bupivacaine has been researched along with Addiction, Opioid in 25 studies
Bupivacaine: A widely used local anesthetic agent.
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.
bupivacaine : A racemate composed of equimolar amounts of dextrobupivacaine and levobupivacaine. Used (in the form of its hydrochloride hydrate) as a local anaesthetic.
Excerpt | Relevance | Reference |
---|---|---|
"Furthermore, acute postoperative pain is an important risk factor for chronic postsurgical pain." | 6.87 | Preperitoneal Bupivacaine Infiltration Reduces Postoperative Opioid Consumption, Acute Pain, and Chronic Postsurgical Pain After Bariatric Surgery: a Randomized Controlled Trial. ( Aarts, EO; Boerboom, SL; de Haes, A; Geurts, JW; Janssen, IMC; Kamphuis, ET; Vd Wetering, L, 2018) |
"Given the rising rates of opioid dependence and concerns regarding the fetal and neonatal effects of opioid use, our practice has turned to nonopioid pain management techniques." | 5.62 | Continuous local bupivacaine wound infusion reduces oral opioid use for acute postoperative pain control following myelomeningocele repair. ( Behrendt, NJ; Chow, F; Galan, HL; Liechty, KW; Porter, AC; Wood, C; Zaretsky, MV, 2021) |
"The aim of this study was to determine whether the administration of liposomal bupivacaine decreased opioid use and delirium in patients sustaining a hip fracture." | 4.31 | Liposomal Bupivacaine Decreases Intravenous Opioid Use in Patients with Hip Fracture: A Modification to a Novel Pain Protocol. ( Donegan, D; Fryhofer, GW; Looby, S; Mehta, S; Stein, MK; Stevenson, KL, 2023) |
" She developed post-dural puncture headache (PDPH) on the third postpartum day which was managed by palliative measures: bed rest (patient's position of choice), increased hydration (water: 3 litres po per day), lysine acetyl salicylate (5." | 3.70 | Unilateral trigeminal and facial nerve palsies associated with epidural analgesia in labour. ( Agustí, M; Carrero, EJ; Fábregas, N; Fernández, C; Valldeoriola, F, 1998) |
" 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." | 3.30 | 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) |
"Effective management of postoperative pain after total hip arthroplasty (THA) may be challenging." | 3.30 | Minimizing Opioid Use After Total Hip Arthroplasty: Comparing Periarticular Injection Versus Patient-Controlled Epidural Analgesia Versus a Combination Protocol. ( Freeman, C; Jules-Elysee, K; Maalouf, D; Mayman, D; Sculco, P; YaDeau, J, 2023) |
"Evaluate how bupivacaine affects postoperative pain and narcotic use." | 3.11 | Bupivacaine to Reduce Pain and Narcotic Use After Mohs Micrographic Surgery. ( Giordano, C; Golda, NJ; Nugent, S; Oh, C; Veerabagu, S; Voss, VB, 2022) |
"Furthermore, acute postoperative pain is an important risk factor for chronic postsurgical pain." | 2.87 | Preperitoneal Bupivacaine Infiltration Reduces Postoperative Opioid Consumption, Acute Pain, and Chronic Postsurgical Pain After Bariatric Surgery: a Randomized Controlled Trial. ( Aarts, EO; Boerboom, SL; de Haes, A; Geurts, JW; Janssen, IMC; Kamphuis, ET; Vd Wetering, L, 2018) |
"Given the rising rates of opioid dependence and concerns regarding the fetal and neonatal effects of opioid use, our practice has turned to nonopioid pain management techniques." | 1.62 | Continuous local bupivacaine wound infusion reduces oral opioid use for acute postoperative pain control following myelomeningocele repair. ( Behrendt, NJ; Chow, F; Galan, HL; Liechty, KW; Porter, AC; Wood, C; Zaretsky, MV, 2021) |
" However, adverse side effects of opioids include respiratory depression, urinary retention, pruritus, vomiting, nausea, constipation, and increased risk of falls." | 1.43 | Reducing Opioid Adverse Events: A Safe Way to Improve Outcomes. ( McCarus, SD; Redan, JA; Reeder, S; Wells, T, 2016) |
Timeframe | Studies, this research(%) | All Research% |
---|---|---|
pre-1990 | 0 (0.00) | 18.7374 |
1990's | 2 (8.00) | 18.2507 |
2000's | 2 (8.00) | 29.6817 |
2010's | 7 (28.00) | 24.3611 |
2020's | 14 (56.00) | 2.80 |
Authors | Studies |
---|---|
Waddimba, AC | 1 |
Newman, P | 1 |
Shelley, JK | 1 |
McShan, EE | 1 |
Cheung, ZO | 1 |
Gibson, JN | 1 |
Bennett, MM | 1 |
Petrey, LB | 1 |
Shih, E | 1 |
DiMaio, JM | 1 |
Squiers, JJ | 1 |
Wheeless, J | 1 |
Hoffman, WJ | 1 |
Banwait, JK | 1 |
Hamandi, M | 1 |
Baxter, R | 1 |
Harrington, KB | 1 |
Lee, GC | 1 |
Berkowitz, R | 1 |
Hacker, S | 1 |
Hu, J | 1 |
Rechter, A | 1 |
Chevrollier, GS | 1 |
Klinger, AL | 1 |
Green, HJ | 1 |
Gastanaduy, MM | 1 |
Johnston, WF | 1 |
Vargas, HD | 1 |
Kann, BR | 1 |
Whitlow, CB | 1 |
Paruch, JL | 1 |
Jules-Elysee, K | 1 |
Freeman, C | 1 |
Maalouf, D | 1 |
YaDeau, J | 1 |
Mayman, D | 1 |
Sculco, P | 1 |
Jain, N | 1 |
Kotulski, C | 1 |
Al-Hilli, A | 1 |
Yeung-Lai-Wah, P | 1 |
Pluta, J | 1 |
Heegeman, D | 1 |
Popat, H | 1 |
Angiti, R | 1 |
Jyoti, J | 1 |
Webb, A | 1 |
Barnes, E | 1 |
Halliday, R | 1 |
Badawi, N | 1 |
de Lima, J | 1 |
Spence, K | 1 |
Thomas, G | 1 |
Shun, A | 1 |
Voss, VB | 1 |
Oh, C | 1 |
Veerabagu, S | 1 |
Nugent, S | 1 |
Giordano, C | 1 |
Golda, NJ | 1 |
Cleary, DR | 3 |
Tan, H | 3 |
Ciacci, J | 3 |
Becker, E | 1 |
Hernandez, A | 1 |
Greene, H | 1 |
Gadbois, K | 1 |
Gallus, D | 1 |
Wisbach, G | 1 |
Stevenson, KL | 1 |
Stein, MK | 1 |
Fryhofer, GW | 1 |
Looby, S | 1 |
Donegan, D | 1 |
Mehta, S | 1 |
Ratnasekara, V | 1 |
Weinberg, L | 1 |
Johnston, SA | 1 |
Fletcher, L | 1 |
Nugraha, P | 1 |
Cox, DRA | 1 |
Hu, R | 1 |
Meyer, I | 1 |
Yoshino, O | 1 |
Perini, MV | 1 |
Muralidharan, V | 1 |
Nikfarjam, M | 1 |
Lee, DK | 1 |
Razavi, M | 1 |
Bameshki, A | 1 |
Jarahi, L | 1 |
Saghari, M | 1 |
Chu, CE | 1 |
Law, L | 1 |
Zuniga, K | 1 |
Lin, TK | 1 |
Tsourounis, C | 1 |
Rodriguez-Monguio, R | 1 |
Lazar, A | 1 |
Washington, SL | 1 |
Cooperberg, MR | 1 |
Greene, KL | 1 |
Carroll, PR | 1 |
Pruthi, RS | 1 |
Meng, MV | 1 |
Chen, LL | 1 |
Porten, SP | 1 |
Porter, AC | 1 |
Behrendt, NJ | 1 |
Zaretsky, MV | 1 |
Liechty, KW | 1 |
Wood, C | 2 |
Chow, F | 2 |
Galan, HL | 1 |
Mont, MA | 1 |
Beaver, WB | 1 |
Dysart, SH | 1 |
Barrington, JW | 1 |
Del Gaizo, DJ | 1 |
Zaretsky, M | 1 |
Nivens, T | 1 |
McLaughlin, G | 1 |
Zuk, J | 1 |
Pan, Z | 1 |
Boerboom, SL | 1 |
de Haes, A | 1 |
Vd Wetering, L | 1 |
Aarts, EO | 1 |
Janssen, IMC | 1 |
Geurts, JW | 1 |
Kamphuis, ET | 1 |
Schwarzkopf, R | 1 |
Drexler, M | 1 |
Ma, MW | 1 |
Schultz, VM | 1 |
Le, KT | 1 |
Rutenberg, TF | 1 |
Rinehart, JB | 1 |
Grieff, AN | 1 |
Ghobrial, GM | 1 |
Jallo, J | 1 |
Redan, JA | 1 |
Wells, T | 1 |
Reeder, S | 1 |
McCarus, SD | 1 |
Breitfeld, C | 1 |
Eikermann, M | 1 |
Kienbaum, P | 1 |
Peters, J | 1 |
Dabbagh, A | 1 |
Dahi-Taleghani, M | 1 |
Elyasi, H | 1 |
Vosoughian, M | 1 |
Malek, B | 1 |
Rajaei, S | 1 |
Maftuh, H | 1 |
Connor, DF | 1 |
Muir, A | 1 |
Carrero, EJ | 1 |
Agustí, M | 1 |
Fábregas, N | 1 |
Valldeoriola, F | 1 |
Fernández, C | 1 |
Trial | Phase | Enrollment | Study Type | Start Date | Status | ||
---|---|---|---|---|---|---|---|
TAP (Transverse Abdominis Plane) Block With Exparel (Liposomal Bupivicaine) vs. Bupivicaine Post-op Pain Management[NCT04781075] | Phase 4 | 76 participants (Actual) | Interventional | 2017-12-01 | Completed | ||
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) | Interventional | 2020-03-06 | Recruiting | |||
Impact of Integrated Care Pathways for Prevention of Post-operative Urinary Retention in Primary Total Knee or Total Hip Replacement: Prospective Randomized Control Trial[NCT03863743] | 164 participants (Anticipated) | Interventional | 2019-02-05 | Recruiting | |||
Pain Outcomes Following Hip Arthroscopy: A Prospective Randomized Control Study Comparing Fascia Iliaca Blockade vs Extracapsular Local Field Infiltration With Liposomal Bupivacaine[NCT04114058] | Phase 4 | 37 participants (Actual) | Interventional | 2019-10-29 | Completed | ||
Preemptive Local Analgesia With Liposomal Bupivacaine in Vaginal Hysterectomy: A Randomized Controlled Study[NCT03907033] | Phase 4 | 28 participants (Actual) | Interventional | 2019-09-03 | Terminated (stopped due to Insufficient funding to continue with study activities) | ||
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 4 | 140 participants (Actual) | Interventional | 2016-04-18 | Completed | ||
Use of Long-acting Local Analgesia in Bariatrics: A Randomized Controlled Trial[NCT03975283] | Phase 4 | 80 participants (Anticipated) | Interventional | 2019-08-31 | Not yet recruiting | ||
Efficacy of Combined Periportal and Preperitoneal Local Anesthetic Infiltration (CPPLAI) in Laparoscopic Sleeve Gastrectomy Patients[NCT04680923] | 120 participants (Actual) | Interventional | 2020-12-08 | Completed | |||
Clinical Outcomes of an Adductor Canal Block Versus Liposomal Bupivacaine in Total Knee Arthroplasty Patients: A Randomized Prospective Study[NCT04086186] | Phase 4 | 60 participants (Actual) | Interventional | 2017-03-22 | Completed | ||
Postoperative Analgesia After Cardiac Surgery - A Double-Blind, Prospective and Randomized Comparison of Wound Infiltration With Liposomal Bupivacaine and Bupivacaine Hydrochloride[NCT03270514] | Phase 3 | 60 participants (Actual) | Interventional | 2018-11-15 | Completed | ||
Liposomal Bupivacaine Versus Bupivacaine for Postoperative Analgesia Following Video-assisted Thoracoscopic Surgery.[NCT03036085] | Phase 2/Phase 3 | 200 participants (Anticipated) | Interventional | 2017-02-28 | Not yet recruiting | ||
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
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.
Intervention | number of pills (Mean) |
---|---|
Liposomal Bupivicaine | 7.6 |
Fascia Iliaca Blockade | 7.8 |
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
Intervention | total number of falls (Number) |
---|---|
Liposomal Bupivicaine | 0 |
Fascia Iliaca Blockade | 6 |
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)
Intervention | cm (Mean) |
---|---|
Liposomal Bupivicaine | 2.4 |
Fascia Iliaca Blockade | 2.7 |
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
Intervention | Participants (Count of Participants) |
---|---|
Standard Bupivacaine | 1 |
Liposomal Bupivacaine | 1 |
Number of times the patient vomited (NCT03907033)
Timeframe: 24, 48, and 72 hours post-surgery
Intervention | events (Median) | ||
---|---|---|---|
24 hours post-surgery | 48 hours post-surgery | 72 hours post-surgery | |
Liposomal Bupivacaine | 0.0 | 0.0 | 0.0 |
Standard Bupivacaine | 0.0 | 0.0 | 0.0 |
Number of times patient reported feeling nauseous (NCT03907033)
Timeframe: 24, 48, and 72 hours post-surgery
Intervention | events (Median) | ||
---|---|---|---|
24 hours post-surgery | 48 hours post-surgery | 72 hours post-surgery | |
Liposomal Bupivacaine | 0.0 | 0.0 | 0.0 |
Standard Bupivacaine | 0.0 | 0.0 | 0.0 |
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
Intervention | score on a scale (Median) | |
---|---|---|
72 hours post-surgery | 7-10 days post-surgery | |
Liposomal Bupivacaine | 9.5 | 9.0 |
Standard Bupivacaine | 10.0 | 10.00 |
Participants post-surgical analgesic medication use of Ibuprofen and acetaminophen measured in milligrams (mg) (NCT03907033)
Timeframe: First 72 hours following surgery completion
Intervention | mg (Median) | |
---|---|---|
Ibuprofen | Tylenol | |
Liposomal Bupivacaine | 4800.0 | 6500.0 |
Standard Bupivacaine | 5400.0 | 6500.0 |
Participants post-surgical analgesic medication use of IV hydrocodone and oxycodone measured in morphine equivalents (ME) (NCT03907033)
Timeframe: First 72 hours following surgery completion
Intervention | Morphine Equivalents (ME) (Median) | |
---|---|---|
Hydrocodone | Oxycodone | |
Liposomal Bupivacaine | 0 | 30.0 |
Standard Bupivacaine | 0 | 30.0 |
Scale Ranges from 0 (no pain) to 10 (extreme pain) (NCT03907033)
Timeframe: 24, 48, and 72 hours post-surgery completion
Intervention | score on a scale (Median) | ||
---|---|---|---|
24 hours post-surgery | 48 hours post-surgery | 72 hours post-surgery | |
Liposomal Bupivacaine | 3.5 | 3.6 | 2.4 |
Standard Bupivacaine | 3.1 | 2.5 | 1.6 |
"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
Intervention | cm*hr (Least Squares Mean) |
---|---|
EXPAREL | 181.523 |
Bupivacaine | 208.407 |
"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
Intervention | score on a scale (Mean) |
---|---|
EXPAREL | 4.1 |
Bupivacaine | 4.6 |
(NCT02713490)
Timeframe: 48 hours
Intervention | Participants (Count of Participants) |
---|---|
EXPAREL | 7 |
Bupivacaine | 0 |
Total postsurgical opioid consumption (converted to oral morphine equivalents) through 48 hours (NCT02713490)
Timeframe: 0-48 hours
Intervention | mg (Least Squares Mean) |
---|---|
EXPAREL | 16.321 |
Bupivacaine | 80.328 |
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
Intervention | h (Number) | ||
---|---|---|---|
First quartile | Median quartile | Third quartile | |
Bupivacaine | 1.00 | 2.917 | 7.200 |
EXPAREL | 2.617 | 4.125 | 9.667 |
Readmission to hospital will be noted (NCT03270514)
Timeframe: From end of surgery assessed up to 30 days post-operatively
Intervention | Participants (Count of Participants) |
---|---|
Exparel Injectable Product | 3 |
Bupivacaine Hydrochloride | 3 |
Mortality will be noted at specific timepoints (NCT03270514)
Timeframe: From end of surgery assessed up to 30 days post-operatively
Intervention | Participants (Count of Participants) |
---|---|
Exparel Injectable Product | 0 |
Bupivacaine Hydrochloride | 1 |
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
Intervention | Participants (Count of Participants) |
---|---|
Exparel Injectable Product | 6 |
Bupivacaine Hydrochloride | 5 |
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
Intervention | score on a scale (Median) |
---|---|
Exparel Injectable Product | 10 |
Bupivacaine Hydrochloride | 10 |
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*
Intervention | hours (Median) |
---|---|
Exparel Injectable Product | 42 |
Bupivacaine Hydrochloride | 45 |
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
Intervention | hours (Median) |
---|---|
Exparel Injectable Product | 7 |
Bupivacaine Hydrochloride | 5.6 |
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
Intervention | hours (Median) |
---|---|
Exparel Injectable Product | 16 |
Bupivacaine Hydrochloride | 16 |
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
Intervention | Participants (Count of Participants) |
---|---|
Exparel Injectable Product | 3 |
Bupivacaine Hydrochloride | 9 |
Instances of re-intubation will be recorded (NCT03270514)
Timeframe: From time of end of surgery to patient discharge up to one week
Intervention | Participants (Count of Participants) |
---|---|
Exparel Injectable Product | 3 |
Bupivacaine Hydrochloride | 3 |
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
Intervention | hours (Median) |
---|---|
Exparel Injectable Product | 3.85 |
Bupivacaine Hydrochloride | 3.47 |
Frequency of incentive spirometry will be measured (NCT03270514)
Timeframe: From time of end of surgery to 72 hours post-operatively
Intervention | Participants (Count of Participants) |
---|---|
Exparel Injectable Product | 29 |
Bupivacaine Hydrochloride | 31 |
Length of both hospital and ICU stay will be measured (NCT03270514)
Timeframe: From date of surgery assessed up to 30 day post-operatively
Intervention | days (Median) | |
---|---|---|
Length of ICU stay | Length of postoperative hospital stay | |
Bupivacaine Hydrochloride | 1.71 | 6 |
Exparel Injectable Product | 1.51 | 7 |
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
Intervention | score on a scale (Mean) | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
4hrs. at rest | 4hrs. with movement | 8hrs. at rest | 8hrs. with movement | 12hrs. at rest | 12hrs. with movement | 16hrs. at rest | 16hrs. with movement | 20hrs. at rest | 20hrs. with movement | 24hrs. at rest | 24hrs. with movement | 32hrs. at rest | 32hrs. with movement | 40hrs. at rest | 40hrs. with movement | 48hrs. at rest | 48hrs. with movement | 60hrs. at rest | 60hrs. with movement | 72hrs. at rest | 72hrs. with movement | |
Bupivacaine Hydrochloride | 5.03 | 6.64 | 4.996 | 6.6 | 4.962 | 6.56 | 4.928 | 6.52 | 4.894 | 6.48 | 4.86 | 6.44 | 4.792 | 6.32 | 4.724 | 6.24 | 4.656 | 6.16 | 4.554 | 6.04 | 4.452 | 5.92 |
Exparel Injectable Product | 4.7482 | 5.75 | 4.7262 | 5.74 | 4.7042 | 5.73 | 4.6822 | 5.72 | 4.6602 | 5.71 | 4.6382 | 5.7 | 4.5942 | 5.68 | 4.5282 | 5.66 | 4.4622 | 5.64 | 4.3742 | 5.61 | 4.2862 | 5.58 |
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
Intervention | µg/dL (Median) | ||
---|---|---|---|
8 hours postoperatively | 48 hours postoperatively | 72 hours postoperatively | |
Bupivacaine Hydrochloride | 36.5 | 19 | 17 |
Exparel Injectable Product | 30 | 15 | 16 |
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
Intervention | oral morphine equivalents in mg (Median) | ||||
---|---|---|---|---|---|
0-8 hours | 8-24 hours | 24-48 hours | 48-72 hours | 0-72 hours | |
Bupivacaine Hydrochloride | 10 | 34.5 | 45 | 26.5 | 105 |
Exparel Injectable Product | 15 | 45 | 45 | 15 | 139 |
10 trials available for bupivacaine and Addiction, Opioid
Article | Year |
---|---|
Effect of Preincisional Liposomal Bupivacaine Sternal Blockade on Poststernotomy Opioid Use.
Topics: Analgesics, Opioid; Anesthetics, Local; Bupivacaine; Humans; Liposomes; Morphine Derivatives; Opioid | 2022 |
HTX-011 in Combination with Multimodal Analgesic Regimen Minimized Severe Pain and Opioid Use after Total Knee Arthroplasty in an Open-Label Study.
Topics: Acetaminophen; Analgesics; Analgesics, Opioid; Anesthetics, Local; Arthroplasty, Replacement, Knee; | 2023 |
Liposomal Bupivacaine Transversus Abdominis Plane Blocks in Laparoscopic Colorectal Resections: A Single-Institution Randomized Controlled Trial.
Topics: Abdominal Muscles; Adolescent; Adult; Aged; Aged, 80 and over; Bupivacaine; Colorectal Neoplasms; Hu | 2023 |
Minimizing Opioid Use After Total Hip Arthroplasty: Comparing Periarticular Injection Versus Patient-Controlled Epidural Analgesia Versus a Combination Protocol.
Topics: Analgesia, Epidural; Analgesia, Patient-Controlled; Analgesics, Opioid; Anesthetics, Local; Arthropl | 2023 |
Continuous local anaesthetic wound infusion of bupivacaine for postoperative analgesia in neonates: a randomised control trial (CANWIN Study).
Topics: Analgesia; Analgesics, Opioid; Anesthetics, Local; Bupivacaine; Humans; Infant, Newborn; Opioid-Rela | 2022 |
Bupivacaine to Reduce Pain and Narcotic Use After Mohs Micrographic Surgery.
Topics: Anesthetics, Local; Bupivacaine; Double-Blind Method; Humans; Mohs Surgery; Narcotics; Opioid-Relate | 2022 |
Does Liposomal Bupivacaine Decrease Postoperative Opioid Use in Conjunction with an Enhanced Recovery After Bariatric Surgery Pathway? A Prospective, Double-blind, Randomized Controlled Trial.
Topics: Analgesics, Opioid; Anesthetics, Local; Bariatric Surgery; Bupivacaine; Humans; Length of Stay; Obes | 2023 |
Local Infiltration Analgesia With Liposomal Bupivacaine Improves Pain Scores and Reduces Opioid Use After Total Knee Arthroplasty: Results of a Randomized Controlled Trial.
Topics: Aged; Analgesia; Analgesics, Opioid; Anesthetics, Local; Area Under Curve; Arthroplasty, Replacement | 2018 |
Local Infiltration Analgesia With Liposomal Bupivacaine Improves Pain Scores and Reduces Opioid Use After Total Knee Arthroplasty: Results of a Randomized Controlled Trial.
Topics: Aged; Analgesia; Analgesics, Opioid; Anesthetics, Local; Area Under Curve; Arthroplasty, Replacement | 2018 |
Local Infiltration Analgesia With Liposomal Bupivacaine Improves Pain Scores and Reduces Opioid Use After Total Knee Arthroplasty: Results of a Randomized Controlled Trial.
Topics: Aged; Analgesia; Analgesics, Opioid; Anesthetics, Local; Area Under Curve; Arthroplasty, Replacement | 2018 |
Local Infiltration Analgesia With Liposomal Bupivacaine Improves Pain Scores and Reduces Opioid Use After Total Knee Arthroplasty: Results of a Randomized Controlled Trial.
Topics: Aged; Analgesia; Analgesics, Opioid; Anesthetics, Local; Area Under Curve; Arthroplasty, Replacement | 2018 |
Local Infiltration Analgesia With Liposomal Bupivacaine Improves Pain Scores and Reduces Opioid Use After Total Knee Arthroplasty: Results of a Randomized Controlled Trial.
Topics: Aged; Analgesia; Analgesics, Opioid; Anesthetics, Local; Area Under Curve; Arthroplasty, Replacement | 2018 |
Local Infiltration Analgesia With Liposomal Bupivacaine Improves Pain Scores and Reduces Opioid Use After Total Knee Arthroplasty: Results of a Randomized Controlled Trial.
Topics: Aged; Analgesia; Analgesics, Opioid; Anesthetics, Local; Area Under Curve; Arthroplasty, Replacement | 2018 |
Local Infiltration Analgesia With Liposomal Bupivacaine Improves Pain Scores and Reduces Opioid Use After Total Knee Arthroplasty: Results of a Randomized Controlled Trial.
Topics: Aged; Analgesia; Analgesics, Opioid; Anesthetics, Local; Area Under Curve; Arthroplasty, Replacement | 2018 |
Local Infiltration Analgesia With Liposomal Bupivacaine Improves Pain Scores and Reduces Opioid Use After Total Knee Arthroplasty: Results of a Randomized Controlled Trial.
Topics: Aged; Analgesia; Analgesics, Opioid; Anesthetics, Local; Area Under Curve; Arthroplasty, Replacement | 2018 |
Local Infiltration Analgesia With Liposomal Bupivacaine Improves Pain Scores and Reduces Opioid Use After Total Knee Arthroplasty: Results of a Randomized Controlled Trial.
Topics: Aged; Analgesia; Analgesics, Opioid; Anesthetics, Local; Area Under Curve; Arthroplasty, Replacement | 2018 |
Local Infiltration Analgesia With Liposomal Bupivacaine Improves Pain Scores and Reduces Opioid Use After Total Knee Arthroplasty: Results of a Randomized Controlled Trial.
Topics: Aged; Analgesia; Analgesics, Opioid; Anesthetics, Local; Area Under Curve; Arthroplasty, Replacement | 2018 |
Local Infiltration Analgesia With Liposomal Bupivacaine Improves Pain Scores and Reduces Opioid Use After Total Knee Arthroplasty: Results of a Randomized Controlled Trial.
Topics: Aged; Analgesia; Analgesics, Opioid; Anesthetics, Local; Area Under Curve; Arthroplasty, Replacement | 2018 |
Local Infiltration Analgesia With Liposomal Bupivacaine Improves Pain Scores and Reduces Opioid Use After Total Knee Arthroplasty: Results of a Randomized Controlled Trial.
Topics: Aged; Analgesia; Analgesics, Opioid; Anesthetics, Local; Area Under Curve; Arthroplasty, Replacement | 2018 |
Local Infiltration Analgesia With Liposomal Bupivacaine Improves Pain Scores and Reduces Opioid Use After Total Knee Arthroplasty: Results of a Randomized Controlled Trial.
Topics: Aged; Analgesia; Analgesics, Opioid; Anesthetics, Local; Area Under Curve; Arthroplasty, Replacement | 2018 |
Local Infiltration Analgesia With Liposomal Bupivacaine Improves Pain Scores and Reduces Opioid Use After Total Knee Arthroplasty: Results of a Randomized Controlled Trial.
Topics: Aged; Analgesia; Analgesics, Opioid; Anesthetics, Local; Area Under Curve; Arthroplasty, Replacement | 2018 |
Local Infiltration Analgesia With Liposomal Bupivacaine Improves Pain Scores and Reduces Opioid Use After Total Knee Arthroplasty: Results of a Randomized Controlled Trial.
Topics: Aged; Analgesia; Analgesics, Opioid; Anesthetics, Local; Area Under Curve; Arthroplasty, Replacement | 2018 |
Local Infiltration Analgesia With Liposomal Bupivacaine Improves Pain Scores and Reduces Opioid Use After Total Knee Arthroplasty: Results of a Randomized Controlled Trial.
Topics: Aged; Analgesia; Analgesics, Opioid; Anesthetics, Local; Area Under Curve; Arthroplasty, Replacement | 2018 |
Local Infiltration Analgesia With Liposomal Bupivacaine Improves Pain Scores and Reduces Opioid Use After Total Knee Arthroplasty: Results of a Randomized Controlled Trial.
Topics: Aged; Analgesia; Analgesics, Opioid; Anesthetics, Local; Area Under Curve; Arthroplasty, Replacement | 2018 |
Local Infiltration Analgesia With Liposomal Bupivacaine Improves Pain Scores and Reduces Opioid Use After Total Knee Arthroplasty: Results of a Randomized Controlled Trial.
Topics: Aged; Analgesia; Analgesics, Opioid; Anesthetics, Local; Area Under Curve; Arthroplasty, Replacement | 2018 |
Local Infiltration Analgesia With Liposomal Bupivacaine Improves Pain Scores and Reduces Opioid Use After Total Knee Arthroplasty: Results of a Randomized Controlled Trial.
Topics: Aged; Analgesia; Analgesics, Opioid; Anesthetics, Local; Area Under Curve; Arthroplasty, Replacement | 2018 |
Local Infiltration Analgesia With Liposomal Bupivacaine Improves Pain Scores and Reduces Opioid Use After Total Knee Arthroplasty: Results of a Randomized Controlled Trial.
Topics: Aged; Analgesia; Analgesics, Opioid; Anesthetics, Local; Area Under Curve; Arthroplasty, Replacement | 2018 |
Local Infiltration Analgesia With Liposomal Bupivacaine Improves Pain Scores and Reduces Opioid Use After Total Knee Arthroplasty: Results of a Randomized Controlled Trial.
Topics: Aged; Analgesia; Analgesics, Opioid; Anesthetics, Local; Area Under Curve; Arthroplasty, Replacement | 2018 |
Local Infiltration Analgesia With Liposomal Bupivacaine Improves Pain Scores and Reduces Opioid Use After Total Knee Arthroplasty: Results of a Randomized Controlled Trial.
Topics: Aged; Analgesia; Analgesics, Opioid; Anesthetics, Local; Area Under Curve; Arthroplasty, Replacement | 2018 |
Local Infiltration Analgesia With Liposomal Bupivacaine Improves Pain Scores and Reduces Opioid Use After Total Knee Arthroplasty: Results of a Randomized Controlled Trial.
Topics: Aged; Analgesia; Analgesics, Opioid; Anesthetics, Local; Area Under Curve; Arthroplasty, Replacement | 2018 |
Local Infiltration Analgesia With Liposomal Bupivacaine Improves Pain Scores and Reduces Opioid Use After Total Knee Arthroplasty: Results of a Randomized Controlled Trial.
Topics: Aged; Analgesia; Analgesics, Opioid; Anesthetics, Local; Area Under Curve; Arthroplasty, Replacement | 2018 |
Local Infiltration Analgesia With Liposomal Bupivacaine Improves Pain Scores and Reduces Opioid Use After Total Knee Arthroplasty: Results of a Randomized Controlled Trial.
Topics: Aged; Analgesia; Analgesics, Opioid; Anesthetics, Local; Area Under Curve; Arthroplasty, Replacement | 2018 |
Preperitoneal Bupivacaine Infiltration Reduces Postoperative Opioid Consumption, Acute Pain, and Chronic Postsurgical Pain After Bariatric Surgery: a Randomized Controlled Trial.
Topics: Acute Pain; Adult; Analgesics, Opioid; Anesthetics, Local; Bariatric Surgery; Bupivacaine; Humans; O | 2018 |
Preperitoneal Bupivacaine Infiltration Reduces Postoperative Opioid Consumption, Acute Pain, and Chronic Postsurgical Pain After Bariatric Surgery: a Randomized Controlled Trial.
Topics: Acute Pain; Adult; Analgesics, Opioid; Anesthetics, Local; Bariatric Surgery; Bupivacaine; Humans; O | 2018 |
Preperitoneal Bupivacaine Infiltration Reduces Postoperative Opioid Consumption, Acute Pain, and Chronic Postsurgical Pain After Bariatric Surgery: a Randomized Controlled Trial.
Topics: Acute Pain; Adult; Analgesics, Opioid; Anesthetics, Local; Bariatric Surgery; Bupivacaine; Humans; O | 2018 |
Preperitoneal Bupivacaine Infiltration Reduces Postoperative Opioid Consumption, Acute Pain, and Chronic Postsurgical Pain After Bariatric Surgery: a Randomized Controlled Trial.
Topics: Acute Pain; Adult; Analgesics, Opioid; Anesthetics, Local; Bariatric Surgery; Bupivacaine; Humans; O | 2018 |
Is There a Benefit for Liposomal Bupivacaine Compared to a Traditional Periarticular Injection in Total Knee Arthroplasty Patients With a History of Chronic Opioid Use?
Topics: Aged; Amides; Analgesics, Opioid; Anesthetics, Local; Arthroplasty, Replacement, Knee; Bupivacaine; | 2016 |
15 other studies available for bupivacaine and Addiction, Opioid
Article | Year |
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Pain management after laparoscopic appendectomy: Comparative effectiveness of innovative pre-emptive analgesia using liposomal bupivacaine.
Topics: Adult; Analgesia; Analgesics, Opioid; Anesthetics, Local; Appendectomy; Appendicitis; Bupivacaine; H | 2022 |
Fascia Iliaca Block in Hip and Femur Fractures to Reduce Opioid Use.
Topics: Adult; Analgesics, Opioid; Bupivacaine; Epinephrine; Fascia; Femoral Fractures; Femur; Humans; Morph | 2022 |
Intradermal and Intramuscular Bupivacaine Reduces Opioid Use Following Noninstrumented Spine Surgery.
Topics: Analgesics, Opioid; Anesthetics, Local; Bupivacaine; Humans; Opioid-Related Disorders; Pain, Postope | 2023 |
Intradermal and Intramuscular Bupivacaine Reduces Opioid Use Following Noninstrumented Spine Surgery.
Topics: Analgesics, Opioid; Anesthetics, Local; Bupivacaine; Humans; Opioid-Related Disorders; Pain, Postope | 2023 |
Intradermal and Intramuscular Bupivacaine Reduces Opioid Use Following Noninstrumented Spine Surgery.
Topics: Analgesics, Opioid; Anesthetics, Local; Bupivacaine; Humans; Opioid-Related Disorders; Pain, Postope | 2023 |
Intradermal and Intramuscular Bupivacaine Reduces Opioid Use Following Noninstrumented Spine Surgery.
Topics: Analgesics, Opioid; Anesthetics, Local; Bupivacaine; Humans; Opioid-Related Disorders; Pain, Postope | 2023 |
Liposomal Bupivacaine Decreases Intravenous Opioid Use in Patients with Hip Fracture: A Modification to a Novel Pain Protocol.
Topics: Acetaminophen; Aged, 80 and over; Analgesics, Opioid; Anesthetics, Local; Bupivacaine; Delirium; Hip | 2023 |
Multimodal intrathecal analgesia (MITA) with morphine for reducing postoperative opioid use and acute pain following hepato-pancreato-biliary surgery: A multicenter retrospective study.
Topics: Acute Pain; Analgesia; Analgesics, Opioid; Bupivacaine; Clonidine; Humans; Morphine; Opioid-Related | 2023 |
Comparison of Spinal Anesthesia Quality Between Patients Addicted and Not Addicted to Opium.
Topics: Adult; Anesthesia, Spinal; Anesthetics, Local; Bupivacaine; Humans; Male; Middle Aged; Opioid-Relate | 2019 |
Liposomal Bupivacaine Decreases Postoperative Length of Stay and Opioid Use in Patients Undergoing Radical Cystectomy.
Topics: Aged; Analgesia, Epidural; Analgesics, Opioid; Anesthetics, Local; Bupivacaine; Cystectomy; Female; | 2021 |
Continuous local bupivacaine wound infusion reduces oral opioid use for acute postoperative pain control following myelomeningocele repair.
Topics: Analgesics, Opioid; Anesthetics, Local; Bupivacaine; Female; Humans; Infant, Newborn; Meningomyeloce | 2021 |
Continuous local bupivacaine wound infusion with neuraxial morphine reduces opioid consumption after cesarean delivery.
Topics: Acetaminophen; Adult; Analgesia, Epidural; Analgesia, Obstetrical; Analgesics, Opioid; Anesthesia, S | 2019 |
Use of liposomal bupivacaine in the postoperative management of posterior spinal decompression.
Topics: Adolescent; Adult; Aged; Aged, 80 and over; Anesthetics; Bupivacaine; Case-Control Studies; Cervical | 2016 |
Reducing Opioid Adverse Events: A Safe Way to Improve Outcomes.
Topics: Accidental Falls; Adult; Aged; Bupivacaine; Colonoscopy; Drug Substitution; Female; Florida; Hernior | 2016 |
Opioid "holiday" following antagonist supported detoxification during general anesthesia improves opioid agonist response in a cancer patient with opioid addiction.
Topics: Analgesia, Epidural; Analgesics, Opioid; Anesthesia, General; Anesthetics, Local; Bone Neoplasms; Bu | 2003 |
Duration of spinal anesthesia with bupivacaine in chronic opium abusers undergoing lower extremity orthopedic surgery.
Topics: Adult; Anesthesia, Spinal; Anesthetics, Local; Bupivacaine; Case-Control Studies; Female; Humans; In | 2007 |
Balanced analgesia for the management of pain associated with multiple fractured ribs in an opioid addict.
Topics: Adult; Amides; Analgesia, Epidural; Analgesics, Opioid; Anesthetics, Dissociative; Anesthetics, Loca | 1998 |
Unilateral trigeminal and facial nerve palsies associated with epidural analgesia in labour.
Topics: Adult; Analgesia, Epidural; Analgesia, Obstetrical; Anesthetics, Local; Anti-Inflammatory Agents, No | 1998 |