe: Measured during the 30-day follow-up visit, expected to occur 30-days after the day of surgery, up to a maximum of 90 days

InterventionZ-Score (Mean)
Exparel46.9
Bupivacaine Hcl 0.25% Inj38.4
Placebo45.2

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Cumulative Opioid Requirements at Postoperative Day 0

Measured in milligrams or micrograms as appropriate and converted to oral morphine equivalent daily dose. The cumulative dose of opioids administered intravenously (infused through a patient-controlled analgesia device as well as the quantity of opioids administered intravenously as rescue, if needed) and the quantity of opioids administered through oral preparation will be measured at postoperative day 0 (day of surgery). (NCT03541941)
Timeframe: From end of surgery until the end of postoperative day 0 (23:59pm of postoperative day 0)

Interventionmg morphine equivalents/day (Mean)
Exparel68.3
Bupivacaine Hcl 0.25% Inj77.1
Placebo74.5

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Cumulative Opioid Requirements at Postoperative Day 1

Measured in milligrams or micrograms as appropriate and converted to oral morphine equivalent daily dose. Cumulative dose of opioids administered intravenously (infused through a patient-controlled analgesia device as well as the quantity of opioids administered intravenously as rescue, if needed) and the quantity of opioids administered through oral preparations, measured at postoperative day 1 (NCT03541941)
Timeframe: From 00:00am of postoperative day 1 until (23:59pm of postoperative day 1)

Interventionmg morphine equivalents/day (Mean)
Exparel116
Bupivacaine Hcl 0.25% Inj116
Placebo105

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Cumulative Opioid Requirements at Postoperative Day 2

Measured in milligrams or micrograms as appropriate and converted to oral morphine equivalent daily dose. Cumulative dose of opioids administered intravenously (infused through a patient-controlled analgesia device as well as the quantity of opioids administered intravenously as rescue, if needed) and the quantity of opioids administered through oral preparations, measured at postoperative day 2 (NCT03541941)
Timeframe: From 00:00 of postoperative day 2 until 23:59pm of postoperative day 2

Interventionmg morphine equivalents/day (Mean)
Exparel79.9
Bupivacaine Hcl 0.25% Inj96.7
Placebo79.9

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Cumulative Opioid Requirements at Postoperative Day 3

Measured in milligrams or micrograms as appropriate and converted to oral morphine equivalent daily dose. Cumulative dose of opioids administered intravenously (infused through a patient-controlled analgesia device as well as the quantity of opioids administered intravenously as rescue, if needed) and the quantity of opioids administered through oral preparations, measured at postoperative day 3 (NCT03541941)
Timeframe: From 00:00 of postoperative day 3 until 23:59pm of postoperative day 3

Interventionmg morphine equivalents/day (Mean)
Exparel60.9
Bupivacaine Hcl 0.25% Inj60.4
Placebo50.9

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Cumulative Opioid Requirements for 72 Hours After Surgery

Measured in milligrams or micrograms as appropriate and converted to oral morphine equivalent daily dose. The cumulative dose of opioids administered intravenously (infused through a patient-controlled analgesia device as well as the quantity of opioids administered intravenously as rescue, if needed) and the quantity of opioids administered through oral preparations will be recorded. Such assessment will be performed at the 3rd postoperative day (72 hours of operation). (NCT03541941)
Timeframe: Measured from end of surgery until 72 hours after the surgery

Interventionmg morphine equivalents/day (Mean)
Exparel325
Bupivacaine Hcl 0.25% Inj350
Placebo310

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Length of Hospital Stay

"Measured in days, being the difference from day of surgery until the day of hospital discharge.~The scale ranges from 0mm (No pain) to 100mm (Pain as bad as it could possibly be). A paper-based version of the VAS will be used, containing a 100mm line, where the left-end (0mm) contains the sentence No Pain and in the right-end (100mm) contains the sentence Pain as bad as it could possibly be. Patients will be asked to indicate on the line where the pain is in relation to the two extremes. This will be performed with a pen. Measure with a ruler will be performed from the left hand side to the mark and this will be recorded in mm. Lower values represent less pain and higher values represent more pain. There are no subscale components for this measurement." (NCT03541941)
Timeframe: From the day of surgery until the day of hospital discharge, up to a maximum of 30 days

InterventionDays (Median)
Exparel5.00
Bupivacaine Hcl 0.25% Inj5.00
Placebo5.00

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Opioid Requirements for Total Length of Hospital Stay

Cumulative dose of opioids administered intravenously (infused through a patient-controlled analgesia device as well as the quantity of opioids administered intravenously as rescue, if needed) and the quantity of opioids administered through oral preparations administered during the entire length of hospital stay. Measured in milligrams or micrograms as appropriate and converted to oral morphine equivalent daily dose. (NCT03541941)
Timeframe: Measured from end of surgery until the time of hospital discharge, up to a maximum of 6 days

Interventionmg morphine equivalents/day (Mean)
Exparel50.5
Bupivacaine Hcl 0.25% Inj50.1
Placebo51.0

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Pain Scores at Postoperative Day 0

"Measured using a 100mm Visual Analog Scale, at the end of the first of postoperative day 0 (day of surgery).~The scale ranges from 0mm (No pain) to 100mm (Pain as bad as it could possibly be). A paper-based version of the VAS will be used, containing a 100mm line, where the left-end (0mm) contains the sentence No Pain and in the right-end (100mm) contains the sentence Pain as bad as it could possibly be. Patients will be asked to indicate on the line where the pain is in relation to the two extremes. This will be performed with a pen. Measure with a ruler will be performed from the left hand side to the mark and this will be recorded in mm. Lower values represent less pain and higher values represent more pain. There are no subscale components for this measurement." (NCT03541941)
Timeframe: Measured once, from end of surgery until the end of postoperative day 0 (23:59pm of the day of surgery)

Interventionscore on a scale (Median)
Exparel20.0
Bupivacaine Hcl 0.25% Inj16.0
Placebo21.5

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Total Intraoperative Opioids Used

Total amount of opioid medications used during surgery. Opioids normalized to total morphine equivalents. (NCT03587584)
Timeframe: through end of surgery

,
Interventionmg (Median)
Intraoperative Fentanyl (mg)Intraoperative MME (mg)Intraoperative hydromorphone (mg)Intraoperative ketamineIntraoperative ketorolac (mg)
Bupivacaine.130000
Liposomal Bupivacaine.130000

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Total Maximum Pain Scores f

Sum total of maximal pain scores through 72 horus after surgery. Pain scores reported on a numerical rating scale from 0-10. 10 is worse and 0 is best (NCT03587636)
Timeframe: time from end of surgery through 72 hours after end of surgery

Interventionscore on a scale (Median)
Bupivacaine Interscalene Block4.0
Liposome Bupivacaine Interscalene Block3.0

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Total Opioid Use

total amount of opioid use from after surgery through 72 hours. Opioids normalized to morphine equivalents (NCT03587636)
Timeframe: From end of surgery through 72 hours after end of surgery

Interventionmg (morphine equivalent) (Median)
Bupivacaine Interscalene Block22.5
Liposome Bupivacaine Interscalene Block30.0

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Percentage of Subjects Opioid Free

Percentage of subjects who are opioid-free for CA-008 compared to placebo. (NCT03599089)
Timeframe: [time frame: 96 hours]

Interventionpercentage of subjects (Number)
CA-008 0.7 mg (0.05 mg/mL Concentration)19.4
CA-008 2.1 mg (0.15 mg/mL Concentration)16.7
CA-008 4.2 mg (0.3 mg/mL Concentration)26.3
Placebo5.4

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Change in Postsurgical Pain Based on the Weighted Sum of Pain Intensity (SPI) Assessments Over 96 Hours of the NRS Scores = Area Under the Curve (AUC)

Mean area under the curve (AUC) of the Numeric Rating Scale (NRS) weighted sum of pain intensity scores (at rest) from 0-10 where 0 is no pain and 10 is the worst pain imaginable for CA-008 compared to placebo. The time was collected 0 to 96 hours post-dose (NCT03599089)
Timeframe: [time frame: 96 hours]

Interventionscores on a scale*hour (Mean)
CA-008 0.7 mg (0.05 mg/mL Concentration)317.09
CA-008 2.1 mg (0.15 mg/mL Concentration)321.72
CA-008 4.2 mg (0.3 mg/mL Concentration)266.86
Placebo400.56

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Total Opioid Consumption (in Daily Morphine Equivalents)

Mean total postoperative opioid consumption (in daily oral morphine equivalents) for CA-008 compared to placebo (NCT03599089)
Timeframe: [time frame: 96 hours]

Interventionmg morphine equivalents/day (Mean)
CA-008 0.7 mg (0.05 mg/mL Concentration)42.50
CA-008 2.1 mg (0.15 mg/mL Concentration)37.71
CA-008 4.2 mg (0.3 mg/mL Concentration)28.22
Placebo56.11

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Diaphragm Excursion With Quick Inspiratory Breath

Evaluation of diaphragm excursion (movement in cm) from rest to a quick inspiratory breath. (NCT03636542)
Timeframe: change from baseline to 24 hours after block

Interventioncm (Median)
Liposomal Bupivacaine1.8
Bupivacaine1.2

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FEV1/FVC

Evaluation of FEV1/FVC percent via spirometry. (NCT03636542)
Timeframe: change from baseline to 24 hours after block

Interventionpercent (Median)
Liposomal Bupivacaine86
Bupivacaine89.5

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Diaphragm Excursion With Sigh

Evaluation of diaphragm excursion (movement in cm) from rest to sigh in a sitting position. (NCT03636542)
Timeframe: change from baseline to 24 hours after block

Interventioncm (Median)
Liposomal Bupivacaine4.2
Bupivacaine2.9

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Forced Expiratory Volume in 1 Second (FEV1)

Evaluation of FEV1 via spirometry. (NCT03636542)
Timeframe: change from baseline to 24 hours after block

Interventionliters (Median)
Liposomal Bupivacaine2.7
Bupivacaine1.8

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Forced Vital Capacity (FVC)

Evaluation of FVC via spirometry. (NCT03636542)
Timeframe: change from baseline to 24 hours after block

Interventionliters (Median)
Liposomal Bupivacaine3.2
Bupivacaine2.0

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Time to Return of Bowel Function

Number of days from time of surgery until return of bowel function (NCT03638635)
Timeframe: From time of surgery until first time patient passes gas or stool per rectum or into ostomy bag. Assessed until date of discharge (usually up to 4 days after surgery).

Interventiondays (Median)
Standard Bupivacaine2
Bupivacaine Liposome2

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In-hospital Antiemetic Use

Amount of ondansetron patient required postoperatively during hospital stay, in milligrams (NCT03638635)
Timeframe: Time of transfer to post operative suite to time of discharge (usually up to 4 days after surgery).

Interventionmg (Mean)
Standard Bupivacaine2.9
Bupivacaine Liposome5.6

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Length of Stay

Total postoperative hospital stay in days (NCT03638635)
Timeframe: Date of surgery to date of discharge (usually up to 4 days after surgery).

Interventiondays (Median)
Standard Bupivacaine3
Bupivacaine Liposome3.5

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Pain Score

Recorded on a scale of 0 (No pain) to 10 (Worst possible pain) (NCT03638635)
Timeframe: Approximately every 6 hours through postoperative day 3 by 1 pm

Interventionunits on a scale (Median)
Standard Bupivacaine3
Bupivacaine Liposome3

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Time to Clear Liquid Diet

Number of days from time of surgery until patient tolerates clear liquid diet (NCT03638635)
Timeframe: From time of surgery until first time patient tolerates clear liquids without nausea or vomiting. Assessed until date of discharge (usually up to 4 days after surgery).

Interventiondays (Median)
Standard Bupivacaine0
Bupivacaine Liposome0

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Time to Low Fiber Diet

Number of days from day of surgery until patient tolerates low fiber diet (NCT03638635)
Timeframe: From time of surgery until first time patient tolerates a low fiber diet without nausea or vomiting. Assessed until date of discharge (usually up to 4 days after surgery).

Interventiondays (Median)
Standard Bupivacaine1.5
Bupivacaine Liposome1

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Time to Patient Mobilization

Number of days from day of surgery until patient mobilization (NCT03638635)
Timeframe: From time of surgery until time of first patient ambulation post op. Assessed until date of discharge (usually up to 4 days after surgery).

Interventiondays (Median)
Standard Bupivacaine1
Bupivacaine Liposome0.5

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Visual Analogue Score (VAS)

Visual Analogue Score (VAS) pain score from 0 (no pain) to 10 (most pain) (NCT03642457)
Timeframe: up to 24 hours post procedure

,
Interventionscore on a scale (Mean)
baselineat 2 hoursat 6 hoursat 18 hoursat 24 hours
Placebo Group2.803.073.232.171.93
Serratus Plane Group2.313.093.032.171.89

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Amount of Opioid Consumption

The amount of opioid consumption (in mg IV morphine equivalents) postoperatively up to 24 hours after the procedure. (NCT03642457)
Timeframe: up to 24 hours post procedure

InterventionMME (Mean)
Serratus Plane Group18.93
Placebo Group13.21

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Time to First Dose of Narcotic Administration

Time to first dose of narcotic administration post procedure (NCT03642457)
Timeframe: up to 24 hours post procedure

Interventionhours (Mean)
Serratus Plane Group2.86
Placebo Group3.09

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PACU Length of Stay

The length of stay post procedure in the PACU (NCT03642457)
Timeframe: average 3-4 hours post procedure

Interventionhours (Mean)
Serratus Plane Group3.45
Placebo Group3.05

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ICU Length of Stay

The length of stay post procedure in the or ICU (NCT03642457)
Timeframe: up to 40 hours post procedure

Interventionhours (Mean)
Serratus Plane Group32.57
Placebo Group40.00

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PACU Length of Stay

Post-Anesthesia Care Unit (PACU) length of stay (LOS) (NCT03653416)
Timeframe: average 24 hours

Interventionhours (Median)
Ipack Group3.00
Pai (Peri Articular) Group3.00

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Narcotic Consumption

Narcotic consumption in the first 24 hours (NCT03653416)
Timeframe: 24 hours

Interventionmorphine equivalents, mg (Mean)
Ipack Group15.87
Pai (Peri Articular) Group13.67

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Ambulation Distance

Ambulation distance with assistance on Post-operative Day (POD) 1 as assessed by PT (NCT03653416)
Timeframe: Post-op Day 1

Interventionmeters (Median)
Ipack Group50
Pai (Peri Articular) Group45

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Time to First Dose of Narcotic Administration

(NCT03653416)
Timeframe: up to 24 hours

Interventionhours (Median)
Ipack Group1.5
Pai (Peri Articular) Group0.25

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Visual Analogue Score (VAS) for Pain

Visual Analogue Score (VAS) for pain - scored from 0 (no pain) to 10 (extreme pain), that is, higher score indicates more pain. (NCT03653416)
Timeframe: at 6, 12, 18, and 24 hours post procedure

,
Interventionscore on a scale (Mean)
6 hours12 hours18 hours24 hours
Ipack Group0.930.760.741.50
Pai (Peri Articular) Group0.930.931.412.18

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Number of Participants With Pain by Location

Location of knee pain as anterior/posterior, medial/lateral (NCT03653416)
Timeframe: 24 hours

,
InterventionParticipants (Count of Participants)
AnteriorKneeLateralMedialPosteriorNo Pain
Ipack Group14105422
Pai (Peri Articular) Group01873180

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Bartels Index

Bartels Index to measure activities of daily living (ADL's) on POD 1 as assessed by OT. Total possible scores range from 0-100, with higher scores indicating more independence. (NCT03653416)
Timeframe: Post-op Day 1

Interventionscore on a scale (Median)
Ipack Group47
Pai (Peri Articular) Group39

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Patient Pain Scores

Patient pain scores over the first 72 hours post-operatively as measured by the Visual Analogue Scale where Zero represents no pain and ten represents severe pain. (NCT03663283)
Timeframe: 72 hours post-operatively

Interventionscore on a scale (Mean)
Liposomal Bupivacaine4.0
Plain Bupivacaine2.8

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Satisfaction With Pain Control Using Satisfaction Scale

Patient satisfaction with pain control at 72 hours post-operatively and three weeks post operatively using Patient Satisfaction with Pain Management Pain Scale where Zero represents unsatisfactory pain management and ten represents perfect pain management. (NCT03663283)
Timeframe: Measured at 72 hours and at three weeks post-operatively

,
Interventionunits on a scale (Mean)
72 hours3 weeks
Liposomal Bupivacaine6.67.5
Plain Bupivacaine6.97.8

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Opioid Consumption

Total opioid consumption as measured by morphine milligram equivalent (MME) in first 72 hours and at 3 weeks (NCT03663283)
Timeframe: Measured at 72 hours and at 3 weeks post-operatively

,
Interventionmorphine milligram equivalent (MME) (Mean)
72 hours3 weeks
Liposomal Bupivacaine45.6133.9
Plain Bupivacaine56.2150.9

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Time to Cessation of Nerve Blockade

Measured by the number of subjects who reported cessation of nerve blockade as the first reported postoperative pain score of 3 or greater at the surgical site. (NCT03663283)
Timeframe: 4, 8, 12, 16, 20, 24, and 28 hours post-operatively

,
InterventionParticipants (Count of Participants)
4 hours8 hours12 hours16 hours20 hours24 hours28 hours
Liposomal Bupivacaine16313843434647
Plain Bupivacaine12192835414445

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Number of Participants With a Reduction in Headache Days From Baseline to Month 8 of Treatment

Reduction in headache days from baseline to month 8 of treatment as self- reported by the patients (yes/no) and as per headache diary and retrospective charts review documentation (NCT03666663)
Timeframe: 8 months

Interventionparticipants (Number)
Lidocaine3
Bupivacaine1
Ropivacaine1
Placebo (Saline)0

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Total Morphine Equivalents Consumed

Measured as overall intake of any drugs in the opioid class (Morphine Equivalent Dosing) (NCT03682224)
Timeframe: up to 72 hours post surgery

InterventionMEq (Median)
Exparel48
Marcaine42.7

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Pneumothorax

Documented pnuemothorax (NCT03682224)
Timeframe: In-hospital until discharge, approximately 3 days

InterventionParticipants (Count of Participants)
Exparel5
Marcaine6

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Hospital Stay

(NCT03682224)
Timeframe: Length of hospital stay - from admission to discharge, approximately 3 days

InterventionDays (Median)
Exparel3.28
Marcaine2.45

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Prolonged Air Leak

Number of patients who had air leak more than 5 days post-surgery (NCT03682224)
Timeframe: > 5 days to 7 days

InterventionParticipants (Count of Participants)
Exparel8
Marcaine5

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VAS Pain Score

Using a 10 point visual analog scale (VAS) score. The score ranges from 0 to 10. '0' represents no pain and '10' represents worst pain. (NCT03682224)
Timeframe: In-hospital until discharge, approximately 3 days, will be collected each time before dispensing pain medications

Interventionscore on a scale (Median)
Exparel4.8
Marcaine5.2

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Mortality

Any death occurring during primary hospital stay or prior to 30 days post surgery (NCT03682224)
Timeframe: Up to 30 days post surgery

InterventionParticipants (Count of Participants)
Exparel0
Marcaine0

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Pharmacy Cost

Median In-hospital pharmacy cost (NCT03682224)
Timeframe: In-hospital until discharge, approximately 3 days

InterventionUnited States Dollars (Median)
Exparel1052
Marcaine596

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Treatment Cost

All direct cost from the date of surgery until discharge (NCT03682224)
Timeframe: In-hospital Costs until discharge, approximately 3 days

InterventionUnited States Dollars (Median)
Exparel22,775
Marcaine20,252

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Atrial Fibrillation/Other Arrhythmia

Post-op arrhythmia (NCT03682224)
Timeframe: In-hospital until discharge, approximately 3 days

InterventionParticipants (Count of Participants)
Exparel2
Marcaine3

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The Apparent Terminal Elimination Half-life (t1/2el)

(NCT03682302)
Timeframe: 15, 30, 45 min, 1-1.25h, 2-4h, 10-18h, 24-36h, 42-60h (spine surgery) or 15, 30, 45 min, 1-1.25, 15-25, 20-40, 45-55, 64-72h (cardiac surgery)

Interventionhours (Mean)
Group 1: 12 to Less Than 17 Years, Undergoing Spine Surgery, EXPAREL26.8
Group 1: 12 to Less Than 17 Years, Undergoing Spine Surgery, Bupivacine8.4
Group 2: 6 to Less Than 12 Years, Undergoing Spine Surgery, EXPAREL13.4
Group 2: 6 to Less Than 12 Years, Undergoing Cardiac Surgery, EXPAREL24.9

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Apparent Clearance (CL/F)

(NCT03682302)
Timeframe: 15, 30, 45 min, 1-1.25h, 2-4h, 10-18h, 24-36h, 42-60h (spine surgery) or 15, 30, 45 min, 1-1.25, 15-25, 20-40, 45-55, 64-72h (cardiac surgery)

InterventionLiters/hour (Mean)
Group 1: 12 to Less Than 17 Years, Undergoing Spine Surgery, EXPAREL17.5
Group 1: 12 to Less Than 17 Years, Undergoing Spine Surgery, Bupivacine20.5
Group 2: 6 to Less Than 12 Years, Undergoing Spine Surgery, EXPAREL14.5
Group 2: 6 to Less Than 12 Years, Undergoing Cardiac Surgery, EXPAREL7.4

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Apparent Volume of Distribution (Vd/F)

(NCT03682302)
Timeframe: 15, 30, 45 min, 1-1.25h, 2-4h, 10-18h, 24-36h, 42-60h (spine surgery) or 15, 30, 45 min, 1-1.25, 15-25, 20-40, 45-55, 64-72h (cardiac surgery)

InterventionLiters (Mean)
Group 1: 12 to Less Than 17 Years, Undergoing Spine Surgery, EXPAREL546.4
Group 1: 12 to Less Than 17 Years, Undergoing Spine Surgery, Bupivacine226.8
Group 2: 6 to Less Than 12 Years, Undergoing Spine Surgery, EXPAREL271.1
Group 2: 6 to Less Than 12 Years, Undergoing Cardiac Surgery, EXPAREL216.1

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Maximum Plasma Concentration (Cmax)

(NCT03682302)
Timeframe: 15, 30, 45 min, 1-1.25h, 2-4h, 10-18h, 24-36h, 42-60h (spine surgery) or 15, 30, 45 min, 1-1.25, 15-25, 20-40, 45-55, 64-72h (cardiac surgery)

Interventionng/mL (Mean)
Group 1: 12 to Less Than 17 Years, Undergoing Spine Surgery, EXPAREL357.3
Group 1: 12 to Less Than 17 Years, Undergoing Spine Surgery, Bupivacine563.6
Group 2: 6 to Less Than 12 Years, Undergoing Spine Surgery, EXPAREL319.5
Group 2: 6 to Less Than 12 Years, Undergoing Cardiac Surgery, EXPAREL447.1

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Area Under the Plasma Concentration-versus-time Curve (AUC) 0 to Tlast

(NCT03682302)
Timeframe: 15, 30, 45 min, 1-1.25h, 2-4h, 10-18h, 24-36h, 42-60h (spine surgery) or 15, 30, 45 min, 1-1.25, 15-25, 20-40, 45-55, 64-72h (cardiac surgery)

Interventionng*h/mL (Mean)
Group 1: 12 to Less Than 17 Years, Undergoing Spine Surgery, EXPAREL9042.5
Group 1: 12 to Less Than 17 Years, Undergoing Spine Surgery, Bupivacine5232.9
Group 2: 6 to Less Than 12 Years, Undergoing Spine Surgery, EXPAREL10249.6
Group 2: 6 to Less Than 12 Years, Undergoing Cardiac Surgery, EXPAREL16776.4

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Area Under the Plasma Concentration-versus-time Curve (AUC) 0 to Infinity

(NCT03682302)
Timeframe: 15, 30, 45 min, 1-1.25h, 2-4h, 10-18h, 24-36h, 42-60h (spine surgery) or 15, 30, 45 min, 1-1.25, 15-25, 20-40, 45-55, 64-72h (cardiac surgery)

Interventionng*h/mL (Mean)
Group 1: 12 to Less Than 17 Years, Undergoing Spine Surgery, EXPAREL14246.1
Group 1: 12 to Less Than 17 Years, Undergoing Spine Surgery, Bupivacine5709.4
Group 2: 6 to Less Than 12 Years, Undergoing Spine Surgery, EXPAREL11569.5
Group 2: 6 to Less Than 12 Years, Undergoing Cardiac Surgery, EXPAREL26164.0

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Ambulation Distance

Ambulation is the ability to walk without the need for any kind of assistance. It is most often used when describing the goals of a patient after a surgery or physical therapy. (NCT03693404)
Timeframe: Post-operative Day 3

InterventionFeet (Mean)
General Anesthesia48.7
Spinal Anesthesia88.9

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Score on Visual Analogue Scale (VAS) for Pain

VAS is a tool widely used to measure pain. A patient is asked to indicate his/her perceived pain intensity (most commonly) along a 100 mm horizontal line, and this rating is then measured from the left edge (=VAS score). The total score range is 0 (no pain) to 10 (worst pain imaginable); the higher the score, the worse the pain. (NCT03693404)
Timeframe: Hour 24

Interventionscore on a scale (Mean)
General Anesthesia3.3
Spinal Anesthesia2.5

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Amount (mg) of Narcotics (Oral Morphine mg Equivalents) Used

Number of mgs taken of oral morphine (NCT03693404)
Timeframe: Post-Operative Day 0

Interventionmorphine milligram equivalents (MME) (Mean)
General Anesthesia16
Spinal Anesthesia10

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Non Narcotic Pain Medication Intake: Ondansetron

The total use of the non-narcotic pain medication ondansetron was recorded during hospitalization (NCT03700970)
Timeframe: Post op day 1 to 7

,
Interventionmilligrams (Mean)
POD 1POD 2POD 3POD 4POD 5POD 6POD 7
TAP Block With Liposomal Bupivacaine1.30.40.270000
TAP Block With Regular Bupivacaine2.30.40.270000

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Non Narcotic Pain Medication Intake: Gabapentin

The total use of the non-narcotic pain medication gabapentin was recorded during hospitalization (NCT03700970)
Timeframe: Post op day 1 to 7

,
Interventionmilligrams (Mean)
POD 1POD 2POD 3POD 4POD 5POD 6POD 7
TAP Block With Liposomal Bupivacaine730807680603537503457
TAP Block With Regular Bupivacaine750813577517583560527

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Non Narcotic Pain Medication Intake: Cyclobenzaprine

The total use of the non-narcotic pain medication Cyclobenzaprine was recorded during hospitalization (NCT03700970)
Timeframe: Post op day 1 to 7

,
Interventionmilligrams (Mean)
POD 1POD 2POD 3POD 4POD 5POD 6POD 7
TAP Block With Liposomal Bupivacaine0.522.53.73.743
TAP Block With Regular Bupivacaine1.21.21.51.71.81.82.2

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Non Narcotic Pain Medication Intake: Celebrex

The total use of the non-narcotic pain medication celebrex was recorded during hospitalization (NCT03700970)
Timeframe: post op day 1 to 7

,
Interventionmilligrams (Mean)
POD 1POD 2POD 3POD 4POD 5POD 6POD 7
TAP Block With Liposomal Bupivacaine2001936720201313
TAP Block With Regular Bupivacaine187203600000

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Length of Stay

Length of hospital stay post operatively (NCT03700970)
Timeframe: 1 to 4 days

InterventionDAYS (Mean)
TAP Block With Liposomal Bupivacaine2.43
TAP Block With Regular Bupivacaine2.23

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Amount of Supplemental Postoperative Narcotic Analgesia in Oral Morphine Equivalents (OME)

Amount of supplemental postoperative narcotic analgesia (both intravenous and oral) required by study groups in oral morphine equivalents (NCT03700970)
Timeframe: Postoperative day (POD) 1 to 7

,
Interventionmg morphine equivalents (Mean)
POD 1POD 2POD 3POD 4POD 5POD 6POD 7
Transversus Abdominis Plane (TAP) Block With Liposomal Bupivacaine19.820.712.28.27.335.13.8
Transversus Abdominis Plane (TAP) Block With Regular Bupivacaine23.625.212.88.86.526.84.9

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Time to Return of Bowel Function

Mean time in days at which patients had a return of bowel movement post op (NCT03700970)
Timeframe: 1 to 4 days post operation

Interventiondays (Mean)
TAP Block With Liposomal Bupivacaine2.62
TAP Block With Regular Bupivacaine2.58

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Non-narcotic Pain Medication Intake: Acetaminophen

The total use of the non-narcotic pain medication Acetaminophen was recorded during hospitalization (NCT03700970)
Timeframe: Post op day 1 to 7

,
Interventionmilligrams (Mean)
POD 1POD 2POD 3POD 4POD 5POD 6POD 7
TAP Block With Liposomal Bupivacaine2630293721601937175719031887
TAP Block With Regular Bupivacaine2840286819451722175517551588

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Ambulation

Time to first ambulate post op (in days) (NCT03700970)
Timeframe: 1 day post op

Interventiondays (Mean)
TAP Block With Liposomal Bupivacaine1
TAP Block With Regular Bupivacaine1

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Pain Measure

Pain as measured by numeric rating scale ranging from 0 (no pain) to 10 (worst pain ever). (NCT03700970)
Timeframe: Post operative day (POD) 1 to 7

,
Interventionscore on a scale (Mean)
POD 1POD 2POD 3POD 4POD 5POD 6POD 7
TAP Block With Liposomal Bupivacaine2.4322.92.92.62.32.3
TAP Block With Regular Bupivacaine2.933.13.13.13.13.22.8

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Time to First Opiate Use

Time from end of surgery to time of first opioid intake measured in hours (NCT03700970)
Timeframe: 0-29.8 hours post operation

Interventionhours (Mean)
TAP Block With Liposomal Bupivacaine12.4
TAP Block With Regular Bupivacaine8.2

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VAS Score at 24 Hours at Rest

The VAS score at rest will be measured by a study team investigator using Visual Analog Scale (VAS). Using a scale of 1-10 for documentation with 10 being the worst pain and 0 being no pain (NCT03702621)
Timeframe: Pain scores will be measured 24 hours after surgery

Interventionscore on a scale (Median)
Liposomal Bupivacaine4.0
Standard Bupivacaine3.0

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VAS Score at 24 Hours With Movement

The VAS score with movement (knee flexion) will be measured by a study team investigator using Visual Analog Scale (VAS). Using a scale of 1-10 for documentation with 10 being the worst pain and 0 being no pain (NCT03702621)
Timeframe: Pain scores will be measured 24 hours after surgery

Interventionscore on a scale (Median)
Liposomal Bupivacaine7.0
Standard Bupivacaine6.0

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VAS Score at 48 Hours at Rest

The VAS score at rest will be measured by a study team investigator using Visual Analog Scale (VAS). Using a scale of 1-10 for documentation with 10 being the worst pain and 0 being no pain (NCT03702621)
Timeframe: Pain scores will be measured 48 hours after surgery

Interventionscore on a scale (Median)
Liposomal Bupivacaine3.0
Standard Bupivacaine2.5

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Length of Stay

Admission date until Admission Discharge (NCT03702621)
Timeframe: Time Frame for Admission to Discharge (usually within 3-7 days)

Interventiondays (Median)
Liposomal Bupivacaine3.5
Standard Bupivacaine3.1

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Nausea Scores (Mild) at 1 Hour

Nausea scores will be collected by a study team member post operatively up to 3 days per protocol. Nausea will be recorded as none, mild, moderate, or severe (NCT03702621)
Timeframe: Nausea scores will be measured at 1 hour post-op.

InterventionParticipants (Count of Participants)
Liposomal Bupivacaine4
Standard Bupivacaine1

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Nausea Scores (Mild) at 24 Hours

Nausea scores will be collected by a study team member post operatively up to 3 days per protocol. Nausea will be recorded as none, mild, moderate, or severe (NCT03702621)
Timeframe: Nausea scores will be measured at 24 hours post-op.

InterventionParticipants (Count of Participants)
Liposomal Bupivacaine5
Standard Bupivacaine9

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Ambulatory Postoperatively

Number of patients who ambulated within 24 hours of end of surgery (NCT03702621)
Timeframe: End of Surgery until first reported ambulated postoperatively per MR or patient reported (Usually within 24 hours postop)

InterventionParticipants (Count of Participants)
Liposomal Bupivacaine35
Standard Bupivacaine40

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Nausea Scores (Mild) at 48 Hours

Nausea scores will be collected by a study team member post operatively up to 3 days per protocol. Nausea will be recorded as none, mild, moderate, or severe (NCT03702621)
Timeframe: Nausea scores will be measured at 48 hours post-op.

InterventionParticipants (Count of Participants)
Liposomal Bupivacaine5
Standard Bupivacaine9

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Nausea Scores (Mild) at 72 Hours

Nausea scores will be collected by a study team member post operatively up to 3 days per protocol. Nausea will be recorded as none, mild, moderate, or severe (NCT03702621)
Timeframe: Nausea scores will be measured at 72 hours post-op.

InterventionParticipants (Count of Participants)
Liposomal Bupivacaine7
Standard Bupivacaine8

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Nausea Scores (Moderate) at 1 Hour

Nausea scores will be collected by a study team member post operatively up to 3 days per protocol. Nausea will be recorded as none, mild, moderate, or severe (NCT03702621)
Timeframe: Nausea scores will be measured at 1 hour post-op.

InterventionParticipants (Count of Participants)
Liposomal Bupivacaine0
Standard Bupivacaine1

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Nausea Scores (Moderate) at 24 Hours

Nausea scores will be collected by a study team member post operatively up to 3 days per protocol. Nausea will be recorded as none, mild, moderate, or severe (NCT03702621)
Timeframe: Nausea scores will be measured at 24 hours post-op.

InterventionParticipants (Count of Participants)
Liposomal Bupivacaine2
Standard Bupivacaine3

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Nausea Scores (None) at 48 Hours

Nausea scores will be collected by a study team member post operatively up to 3 days per protocol. Nausea will be recorded as none, mild, moderate, or severe (NCT03702621)
Timeframe: Nausea scores will be measured at 48 hours post-op.

InterventionParticipants (Count of Participants)
Liposomal Bupivacaine25
Standard Bupivacaine28

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Nausea Scores (None) at 24 Hours

Nausea scores will be collected by a study team member post operatively up to 3 days per protocol. Nausea will be recorded as none, mild, moderate, or severe (NCT03702621)
Timeframe: Nausea scores will be measured at 24 hours post-op.

InterventionParticipants (Count of Participants)
Liposomal Bupivacaine26
Standard Bupivacaine27

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VAS Score at 48 Hours With Movement

The VAS score with movement (knee flexion) will be measured by a study team investigator using Visual Analog Scale (VAS). Using a scale of 1-10 for documentation with 10 being the worst pain and 0 being no pain (NCT03702621)
Timeframe: Pain scores will be measured 48 hours after surgery

Interventionscore on a scale (Median)
Liposomal Bupivacaine5.0
Standard Bupivacaine5.0

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VAS Score at 72 Hours at Rest

The VAS score at rest will be measured by a study team investigator using Visual Analog Scale (VAS). Using a scale of 1-10 for documentation with 10 being the worst pain and 0 being no pain (NCT03702621)
Timeframe: Pain scores will be measured 72 hours after surgery

Interventionscore on a scale (Median)
Liposomal Bupivacaine2.0
Standard Bupivacaine2.0

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VAS Score at 72 Hours With Movement

The VAS score with movement (knee flexion) will be measured by a study team investigator using Visual Analog Scale (VAS). Using a scale of 1-10 for documentation with 10 being the worst pain and 0 being no pain (NCT03702621)
Timeframe: Pain scores will be measured 72 hours after surgery

Interventionscore on a scale (Median)
Liposomal Bupivacaine4.0
Standard Bupivacaine3.0

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Nausea Scores (Moderate) at 72 Hours

Nausea scores will be collected by a study team member post operatively up to 3 days per protocol. Nausea will be recorded as none, mild, moderate, or severe (NCT03702621)
Timeframe: Nausea scores will be measured at 72 hours post-op.

InterventionParticipants (Count of Participants)
Liposomal Bupivacaine4
Standard Bupivacaine3

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Time to Per Os

Reported time after surgery to time of Os per MR or patient (NCT03702621)
Timeframe: Time from end of surgery to time of Os (usually 4-16 hours)

Interventionhours (Median)
Liposomal Bupivacaine7.1
Standard Bupivacaine6.6

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Nausea Scores (None) at 1 Hour

Nausea scores will be collected by a study team member post operatively up to 3 days per protocol. Nausea will be recorded as none, mild, moderate, or severe (NCT03702621)
Timeframe: Nausea scores will be measured at 1 hour post-op.

InterventionParticipants (Count of Participants)
Liposomal Bupivacaine34
Standard Bupivacaine38

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Total Opioid Consumption at 24 Hour

Opioid consumption will be collected by a study team member post operatively for 3 days per protocol time requirements (NCT03702621)
Timeframe: Opioid consumption will be measured at 24 hour post op. The total amount will be recorded

Interventionmorphine equivalent units (Median)
Liposomal Bupivacaine54.0
Standard Bupivacaine30.0

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Total Opioid Consumption at 48 Hour

Opioid consumption will be collected by a study team member post operatively for 3 days per protocol time requirements (NCT03702621)
Timeframe: Opioid consumption will be measured at 48 hour post op. The total amount will be recorded

Interventionmorphine equivalent units (Median)
Liposomal Bupivacaine43.8
Standard Bupivacaine15.0

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Sedation Scores (Awake/Alert) at 72 Hours

Sedation scores will be collected by a study team member post operatively up to 3 days per protocol requirements. Determining if patient is awake, alert, quietly awake, asleep and arousable, or deep sleep. (NCT03702621)
Timeframe: Sedation scores will be documented at 72 hours post-op.

InterventionParticipants (Count of Participants)
Liposomal Bupivacaine36
Standard Bupivacaine37

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Sedation Scores (Awake/Alert) at 48 Hours

Sedation scores will be collected by a study team member post operatively up to 3 days per protocol requirements. Determining if patient is awake, alert, quietly awake, asleep and arousable, or deep sleep. (NCT03702621)
Timeframe: Sedation scores will be documented at 48 hours post-op.

InterventionParticipants (Count of Participants)
Liposomal Bupivacaine35
Standard Bupivacaine38

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Sedation Scores (Awake/Alert) at 24 Hours

Sedation scores will be collected by a study team member post operatively up to 3 days per protocol requirements. Determining if patient is awake, alert, quietly awake, asleep and arousable, or deep sleep. (NCT03702621)
Timeframe: Sedation scores will be documented at 24 hours post-op.

InterventionParticipants (Count of Participants)
Liposomal Bupivacaine36
Standard Bupivacaine36

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Nausea Scores (Moderate) at 48 Hours

Nausea scores will be collected by a study team member post operatively up to 3 days per protocol. Nausea will be recorded as none, mild, moderate, or severe (NCT03702621)
Timeframe: Nausea scores will be measured at 48 hours post-op.

InterventionParticipants (Count of Participants)
Liposomal Bupivacaine2
Standard Bupivacaine3

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Sedation Scores (Asleep/Arousable) at 1 Hour

Sedation scores will be collected by a study team member post operatively up to 3 days per protocol requirements. Determining if patient is awake, alert, quietly awake, asleep and arousable, or deep sleep. (NCT03702621)
Timeframe: Sedation scores will be documented at 1 hour post-op.

InterventionParticipants (Count of Participants)
Liposomal Bupivacaine19
Standard Bupivacaine22

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Nausea Scores (Severe) at 72 Hours

Nausea scores will be collected by a study team member post operatively up to 3 days per protocol. Nausea will be recorded as none, mild, moderate, or severe (NCT03702621)
Timeframe: Nausea scores will be measured at 72 hours post-op.

InterventionParticipants (Count of Participants)
Liposomal Bupivacaine1
Standard Bupivacaine0

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Nausea Scores (Severe) at 48 Hours

Nausea scores will be collected by a study team member post operatively up to 3 days per protocol. Nausea will be recorded as none, mild, moderate, or severe (NCT03702621)
Timeframe: Nausea scores will be measured at 48 hours post-op.

InterventionParticipants (Count of Participants)
Liposomal Bupivacaine6
Standard Bupivacaine0

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Nausea Scores (Severe) at 24 Hours

Nausea scores will be collected by a study team member post operatively up to 3 days per protocol. Nausea will be recorded as none, mild, moderate, or severe (NCT03702621)
Timeframe: Nausea scores will be measured at 24 hours post-op.

InterventionParticipants (Count of Participants)
Liposomal Bupivacaine2
Standard Bupivacaine0

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Nausea Scores (Severe) at 1 Hour

Nausea scores will be collected by a study team member post operatively up to 3 days per protocol. Nausea will be recorded as none, mild, moderate, or severe (NCT03702621)
Timeframe: Nausea scores will be measured at 1 hour post-op.

InterventionParticipants (Count of Participants)
Liposomal Bupivacaine0
Standard Bupivacaine0

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Nausea Scores (None) at 72 Hours

Nausea scores will be collected by a study team member post operatively up to 3 days per protocol. Nausea will be recorded as none, mild, moderate, or severe (NCT03702621)
Timeframe: Nausea scores will be measured at 72 hours post-op.

InterventionParticipants (Count of Participants)
Liposomal Bupivacaine26
Standard Bupivacaine29

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Sedation Scores (Deep Sleep) at 1 Hour

Sedation scores will be collected by a study team member post operatively up to 3 days per protocol requirements. Determining if patient is awake, alert, quietly awake, asleep and arousable, or deep sleep. (NCT03702621)
Timeframe: Sedation scores will be documented at 1 hour post-op.

InterventionParticipants (Count of Participants)
Liposomal Bupivacaine3
Standard Bupivacaine4

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Sedation Scores (Quietly Awake) at 1 Hour

Sedation scores will be collected by a study team member post operatively up to 3 days per protocol requirements. Determining if patient is awake, alert, quietly awake, asleep and arousable, or deep sleep. (NCT03702621)
Timeframe: Sedation scores will be documented at 1 hour post-op.

InterventionParticipants (Count of Participants)
Liposomal Bupivacaine26
Standard Bupivacaine15

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Surgery Duration

Duration of surgery will be collected per MR of surgeon documentation. (NCT03702621)
Timeframe: Duration of Surgery from surgery start time to surgery stop time (usually within 6 hours)

Interventionminutes (Median)
Liposomal Bupivacaine222.5
Standard Bupivacaine222.5

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Time to Bowel Movement

Hours for End of Surgery to first reported hour of bowel movement (NCT03702621)
Timeframe: End of Surgery until first reported Bowel movement per MR or patient reported (usually 3 to 5 days)

Interventionhours (Median)
Liposomal Bupivacaine33.0
Standard Bupivacaine26.4

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Time to Flatus

Hours for End of Surgery to first reported hour of Flatus (NCT03702621)
Timeframe: End of Surgery until first reported Flatus (usually within 3 to 5 days)

Interventionhours (Median)
Liposomal Bupivacaine20.1
Standard Bupivacaine21.5

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Total Opioid Consumption at 1 Hour

Opioid consumption will be collected by a study team member post operatively for 3 days per protocol time requirements (NCT03702621)
Timeframe: Opioid consumption will be measured at 1 hour post op. The total amount will be recorded

Interventionmorphine equivalent units (Median)
Liposomal Bupivacaine8.0
Standard Bupivacaine2.0

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Total Opioid Consumption at 72 Hour

Opioid consumption will be collected by a study team member post operatively for 3 days per protocol time requirements (NCT03702621)
Timeframe: Opioid consumption will be measured at 72 hour post op. The total amount will be recorded

Interventionmorphine equivalent units (Median)
Liposomal Bupivacaine17.5
Standard Bupivacaine15.0

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VAS Score at 1 Hour at Rest

The VAS score at rest will be measured by a study team investigator using Visual Analog Scale (VAS). Using a scale of 1-10 for documentation with 10 being the worst pain and 0 being no pain (NCT03702621)
Timeframe: Pain scores will be measured 1 hour after surgery

Interventionscore on a scale (Median)
Liposomal Bupivacaine5.0
Standard Bupivacaine3.0

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VAS Score at 1 Hour With Movement

The VAS score with movement (knee flexion) will be measured by a study team investigator using Visual Analog Scale (VAS). Using a scale of 1-10 for documentation with 10 being the worst pain and 0 being no pain (NCT03702621)
Timeframe: Pain scores will be measured 1 hour after surgery

Interventionscore on a scale (Median)
Liposomal Bupivacaine5.0
Standard Bupivacaine3.0

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Sedation Scores (Awake/Alert) at 1 Hour

Sedation scores will be collected by a study team member post operatively up to 3 days per protocol requirements. Determining if patient is awake, alert, quietly awake, asleep and arousable, or deep sleep. (NCT03702621)
Timeframe: Sedation scores will be documented at 1 hour post-op.

InterventionParticipants (Count of Participants)
Liposomal Bupivacaine6
Standard Bupivacaine8

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Sleep Quality Measured by Number of Times Awakened by Pain During the First Postoperative Night

The patient will be questioned by a member of the research team about how many times they were awoken by pain overnight. (NCT03706313)
Timeframe: Postoperative day 1

Interventionnumber of times awoken by pain (Median)
Genicular Nerve Block With Bupivacaine and Dexamethasone0
Genicular Nerve Block With Saline1

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Worst Pain Rating Score (NRS-11) on Postoperative Day 7

"The Numerical Rating Scale (NRS) is an 11-point numeric rating scale, with 0 representing no pain and 10 unbearable pain. This scale demonstrates reliability and validity and is widely used to assess acute pain after surgery." (NCT03706313)
Timeframe: Postoperative day 7

Interventionscore on a scale (Mean)
Genicular Nerve Block With Bupivacaine and Dexamethasone4.4
Genicular Nerve Block With Saline5.0

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Worst Pain Rating Score (NRS-11) With Movement on Postoperative Day 1

"The Numerical Rating Scale (NRS) is an 11-point numeric rating scale, with 0 representing no pain and 10 unbearable pain. This scale demonstrates reliability and validity and is widely used to assess acute pain after surgery." (NCT03706313)
Timeframe: Postoperative day 1

Interventionscore on a scale (Mean)
Genicular Nerve Block With Bupivacaine and Dexamethasone4.9
Genicular Nerve Block With Saline6.3

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Total Opioid Consumption Through 48 Hours

Total of all opioids consumed converted to oral morphine equivalents. (NCT03706313)
Timeframe: 48 hours

Interventionmilligrams of oral morphine equivalents (Mean)
Genicular Nerve Block With Bupivacaine and Dexamethasone50.3
Genicular Nerve Block With Saline97.6

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Opioid Consumption at 24 Hours Post-op

Opioid consumption documented in medical recorded will be converted to oral morphine equivalents. (NCT03706313)
Timeframe: 24 hours after operation

Interventionmilligrams of oral morphine equivalents (Mean)
Genicular Nerve Block With Bupivacaine and Dexamethasone22.9
Genicular Nerve Block With Saline58.1

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Worst Pain Rating Score (NRS-11) at Rest on Postoperative Day 1

"The Numerical Rating Scale (NRS) is an 11-point numeric rating scale, with 0 representing no pain and 10 unbearable pain. This scale demonstrates reliability and validity and is widely used to assess acute pain after surgery." (NCT03706313)
Timeframe: Postoperative Day 1

Interventionscore on a scale (Mean)
Genicular Nerve Block With Bupivacaine and Dexamethasone2.7
Genicular Nerve Block With Saline3.5

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Patient Satisfaction With Pain Control at 24 h

Patient reported satisfaction with his/her pain control at 24 h on a scale of 0-10 (0=completely dissatisfied, 10=completely satisfied) (NCT03706313)
Timeframe: 24 hours

Interventionscore on a scale (Mean)
Genicular Nerve Block With Bupivacaine and Dexamethasone9.1
Genicular Nerve Block With Saline8.6

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20 Meter Walk Test Time Performed on Postoperative Day 1

This standardized test measures the time it takes for the participant to walk 20 meters at their usual walking pace. The 20-meter walk test is a physical function measure commonly used in clinical research studies and rehabilitation clinics to measure gait speed and monitor changes in patients' physical function over time. (NCT03706313)
Timeframe: On postoperative day 1

Interventionseconds (Mean)
Genicular Nerve Block With Bupivacaine and Dexamethasone74.2
Genicular Nerve Block With Saline80.2

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Opioid Consumption on Postoperative Day 7

Self-reported (by telephone questionnaire) opioid consumption in oral morphine equivalents on postoperative day 7 (NCT03706313)
Timeframe: Postoperative day 7

Interventionmilligrams of oral morphine equivalents (Mean)
Genicular Nerve Block With Bupivacaine and Dexamethasone10.4
Genicular Nerve Block With Saline22.6

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Patient Satisfaction With Pain Control on Postoperative Day 7

Patient reported satisfaction with his/her pain control on postoperative day 7 on a scale of 0-10 (0=completely dissatisfied, 10=completely satisfied) (NCT03706313)
Timeframe: Postoperative day 7

Interventionscore on a scale (Mean)
Genicular Nerve Block With Bupivacaine and Dexamethasone8.8
Genicular Nerve Block With Saline8.9

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Tmax, or the Time Until the Maximum Concentration

the tmax, or the time until the maximum concentration (NCT03708198)
Timeframe: until study completion, which is 6 months on average

InterventionHours (Median)
Intercostal Nerve Block24

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Mean Visual Analog Scores

This will be measured every 12 hours for the first 48 hours postoperatively by the level of breast pain associated with arm movements while eating on a scale of 0-10 with higher scores denoting worse outcomes. (NCT03722927)
Timeframe: 48 hours

Interventionscore on a scale (Mean)
12 hours24 hours36 hours48 hours
Liposomal Bupivacaine Group3.543.52

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Number of Morphine Doses Across All Subjects

This will be measured by the number of doses within the first month postoperatively and recorded on pain medication daily diary kept by subject. (NCT03722927)
Timeframe: 1 Month

InterventionNumber of morphine doses (Number)
Bupivacaine Group0
Liposomal Bupivacaine Group20

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Length of Stay for Hospitalization

The length of stay for hospitalization after mastectomy and breast reconstruction will be recorded. (NCT03722927)
Timeframe: up to 47 Hours

Interventiondays (Mean)
Bupivacaine Group1
Liposomal Bupivacaine Group1

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Readmission Rates to the Hospital

Readmission rates to the hospital within 2 months after mastectomy and breast reconstruction will be recorded (NCT03722927)
Timeframe: Month 2

InterventionParticipants (Count of Participants)
Bupivacaine Group0
Liposomal Bupivacaine Group0

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Mean Visual Analog Scores

This will be measured every 12 hours for the first 48 hours postoperatively by the level of breast pain associated with arm movements while eating on a scale of 0-10 with higher scores denoting worse outcomes. (NCT03722927)
Timeframe: 48 hours

Interventionscore on a scale (Mean)
12 hours
Bupivacaine Group4

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Bowel Motility

Time till first bowel movement (NCT03723447)
Timeframe: 72 hours post-surgery

Interventiondays (Median)
Bupivacaine/Epinephrine/Dexamethasone TAP Block1
Liposomal Bupivacaine TAP Block1

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Postoperative Length of Stay

Time from operation until hospital discharge (NCT03723447)
Timeframe: 30 days post-surgery

Interventiondays (Median)
Bupivacaine/Epinephrine/Dexamethasone TAP Block3
Liposomal Bupivacaine TAP Block3

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Cumulative 48-hour Post Surgical Opiate Use (Oral Morphine Equivalent)

(NCT03723447)
Timeframe: 48-hours

InterventionOral morphine equivalents (Median)
Bupivacaine/Epinephrine/Dexamethasone TAP Block47
Liposomal Bupivacaine TAP Block69

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Post-op Pain Score (Visual Analog Scale)

Visual pain scale recordings will be totaled and averaged during the first 72-hours post-surgery. Visual analog scale is determined by nursing staff when assessing pain scores. Scores range from 0-10 with 10 being the most pain. These values are typically interpreted by nursing staff as mild, moderate, or severe pain and pain medication is given accordingly. (NCT03723447)
Timeframe: 72-hours post-surgery

Interventionscore on a scale (Median)
Bupivacaine/Epinephrine/Dexamethasone TAP Block4
Liposomal Bupivacaine TAP Block4

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Opioid Medication Use

Amount of opioid medication used, based on pill count (NCT03757715)
Timeframe: 10 days

,
Interventionpills consumed (Mean)
POD 0POD 1POD 2POD 3POD 4POD 5POD 6POD 7POD 8POD 9POD 10
Control Group1.071.871.401.071.000.5670.300.270.200.270.27
Treatment Group1.382.311.691.630.970.5940.500.380.250.310.31

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Participant Pain Control

"Self-report of pain score on a scale of 0 to 10, with 0 being no pain and 10 being worst pain imaginable" (NCT03757715)
Timeframe: 10 days

,
Interventionunits on a scale (Mean)
POD 0POD1POD 2POD 3POD 4POD 5POD 6POD 7POD 8POD 9POD 10
Control Group5.875.004.133.202.672.332.22.131.671.731.27
Treatment Group4.54.634.064.133.383.003.002.562.132.192.13

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Pain Intensity Scores at 96 Hours at Rest Using Numerical Rating Scale (NRS)

Numeric Rating Scale (NRS) of pain intensity from 0-10 where 0 is no pain and 10 is the worst pain imaginable at 96 hours (NCT03789318)
Timeframe: 96 hours

Interventionscore on a scale (Mean)
CA-008 5 mg (0.05 mg/mL) Cohort 12.8
Placebo for Cohort 12.0
CA-008 10 mg (0.1 mg/mL)3.0
CA-008 15 mg (0.15 mg/mL)2.8
Placebo for Cohorts 2 and 31.8

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Percent of Opioid Free Subjects

Percent of subjects who were opioid free at 0-96 hours (NCT03789318)
Timeframe: 0 to 96 hours

InterventionParticipants (Count of Participants)
CA-008 5 mg (0.05 mg/mL) Cohort 10
Placebo for Cohort 10
CA-008 10 mg (0.1 mg/mL)1
CA-008 15 mg (0.15 mg/mL)1
Placebo for Cohorts 2 and 30

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Time to Opioid Cessation or Freedom

Time to the last use of opioid (NCT03789318)
Timeframe: From Surgery to Day 17

Interventionhours (Median)
CA-008 5 mg (0.05 mg/mL) Cohort 156.37
Placebo for Cohort 155.42
CA-008 10 mg (0.1 mg/mL)83.89
CA-008 15 mg (0.15 mg/mL)59.55
Placebo for Cohorts 2 and 342.26

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Total Opioid Consumption

The sum of daily opioid consumption (in morphine equivalents) (NCT03789318)
Timeframe: 0 to 96 hours

Interventionmg morphine equivalents (Mean)
CA-008 5 mg (0.05 mg/mL) Cohort 185.83
Placebo for Cohort 196.67
CA-008 10 mg (0.1 mg/mL)69.77
CA-008 15 mg (0.15 mg/mL)58.00
Placebo for Cohorts 2 and 377.85

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Weighted Sum of Pain Intensity (SPI) Assessments = AUC of NRS Scores

Pain intensity scores (using a Numeric Rating Scale of pain intensity from 0-10 where 0 is no pain and 10 is the worst pain imaginable) from 0 to T96 hours (NCT03789318)
Timeframe: 0 to 96 hours

Interventionscore on a scale*hours (Mean)
CA-008 5 mg (0.05 mg/mL) Cohort 1392.98
Placebo for Cohort 1392.67
CA-008 10 mg (0.1 mg/mL)384.94
CA-008 15 mg (0.15 mg/mL)406.88
Placebo for Cohorts 2 and 3356.23

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Number of Participants With Paresthesia

Number of participants with paresthesia reported by the subjects during performing the spinal procedure (NCT03792191)
Timeframe: Assessed from starting the first attempt of spinal anesthesia until successful administration of spinal anesthesia, an average of 10 minutes

InterventionParticipants (Count of Participants)
Ultrasonography16
Palpation17

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Number of Participants With Failure to Obtain Free Cerebrospinal Fluid Flow

Number of participants with failure to obtain free cerebrospinal fluid flow after adequate needle passes at 6 separate skin punctures. (NCT03792191)
Timeframe: Assessed from starting the first attempt of spinal anesthesia until successful administration of spinal anesthesia, an average of 10 minutes

InterventionParticipants (Count of Participants)
Ultrasonography0
Palpation0

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Number of Participants With Failed Spinal Block

Number of participants with failed spinal block defined as an upper sensory level below T6 assessed by pinprick. (NCT03792191)
Timeframe: Assessed up to 20 minutes after intrathecal injection

InterventionParticipants (Count of Participants)
Ultrasonography3
Palpation4

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Number of Needle Passes Required to Obtain Free Cerebrospinal Fluid Flow

Needle pass is any forward introduction of the spinal needle after its complete or incomplete withdrawal, including the first attempt. (NCT03792191)
Timeframe: Assessed from starting the first attempt of spinal anesthesia until successful administration of spinal anesthesia, an average of 10 minutes

Interventionneedle passes (Median)
Ultrasonography3
Palpation3

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Rate of Successful Obtaining of Free Cerebrospinal Fluid Flow at the First Needle Pass

Needle pass is any forward introduction of the spinal needle after its complete or incomplete withdrawal, including the first attempt. (NCT03792191)
Timeframe: Assessed from starting the first attempt of spinal anesthesia until successful administration of spinal anesthesia, an average of 10 minutes

InterventionParticipants (Count of Participants)
Ultrasonography40
Palpation45

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Number of Skin Punctures Required to Obtain Free Cerebrospinal Fluid Flow

Skin puncture is any separate skin puncture by the spinal needle after its complete withdrawal, including the first attempt. (NCT03792191)
Timeframe: Assessed from starting the first attempt of spinal anesthesia until successful administration of spinal anesthesia, an average of 10 minutes

Interventionskin punctures (Median)
Ultrasonography1
Palpation1

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Rate of Successful Obtaining of Free Cerebrospinal Fluid Flow at the First Skin Puncture

Skin puncture is any separate skin puncture by the spinal needle after its complete withdrawal, including the first attempt. (NCT03792191)
Timeframe: Assessed from starting the first attempt of spinal anesthesia until successful administration of spinal anesthesia, an average of 10 minutes

InterventionParticipants (Count of Participants)
Ultrasonography108
Palpation111

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Patient Satisfaction

Patient satisfaction from the procedure assessed immediately after intrathecal injection using a 5-point scale (1 = very unsatisfied; 2 = unsatisfied; 3 = fair; 4 = satisfied; and 5 = very satisfied). (NCT03792191)
Timeframe: Assessed at 1 minute after intrathecal injection

Interventionunits on a scale (Median)
Ultrasonography5
Palpation4

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Duration of the Spinal Procedure

The duration from starting the first skin puncture by the spinal needle to obtaining free CSF flow (NCT03792191)
Timeframe: Assessed from enrollment in the study until completion of cesarean delivery

Interventionseconds (Median)
Ultrasonography76
Palpation59

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Number of Participants With Vascular Puncture

Number of participants with unintentional vascular puncture by the needle during performing the spinal procedure (NCT03792191)
Timeframe: Assessed from starting the first attempt of spinal anesthesia until successful administration of spinal anesthesia, an average of 10 minutes

InterventionParticipants (Count of Participants)
Ultrasonography9
Palpation9

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Change in Hot Flash Severity Baseline to 3 Months After Stellate Ganglion Block

The change in hot flash severity (hot flash frequency x hot flash intensity) between baseline and 3 months after SGB. Hot flash severity is determined using the mean frequency= ((Fmo+Fse))7 where FMi, Fmo and Fse are the weekly total number of mild, moderate or severe HF events. The mean severity= (Fmi+2x Fmo + 3 x Fse)/7 where FMI, Fmo and Fse are the weekly total number of mild, moderate or severe/very severe hot flash events in the case of mean severity, frequency of mild vasomotor symptoms is not counted at baseline. (NCT03796195)
Timeframe: 3 months after stellate ganglion block

InterventionScore on a scale (Number)
.5% Bupivacaine-55.94

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Hot Flash Frequency Change Baseline to 3 Months After Treatment.

Change in mean daily hot flashes using a self-report hot flash diary from baseline to 3 months after stellate ganglion block. (NCT03796195)
Timeframe: 3 months after SGB procedure

InterventionHot flashes/day (Number)
.5% Bupivacaine-1.78

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Patient Global Impression of Change Score (PGIC)

The PGIC assesses the participants improvement in hot flashes from the time of the stellate ganglion block to 4 weeks after the procedure. The PGIC queries how much the hot flashes have improved on a scale of 1 (very much improved) to 7 (very much worse). (NCT03796195)
Timeframe: 4 weeks after stellate ganglion block

InterventionScore on a scale (Number)
.5% Bupivacaine4

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PROMIS SF4a Score 4 Weeks After Stellate Ganglion Block.

PROMIS SF4a (sleep) Patient Reportee Outcomes Measurement Information System. The PROMIS SF4a is a 4 item questionnaire that queries sleep duration, quality and interruption. This instrument accesses self reported perceptions of sleep quality, sleep depth and restoratoin associated with sleep. This includes perceived difficulties and concerns with getting to sleep or staying asleep, as well as perceptions of the adequacy and satisfaction with sleep. The 4 items are scored 1-5 where 1 is good quality and 5 is poor quality for a total score range of 4 (good quality) to 20 (poor quality). (NCT03796195)
Timeframe: 4 weeks after stellate ganglion block

InterventionScore on a scale (Number)
.5% Bupivacaine8

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Narcotic Requirement

Total number of narcotic tablets required between the intervention and control arms during post-operative day 1 through 7. (NCT03802864)
Timeframe: First 7 days after surgery

InterventionCount of narcotic tablets (Mean)
Liposomal Bupivacaine2.6
Standard Bupivacaine1.6

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Pain Scores 48 Hours After Surgery

"Every 8 hours in the first 48 hours post-surgery, subjects were prompted to report their pain score on the 11-point numerical pain rating scale, NRS-11 (Numerical Rating Scale, 11 points). 0 indicates no pain and 10 indicates worst possible pain.~Each subject's pain scores were then plotted against time, and the area under the curve was then computed. The minimum composite score would be 0 (no pain ever reported), and the maximum composite score would be 480 (maximum pain (score of 10) reported each time across 48 hours)." (NCT03802864)
Timeframe: First 48 hours after surgery

InterventionScores*Hour (Mean)
Liposomal Bupivacaine118.4
Standard Bupivacaine98.2

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Pain Scores 60 Hours After Surgery

"Every 12 hours in the first 60 hours post-surgery, subjects were prompted to report their pain score on the 11-point numerical pain rating scale, NRS-11 (Numerical Rating Scale, 11 points). 0 indicates no pain and 10 indicates worst possible pain.~Each subject's pain scores were then plotted against time, and the area under the curve was then computed. The minimum composite score would be 0 (no pain ever reported), and the maximum composite score would be 600 (maximum pain (score of 10) reported each time across 60 hours)." (NCT03802864)
Timeframe: First 60 hours after surgery

InterventionScores*Hour (Mean)
Liposomal Bupivacaine140.7
Standard Bupivacaine116

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Pain Scores 7 Days After Surgery

"Every 12 hours in the first 7 days post-surgery, subjects were prompted to report their pain score on the 11-point numerical pain rating scale, NRS-11 (Numerical Rating Scale, 11 points). 0 indicates no pain and 10 indicates worst possible pain.~Each subject's pain scores were then plotted against time, and the area under the curve was then computed. The minimum composite score would be 0 (no pain ever reported), and the maximum composite score would be 1680 (maximum pain (score of 10) reported each time across 168 hours)." (NCT03802864)
Timeframe: First 7 days after surgery

InterventionScores*Hour (Mean)
Liposomal Bupivacaine286.6
Standard Bupivacaine233.1

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Patient Reported Post Operative Opioid Use

Patient-reported post-operative opioid use (converted to morphine equivalents), collected post operatively, in 8-hour increments, for a total of 96 hours post-surgery Patients will be prompted via text message to provide the amount of narcotics (number of pills converted to morphine equivalents) taken over the course of the previous 8 hours. If a response text message is not received, a phone call will be made to obtain the information. Patients who do not have a smart phone will receive a phone call or keep a personal log of narcotic use. (NCT03822182)
Timeframe: 4 days post procedure

,,
Interventionmorphine milligram equivalents (Mean)
POD 1 MMEPOD 2 MMEPOD 3 MMEPOD 4 MME
Control/Bupivicaine+DMSO26.536.129.721.1
Liposomal Bupivicaine22.821.917.818.1
Liposomal Bupivicaine + DMSO18.822.814.416.8

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Patient Reported Postoperative Pain: VAS

Patient-reported post-operative VAS pain (on a scale of 0-10 with zero implying no pain and 10 indicating severe pain), measured post operatively, in 8-hour increments, for a total of 96 hours post-surgery, Patients will be prompted via text message to provide VAS pain every 8 hours. If a response text message is not received, a phone call will be made to obtain the information. Patients who do not have a smart phone will receive a phone call or keep a personal log of VAS pain. (NCT03822182)
Timeframe: 4 days post procedure

,,
Interventionunits on a scale (Mean)
Postoperative day 1 VASPostoperative day 2 VASPostoperative day 3 VASPostoperative day 4 VAS
Control/Bupivicaine+DMSO3.13.32.41.9
Liposomal Bupivicaine3.52.83.22.9
Liposomal Bupivicaine + DMSO2.42.82.12.3

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Time to Return of Lower Extremity Motor Function

Assessed by measuring time from spinal anesthetic administration to postoperative achievement of Bromage 0 function (return of spontaneous ankle, knee, and hip movement) in the non-operative extremity at 15-minute intervals. (NCT03838874)
Timeframe: Post surgery, approximately 1 day

Interventionminutes (Mean)
Low-Dose Bupivacaine210.3
Mepivacaine184.7

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Transient Neurologic Symptoms

Number of participants to report transient neurologic symptoms (NCT03838874)
Timeframe: One week post-operative

InterventionParticipants (Count of Participants)
Low-Dose Bupivacaine0
Mepivacaine0

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Urinary Retention

Number of participants to experience urinary retention follow the surgical procedure. (NCT03838874)
Timeframe: Time of discharge, approximately 1-2 days

InterventionParticipants (Count of Participants)
Low-Dose Bupivacaine10
Mepivacaine10

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Post-Anesthesia Care Unit (PACU) Length of Stay

Number of minutes subjects were admitted to PACU following the surgical procedure (NCT03838874)
Timeframe: Time of discharge, approximately 1-2 days

Interventionminutes (Mean)
Low-Dose Bupivacaine65.2
Mepivacaine75.0

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Orthostatic Hypotension

Number of participants to experience orthostatic hypotension following the surgical procedure. (NCT03838874)
Timeframe: Time of discharge, approximately 1-2 days

InterventionParticipants (Count of Participants)
Low-Dose Bupivacaine4
Mepivacaine6

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Median Pain Score

Measured on a scale from 1 to 10 in the first 24 hours following the surgical procedure, 1=mild pain; 10=worst pain. (NCT03838874)
Timeframe: 24 hours following the surgical procedure

Interventionscore on a scale (Mean)
Low-Dose Bupivacaine3.4
Mepivacaine3.4

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Maximum Pain Score

Measured on a scale from 1 to 10 in the first 24 hours following the surgical procedure, 1=mild pain; 10=worst pain. (NCT03838874)
Timeframe: 24 hours following the surgical procedure

Interventionscore on a scale (Mean)
Low-Dose Bupivacaine6.0
Mepivacaine6.5

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Hospital Length of Stay

Number days subjects were admitted to the hospital following the surgical procedure (NCT03838874)
Timeframe: Time of discharge, approximately 1-2 days

Interventiondays (Mean)
Low-Dose Bupivacaine1.5
Mepivacaine1.4

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Discharge Pain Score

Measured on a scale from 1 to 10 at time of hospital discharge, 1=mild pain; 10=worst pain. (NCT03838874)
Timeframe: Time of discharge, approximately 1-2 days

Interventionscore on a scale (Mean)
Low-Dose Bupivacaine3.5
Mepivacaine3.5

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Average Pain Scores for the First 48 Hours

Pain levels will be measured by the mean Visual Analogue Scale- Numeric Rating Scale (VAS-NRS). The VAS-NRS is an 11 point scale with 0 (no pain) to 10 (worst possible pain). Higher scores denote worse outcome. (NCT03845894)
Timeframe: At 48 hours postoperatively

Interventionunits on a scale (Mean)
Liposomal Bupivacaine ISB3.2
Bupivacaine With Adjuvants ISB3.6

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Satisfaction With Surgical Experience

Satisfaction scale is from 1-5, with the higher score being highest level of satisfaction (NCT03845894)
Timeframe: at 48 hours

Interventionunits on a scale (Mean)
Liposomal Bupivacaine ISB4.75
Bupivacaine With Adjuvants ISB3.46

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Postoperative Opioid Consumption for the First 48 Hours

Morphine milligram equivalents (MME) over a 48 hour period (NCT03845894)
Timeframe: up to 48 hours

InterventionMorphine milligram equivalents (MME) (Mean)
Liposomal Bupivacaine ISB22.9
Bupivacaine With Adjuvants ISB28.5

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Number of Participants Asked Area of Pain on the Body After Surgery

Patients asked for the areas of pain (right upper quadrant (RUQ), left upper quadrant, (LUQ) right lower quadrant (RLQ), or left lower quadrant (LLQ), diffuse and epigastric) after surgery. (NCT03856788)
Timeframe: 24 Hours postoperative

,
InterventionParticipants (Count of Participants)
nonediffuseRUQLUQRLQLLQepigastric
Bupivacaine7132006
Saline3731007

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Number of Participants Who Answered Yes to Having Presence of Nausea After Surgery

Number of participants who answered yes to having presence of nausea after surgery (NCT03856788)
Timeframe: 24 Hours postoperative

InterventionParticipants (Count of Participants)
Saline16
Bupivacaine14

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Amount of Intraoperative IV Opioid Consumption

Amount of intravenous opioid consumption during the surgery (NCT03856788)
Timeframe: average 2-3 Hours

Interventionmorphine milligram equivalents (Median)
Saline35
Bupivacaine32.5

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Amount of 24 Hour Opioid Consumption

Amount of intravenous (IV) opioid consumption within 24-hour period (NCT03856788)
Timeframe: 24 Hours postoperative

Interventionmorphine milligram equivalents (Median)
Saline44.7
Bupivacaine38.7

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Length of Stay in Post-anesthesia Care Unit (PACU)

Total length of stay in PACU measured in minutes (NCT03875664)
Timeframe: Assessed up to 72 hours after surgery

Interventionminutes (Mean)
Intervention100
Placebo93

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Hospital Length of Stay

Total length of hospital stay measured in hours, including readmissions (NCT03875664)
Timeframe: Assessed until 30 days after surgery

Interventionhours (Mean)
Intervention21.9
Placebo24

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Number of Antiemetic Doses Required Per Participant While Inpatient

Number of as-needed antiemetic doses patient received while in the hospital after surgery (NCT03875664)
Timeframe: Cumulatively, over a time period of 72 hours after surgery

Interventiondoses (Median)
Intervention2
Placebo3

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Number of Participants Who Had a Bowel Movement Within the First 3 Postoperative Days

As recorded by patient - patients were asked each postoperative day (i.e. POD#0, POD#1, POD#2, POD#3) if they had a bowel movement that day, yes or no. (NCT03875664)
Timeframe: 72 hours after surgery

InterventionParticipants (Count of Participants)
Intervention22
Placebo23

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Postoperative Pain

As measured by a 100 mm Visual Analog Scale (VAS). This scale ranges from 0-100 mm with 0 mm indicating no pain and 100 mm indicating the most pain. The study is powered to detect a decrease in postoperative pain by 20 mm on this scale, which is considered to be a clinically meaningful difference in prior studies. Results will be reported as mean pain scores at each time point (night of surgery, morning and evening for the first 72 hours after surgery, i.e. until postoperative day#3). (NCT03875664)
Timeframe: Night of surgery (POD#0), POD#1 morning, POD#1 evening, POD#2 morning, POD#2 evening, POD#3 morning, POD#3 evening

,
Interventionmm (Median)
POD#0 eveningPOD#1 morningPOD#1 eveningPOD#2 morningPOD#2 eveningPOD#3 morningPOD#3 evening
Intervention1.92.02.93.12.31.72.3
Placebo1.31.92.52.41.91.91.6

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Number of Patients With Adverse Events

Total adverse postoperative events (NCT03875664)
Timeframe: Assessed until 30 days after surgery

InterventionParticipants (Count of Participants)
Intervention6
Placebo11

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Time to First Opioid Administration

Median time until first opioid administered after surgery (NCT03875664)
Timeframe: Assessed up to 72 hours after surgery

Interventionminutes (Median)
Intervention89.5
Placebo68

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Total Opioid Administration

Measured in milligram morphine equivalents (NCT03875664)
Timeframe: Cumulatively, over a time period of 72 hours after surgery

Interventionmme (Mean)
Intervention37.5
Placebo37.5

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Voiding Trial Failures

Proportion of patients discharged home with Foley catheters after failed voiding trials in the hospital (NCT03875664)
Timeframe: 2 weeks after surgery

InterventionParticipants (Count of Participants)
Intervention15
Placebo19

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Number of Participants Reporting Satisfaction With Pain Control

"As measured by a 5-question satisfaction survey administered at a 2 week postoperative visit. The survey includes Likert scale responses ranging from very unsatisfied to very satisfied with the surgical experience and specifically analgesia. Patient Satisfaction was defined as response satisfied or very satisfied on the Likert Scale. Average responses will be reported." (NCT03875664)
Timeframe: 2 weeks after surgery

InterventionParticipants (Count of Participants)
Intervention32
Placebo33

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Pain Intensity Scores at 48 Hours at Rest Using Numerical Rating Scale (NRS)

Numeric Rating Scale (NRS) of pain intensity from 0-10 where 0 is no pain and 10 is the worst pain imaginable at 48 hours (NCT03885596)
Timeframe: 48 hours

Interventionscore on a scale (Mean)
CA-008 Cohort 11.3
CA-008 Cohort 20.6
CA-008 Cohort 32.7
Exparel4.8

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Pain Intensity Scores at 24 Hours at Rest Using Numerical Rating Scale (NRS)

Numeric Rating Scale (NRS) of pain intensity from 0-10 where 0 is no pain and 10 is the worst pain imaginable at 24 hours (NCT03885596)
Timeframe: 24 hours

Interventionunits on a scale (Mean)
CA-008 Cohort 10.6
CA-008 Cohort 21.7
CA-008 Cohort 35.1
Exparel6.0

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Area Under the Curve (AUC) of Numerical Rating Scale (NRS) Scores (at Rest) Over 72h

Area Under the Curve of pain intensity scores (using a Numeric Rating Scale of pain intensity from 0-10 where 0 is no pain and 10 is the worst pain imaginable) over 72 hours (NCT03885596)
Timeframe: 0-72 hours

Interventionscore on a scale*hour (Mean)
CA-008 Cohort 172.30
CA-008 Cohort 266.24
CA-008 Cohort 3203.76
Exparel306.58

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Pain Intensity Scores at 72 Hours at Rest Using Numerical Rating Scale (NRS)

Numeric Rating Scale (NRS) of pain intensity from 0-10 where 0 is no pain and 10 is the worst pain imaginable at 72 hours (NCT03885596)
Timeframe: 72 hours

Interventionscore on a scale (Mean)
CA-008 Cohort 11.2
CA-008 Cohort 20.3
CA-008 Cohort 32.0
Exparel4.6

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Opioid Consumption

Summary of opioid consumption in oral morphine equivalents (NCT03885596)
Timeframe: 0-72 hours

Interventionmg morphine equivalents (Mean)
CA-008 (Vocacapsaicin) Cohort 110.83
CA-008 (Vocacapsaicin) Cohort 23.33
CA-008 (Vocacapsaicin) Cohort 338.33
Exparel80.83

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Hospital Length-of-stay

From the date and time of admission to the date and time of discharge, Measured in hours. (NCT03887650)
Timeframe: From the date of admission until discharge, assessed up to 72 hours.

Interventionhour (Median)
Liposomal Bupivacaine 1.3%31.05
Bupivacaine 0.5% With Adjuncts31.63

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Assessment of Patient Overall Satisfaction With Pain Control

Patient overall satisfaction with pain control was assessed two times; on the fourth and the 60th postoperative days. It was assessed using a numeric scale (0-10) where 0 is very dissatisfied while 10 is extremely satisfied. The results indicated only the percentage of participants who reported a 10/10 satisfaction rate. (NCT03887650)
Timeframe: POD4 - 60 days

InterventionParticipants (Count of Participants)
POD472268834POD472268835POD6072268834POD6072268835
10/10below 10Missing data
Liposomal Bupivacaine 1.3%32
Bupivacaine 0.5% With Adjuncts24
Liposomal Bupivacaine 1.3%9
Bupivacaine 0.5% With Adjuncts17
Liposomal Bupivacaine 1.3%4
Bupivacaine 0.5% With Adjuncts1
Liposomal Bupivacaine 1.3%27
Bupivacaine 0.5% With Adjuncts28
Liposomal Bupivacaine 1.3%12
Bupivacaine 0.5% With Adjuncts13
Liposomal Bupivacaine 1.3%5

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Duration of Sensory Nerve Block

Using the sensory assessment test, the results show the percentage of participants who had the return of first sensation and full sensation either on Day 1, after Day 1 (day 2 to 60), and at postoperative day 60. (NCT03887650)
Timeframe: Day 1, after Day 1 (day 2 to 60), and at postoperative day 60

InterventionParticipants (Count of Participants)
Full sensation72268834Full sensation72268835First sensation72268834First sensation72268835
Returned on day 1 after the blockReturned on day 2-60Not by day 60Missing data
Liposomal Bupivacaine 1.3%11
Bupivacaine 0.5% With Adjuncts11
Liposomal Bupivacaine 1.3%27
Bupivacaine 0.5% With Adjuncts27
Liposomal Bupivacaine 1.3%0
Bupivacaine 0.5% With Adjuncts2
Liposomal Bupivacaine 1.3%7
Bupivacaine 0.5% With Adjuncts5
Liposomal Bupivacaine 1.3%35
Bupivacaine 0.5% With Adjuncts33
Liposomal Bupivacaine 1.3%9
Bupivacaine 0.5% With Adjuncts10
Bupivacaine 0.5% With Adjuncts0
Liposomal Bupivacaine 1.3%1

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Motor Recovery

"The Motor function was assessed by shoulder abduction and elbow flexion using the Oxford scale of muscle strength grading (Muscle Grading Scores 0-5):~0= No detectable muscle contraction (visible or palpation)~Detectable contraction (visible or palpation), but no movement achieved~Limb movement achieved, but unable to move against gravity~Limb movement against the resistance of gravity~Limb movement against gravity and external resistance~Normal strength~The results were grouped to show the return of any movement at the PACU, Day 1, after Day 1 (day2-60), and on day 60. And the return of full movement between day 2 and 60 and at day 60, in addition to the missing data." (NCT03887650)
Timeframe: PACU, Day 1, after Day 1 (day 2 and 60), and at postoperative day 60.

,
InterventionParticipants (Count of Participants)
Any movement in PACUAny movement in day1Any movement after day1Any movement missing dataReturn of full movement day 2-60Not yet by day 60Return of full movement missing data
Bupivacaine 0.5% With Adjuncts1132923168
Liposomal Bupivacaine 1.3%1438232310

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Total Amount of Opioid Consumed During the Indicated Time Periods

Opioid use was calculated using the Morphine MilliEquevalent per day, this was assessed daily during the postoperative period, 0-24, 24-48, 48-72, and 72-120 postoperative hours. (NCT03887650)
Timeframe: 0-24, 24-48, 48-72, and 72-120 postoperative hours.

,
InterventionMME/day (Median)
0-24 hours24-48 hours48-72 hours72-120 hours
Bupivacaine 0.5% With Adjuncts25.0023.255.0015.00
Liposomal Bupivacaine 1.3%25.0016.002.0010.00

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Incidence of Distress From Block Numbness

On a distress scale of (0 -10) with 0 = not at all and 10 = very much distressed, the scores were gathered and the results are grouped to show the percentage of either the presence of distress (any positive score) or no distress, assessed at two times; at the PACU and the second postoperative day. (NCT03887650)
Timeframe: At PACU and Postoperative day 2

InterventionParticipants (Count of Participants)
PACU distress72268834PACU distress72268835POD2 Distress72268834POD2 Distress72268835
No distressany distressMissing data
Liposomal Bupivacaine 1.3%31
Bupivacaine 0.5% With Adjuncts31
Liposomal Bupivacaine 1.3%14
Bupivacaine 0.5% With Adjuncts14
Liposomal Bupivacaine 1.3%0
Bupivacaine 0.5% With Adjuncts0
Liposomal Bupivacaine 1.3%32
Liposomal Bupivacaine 1.3%12
Bupivacaine 0.5% With Adjuncts12
Liposomal Bupivacaine 1.3%1
Bupivacaine 0.5% With Adjuncts2

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Day of the Final Opioids Used

The postoperative day that patients in each group took their last opioid, from the end of surgery up to 96 postoperative hours. (NCT03887650)
Timeframe: 0-96 postoperative hours

Interventionday (Median)
Liposomal Bupivacaine 1.3%4
Bupivacaine 0.5% With Adjuncts4

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Time to First Opioid Medication

From block time to the first dose of opioids given, measured in hours. (NCT03887650)
Timeframe: from the time of the block injection until discharge, assessed up to 72 postoperative hours.

Interventionhours (Median)
Liposomal Bupivacaine 1.3%10.5667
Bupivacaine 0.5% With Adjuncts12.025

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Pain Assessment at Post Anesthesia Care Unit (PACU)-96 Postoperative Hours

Pain assessment is categorized as minimum, maximum, and average pain scores reported by patients using questions from the Modified Brief Pain Inventory-short form (MBPI-SF) during the following intervals; PACU-24, 24-48, 48-72, and 72-96 postoperative hours, and at day 60. This form collected minimum, maximum, and average on a numeric pain scale (0-10) where 0 is no pain and 10 is the worst pain. (NCT03887650)
Timeframe: 24, 24-48, 48-72, and 72-96 hours postoperation, and at day 60

,
Interventionunits on a scale 0-10 (Median)
PACUPACU-24 hours MinimumPACU-24 hours MaximumPACU-24 hours Average24-48 hours Minimum24-48 hours Maximum24-48 hours Average48-72 hours Minimum48-72 hours Maximum48-72 hours Average72-96 hours Minimum72-96 hours Maximum72-96 hours Average60 days postoperative Maximum60 days postoperative Average60 days postoperative Minimum
Bupivacaine 0.5% With Adjuncts0.000.001.000.002.007.004.002.006.003.002.005.003.006.002.000.00
Liposomal Bupivacaine 1.3%0.000.002.001.000.004.502.001.004.002.000.504.002.005.001.000.00

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Total Opioid Consumption

Total opioids used for the first 120 postoperative hours after TSA, standardized to morphine milligram equivalents (MMEs) (NCT03887650)
Timeframe: Up to 120 postoperative hours

InterventionMME (Median)
Liposomal Bupivacaine 1.3%71.25
Bupivacaine 0.5% With Adjuncts90.30

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Patient Satisfaction With Pain Management at 72 Hours and 7-10 Days Post Surgery

Assessed on 0-10 scale (0 being worst level of satisfaction, 10 being best level) (NCT03907033)
Timeframe: 72 hours and 7-10 days post surgery

,
Interventionscore on a scale (Median)
72 hours post-surgery7-10 days post-surgery
Liposomal Bupivacaine9.59.0
Standard Bupivacaine10.010.00

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Total Post-surgical Opioid Medication Use

Participants post-surgical analgesic medication use of IV hydrocodone and oxycodone measured in morphine equivalents (ME) (NCT03907033)
Timeframe: First 72 hours following surgery completion

,
InterventionMorphine Equivalents (ME) (Median)
HydrocodoneOxycodone
Liposomal Bupivacaine030.0
Standard Bupivacaine030.0

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Total Post-surgical Analgesic Medication Use

Participants post-surgical analgesic medication use of Ibuprofen and acetaminophen measured in milligrams (mg) (NCT03907033)
Timeframe: First 72 hours following surgery completion

,
Interventionmg (Median)
IbuprofenTylenol
Liposomal Bupivacaine4800.06500.0
Standard Bupivacaine5400.06500.0

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VAS Pain Score at 24, 48, and 72 Hours Post-surgery Completion

Scale Ranges from 0 (no pain) to 10 (extreme pain) (NCT03907033)
Timeframe: 24, 48, and 72 hours post-surgery completion

,
Interventionscore on a scale (Median)
24 hours post-surgery48 hours post-surgery72 hours post-surgery
Liposomal Bupivacaine3.53.62.4
Standard Bupivacaine3.12.51.6

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Nausea at 24, 48, and 72 Hours Post-surgery Completion

Number of times patient reported feeling nauseous (NCT03907033)
Timeframe: 24, 48, and 72 hours post-surgery

,
Interventionevents (Median)
24 hours post-surgery48 hours post-surgery72 hours post-surgery
Liposomal Bupivacaine0.00.00.0
Standard Bupivacaine0.00.00.0

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Urinary Retention

Number of patients who had post-void residual (PVR) >150cc's at voiding trial prior to discharge (NCT03907033)
Timeframe: At voiding trial prior to discharge from hospital, approximately 72 hours

InterventionParticipants (Count of Participants)
Standard Bupivacaine1
Liposomal Bupivacaine1

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Emesis at 24, 48, and 72 Hours Post-surgery Completion

Number of times the patient vomited (NCT03907033)
Timeframe: 24, 48, and 72 hours post-surgery

,
Interventionevents (Median)
24 hours post-surgery48 hours post-surgery72 hours post-surgery
Liposomal Bupivacaine0.00.00.0
Standard Bupivacaine0.00.00.0

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T-Scores, PROMIS Pain Intensity Scale

PROMIS Pain Intensity surveys are made up of three pain questions, which generate T-scores. T-scores are standard scores with a mean of 50 and standard deviation of 10 in a reference population. (NCT03913091)
Timeframe: Day 1-7, Post-Operative Period

InterventionT-Score (Mean)
20 mL 0.5% Bupivacaine HCL46.48
Interscalene Nerve Block With Liposomal + Bupivacaine 0.5%50.8

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Opioid Utilization

Measure in morphine milligram equivalents [MME] (NCT03913091)
Timeframe: Day 4-7, Post-Operative Period

InterventionMorphine Milligram Equivalents (MME) (Mean)
20 mL 0.5% Bupivacaine HCL36.44
Interscalene Nerve Block With Liposomal + Bupivacaine 0.5%18.73

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Opioid Utilization

Measure in morphine milligram equivalents [MME] (NCT03913091)
Timeframe: 24-72 hour, Post-Operative Period

InterventionMorphine Milligram Equivalents (MME) (Mean)
20 mL 0.5% Bupivacaine HCL54.79
Interscalene Nerve Block With Liposomal + Bupivacaine 0.5%30.38

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Score on Patient-Reported Outcomes Measurement Information System (PROMIS) Pain Intensity Scale

"PROMIS Pain Intensity surveys are made up of three pain intensity questions, on a scale of 1-5.~= No pain~= Mild~= Moderate~= Severe~= Very Severe" (NCT03913091)
Timeframe: Day 1-7, Post-Operative Period

,
Interventionscore on a scale (Mean)
"In the past 7 days, how intense was your pain at its worst?""In the past 7 days, how intense was your average pain?""What is your level of pain right now?"
20 mL 0.5% Bupivacaine HCL3.72.812.22
Interscalene Nerve Block With Liposomal + Bupivacaine 0.5%3.072.391.83

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Visual Analog Scale Pain Score

Best 0-10 worst - Continuous scale to measure current pain level (NCT03922620)
Timeframe: Baseline and 6 weeks

Interventionscore on a scale (Number)
Baseline
Liposomal Bupivacaine Group6

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Number of Participants With Unscheduled Healthcare Contact

unscheduled healthcare contact includes patient calls/messages, emergency room visits, or scheduled clinic visits (NCT03922620)
Timeframe: 6 weeks

InterventionParticipants (Count of Participants)
Liposomal Bupivacaine Group0
Peripheral Nerve Block Group0

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Number of Participants With Complications

complications after surgery including infection and delayed healing (NCT03922620)
Timeframe: 6 weeks

InterventionParticipants (Count of Participants)
Liposomal Bupivacaine Group0
Peripheral Nerve Block Group0

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Time to First Opioid Rescue Through 72 Hours or Discharge.

Time to first opioid rescue through 72 hours or discharge. (NCT03927911)
Timeframe: 0-72 hours

Interventionhours (Median)
Cohort 1 Control Group0.82
Cohort 2 Control Group0.36
Cohort 3: Lumbar Decompression Without Fusion (Outpatient Cohort)3.07
Cohort 3 Control Group0.95

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Post-surgical Opioid Consumption in mg MED PO at 14 Days After Surgery

Post-surgical opioid consumption in mg MED PO at 14 days after surgery (NCT03927911)
Timeframe: 0-14 days after surgery

InterventionMED, mg (Mean)
Cohort 1 Control Group279
Cohort 2 Control Group330.8
Cohort 3: Lumbar Decompression Without Fusion (Outpatient Cohort)158.4
Cohort 3 Control Group187.7

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Post-surgical Opioid Consumption in mg MED PO (0-72 Hours)

Post-surgical opioid consumption in mg MED PO from 0 hours (end of surgery) to 72 hours postsurgery (NCT03927911)
Timeframe: 0-72 hours

InterventionMED, mg (Mean)
Cohort 1 Control Group90.7
Cohort 2 Control Group56.8
Cohort 3: Lumbar Decompression Without Fusion (Outpatient Cohort)51.6
Cohort 3 Control Group83.6

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Number of Patients With Dizziness Events

number of patients with dizziness when transitioning from lying down to sitting or standing (NCT03948386)
Timeframe: Postoperative day 2

InterventionParticipants (Count of Participants)
Isobaric Bupivacaine11
Hyperbaric Bupivacaine7
Isobaric Mepivacaine9

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Number of Patients With Transient Neurological Symptoms (TNS)

Number of patients with TNS events occurring. Transient neurological symptoms were defined as new onset of back, buttock, or thigh pain occurring after spinal anesthesia. (NCT03948386)
Timeframe: Postoperative days 0-2

InterventionParticipants (Count of Participants)
Isobaric Bupivacaine2
Hyperbaric Bupivacaine6
Isobaric Mepivacaine5

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Number of Patients With Urinary Retention Events

number of patients with inability to urinate within 8 hours of surgery OR a report of distended or painful bladder occurring on postoperative day 0 or 1, either by patient report or on palpation by nursing (NCT03948386)
Timeframe: postoperative day 1

InterventionParticipants (Count of Participants)
Isobaric Bupivacaine6
Hyperbaric Bupivacaine8
Isobaric Mepivacaine5

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Percentage Ambulating Early After Spinal Anesthesia

Is there a difference between isobaric mepivacaine, hyperbaric bupivacaine, and isobaric bupivacaine when used for spinal anesthesia in primary total hip replacement in percentage of patients that can ambulate within 3.5 hours after spinal anesthesia? (NCT03948386)
Timeframe: 3.5 hours

InterventionParticipants (Count of Participants)
Isobaric Bupivacaine9
Hyperbaric Bupivacaine20
Isobaric Mepivacaine35

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Return of Motor Function of the Thigh and Lower Leg

time to return of motor function of the thigh and lower leg (NCT03948386)
Timeframe: Postoperative day 0 (day of surgery)

Interventionminutes (Median)
Isobaric Bupivacaine148
Hyperbaric Bupivacaine123
Isobaric Mepivacaine109

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Hospital Stay

length of hospital stay (NCT03948386)
Timeframe: hospital stay (0-3 days)

Interventionhours (Median)
Isobaric Bupivacaine26
Hyperbaric Bupivacaine26
Isobaric Mepivacaine22

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Brief Pain Inventory (BPI) - Severity Score

The Brief Pain Inventory is a medical questionnaire used to measure pain, developed by the Pain Research Group of the WHO Collaborating Centre for Symptom Evaluation in Cancer Care. The total severity score ranges from 0 to 10, with 0 indicating no pain and 10 indicating pain as bad as you can imagine. (NCT03972397)
Timeframe: baseline

Interventionscore on a scale (Median)
Intercostal Nerve Cryoablation Plus SOC Pain Control3
Standard of Care (SOC) Pain Control6

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5-point Satisfaction Scale

"The 5-point satisfaction scale assesses post-surgical analgesia satisfaction. The total score ranges from 1 to 5, with 1 being very dissatisfied and 5 being very satisfied." (NCT03972397)
Timeframe: post-operative day 3

Interventionscore on a scale (Median)
Intercostal Nerve Cryoablation Plus SOC Pain Control5
Standard of Care (SOC) Pain Control3.5

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5-point Satisfaction Scale

"The 5-point satisfaction scale assesses post-surgical analgesia satisfaction. The total score ranges from 1 to 5, with 1 being very dissatisfied and 5 being very satisfied." (NCT03972397)
Timeframe: post-operative day 30

Interventionscore on a scale (Median)
Intercostal Nerve Cryoablation Plus SOC Pain Control5
Standard of Care (SOC) Pain Control4.5

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5-point Satisfaction Scale

"The 5-point satisfaction scale assesses post-surgical analgesia satisfaction. The total score ranges from 1 to 5, with 1 being very dissatisfied and 5 being very satisfied." (NCT03972397)
Timeframe: post-operative day 4

Interventionscore on a scale (Median)
Intercostal Nerve Cryoablation Plus SOC Pain Control5
Standard of Care (SOC) Pain Control3

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Brief Pain Inventory (BPI) - Severity Score

The Brief Pain Inventory is a medical questionnaire used to measure pain, developed by the Pain Research Group of the WHO Collaborating Centre for Symptom Evaluation in Cancer Care. The total severity score ranges from 0 to 10, with 0 indicating no pain and 10 indicating pain as bad as you can imagine. (NCT03972397)
Timeframe: post-operative day 3

Interventionscore on a scale (Median)
Intercostal Nerve Cryoablation Plus SOC Pain Control5
Standard of Care (SOC) Pain Control6

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5-point Satisfaction Scale

"The 5-point satisfaction scale assesses post-surgical analgesia satisfaction. The total score ranges from 1 to 5, with 1 being very dissatisfied and 5 being very satisfied." (NCT03972397)
Timeframe: post-operative day 5

Interventionscore on a scale (Median)
Intercostal Nerve Cryoablation Plus SOC Pain Control4.5
Standard of Care (SOC) Pain Control4

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Brief Pain Inventory (BPI) - Pain Interference Score

The Brief Pain Inventory is a medical questionnaire used to measure pain, developed by the Pain Research Group of the WHO Collaborating Centre for Symptom Evaluation in Cancer Care. The pain interference score indicates how much pain has interfered with seven daily activities, including general activity, walking, work, mood, enjoyment of life, relations with others, and sleep. The total pain interference score ranges from 0 to 10, with 0 indicating no interference and 10 indicating complete interference. (NCT03972397)
Timeframe: baseline

Interventionscore on a scale (Median)
Intercostal Nerve Cryoablation Plus SOC Pain Control2.3
Standard of Care (SOC) Pain Control0.1

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Brief Pain Inventory (BPI) - Pain Interference Score

The Brief Pain Inventory is a medical questionnaire used to measure pain, developed by the Pain Research Group of the WHO Collaborating Centre for Symptom Evaluation in Cancer Care. The pain interference score indicates how much pain has interfered with seven daily activities, including general activity, walking, work, mood, enjoyment of life, relations with others, and sleep. The total pain interference score ranges from 0 to 10, with 0 indicating no interference and 10 indicating complete interference. (NCT03972397)
Timeframe: post-operative day 180

Interventionscore on a scale (Median)
Intercostal Nerve Cryoablation Plus SOC Pain Control0
Standard of Care (SOC) Pain Control0

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Brief Pain Inventory (BPI) - Severity Score

The Brief Pain Inventory is a medical questionnaire used to measure pain, developed by the Pain Research Group of the WHO Collaborating Centre for Symptom Evaluation in Cancer Care. The total severity score ranges from 0 to 10, with 0 indicating no pain and 10 indicating pain as bad as you can imagine. (NCT03972397)
Timeframe: post-operative day 30

Interventionscore on a scale (Median)
Intercostal Nerve Cryoablation Plus SOC Pain Control5
Standard of Care (SOC) Pain Control7

[back to top]

Brief Pain Inventory (BPI) - Pain Interference Score

The Brief Pain Inventory is a medical questionnaire used to measure pain, developed by the Pain Research Group of the WHO Collaborating Centre for Symptom Evaluation in Cancer Care. The pain interference score indicates how much pain has interfered with seven daily activities, including general activity, walking, work, mood, enjoyment of life, relations with others, and sleep. The total pain interference score ranges from 0 to 10, with 0 indicating no interference and 10 indicating complete interference. (NCT03972397)
Timeframe: post-operative day 4

Interventionscore on a scale (Median)
Intercostal Nerve Cryoablation Plus SOC Pain Control1.1
Standard of Care (SOC) Pain Control2.9

[back to top]

Brief Pain Inventory (BPI) - Pain Interference Score

The Brief Pain Inventory is a medical questionnaire used to measure pain, developed by the Pain Research Group of the WHO Collaborating Centre for Symptom Evaluation in Cancer Care. The pain interference score indicates how much pain has interfered with seven daily activities, including general activity, walking, work, mood, enjoyment of life, relations with others, and sleep. The total pain interference score ranges from 0 to 10, with 0 indicating no interference and 10 indicating complete interference. (NCT03972397)
Timeframe: post-operative day 30

Interventionscore on a scale (Median)
Intercostal Nerve Cryoablation Plus SOC Pain Control2.4
Standard of Care (SOC) Pain Control0.1

[back to top]

Brief Pain Inventory (BPI) - Severity Score

The Brief Pain Inventory is a medical questionnaire used to measure pain, developed by the Pain Research Group of the WHO Collaborating Centre for Symptom Evaluation in Cancer Care. The total severity score ranges from 0 to 10, with 0 indicating no pain and 10 indicating pain as bad as you can imagine. (NCT03972397)
Timeframe: post-operative day 4

Interventionscore on a scale (Median)
Intercostal Nerve Cryoablation Plus SOC Pain Control4.25
Standard of Care (SOC) Pain Control7

[back to top]

5-point Satisfaction Scale

"The 5-point satisfaction scale assesses post-surgical analgesia satisfaction. The total score ranges from 1 to 5, with 1 being very dissatisfied and 5 being very satisfied." (NCT03972397)
Timeframe: post-operative day 180

Interventionscore on a scale (Median)
Intercostal Nerve Cryoablation Plus SOC Pain Control5
Standard of Care (SOC) Pain Control5

[back to top]

Brief Pain Inventory (BPI) - Pain Interference Score

The Brief Pain Inventory is a medical questionnaire used to measure pain, developed by the Pain Research Group of the WHO Collaborating Centre for Symptom Evaluation in Cancer Care. The pain interference score indicates how much pain has interfered with seven daily activities, including general activity, walking, work, mood, enjoyment of life, relations with others, and sleep. The total pain interference score ranges from 0 to 10, with 0 indicating no interference and 10 indicating complete interference. (NCT03972397)
Timeframe: post-operative day 3

Interventionscore on a scale (Median)
Intercostal Nerve Cryoablation Plus SOC Pain Control1.8
Standard of Care (SOC) Pain Control3.2

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Length of Hospital Stay

(NCT03972397)
Timeframe: at the time of discharge (about a week after surgery)

Interventiondays (Median)
Intercostal Nerve Cryoablation Plus SOC Pain Control10.5
Standard of Care (SOC) Pain Control8

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Brief Pain Inventory (BPI) - Severity Score

The Brief Pain Inventory is a medical questionnaire used to measure pain, developed by the Pain Research Group of the WHO Collaborating Centre for Symptom Evaluation in Cancer Care. The total severity score ranges from 0 to 10, with 0 indicating no pain and 10 indicating pain as bad as you can imagine. (NCT03972397)
Timeframe: post-operative day 5

Interventionscore on a scale (Median)
Intercostal Nerve Cryoablation Plus SOC Pain Control4.75
Standard of Care (SOC) Pain Control7

[back to top]

Brief Pain Inventory (BPI) - Pain Interference Score

The Brief Pain Inventory is a medical questionnaire used to measure pain, developed by the Pain Research Group of the WHO Collaborating Centre for Symptom Evaluation in Cancer Care. The pain interference score indicates how much pain has interfered with seven daily activities, including general activity, walking, work, mood, enjoyment of life, relations with others, and sleep. The total pain interference score ranges from 0 to 10, with 0 indicating no interference and 10 indicating complete interference. (NCT03972397)
Timeframe: post-operative day 5

Interventionscore on a scale (Median)
Intercostal Nerve Cryoablation Plus SOC Pain Control.4
Standard of Care (SOC) Pain Control4.6

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Score on Numeric Pain Scale (NPS)

The NPS measures the intensity of pain. The total score ranges from 0 to 10, with 0 being no pain and 10 the highest pain. (NCT03972397)
Timeframe: post-operative day 5

Interventionscore on a scale (Median)
Intercostal Nerve Cryoablation Plus SOC Pain Control1.5
Standard of Care (SOC) Pain Control3

[back to top]

Brief Pain Inventory (BPI) - Severity Score

The Brief Pain Inventory is a medical questionnaire used to measure pain, developed by the Pain Research Group of the WHO Collaborating Centre for Symptom Evaluation in Cancer Care. The total severity score ranges from 0 to 10, with 0 indicating no pain and 10 indicating pain as bad as you can imagine. (NCT03972397)
Timeframe: post-operative day 180

Interventionscore on a scale (Median)
Intercostal Nerve Cryoablation Plus SOC Pain Control2
Standard of Care (SOC) Pain Control4

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Mean Total TSQM-9 Score

The Treatment Satisfaction Questionnaire for Medication (TSQM-9) contains 9 items assessing Effectiveness, Convenience, and Global Satisfaction domains. Responses to items are rated on a 5-point or 7-point rating scale. Scores for each domain are computed by adding the TSQM items in each domain and then transforming the values in to a composite score ranging from 0 to 100, with higher scores representing higher satisfaction. (NCT03974932)
Timeframe: 72 hours through Day 11

,,,
InterventionScores on a scale (Mean)
Global Satisfaction Domain - 72 HoursEffectiveness Doman - 72 HoursConvenience Domain - 72 HoursGlobal Satisfaction Domain - Day 11Effectiveness Doman - Day 11Convenience Domain - Day 11
Cohort 1 and Cohort 2 (Pooled)86.986.490.178.076.390.1
Cohort 3: Group A77.080.284.574.569.486.9
Cohort 3: Group B89.384.093.172.869.480.9
Cohort 486.881.986.982.967.090.6

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Mean Overall Benefit of Analgesia Score (OBAS).

Subjects were questioned about their overall benefit of analgesia. Overall benefit of analgesia score (OBAS) assesses current pain at rest, vomiting, itching, sweating, freezing, dizziness, and overall satisfaction with postoperative pain during the previous 24 hours. To calculate the OBAS score, each of the subscale scores (0=minimum; 4=maximum) are summed for a combined OBAS score. Possible scores could range from 0 to 28 with a lower score indicating greater benefit. (NCT03974932)
Timeframe: 24 hours, 48 hours, 72 hours, Day 11

,,,
InterventionScores on a scale (Mean)
24 Hours48 Hours72 HoursDay 11
Cohort 1 and Cohort 2 (Pooled)6.55.75.15.0
Cohort 3: Group A7.44.94.15.2
Cohort 3: Group B7.65.94.94.9
Cohort 45.95.34.84.9

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Maximum Concentration (Cmax)

(NCT03974932)
Timeframe: 72 hours

,,,
Interventionng/mL (Mean)
BupivacaineMeloxicam
Cohort 1 and Cohort 2 (Pooled)566238
Cohort 3: Group A534247
Cohort 3: Group B742251
Cohort 4851385

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1) Pain Control Based on Patient Global Assessment (PGA)."-NCT03974932">

"Percentage of Subjects Achieving a Score of Good or Better (>1) Pain Control Based on Patient Global Assessment (PGA)."

Patient's Global Assessment (PGA) of pain control is a 4-point scale in which subjects rate how well their pain has been controlled (0 = Poor; 1 = Fair; 2 = Good; 3 = Excellent). (NCT03974932)
Timeframe: 24 hours, 48 hours, 72 hours, Day 11

,,,
InterventionParticipants (Count of Participants)
24 Hours48 Hours72 HoursDay 11
Cohort 1 and Cohort 2 (Pooled)60616650
Cohort 3: Group A10111211
Cohort 3: Group B14141511
Cohort 416161815

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Percentage of Subjects Who do Not Receive an Opioid Prescription Between Discharge and the Day 11 Visit.

(NCT03974932)
Timeframe: 72 hours through Day 11

InterventionParticipants (Count of Participants)
Cohort 1 and Cohort 2 (Pooled)44
Cohort 3: Group A8
Cohort 3: Group B8
Cohort 417

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Percentage of Subjects Who do Not Receive an Opioid Prescription at Discharge.

(NCT03974932)
Timeframe: 72 hours

InterventionParticipants (Count of Participants)
Cohort 1 and Cohort 2 (Pooled)41
Cohort 3: Group A8
Cohort 3: Group B12
Cohort 413

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Percentage of Subjects Who Are Opioid-free Through 72 Hours Who Remain Opioid-free Through Day 11.

(NCT03974932)
Timeframe: 72 hours through Day 11

InterventionParticipants (Count of Participants)
Cohort 1 and Cohort 2 (Pooled)9
Cohort 3: Group A1
Cohort 3: Group B0
Cohort 45

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Percentage of Subjects Who Are Opioid-free

(NCT03974932)
Timeframe: 72 Hours to Day 11

Interventionparticipants (Number)
Cohort 1 and Cohort 2 (Pooled)25
Cohort 3: Group A4
Cohort 3: Group B3
Cohort 410

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Percentage of Subjects Who Are Discharged Home vs to a Skilled Nursing Facility.

Number Analyzed represents Subjects who were discharged home. (NCT03974932)
Timeframe: 72 hours

InterventionParticipants (Count of Participants)
Cohort 1 and Cohort 2 (Pooled)61
Cohort 3: Group A10
Cohort 3: Group B16
Cohort 420

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Percentage of Subjects Unable to Participate in Each Rehabilitation Session Because of Pain.

(NCT03974932)
Timeframe: 72 hours

InterventionParticipants (Count of Participants)
Cohort 1 and Cohort 2 (Pooled)23
Cohort 3: Group A1
Cohort 3: Group B2
Cohort 43

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Median Time to First Opioid Rescue Medication.

(NCT03974932)
Timeframe: Through 72 hours

InterventionHours (Median)
Cohort 1 and Cohort 2 (Pooled)6.12
Cohort 3: Group A5.63
Cohort 3: Group B9.96
Cohort 412.76

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Median Time to First Ambulation Postsurgery.

(NCT03974932)
Timeframe: 72 hours

InterventionHours (Median)
Cohort 1 and Cohort 2 (Pooled)20.66
Cohort 3: Group A23.20
Cohort 3: Group B26.72
Cohort 420.58

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Mean Total Postoperative Opioid Consumption (in IV Morphine Milligram Equivalents [MME]).

(NCT03974932)
Timeframe: 72 hours

InterventionMME, morphine milligram equivalency (Mean)
Cohort 1 and Cohort 2 (Pooled)26.40
Cohort 3: Group A31.50
Cohort 3: Group B23.40
Cohort 417.62

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Mean AUC of VAS Scores.

"The Visual Analog Scale (VAS) consists of a straight 10-cm line that represents pain ranging from no pain to pain as bad as it could be. Subjects were asked to mark their current pain level on the line." (NCT03974932)
Timeframe: 72 hours

Interventionpain intensity score*hr (Mean)
Cohort 1 and Cohort 2 (Pooled)277.03
Cohort 3: Group A319.81
Cohort 3: Group B276.87
Cohort 4216.18

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Time of Occurrence of Maximum Concentration (Tmax)

(NCT03974932)
Timeframe: 72 hours

,,,
Interventionhours (Median)
BupivacaineMeloxicam
Cohort 1 and Cohort 2 (Pooled)21.0547.13
Cohort 3: Group A20.5458.58
Cohort 3: Group B20.1437.17
Cohort 422.4848.58

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Mean Area Under the Curve (AUC) of the Visual Analogue Scale (VAS).

"The Visual Analog Scale (VAS) consists of a straight 10-cm line that represents pain ranging from no pain to pain as bad as it could be. Subjects were asked to mark their current pain level on the line." (NCT03974932)
Timeframe: 12 through 48 hours

Interventionpain intensity score*hr (Mean)
Cohort 1 and Cohort 2 (Pooled)155.57
Cohort 3: Group A185.27
Cohort 3: Group B161.36
Cohort 4126.59

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Mean AUC of the NRS of Pain Intensity at Rest (NRS-R).

"Pain intensity scores are assessed using an 11-point Numeric Rating Scale (NRS) (0-10) where 0 represents no pain and 10 represents worst pain. NRS scores are measured at rest." (NCT03974932)
Timeframe: 72 hours

Interventionpain intensity score*hr (Mean)
Cohort 1 and Cohort 2 (Pooled)309.89
Cohort 3: Group A355.20
Cohort 3: Group B311.00
Cohort 4245.00

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Percentage of Subjects With Severe Pain.

Severe Pain defined as a VAS score ≥7.5 cm. (NCT03974932)
Timeframe: 24 hours, 48 hours, 72 hours

,,,
InterventionParticipants (Count of Participants)
24 Hours48 Hours72 Hours
Cohort 1 and Cohort 2 (Pooled)262923
Cohort 3: Group A455
Cohort 3: Group B555
Cohort 4667

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Percentage of Subjects Who First Achieve an MPADSS Score ≥9.

Subjects were assessed for readiness for discharge using the Modified Post-Anesthesia Discharge Scoring System (MPADSS) that assesses 5 clinical variables: vital signs, ambulation, nausea/vomiting, pain, and surgical bleeding, each on a 3-point scale of 0, 1, or 2 with 0 being the worst score and 2 being the best score. Subjects with an MPADSS score of 9 or 10 were considered ready for discharge. (NCT03974932)
Timeframe: 2 hours, 4 hours, 6 hours, 8 hours, 12 hours, 24, hours, 36 hours, 48 hours, 60 hours, 72 hours

,,,
InterventionParticipants (Count of Participants)
Through 2 HoursThrough 4 HoursThrough 6 HoursThrough 8 HoursThrough 12 HoursThrough 24 HoursThrough 36 HoursThrough 48 HoursThrough 60 HoursThrough 72 Hours
Cohort 1 and Cohort 2 (Pooled)15162129384552575759
Cohort 3: Group A23667812121213
Cohort 3: Group B225891113131515
Cohort 4037881518191919

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Time to PACU Discharge

Time required for readiness for discharge from Post Anesthesia Care Unit (PACU) (NCT03993314)
Timeframe: Day of surgery

Interventionminutes (Median)
Bupivacaine57
Chloroprocaine45

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Level of Numbness

"The degree to which participants experience analgesia. Degree of analgesia is determined by the level of the block. Block level may be T1 (highest level of numbness), T2, T3, T4, T5, T6, T7,T8, T9 , T10, T11, T12, L1, L2, L3, or L4 (lowest level or numbness).~Participants are assigned a numerical score according to level of the block. Numerical scores were assigned so that a higher score indicates better outcome (i.e., greater level of numbness):~T1 = 16 points; T2 = 15 points; T3 = 14 points; T4 = 13 points; T5 = 12 points; T6 = 11 points; T7 = 10 points; T8 = 9 points; T9 = 8 points; T10 = 7 points; T11 = 6 points; T12 = 5 points; L1 = 4 points; L2 = 3 points; L3 = 2 points; L4 = 1 point" (NCT03993314)
Timeframe: 10 minutes after spinal injection

Interventionscore on a scale (Median)
Bupivacaine15
Chloroprocaine12.5

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Visual Analogue Scale (VAS) Pain Scores at Rest at 24 Hours.

Visual Analogue Scale (VAS) score taken at rest measured as minimal to maximal; higher values mean worse pain (scale 0-10) (NCT04003987)
Timeframe: 24 hours after surgery

Interventionscore on a scale (Mean)
ESP Block3
TAP Block2.8

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Visual Analogue Scale (VAS) Pain Scores With Movement at 24 Hours.

Visual Analogue Scale (VAS) score taken with movement measured as minimal to maximal; higher values mean worse pain (scale 0-10) (NCT04003987)
Timeframe: 24 hours after surgery

Interventionscore on a scale (Mean)
ESP Block4.3
TAP Block4.1

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Visual Analogue Scale (VAS) Pain Scores With Movement at 1 Hour.

Visual Analogue Scale (VAS) score taken with movement is measured as minimal to maximal; higher values mean worse pain (scale 0-10) (NCT04003987)
Timeframe: 1 hour after surgery

Interventionscore on a scale (Mean)
ESP Block3
TAP Block3.5

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Visual Analogue Scale (VAS) Pain Scores at Rest at 48 Hours.

Visual Analogue Scale (VAS) score taken at rest measured as minimal to maximal; higher values mean worse pain(scale 0-10) (NCT04003987)
Timeframe: 48 hours after surgery

Interventionscore on a scale (Mean)
ESP Block2.1
TAP Block2

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Visual Analogue Scale (VAS) Pain Scores at Rest at 1 Hour.

Visual Analogue Scale (VAS) score taken at rest is measured as minimal to maximal; higher values mean worse pain (scale 0-10) (NCT04003987)
Timeframe: 1 hour after surgery

Interventionscore on a scale (Mean)
ESP Block2.8
TAP Block3

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Patient Satisfaction Score at 48 Hours

patient satisfaction is measured as minimum to maximum 1-5; the higher the score the better satisfied (very unsatisfied, unsatisfied, neutral, satisfied, very satisfied) (NCT04003987)
Timeframe: 48 hours after surgery

Interventionscore on a scale (Mean)
ESP Block3.7
TAP Block3.7

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Patient Satisfaction Score at 24 Hours

patient satisfaction is measured as minimum to maximum 1-5; the higher the score the better satisfied (very unsatisfied, unsatisfied, neutral, satisfied, very satisfied) (NCT04003987)
Timeframe: 24 hours after surgery

Interventionscore on a scale (Mean)
ESP Block3.7
TAP Block3.6

[back to top]

Visual Analogue Scale (VAS) Pain Scores With Movement at 48 Hours.

Visual Analogue Scale (VAS) score taken with movement measured as minimal to maximal; higher values mean worse pain(scale 0-10) (NCT04003987)
Timeframe: 48 hours after surgery

Interventionscore on a scale (Mean)
ESP Block3.4
TAP Block3.2

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Impact of Vaginal Pain Scores on Quality of Life Measure (SLEEP) Using Defense and Veterans Pain Rating Scale (Visual Analog Scale) Comparing the Bupivacaine Plus Exparel® Group and the Bupivacaine Plain Group

"Investigators will ask patients how is your vaginal pain impacting your SLEEP (quality of life question) and respond using a 0-10 answer (0 being no impact and 10 being significant impact) using the Defense and Veterans Pain Rating Scale (visual analog scale). This will be recorded on POD 3" (NCT04032327)
Timeframe: Subjects will be asked to provide numerical value on postoperative day 3.

Interventionscore on a scale (Median)
Plain Bupivacaine0.500
Exparel Plus Plain Bupivacaine1

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Rate of Post-operative Defecatory Function After Posterior Colporrhaphy, Comparing the Bupivacaine Plus Exparel® Group Versus the Bupivacaine Plain Group.

Investigators will record in patients have had a bowel movement within the first three days postoperatively. (NCT04032327)
Timeframe: Postoperatively up to day 3

Interventionpercentage of patients (Number)
Plain Bupivacaine71.6
Exparel Plus Plain Bupivacaine73.3

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Impact of Vaginal Pain Scores on Quality of Life Measures (ACTIVITY) Using Defense and Veterans Pain Rating Scale (Visual Analog Scale) Comparing the Bupivacaine Plus Exparel® Group and the Bupivacaine Plain Group

"Investigators will ask patients how is your vaginal pain impacting your ACTIVITY (quality of life question) and respond using a 0-10 answer (0 being no impact and 10 being significant impact) using the Defense and Veterans Pain Rating Scale (visual analog scale). This will be recorded on POD 3" (NCT04032327)
Timeframe: Subjects will be asked to provide numerical value on postoperative day 3.

Interventionscore on a scale (Median)
Plain Bupivacaine3.5
Exparel Plus Plain Bupivacaine3

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Impact of Vaginal Pain Scores on Quality of Life Measure (STRESS) Using Defense and Veterans Pain Rating Scale (Visual Analog Scale) Comparing the Bupivacaine Plus Exparel® Group and the Bupivacaine Plain Group

"Investigators will ask patients how is your vaginal pain impacting your STRESS (quality of life question) and respond using a 0-10 answer (0 being no impact and 10 being significant impact) using the Defense and Veterans Pain Rating Scale (visual analog scale). This will be recorded on POD 3" (NCT04032327)
Timeframe: Subjects will be asked to provide numerical value on postoperative day 3.

Interventionscore on a scale (Median)
Plain Bupivacaine0
Exparel Plus Plain Bupivacaine1

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Percentage of Participants Who Passed Active Voiding Trial Comparing the Bupivacaine Plus Exparel® Group Versus the Bupivacaine Plain Group.

Investigators will record in patients passed active voiding trail prior to discharge home. (NCT04032327)
Timeframe: Postoperative active voiding trial on postoperative day 1.

Interventionpercentage passed (Number)
Plain Bupivacaine82
Exparel Plus Plain Bupivacaine72

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Amount Acetaminophen Pain Medication Required During the Postoperative Period at Home

Calculate total postoperative acetaminophen used while at home via perform pill counts on postoperative days 1, 2, 3 (done via a phone call). This will allow calculation of total amount of acetaminophen utilized at home through postoperative day #3 (NCT04032327)
Timeframe: Calculated with phone call on postoperative day 1, 2, and 3 (total acetaminophen utilized at home)

Interventionmilligrams (Median)
Plain Bupivacaine4000
Exparel Plus Plain Bupivacaine3250

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Amount Ibuprofen Pain Medication Required During the Postoperative Period at Home

Calculate total postoperative ibuprofen used while at home via perform pill counts on postoperative days 1, 2, 3 (done via a phone call). This will allow calculation of total amount of ibuprofen utilized at home through postoperative day #3 (NCT04032327)
Timeframe: Calculated with phone call on postoperative day 1, 2, and 3 (total acetaminophen utilized at home)

Interventionmilligrams (Median)
Plain Bupivacaine3600
Exparel Plus Plain Bupivacaine2400

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Amount Opioid Pain Medication Required During the Postoperative Period (Through Day 3)

Calculate total postoperative opioid medications used while inpatient and perform pill counts on postoperative days 1, 2, 3 (done via a phone call or inpatient). This will allow calculation of total amount of opioid pain medications utilized through postoperative day #3 (NCT04032327)
Timeframe: Calculated throughout hospitalization and/or with phone call on postoperative day 1, 2, and 3 (total opioids utilized)

Interventionmorphine milligram equivalents (Median)
Plain Bupivacaine45.0
Exparel Plus Plain Bupivacaine57.1

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Change in Vaginal Pain Scores Using the Defense and Veterans Pain Rating Scale (Visual Analog Scale) Between Bupivacaine Alone Versus Exparel® Following Posterior Colporrhaphy Post-operatively

Patients will be asked on postoperative day (POD) 1 to provide numerical values regarding vaginal pain from 0-10 (zero being no pain and 10 being the worst pain) utilizing the Defense and Veterans Pain Rating Scale (visual analog scale) (NCT04032327)
Timeframe: Subjects will be asked to provide numerical values on postoperative day 1.

Interventionscore on a scale (Median)
Plain Bupivacaine2
Exparel Plus Plain Bupivacaine0

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Change in Vaginal Pain Scores Using the Defense and Veterans Pain Rating Scale (Visual Analog Scale) Between Bupivacaine Alone Versus Exparel® Following Posterior Colporrhaphy Post-operatively

Patients will be asked on postoperative day (POD) 2 to provide numerical values for vaginal pain from 0-10 (zero being no pain and 10 being the worst pain) utilizing the Defense and Veterans Pain Rating Scale (visual analog scale) (NCT04032327)
Timeframe: Subjects will be asked to provide numerical values on postoperative day 2.

Interventionscore on a scale (Median)
Plain Bupivacaine3
Exparel Plus Plain Bupivacaine2

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Change in Vaginal Pain Scores Using the Defense and Veterans Pain Rating Scale (Visual Analog Scale) Between Bupivacaine Alone Versus Exparel® Following Posterior Colporrhaphy Post-operatively

Patients will be asked on postoperative day (POD) 3 to provide numerical values for vaginal pain from 0-10 (zero being no pain and 10 being the worst pain) utilizing the Defense and Veterans Pain Rating Scale (visual analog scale) (NCT04032327)
Timeframe: Subjects will be asked to provide numerical values on postoperative day 3.

Interventionscore on a scale (Median)
Plain Bupivacaine3
Exparel Plus Plain Bupivacaine2

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Impact of Vaginal Pain Scores on Quality of Life Measure (MOOD) Using Defense and Veterans Pain Rating Scale (Visual Analog Scale) Comparing the Bupivacaine Plus Exparel® Group and the Bupivacaine Plain Group

"Investigators will ask patients how is your vaginal pain impacting your MOOD (quality of life question) and respond using a 0-10 answer (0 being no impact and 10 being significant impact) using the Defense and Veterans Pain Rating Scale (visual analog scale). This will be recorded on POD 3" (NCT04032327)
Timeframe: Subjects will be asked to provide numerical value on postoperative day 3.

Interventionscore on a scale (Median)
Plain Bupivacaine1
Exparel Plus Plain Bupivacaine1

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Numerical Rating Scale (NRS) Pain With Movement

NRS pain is on a scale from 0 (no pain at all) to 10 (worst pain imaginable) and is patient reported for pain with movement. Lower score means better outcome. (NCT04047446)
Timeframe: Postanesthesia care unit (up to 6 hours postoperative), postoperative day 1, postoperative day 2, postoperative day 3, postoperative day 4, postoperative day 7

,
Interventionscore on a scale (Mean)
Postanesthesia care unit (0-6 hours postoperative)Postoperative day 1Postoperative day 2Postoperative day 3Postoperative day 4Postoperative day 7
Liposomal Bupivacaine & Standard Bupivacaine8.94.04.14.04.03.9
Standard Bupivacaine & Dexamethasone9.984.35.65.34.94.7

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Opioid Consumption

Opioid consumption, measured in oral morphine equivalents (NCT04047446)
Timeframe: Postanesthesia care unit (up to 6 hours postoperative), postoperative day 1, postoperative day 2, postoperative day 3, postoperative day 4, postoperative day 7

,
InterventionOral Morphine Equivalents (mg) (Mean)
Postanesthesia care unit (0-6 hours postoperative)Postoperative day 1Postoperative day 2Postoperative day 3Postoperative day 4Postoperative day 7
Liposomal Bupivacaine & Standard Bupivacaine1.84.812.38.96.93.7
Standard Bupivacaine & Dexamethasone1.78.118.213.29.73.3

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Patient Satisfaction With Pain Management: Scale

Patient reported satisfaction on a scale of 0 (not satisfied) to 10 (complete satisfaction). This is patient opinionated and is reflective with patient contentedness with their pain management. Higher scores indicate greater satisfaction (NCT04047446)
Timeframe: Postanesthesia care unit (up to 6 hours postoperative), postoperative day 1, postoperative day 2, postoperative day 3, postoperative day 4, postoperative day 7

,
Interventionscore on a scale (Mean)
Postanesthesia care unit (0-6 hours postoperative)Postoperative day 1Postoperative day 2Postoperative day 3Postoperative day 4Postoperative day 7
Liposomal Bupivacaine & Standard Bupivacaine9.49.38.99.29.19.1
Standard Bupivacaine & Dexamethasone9.89.28.68.68.58.4

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Duration of Analgesic Block

"Patients are contacted and asked questions regarding their motor strength and sensation in their shoulder. Patients are asked When did your pain relief from the block completely wear off? This indicates the block duration." (NCT04047446)
Timeframe: 24, 48, 72, 96 (if needed) hours postoperatively

InterventionHours (Median)
Liposomal Bupivacaine & Standard Bupivacaine26
Standard Bupivacaine & Dexamethasone27

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Motor Block Resolution

Patients are contacted and asked questions regarding their motor strength and sensation in their shoulder. (NCT04047446)
Timeframe: 24, 48, 72, 96 (if needed) hours postoperatively

InterventionHours (Median)
Liposomal Bupivacaine & Standard Bupivacaine27
Standard Bupivacaine & Dexamethasone27

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Numerical Rating Scale (NRS) Pain at Rest Over 72 Hours

NRS pain at rest averaged over the first 72 hours. NRS pain is on a scale from 0 (no pain at all) to 10 (worst pain imaginable). Patient reported pain at 24, 48, and 72 hours are averaged to produce this number. Lower score is a better outcome. (NCT04047446)
Timeframe: First 72 hours pain

Interventionscore on a scale (Mean)
Liposomal Bupivacaine & Standard Bupivacaine2.4
Standard Bupivacaine & Dexamethasone3.4

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Postanesthesia Care Unit Length of Stay

Total length of PACU stay as defined by time of PACU admission to PACU discharge. (NCT04047446)
Timeframe: Postanesthesia care unit (0-6 hours postoperative)

Interventionminutes (Median)
Liposomal Bupivacaine & Standard Bupivacaine163.5
Standard Bupivacaine & Dexamethasone163

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Sensory Resolution

Patients are contacted and asked questions regarding their motor strength and sensation in their shoulder. (NCT04047446)
Timeframe: 24, 48, 72, 96 (if needed) hours postoperatively

InterventionHours (Median)
Liposomal Bupivacaine & Standard Bupivacaine27
Standard Bupivacaine & Dexamethasone31

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Time to Readiness for Discharge

Time to readiness for PACU discharge was evaluated every 15min using the Post Anesthetic Discharge Scoring System. (NCT04047446)
Timeframe: Postanesthesia care unit (0-6 hours postoperative)

Interventionminutes (Median)
Liposomal Bupivacaine & Standard Bupivacaine90
Standard Bupivacaine & Dexamethasone90

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Brief Pain Inventory Short-form

The Brief Pain Inventory (BPI) rapidly assesses the severity of pain and its impact on functioning. Higher scores indicate more pain. The minimum value is 0, the maximum value is 10. A lower score is a better outcome. This score is an average of the following measures on a 0-10 scale: General activity, Mood, Walking ability, Normal work, Relations to People, Sleep Quality, and Enjoyment of life. (NCT04047446)
Timeframe: Postanesthesia care unit (up to 6 hours postoperative), postoperative day 1, postoperative day 2, postoperative day 3, postoperative day 4, postoperative day 7

,
Interventionscore on a scale (Mean)
Postanesthesia care unit (0-6 hours postoperative)Postoperative day 1Postoperative day 2Postoperative day 3Postoperative day 4Postoperative day 7
Liposomal Bupivacaine & Standard Bupivacaine1.21.42.42.22.52.2
Standard Bupivacaine & Dexamethasone0.61.83.63.43.62.9

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Numerical Rating Scale (NRS) Pain at Rest

NRS pain is on a scale from 0 (no pain at all) to 10 (worst pain imaginable) and is patient reported for pain at rest. Lower score is a better outcome. (NCT04047446)
Timeframe: Postanesthesia care unit (up to 6 hours postoperative), postoperative day 1, postoperative day 2, postoperative day 3, postoperative day 4, postoperative day 7

,
Interventionscore on a scale (Mean)
Postanesthesia care unit (0-6 hours postoperative)Postoperative day 1Postoperative day 2Postoperative day 3Postoperative day 4Postoperative day 7
Liposomal Bupivacaine & Standard Bupivacaine1.32.12.52.42.51.7
Standard Bupivacaine & Dexamethasone0.93.04.13.33.02.3

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Respiratory Rate

Respiratory rate in breaths per minute (NCT04073056)
Timeframe: 1 hour post op

Interventionbreaths per minute (Mean)
Conventional Therapy22.5
Quadratus Lumborum II Group17.0

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Heart Rate

Heart rate in beats per minute (NCT04073056)
Timeframe: 1 hour after surgery

Interventionbeats per minute (Mean)
Conventional Therapy85.3
Quadratus Lumborum II Group7.3

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PACU Length of Stay

Post anesthesia care unit (PACU) length of stay in hours (NCT04073056)
Timeframe: average 2 hours

Interventionhours (Mean)
Conventional Therapy2.18
Quadratus Lumborum II Group1.95

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Number of Participants With Pain

Number of participants with somatic or visceral pain. (NCT04073056)
Timeframe: Up to 48 hours

,
InterventionParticipants (Count of Participants)
Somatic painVisceral pain
Conventional Therapy318
Quadratus Lumborum II Group218

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Time to First Dose of Analgesic Request

Time until first analgesic request in minutes (NCT04073056)
Timeframe: up to 60 minutes

Interventionminutes (Mean)
Conventional Therapy34.0
Quadratus Lumborum II Group28.1

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Blood Pressure

Both systolic and diastolic pressures (NCT04073056)
Timeframe: 1 hour after surgery

,
InterventionmmHg (Mean)
Systolic pressureDiastolic
Conventional Therapy13480.1
Quadratus Lumborum II Group13683.0

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Number of Participants With Nausea

Number of participants with nausea (NCT04073056)
Timeframe: the first 48 hours after the procedure

,
InterventionParticipants (Count of Participants)
POQ2POD1POD2
Conventional Therapy1284
Quadratus Lumborum II Group762

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VAS Pain Scores

Visual analogue scale - total score from 0 to 10, with higher score indicating more pain (NCT04073056)
Timeframe: Intraop, Postop 1hr, Postop 2hr, POD0, POD1, and POD2

,
Interventionscore on a scale (Mean)
POQ1 - PACU hour 1POQ2 - PACU hour 2POD 0POD1POD2
Conventional Therapy6.604.375.856.205.00
Quadratus Lumborum II Group6.153.114.804.053.28

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The Amount of Opioid Consumption During and After Procedure

The amount of opioid consumption (in mg IV morphine equivalents) during and after procedure (100mcg fentanyl= 10mg morphine) (1.5mg dilaudid=10mg morphine) (NCT04073056)
Timeframe: Intraop, Postop 1hr, Postop 2hr, POD0, POD1, and POD2

,
Interventionmg IV morphine equivalents (Mean)
IntraopPOQ1 - PACU hour 1POQ2 - PACU hour 2POD 0POD1POD2
Conventional Therapy26.35.492.804.143.130.938
Quadratus Lumborum II Group27.15.521.682.532.750.750

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Narcotic Utilization

Record of number of narcotic pain pills utilized by patients . This was reported as a total from post op day 1 to 4. The number listed is an average from each patient, from the total pills taken at home. (NCT04114058)
Timeframe: total pill taken over the course of days 1-4 post op.

Interventionnumber of pills (Mean)
Liposomal Bupivicaine7.6
Fascia Iliaca Blockade7.8

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Visual Analogue Scale

pain scale Questionnaire 0 equals no pain at all and 10 equals the worst. The out come measure time frame is reported as the average VAS score of the first 4 day post op. (NCT04114058)
Timeframe: post op days 1-4 (Average VAS score of first 4 days of post op)

Interventioncm (Mean)
Liposomal Bupivicaine2.4
Fascia Iliaca Blockade2.7

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Total Number of at Home Falls.

number of falls occurring at home after discharge. This is the total number of falls of all patients in each group, over the first 7 days post op. This is not reported as a mean. (NCT04114058)
Timeframe: Post op days 1-7

Interventiontotal number of falls (Number)
Liposomal Bupivicaine0
Fascia Iliaca Blockade6

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Visual Analog Scale

Pain as measured by the Visual Analog Scale. The visual analog scale is a 0-10 scale, 0 being no pain, 10 being unbearable pain. (NCT04115644)
Timeframe: Week 12

Interventionscore on a scale (Mean)
Group 1 (Control)3.447
Group 2 (Ketorolac)1.417
Group 3 (Kenalog)2.027

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Visual Analog Scale

Pain as measured by the Visual Analog Scale. The visual analog scale is a 0-10 scale, 0 being no pain, 10 being unbearable pain. (NCT04115644)
Timeframe: Week 1

Interventionscore on a scale (Mean)
Group 1 (Control)3.397
Group 2 (Ketorolac)3.7
Group 3 (Kenalog)3.257

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Visual Analog Scale

Pain as measured by the Visual Analog Scale. The visual analog scale is a 0-10 scale, 0 being no pain, 10 being unbearable pain. (NCT04115644)
Timeframe: Day 2

Interventionscore on a scale (Mean)
Group 1 (Control)2.347
Group 2 (Ketorolac)2.837
Group 3 (Kenalog)2.67

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Visual Analog Scale

Pain as measured by the Visual Analog Scale prior to first injection. The visual analog scale is a 0-10 scale, 0 being no pain, 10 being unbearable pain. (NCT04115644)
Timeframe: Baseline - pre-injection

Interventionscore on a scale (Mean)
Group 1 (Control)5.77
Group 2 (Ketorolac)4.57
Group 3 (Kenalog)4.67

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Visual Analog Scale

Pain as measured by the Visual Analog Scale after first injection. The visual analog scale is a 0-10 scale, 0 being no pain, 10 being unbearable pain. (NCT04115644)
Timeframe: Baseline - immediately after the injection

Interventionscore on a scale (Mean)
Group 1 (Control)3.197
Group 2 (Ketorolac)3.577
Group 3 (Kenalog)3.677

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Visual Analog Scale

Pain as measured by the Visual Analog Scale. The visual analog scale is a 0-10 scale, 0 being no pain, 10 being unbearable pain. (NCT04115644)
Timeframe: Week 6

Interventionscore on a scale (Mean)
Group 1 (Control)3.357
Group 2 (Ketorolac)2.757
Group 3 (Kenalog)2.687

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Visual Analog Scale

Pain as measured by the Visual Analog Scale. The visual analog scale is a 0-10 scale, 0 being no pain, 10 being unbearable pain. (NCT04115644)
Timeframe: Week 4

Interventionscore on a scale (Mean)
Group 1 (Control)3.547
Group 2 (Ketorolac)2.67
Group 3 (Kenalog)2.317

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Visual Analog Scale

Pain as measured by the Visual Analog Scale. The visual analog scale is a 0-10 scale, 0 being no pain, 10 being unbearable pain. (NCT04115644)
Timeframe: Week 2

Interventionscore on a scale (Mean)
Group 1 (Control)3.547
Group 2 (Ketorolac)2.67
Group 3 (Kenalog)2.57

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8-12 Hour Pain Assessment Numeric Rating Scale During Rest

Pain will be assessed qualitatively through the use of numeric rating scale (0-10) during rest (NRS-R) The higher scores indicate more severe pain during rest (10 meaning the worst pain, 0 meaning no pain) (NCT04278846)
Timeframe: 8-12 hours post-operatively

Interventionunits on a scale (Median)
DepoFoam Bupivacaine3
Bupivacaine HCl3

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96 Hour Pain Assessment Numeric Rating Scale During Rest

"Pain will be assessed qualitatively through the use of numeric rating scale (0-10) during rest (NRS-R).~The higher scores indicate more severe pain during rest (10 meaning the worst pain, 0 meaning no pain) Range 0-10" (NCT04278846)
Timeframe: 96 hours post-operatively

Interventionunits on a scale (Median)
DepoFoam Bupivacaine1.5
Bupivacaine HCl2

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60 Hour Pain Assessment Numeric Rating Scale During Activity

"Pain will be assessed qualitatively through the use of numeric rating scale (0-10) during activity (NRS-A).~The higher scores indicate more severe pain during activity (10 meaning the worst pain, 0 meaning no pain) The range is 0 to 10." (NCT04278846)
Timeframe: 60 hours post-operatively

Interventionunits on a scale (Median)
DepoFoam Bupivacaine5
Bupivacaine HCl4

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60 Hour Pain Assessment Numeric Rating Scale During Rest

"Pain will be assessed qualitatively through the use of numeric rating scale during rest (NRS-R).~The higher scores indicate more severe pain during rest (10 meaning the worst pain, 0 meaning no pain) The range is 0 to 10." (NCT04278846)
Timeframe: 60 hours post-operatively

Interventionunits on a scale (Median)
DepoFoam Bupivacaine3
Bupivacaine HCl2

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72 Hour Pain Assessment Brief Pain Inventory

Pain will be assessed qualitatively through the use of the Brief Pain Inventory (BPI) Questionnaire This is also a validated scale from 0 to 10, with 10 having the most severe pain and 0 being no pain (NCT04278846)
Timeframe: 72 hours post-operatively

Interventionunits on a scale (Mean)
DepoFoam Bupivacaine3
Bupivacaine HCl3

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72 Hour Pain Assessment Numeric Rating Scale During Activity

"Pain will be assessed qualitatively through the use of numeric rating scale (0-10) during activity (NRS-A).~The higher scores indicate more severe pain during activity (10 meaning the worst pain, 0 meaning no pain) The range is 0 to 10." (NCT04278846)
Timeframe: 72 hours post-operatively

Interventionunits on a scale (Median)
DepoFoam Bupivacaine4
Bupivacaine HCl4

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96 Hour Use of Rescue Analgesic

We will record the amount in milligrams and type of rescue analgesic for each patient. (NCT04278846)
Timeframe: 96 hours post operatively

Interventionmilligrams (Mean)
DepoFoam Bupivacaine10.2
Bupivacaine HCl7.5

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84 Hour Pain Assessment Numeric Rating Scale During Activity

"Pain will be assessed qualitatively through the use of numeric rating scale (0-10) during activity (NRS-A).~The higher scores indicate more severe pain during activity (10 meaning the worst pain, 0 meaning no pain) The range is 0 to 10." (NCT04278846)
Timeframe: 84 hours post-operatively

Interventionunits on a scale (Median)
DepoFoam Bupivacaine4
Bupivacaine HCl3

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72 Hour Pain Assessment Numeric Rating Scale During Rest

"Pain will be assessed qualitatively through the use of numeric rating scale during rest (NRS-R).~The higher scores indicate more severe pain during rest (10 meaning the worst pain, 0 meaning no pain) The range is 0 to 10." (NCT04278846)
Timeframe: 72 hours post-operatively

Interventionunits on a scale (Median)
DepoFoam Bupivacaine3
Bupivacaine HCl2

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84 Hour Pain Assessment Numeric Rating Scale During Rest

"Pain will be assessed qualitatively through the use of numeric rating scale (0-10) during rest (NRS-R).~The higher scores indicate more severe pain during rest (10 meaning the worst pain, 0 meaning no pain) The range is 0 to 10." (NCT04278846)
Timeframe: 84 hours post-operatively

Interventionunits on a scale (Median)
DepoFoam Bupivacaine1
Bupivacaine HCl2

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96 Hour Pain Assessment Brief Pain Inventory

Pain will be assessed qualitatively through the use of the Brief Pain Inventory (BPI) Questionnaire This is also a validated scale from 0 to 10, with 10 having the most severe pain and 0 being no pain (NCT04278846)
Timeframe: 96 hours post-operatively

Interventionunits on a scale (Mean)
DepoFoam Bupivacaine3
Bupivacaine HCl2

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72 Hour Use of Rescue Analgesic

We will record the amount in milligrams and type of rescue analgesic for each patient. (NCT04278846)
Timeframe: 72 hours post operatively

Interventionmilligrams (Mean)
DepoFoam Bupivacaine20.7
Bupivacaine HCl19.9

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48 Hour Use of Rescue Analgesic

We will record the amount in milligrams and type of rescue analgesic for each patient. (NCT04278846)
Timeframe: 48 hours post operatively

Interventionmilligrams (Mean)
DepoFoam Bupivacaine25.1
Bupivacaine HCl23.3

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48 Hour Pain Assessment Numeric Rating Scale During Rest

"Pain will be assessed qualitatively through the use of numeric rating scale during rest (NRS-R).~The higher scores indicate more severe pain during rest (10 meaning the worst pain, 0 meaning no pain) The range is 0 to 10." (NCT04278846)
Timeframe: 48 hours post-operatively

Interventionunits on a scale (Median)
DepoFoam Bupivacaine3
Bupivacaine HCl3

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48 Hour Pain Assessment Numeric Rating Scale During Activity

"Pain will be assessed qualitatively through the use of numeric rating scale (0-10) during activity (NRS-A).~The higher scores indicate more severe pain during activity (10 meaning the worst pain,0 meaning no pain) The range is 0 to 10." (NCT04278846)
Timeframe: 48 hours post-operatively

Interventionunits on a scale (Median)
DepoFoam Bupivacaine4
Bupivacaine HCl5

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48 Hour Pain Assessment Brief Pain Inventory

Pain will be assessed qualitatively through the use of the Brief Pain Inventory (BPI) Questionnaire This is also a validated scale from 0 to 10, with 10 having the most severe pain and 0 being no pain (NCT04278846)
Timeframe: 48 hours post-operatively

Interventionunits on a scale (Mean)
DepoFoam Bupivacaine3.5
Bupivacaine HCl4

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36 Hour Pain Assessment Numeric Rating Scale During Rest

"Pain will be assessed qualitatively through the use of numeric rating scale (0-10) during rest (NRS-R).~The higher scores indicate more severe pain during rest (10 meaning the worst pain, 0 meaning no pain)" (NCT04278846)
Timeframe: 36 hours post-operatively

Interventionunits on a scale (Median)
DepoFoam Bupivacaine3
Bupivacaine HCl3

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36 Hour Pain Assessment Numeric Rating Scale During Activity

"Pain will be assessed qualitatively through the use of numeric rating scale (0-10) during activity (NRS-A).~The higher scores indicate more severe pain during activity (10 meaning the worst pain, 0 meaning no pain) The range is 0 to 10." (NCT04278846)
Timeframe: 36 hours post-operatively

Interventionunits on a scale (Median)
DepoFoam Bupivacaine5
Bupivacaine HCl5

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24 Hour Use of Rescue Analgesic

We will record the amount in milligrams and type of rescue analgesic for each patient. (NCT04278846)
Timeframe: 24 hours post operatively

Interventionmilligrams (Mean)
DepoFoam Bupivacaine63.3
Bupivacaine HCl63.9

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96 Hour Pain Assessment Numeric Rating Scale During Activity

"Pain will be assessed qualitatively through the use of numeric rating scale (0-10) during activity (NRS-A).~The higher scores indicate more severe pain during activity (10 meaning the worst pain, 0 meaning no pain) The range is 0 to 10." (NCT04278846)
Timeframe: 96 hours post-operatively

Interventionunits on a scale (Median)
DepoFoam Bupivacaine3.5
Bupivacaine HCl3

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24 Hour Pain Assessment Numeric Rating Scale During Rest

"Pain will be assessed qualitatively through the use of numeric rating scale (0-10) during rest (NRS-R).~The higher scores indicate more severe pain during rest (10 meaning the worst pain, 0 meaning no pain)" (NCT04278846)
Timeframe: 24 hours post-operatively

Interventionunits on a scale (Median)
DepoFoam Bupivacaine3
Bupivacaine HCl3.5

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24 Hour Pain Assessment Brief Pain Inventory

Pain will be assessed qualitatively through the use of the Brief Pain Inventory (BPI) Questionnaire This is also a validated scale from 0 to 10, with 10 having the most severe pain and 0 being no pain (NCT04278846)
Timeframe: 24 hours post-operatively

Interventionunits on a scale (Mean)
DepoFoam Bupivacaine4
Bupivacaine HCl5

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1 Hour Pain Assessment Numeric Rating Scale During Rest

Pain will be assessed qualitatively through the use of numeric rating scale (0-10) during rest (NRS-R) Scale name: Numeric rating scale during rest (NRS-R) The higher scores indicate more severe pain during rest (10 meaning the worst pain, 0 meaning no pain) (NCT04278846)
Timeframe: 1 hour post-operatively

Interventionunits on a scale (Median)
DepoFoam Bupivacaine5
Bupivacaine HCl5

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Total Narcotic Usage

Post-op pain measured by total post-op Morphine equivalents (NCT04284930)
Timeframe: total hospital stay, an average of 3 days

Interventionmg/kg/day morphine (Mean)
Depobupivacaine0.8
OnQ Pump.13
Bupivacaine0.18

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Severity of Pruritus as Assessed by a Scale

This numeric scale is a 11-point scale with a higher number indicating an extremely severe side effect. Total score ranges from 0 to 10. (NCT04368364)
Timeframe: 24, 48 and 72 hours post surgery

,,
Interventionscore on a scale (Mean)
24 hours48 hours72 hours
Group 1 (Control Group)600
Group 2(Bupivacaine Hydrochloride Group)210
Group 3 (Ropivacaine Hydrochloride Group)000

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Patient Satisfaction as Assessed by Likert Scale

"Patient reported a score for each of 4 different aspects of satisfaction: their quality of sleep, ability to ambulate, ability to breast or formula feed, and ability to feed and take care of newborn.~Each of the 4 aspects of satisfaction were rated on a 5-point Likert scale as follows: Extremely satisfied (5), Very satisfied (4), Moderately satisfied (3), Slightly satisfied (2), Not satisfied (1)." (NCT04368364)
Timeframe: 72 hours post surgery

,,
Interventionscore on a scale (Mean)
quality of sleepability to ambulateability to breast or formula feedability to feed and take care of newborn
Group 1 (Control Group)3233
Group 2(Bupivacaine Hydrochloride Group)5444
Group 3 (Ropivacaine Hydrochloride Group)5555

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Patient Satisfaction as Assessed by Likert Scale

"Patient reported a score for each of 4 different aspects of satisfaction: their quality of sleep, ability to ambulate, ability to breast or formula feed, and ability to feed and take care of newborn.~Each of the 4 aspects of satisfaction were rated on a 5-point Likert scale as follows: Extremely satisfied (5), Very satisfied (4), Moderately satisfied (3), Slightly satisfied (2), Not satisfied (1)." (NCT04368364)
Timeframe: 48 hours post surgery

,,
Interventionscore on a scale (Mean)
quality of sleepability to ambulateability to breast or formula feedability to feed and take care of newborn at 24 hours
Group 1 (Control Group)4444
Group 2(Bupivacaine Hydrochloride Group)4434
Group 3 (Ropivacaine Hydrochloride Group)5554

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Patient Satisfaction as Assessed by Likert Scale

"Patient reported a score for each of 4 different aspects of satisfaction: their quality of sleep, ability to ambulate, ability to breast or formula feed, and ability to feed and take care of newborn.~Each of the 4 aspects of satisfaction were rated on a 5-point Likert scale as follows: Extremely satisfied (5), Very satisfied (4), Moderately satisfied (3), Slightly satisfied (2), Not satisfied (1)." (NCT04368364)
Timeframe: 24 hours post surgery

,,
Interventionscore on a scale (Mean)
quality of sleepability to ambulateability to breast or formula feedability to feed and take care of newborn at 24 hours
Group 1 (Control Group)4243
Group 2(Bupivacaine Hydrochloride Group)3333
Group 3 (Ropivacaine Hydrochloride Group)4555

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Dynamic Pain as Measured by the Numerical Pain Score (NPS)

To assess dynamic pain scores, the participant be asked to sit up in bed from supine to sitting, and the NPS will then be recorded. If the participant is ambulating, the dynamic pain score during ambulation (rather during sitting) will be assessed. NPS is a 11-point scale with a higher number indicating more severe pain (total score ranges from 0 to 10). (NCT04368364)
Timeframe: 6, 12, 24, 48 and 72 hours post surgery

,,
Interventionscore on a scale (Mean)
6 hours12 hours24 hours48 hours72 hours
Group 1 (Control Group)06847
Group 2(Bupivacaine Hydrochloride Group)36621
Group 3 (Ropivacaine Hydrochloride Group)11221

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Total Narcotic Consumption in Morphine Equivalents (in Milligrams)

Total narcotic consumption in morphine equivalents (in milligrams) for the first 72 hours after surgery was calculated. (NCT04368364)
Timeframe: upto 72 hours post surgery

Interventionmilligrams (Mean)
Group 1 (Control Group)25
Group 2(Bupivacaine Hydrochloride Group)12.5
Group 3 (Ropivacaine Hydrochloride Group)0

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Time to First Analgesic Request

(NCT04368364)
Timeframe: 72 hours post surgery

Interventionminutes (Mean)
Group 1 (Control Group)414
Group 2(Bupivacaine Hydrochloride Group)1043
Group 3 (Ropivacaine Hydrochloride Group)0

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Severity of Nausea as Assessed by a Scale

This numeric scale is a 11-point scale with a higher number indicating an extremely severe side effect. Total score ranges from 0 to 10. (NCT04368364)
Timeframe: 24, 48 and 72 hours post surgery

,,
Interventionscore on a scale (Mean)
24 hours48 houts72 hours
Group 1 (Control Group)000
Group 2(Bupivacaine Hydrochloride Group)200
Group 3 (Ropivacaine Hydrochloride Group)000

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Total Narcotic Consumption in Morphine Equivalents (in Milligrams)

Total narcotic consumption in morphine equivalents (in milligrams) for 12, 24 and 48 hours after surgery was calculated. (NCT04368364)
Timeframe: 12,24,48 hours post surgery

,,
Interventionmilligrams (Mean)
24 hours48 hours
Group 1 (Control Group)12.525
Group 2(Bupivacaine Hydrochloride Group)12.512.5
Group 3 (Ropivacaine Hydrochloride Group)00

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Static Pain as Measured by the Numerical Pain Score (NPS)

To assess static pain scores, NPS will be recorded while the participant is supine in bed. NPS is a 11-point scale with a higher number indicating more severe pain (total score ranges from 0 to 10). (NCT04368364)
Timeframe: 6, 12, 24, 48 and 72 hours post surgery

,,
Interventionscore on a scale (Mean)
6 hours12 hours24 hours48 hours72 hours
Group 1 (Control Group)003.524
Group 2(Bupivacaine Hydrochloride Group)24421
Group 3 (Ropivacaine Hydrochloride Group)10221

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Severity of Vomiting as Assessed by a Scale

This numeric scale is a 11-point scale with a higher number indicating an extremely severe side effect. Total score ranges from 0 to 10. (NCT04368364)
Timeframe: 24, 48 and 72 hours post surgery

,,
Interventionscore on a scale (Mean)
24 hours48 hours72 hours
Group 1 (Control Group)000
Group 2(Bupivacaine Hydrochloride Group)300
Group 3 (Ropivacaine Hydrochloride Group)000

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Severity of Sedation as Assessed by a Scale

This numeric scale is a 11-point scale with a higher number indicating an extremely severe side effect. Total score ranges from 0 to 10. (NCT04368364)
Timeframe: 24, 48 and 72 hours post surgery

,,
Interventionscore on a scale (Mean)
24 hours48 hours72 hours
Group 1 (Control Group)000
Group 2(Bupivacaine Hydrochloride Group)310
Group 3 (Ropivacaine Hydrochloride Group)010

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Total Analgesic Medications

The 24-hour cumulative postoperative opioid analgesic requirement was calculated using standard tables to morphine equivalents. (NCT04426500)
Timeframe: 24 hours post operatively

,,
Interventionmg (Median)
AcetaminophenKetorlacOndansetron
Placebo/Local Anesthesia165000
Robotic -Guided Transversus Abdominus Plane (RTAP) Block132500
Ultrasound-guided Transversus Abdominus Plane (UTAP) Block1650300

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The Amount of Ondansetron Use

Use of antiemetic medications during the postoperative course (NCT04426500)
Timeframe: 2 weeks

Interventionmg (Mean)
Placebo/Local Anesthesia0.05
Ultrasound-guided Transversus Abdominus Plane (UTAP) Block0.31
Robotic -Guided Transversus Abdominus Plane (RTAP) Block0.29

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Visual Analog Scale (VAS)

Visual analog scale (VAS) is a pain rating scale, with full scale from 0 to 10, higher score indicating more pain (NCT04426500)
Timeframe: 24 hours post operatively

Interventionscore on a scale (Mean)
Placebo/Local Anesthesia1.29
Ultrasound-guided Transversus Abdominus Plane (UTAP) Block3.16
Robotic -Guided Transversus Abdominus Plane (RTAP) Block2.89

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Intraoperative Time and Block Time

Intraoperative time taken to complete surgical blocks and operative (NCT04426500)
Timeframe: up to 420 minutes

,,
Interventionminutes (Median)
Time Taken to Perform BlockTotal OR Time
Placebo/Local Anesthesia2.5211.5
Robotic -Guided Transversus Abdominus Plane (RTAP) Block2.5221
Ultrasound-guided Transversus Abdominus Plane (UTAP) Block6.0224.5

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VAS in Obese Patients

24 hour postoperative pain scores recorded using the visual analog scale (VAS) in obese patients. Visual analog scale (VAS) is a pain rating scale, with full scale from 0 to 10, higher score indicating more pain. Comparison in patients with BMI >30 and BMI<30 (NCT04426500)
Timeframe: 24 hours post operatively

,,
Interventionscore on a scale (Mean)
BMI >30BMI <30
Placebo/Local Anesthesia1.291.29
Robotic -Guided Transversus Abdominus Plane (RTAP) Block2.333.00
Ultrasound-guided Transversus Abdominus Plane (UTAP) Block4.092.67

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Postoperative Narcotic Use

Postoperative Narcotic Use in morphine equivalents (NCT04426500)
Timeframe: 24 hours post operatively

Interventionmorphine equivalents (Median)
Placebo/Local Anesthesia14.13
Ultrasound-guided Transversus Abdominus Plane (UTAP) Block19.50
Robotic -Guided Transversus Abdominus Plane (RTAP) Block17

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Intraoperative Ketoralac Use

Intraoperative Ketoralac Use (NCT04426500)
Timeframe: up to 420 minutes

Interventionmg (Median)
Placebo/Local Anesthesia0
Ultrasound-guided Transversus Abdominus Plane (UTAP) Block0
Robotic -Guided Transversus Abdominus Plane (RTAP) Block15

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Intraoperative Narcotic Use

Intraoperative Narcotic Use in morphine equivalents (NCT04426500)
Timeframe: up to 420 minutes

Interventionmorphine equivalents (Mean)
Placebo/Local Anesthesia27.0
Ultrasound-guided Transversus Abdominus Plane (UTAP) Block24.1
Robotic -Guided Transversus Abdominus Plane (RTAP) Block25.5

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Time to First Opioid

Time to First Opioid following a single dose of EXPAREL vs. Bupivacain HCl (NCT04518462)
Timeframe: Post Surgery through Day 14

Interventionhours (Mean)
EXPAREL Arm5.65
EXPAREL Admix Arm11.93
Bupivacaine HCl Arm16.67

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Magnitude of the Analgesic Effect (NRS Pain Intensity) (AUC)

"To compare the magnitude of the analgesic effect (NRS pain intensity scores) following a single dose injection of EXPAREL vs. bupivacaine hydrochloride (HCl) when administered as combined sciatic (in the popliteal fossa) and saphenous (in the adductor canal) nerve blocks in subjects undergoing lower extremity surgeries.~Numerical Rating Scale: an 11 point scale 0=no pain, 10= the worst pain imaginable. The area under the curve (AUC) of the NRS pain intensity scores from 0 to 96 hours post-surgery comparing EXPAREL to 0.25% bupivacaine HCl" (NCT04518462)
Timeframe: Post surgery - 96 hours

Interventionscore on a scale*hours (Mean)
EXPAREL Arm298.65
EXPAREL Admix Arm358.10
Bupivacaine HCl Arm380.05

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Total Opioid Consumption

Total Opioid Consumption in oral morphine equivalents (NCT04518462)
Timeframe: 0 hours to 96 hours

InterventionOMED mg (Least Squares Mean)
EXPAREL Arm20.68
EXPAREL Admix Arm23.56
Bupivacaine HCl Arm19.84

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Length of Stay

Determining how long patient is in hospital. (NCT04644796)
Timeframe: Until final follow-up, up to 8 weeks.

InterventionHours (Mean)
Placebo Group42.69
Liposomal Bupivacaine29.51

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Operative Data and Complications

Comparing intraoperative complications, acute postoperative complication, and opioid complications. (NCT04644796)
Timeframe: Until final follow-up, up to 8 weeks.

InterventionParticipants (Count of Participants)
Intraoperative Complications72128753Intraoperative Complications72128754Acute Postoperative Complication72128753Acute Postoperative Complication72128754Opioid Complications72128753Opioid Complications72128754
YesNone
Placebo Group17
Placebo Group0
Liposomal Bupivacaine0
Placebo Group15
Liposomal Bupivacaine16
Placebo Group2
Liposomal Bupivacaine1
Liposomal Bupivacaine17

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Postoperative Opioid Utilization

Comparing post operative opioid usage reduction between treatment and placebo group. (NCT04644796)
Timeframe: Until final follow-up, up to 8 weeks.

Interventionmorphine milligram equivalents (Mean)
Placebo Group4.82
Liposomal Bupivacaine9.17

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Post Operative Pain Scores

Comparing post operative pain scores between treatment and placebo group. Using Visual Analogue Scale (VAS) pain score with scale 0 to 10 with 0 being no pain and 10 being the worst pain of your life. (NCT04644796)
Timeframe: Until final follow-up or up to 8 weeks after surgery date, whichever comes first.

Interventionscore on a scale (Mean)
Placebo Group4.80
Liposomal Bupivacaine4.05

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Visual Analogue Scale

"The Visual Analogue Scale (VAS) is a straight, horizontal line of fixed length, numbered 0 to 10 as a measure of pain severity. The ends are the extreme limits of this scale, with the left side (0) representing the best outcome (no pain), and the right side (10) representing the worst outcome, extreme pain. The other numbers in between are representations of the variation in pain between these two feelings. The scale is presented to the participant with a verbal explanation of its meaning, and the participant points to or states a number indicating where they feel their pain level is best represented on the scale. That number is recorded.~For each group, every participant reported several different pain scores over multiple hours. The averages (means) below represent the summation of all of the pain scores reported throughout their admission." (NCT04749797)
Timeframe: 10 months (study terminated prior to completion)

Interventionscore on a scale (Mean)
Bupivacaine4.5
Saline Group3
Liposomal Bupivacaine4.25

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Length of Stay (ICU and

The secondary outcome variables are the duration of stay in the intensive care unit (ICU), and the duration of time in the hospital until discharge. (NCT04749797)
Timeframe: 10 months (study terminated)

,,
InterventionDays (Mean)
Hospital StayICU Stay
Bupivacaine4.25.94
Liposomal Bupivacaine6.51.09
Saline Group2.5.97

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Nebraska Interprofessional Education Attitude Scale (NIPEAS) Score for Professional Staff Arm

The Nebraska Interprofessional Education Attitude Scale (NIPEAS) was developed to measure the attitudes of pre-clinical learners to practicing health professionals. The NIPEAS is a 19-item questionnaire assessing attitudes related to interprofessional collaboration. Responses were given using a 5-point Likert scale where 1 = Strongly Disagree to 5 = Strongly Agree. The total score is the average of the average scores for each item and ranges from 1 to 5. A higher total score indicates increased positive perceptions toward interprofessional collaboration. (NCT04766996)
Timeframe: Prior to protocol implementation (baseline), halfway through the recruitment period (2 months) and after the last participant has been discharged from the hospital (4 months)

Interventionscore on a scale (Mean)
Baseline
Professional Staff4.35

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Total Post-operative Opioid Requirements With Non-opioid Drug Regimen

Total post-operative opioid requirements (opioid dose) were calculated for participants receiving the non-opioid drug regimen, among participants who required post-operative opioid medication. (NCT04766996)
Timeframe: Up to 5 weeks

Interventionmilligrams (Mean)
Prospective Cases Undergoing Non-opioid Drug Regimen400

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Percentage of Patients With Leftover Opioid Medication

Percentage of patients with leftover opioid medication (NCT04826484)
Timeframe: 10-14 days postoperatively

Intervention% of patients with leftover opiates (Number)
Liposomal Bupivacaine Plus 0.25% Bupivacaine14
0.25% Bupivacaine Alone24

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Percentage of Patients Who Are Opiate-free at 10-14 Days Postoperatively

Percentage of patients who are opiate-free at 10-14 days postoperatively. (NCT04826484)
Timeframe: 10-14 days postoperatively

Interventionpercentage of pt opioid-free at 10-14d (Number)
Liposomal Bupivacaine Plus 0.25% Bupivacaine60
0.25% Bupivacaine Alone62

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Percentage of Patients Who Are Opiate-free

Percentage of patients who are opiate-free at 48 hours postoperatively. (NCT04826484)
Timeframe: 48 hours postoperatively

Interventionpercentage of patients opioid-free (Number)
Liposomal Bupivacaine Plus 0.25% Bupivacaine60
0.25% Bupivacaine Alone62

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Parents' Postoperative Pain Measure (PPPM) Scores

15-item, yes/no behavioral checklist based on non-verbal pain cues children show following surgery. Scale is from 0 to 15, with higher scores denoting more severe pain. A score of 6+ has been validated as a threshold for a child experiencing clinically significant pain. (NCT04826484)
Timeframe: 48 hours postoperatively

Interventionscore on a scale (Median)
Liposomal Bupivacaine Plus 0.25% Bupivacaine2
0.25% Bupivacaine Alone2.5

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Parents' Postoperative Pain Measure (PPPM) Scores

15-item, yes/no behavioral checklist based on non-verbal pain cues children show following surgery. Scale is from 0 to 15, with higher scores denoting more severe pain. A score of 6+ has been validated as a threshold for a child experiencing clinically significant pain. (NCT04826484)
Timeframe: 10-14 days postoperatively

Interventionscore on a scale (Median)
Liposomal Bupivacaine Plus 0.25% Bupivacaine0
0.25% Bupivacaine Alone0

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Amount of Opioid Medication Used Post-discharge

Weight based amount of opioid medication (in OMEQ/kg) used post-discharge. (NCT04826484)
Timeframe: 10-14 days postoperatively

InterventionOral morphine equivalent per kg (OMEQ/kg (Median)
Liposomal Bupivacaine Plus 0.25% Bupivacaine0
0.25% Bupivacaine Alone0

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Percentage of Participants Who Would Recommend Treatment

2 weeks postpartum, participants will be asked to report whether they would recommend the treatment they received (NCT04897841)
Timeframe: 2 weeks postpartum

Interventionpercent who would recommend treatment (Number)
Control Arm81.0
Intervention: Liposomal Bupivacaine78.6

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Number of Participants With at Least One Newborn Admitted to the Neonatal Intensive Care Unit (NICU)

NICU admission is a potential confounding variable for maternal opioid use. (NCT04897841)
Timeframe: up to 7 days postpartum

InterventionParticipants (Count of Participants)
Control Arm5
Intervention: Liposomal Bupivacaine5

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Number of Opioid Pills Used

(NCT04897841)
Timeframe: 6 weeks postpartum

Interventionnumber of pills used (Median)
Control Arm0
Intervention: Liposomal Bupivacaine0

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6 Week Postpartum Satisfaction Survey Response Percentage

6 weeks postpartum, participants will be asked whether they would recommend the treatment they received. (NCT04897841)
Timeframe: 6 weeks postpartum

Interventionpercent who would recommend treatment (Number)
Control Arm70.8
Intervention: Liposomal Bupivacaine78.6

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Amount of Opioid Prescribed at Discharge

(NCT04897841)
Timeframe: up to 7 days postpartum

Interventionnumber of opioid tablets (Median)
Control Arm10
Intervention: Liposomal Bupivacaine0

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Fetal Weight

(NCT04897841)
Timeframe: at birth

Interventiongrams (Mean)
Control Arm3312
Intervention: Liposomal Bupivacaine3395

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Total Opioid Usage in Oral Morphine Equivalents

Compared via Student's t-test or Mann-Whitney U test if the distribution is non-normally distributed (NCT04897841)
Timeframe: up to 48 hours postpartum

Interventionmorphine milligram equivalents (Median)
Control Arm8
Intervention: Liposomal Bupivacaine2

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Five-minute Apgar Scores

The Apgar Score is a measure of fetal health status immediately after birth. It comprises five components: 1) color, 2) heart rate, 3) reflexes, 4) muscle tone, and 5) respiration, each of which is given a score of 0, 1, or 2 for a total possible score of 0-10, where higher scores indicate better health. (NCT04897841)
Timeframe: 5 minutes after birth

Interventionscore on a scale (Mean)
Control Arm8.79
Intervention: Liposomal Bupivacaine8.74

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Number of Participants Readmitted to the Hospital

(NCT04897841)
Timeframe: up to 6 weeks postpartum

InterventionParticipants (Count of Participants)
Control Arm0
Intervention: Liposomal Bupivacaine2

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Incidence of Supplemental Oxygen Use During Hospitalization

Number of participants requiring supplemental oxygen use (NCT04897841)
Timeframe: up to 7 days postpartum

InterventionParticipants (Count of Participants)
Control Arm0
Intervention: Liposomal Bupivacaine0

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Minimum Post-operative Pain Scores Measured on NRS

Numeric rating scale (NRS) which rates pain on a 0-10 scale where 10 is increased pain. (NCT04897841)
Timeframe: Collected per standard of care every 4-6 hours up to 24 hours postpartum

,
Interventionscore on a scale (Median)
First 12 hours postpartum12-24 hours postpartum
Control Arm23
Intervention: Liposomal Bupivacaine23

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Maximum Post-operative Pain Scores Measured on NRS

Numeric rating scale (NRS) which rates pain on a 0-10 scale where 10 is increased pain. (NCT04897841)
Timeframe: Collected per standard of care every 4-6 hours up to 24 hours postpartum

,
Interventionscore on a scale (Median)
First 12 hours postpartum12-24 hours postpartum
Control Arm2.53.5
Intervention: Liposomal Bupivacaine23

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Time to First Rescue Analgesic Medication

Time to first rescue analgesic medication, measured in minutes from arrival in the post-anesthesia care unit (PACU) until the first as needed opioid dose is administered. (NCT04897841)
Timeframe: up to 7 days postpartum

Interventionminutes (Median)
Control Arm21.8
Intervention: Liposomal Bupivacaine18.2

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Postnatal Depression Screen

Participants self-reported feeling down or depressed (NCT04897841)
Timeframe: 6 weeks postpartum

InterventionParticipants (Count of Participants)
Control Arm10
Intervention: Liposomal Bupivacaine12

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Percentage of Participants With Opioid Refills Requested

(NCT04897841)
Timeframe: 6 weeks postpartum

Interventionpercentage of participants with refill (Number)
Control Arm8.33
Intervention: Liposomal Bupivacaine3.6

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Incidence of Opioid Side Effects

Number of patients reporting opioid-related side effects, such as pruritis, constipation, nausea, and mental clouding. (NCT04897841)
Timeframe: up to 7 days postpartum

,
InterventionParticipants (Count of Participants)
Respiratory eventsPruritisConstipationNausea and/or vomitingMental clouding
Control Arm00021
Intervention: Liposomal Bupivacaine01021

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Length of Postpartum Hospital Stay

(NCT04897841)
Timeframe: up to 7 days postpartum

InterventionDays (Median)
Control Arm2.97
Intervention: Liposomal Bupivacaine2.82

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Percentage of Participants With Adverse Events

Percentage of complications of bupivacaine, such as local burning, nausea, dizziness, drowsiness, serious skin reactions such as blistering, confusion, blurred vision, ringing in the ears, arrhythmias, methemoglobinemia, and allergies and hypersensitivities (NCT04897841)
Timeframe: up to 7 days postpartum

Intervention% of participants with adverse events (Number)
Control Arm10
Intervention: Liposomal Bupivacaine6

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Median Post-operative Pain Scores Measured on NRS

Numeric rating scale (NRS) which rates pain on a 0-10 scale where 10 is increased pain. (NCT04897841)
Timeframe: Collected per standard of care every 4-6 hours up to 24 hours postpartum

Interventionscore on a scale (Median)
Control Arm3.75
Intervention: Liposomal Bupivacaine3

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Total Dose of Opioids in Oral Morphine Equivalents

(NCT04897841)
Timeframe: at 12, 24, 72 hours postpartum and entire hospital stay

,
Interventionmorphine milligram equivalents (Median)
12 hours postpartum24 hours postpartum72 hours postpartumentire hospital stay
Control Arm002424
Intervention: Liposomal Bupivacaine0066

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Pain Intensity Score at Rest at 24 Hours Post-operatively

Self-reported pain intensity scores measure using numerical rating scale of 0 (no pain) to 10 (worst pain imaginable). Primary outcome was measured at 24 hours postoperative time point. (NCT05005260)
Timeframe: Post-Operative Day 1

Interventionunits on a scale (Median)
Liposomal Bupivacaine Single-shot Interscalene Blockade1
Continuous Interscalene Nerve Blockade1

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Cumulative Opioid Consumption

Reported in mg oral morphine equivalents (OME); measured from PACU through postoperative day 3 (NCT05005260)
Timeframe: PACU to postoperative day 3

Interventionmg oral morphine equivalents (Median)
Liposomal Bupivacaine Single-shot Interscalene Blockade30.0
Continuous Interscalene Nerve Blockade15.0

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Number of Subjects Who Experience Post Operative Adverse Events

(NCT05244525)
Timeframe: from the end of surgery up to 2 weeks post surgery

InterventionParticipants (Count of Participants)
Treatment0
Control Group0

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Intraoperative Mean Arterial Pressure

(NCT05244525)
Timeframe: end of surgery(about 30-120 minutes from start of surgery)

InterventionmmHg (Mean)
Treatment70.5
Control Group71.3

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Total Operative Time

(NCT05244525)
Timeframe: end of surgery(about 30-120 minutes from start of surgery)

Interventionminutes (Mean)
Treatment62
Control Group64

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Number of Subjects Who Experience Intraoperative Adverse Events

(NCT05244525)
Timeframe: end of surgery(about 30-120 minutes from start of surgery)

InterventionParticipants (Count of Participants)
Treatment0
Control Group0

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Surgeon-rated Visual Clarity as Assessed by the Visual Analog Scale

This scale is scored from 1-10, a higher number indicating better clarity (NCT05244525)
Timeframe: end of surgery(about 30-120 minutes from start of surgery)

Interventionscore on a scale (Mean)
Treatment8.3
Control Group7.5

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Percentage of Participants for Whom Intra-operative Arthroscopic Pump Pressure Was Increased to 45mmHg or Higher During the Surgical Procedure

The pump pressure is initially set at 35mmHg during the arthroscopic surgical procedure. If visualization is limited during the procedure, surgeons may increase the pump pressure of arthroscopic fluid within the shoulder during the procedure. This outcome measure reports the percentage of participants for whom intra-operative arthroscopic pump pressure was increased to 45mmHg or higher during the surgical procedure. (NCT05244525)
Timeframe: From start of surgery to end of surgery(about 30-120 minutes)

Interventionpercent (Number)
Treatment22
Control Group23

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