Page last updated: 2024-10-24

bupivacaine and Addiction, Opioid

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.

Research Excerpts

ExcerptRelevanceReference
"Furthermore, acute postoperative pain is an important risk factor for chronic postsurgical pain."6.87Preperitoneal 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."5.62Continuous 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."4.31Liposomal 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."3.70Unilateral 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."3.30HTX-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."3.30Minimizing 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."3.11Bupivacaine 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."2.87Preperitoneal 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."1.62Continuous 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."1.43Reducing Opioid Adverse Events: A Safe Way to Improve Outcomes. ( McCarus, SD; Redan, JA; Reeder, S; Wells, T, 2016)

Research

Studies (25)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's2 (8.00)18.2507
2000's2 (8.00)29.6817
2010's7 (28.00)24.3611
2020's14 (56.00)2.80

Authors

AuthorsStudies
Waddimba, AC1
Newman, P1
Shelley, JK1
McShan, EE1
Cheung, ZO1
Gibson, JN1
Bennett, MM1
Petrey, LB1
Shih, E1
DiMaio, JM1
Squiers, JJ1
Wheeless, J1
Hoffman, WJ1
Banwait, JK1
Hamandi, M1
Baxter, R1
Harrington, KB1
Lee, GC1
Berkowitz, R1
Hacker, S1
Hu, J1
Rechter, A1
Chevrollier, GS1
Klinger, AL1
Green, HJ1
Gastanaduy, MM1
Johnston, WF1
Vargas, HD1
Kann, BR1
Whitlow, CB1
Paruch, JL1
Jules-Elysee, K1
Freeman, C1
Maalouf, D1
YaDeau, J1
Mayman, D1
Sculco, P1
Jain, N1
Kotulski, C1
Al-Hilli, A1
Yeung-Lai-Wah, P1
Pluta, J1
Heegeman, D1
Popat, H1
Angiti, R1
Jyoti, J1
Webb, A1
Barnes, E1
Halliday, R1
Badawi, N1
de Lima, J1
Spence, K1
Thomas, G1
Shun, A1
Voss, VB1
Oh, C1
Veerabagu, S1
Nugent, S1
Giordano, C1
Golda, NJ1
Cleary, DR3
Tan, H3
Ciacci, J3
Becker, E1
Hernandez, A1
Greene, H1
Gadbois, K1
Gallus, D1
Wisbach, G1
Stevenson, KL1
Stein, MK1
Fryhofer, GW1
Looby, S1
Donegan, D1
Mehta, S1
Ratnasekara, V1
Weinberg, L1
Johnston, SA1
Fletcher, L1
Nugraha, P1
Cox, DRA1
Hu, R1
Meyer, I1
Yoshino, O1
Perini, MV1
Muralidharan, V1
Nikfarjam, M1
Lee, DK1
Razavi, M1
Bameshki, A1
Jarahi, L1
Saghari, M1
Chu, CE1
Law, L1
Zuniga, K1
Lin, TK1
Tsourounis, C1
Rodriguez-Monguio, R1
Lazar, A1
Washington, SL1
Cooperberg, MR1
Greene, KL1
Carroll, PR1
Pruthi, RS1
Meng, MV1
Chen, LL1
Porten, SP1
Porter, AC1
Behrendt, NJ1
Zaretsky, MV1
Liechty, KW1
Wood, C2
Chow, F2
Galan, HL1
Mont, MA1
Beaver, WB1
Dysart, SH1
Barrington, JW1
Del Gaizo, DJ1
Zaretsky, M1
Nivens, T1
McLaughlin, G1
Zuk, J1
Pan, Z1
Boerboom, SL1
de Haes, A1
Vd Wetering, L1
Aarts, EO1
Janssen, IMC1
Geurts, JW1
Kamphuis, ET1
Schwarzkopf, R1
Drexler, M1
Ma, MW1
Schultz, VM1
Le, KT1
Rutenberg, TF1
Rinehart, JB1
Grieff, AN1
Ghobrial, GM1
Jallo, J1
Redan, JA1
Wells, T1
Reeder, S1
McCarus, SD1
Breitfeld, C1
Eikermann, M1
Kienbaum, P1
Peters, J1
Dabbagh, A1
Dahi-Taleghani, M1
Elyasi, H1
Vosoughian, M1
Malek, B1
Rajaei, S1
Maftuh, H1
Connor, DF1
Muir, A1
Carrero, EJ1
Agustí, M1
Fábregas, N1
Valldeoriola, F1
Fernández, C1

Clinical Trials (11)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
TAP (Transverse Abdominis Plane) Block With Exparel (Liposomal Bupivicaine) vs. Bupivicaine Post-op Pain Management[NCT04781075]Phase 476 participants (Actual)Interventional2017-12-01Completed
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
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)Interventional2019-02-05Recruiting
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
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 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
Use of Long-acting Local Analgesia in Bariatrics: A Randomized Controlled Trial[NCT03975283]Phase 480 participants (Anticipated)Interventional2019-08-31Not yet recruiting
Efficacy of Combined Periportal and Preperitoneal Local Anesthetic Infiltration (CPPLAI) in Laparoscopic Sleeve Gastrectomy Patients[NCT04680923]120 participants (Actual)Interventional2020-12-08Completed
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
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
Liposomal Bupivacaine Versus Bupivacaine for Postoperative Analgesia Following Video-assisted Thoracoscopic Surgery.[NCT03036085]Phase 2/Phase 3200 participants (Anticipated)Interventional2017-02-28Not yet recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

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

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

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

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

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

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

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

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

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

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

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

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

Percentage of Opioid-free Subjects at 48 Hours

(NCT02713490)
Timeframe: 48 hours

InterventionParticipants (Count of Participants)
EXPAREL7
Bupivacaine0

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Trials

10 trials available for bupivacaine and Addiction, Opioid

ArticleYear
Effect of Preincisional Liposomal Bupivacaine Sternal Blockade on Poststernotomy Opioid Use.
    The Annals of thoracic surgery, 2022, Volume: 114, Issue:5

    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.
    The journal of knee surgery, 2023, Volume: 36, Issue:9

    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.
    Diseases of the colon and rectum, 2023, 02-01, Volume: 66, Issue:2

    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.
    The Journal of arthroplasty, 2023, Volume: 38, Issue:1

    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).
    BMJ paediatrics open, 2022, Volume: 6, Issue:1

    Topics: Analgesia; Analgesics, Opioid; Anesthetics, Local; Bupivacaine; Humans; Infant, Newborn; Opioid-Rela

2022
Bupivacaine to Reduce Pain and Narcotic Use After Mohs Micrographic Surgery.
    Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.], 2022, 11-01, Volume: 48, Issue:11

    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.
    Obesity surgery, 2023, Volume: 33, Issue:2

    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.
    The Journal of arthroplasty, 2018, Volume: 33, Issue:1

    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.
    The Journal of arthroplasty, 2018, Volume: 33, Issue:1

    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.
    The Journal of arthroplasty, 2018, Volume: 33, Issue:1

    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.
    The Journal of arthroplasty, 2018, Volume: 33, Issue:1

    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.
    The Journal of arthroplasty, 2018, Volume: 33, Issue:1

    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.
    The Journal of arthroplasty, 2018, Volume: 33, Issue:1

    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.
    The Journal of arthroplasty, 2018, Volume: 33, Issue:1

    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.
    The Journal of arthroplasty, 2018, Volume: 33, Issue:1

    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.
    The Journal of arthroplasty, 2018, Volume: 33, Issue:1

    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.
    The Journal of arthroplasty, 2018, Volume: 33, Issue:1

    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.
    The Journal of arthroplasty, 2018, Volume: 33, Issue:1

    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.
    The Journal of arthroplasty, 2018, Volume: 33, Issue:1

    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.
    The Journal of arthroplasty, 2018, Volume: 33, Issue:1

    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.
    The Journal of arthroplasty, 2018, Volume: 33, Issue:1

    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.
    The Journal of arthroplasty, 2018, Volume: 33, Issue:1

    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.
    The Journal of arthroplasty, 2018, Volume: 33, Issue:1

    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.
    The Journal of arthroplasty, 2018, Volume: 33, Issue:1

    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.
    The Journal of arthroplasty, 2018, Volume: 33, Issue:1

    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.
    The Journal of arthroplasty, 2018, Volume: 33, Issue:1

    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.
    The Journal of arthroplasty, 2018, Volume: 33, Issue:1

    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.
    The Journal of arthroplasty, 2018, Volume: 33, Issue:1

    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.
    The Journal of arthroplasty, 2018, Volume: 33, Issue:1

    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.
    The Journal of arthroplasty, 2018, Volume: 33, Issue:1

    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.
    The Journal of arthroplasty, 2018, Volume: 33, Issue:1

    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.
    The Journal of arthroplasty, 2018, Volume: 33, Issue:1

    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.
    Obesity surgery, 2018, Volume: 28, Issue:10

    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.
    Obesity surgery, 2018, Volume: 28, Issue:10

    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.
    Obesity surgery, 2018, Volume: 28, Issue:10

    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.
    Obesity surgery, 2018, Volume: 28, Issue:10

    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?
    The Journal of arthroplasty, 2016, Volume: 31, Issue:8

    Topics: Aged; Amides; Analgesics, Opioid; Anesthetics, Local; Arthroplasty, Replacement, Knee; Bupivacaine;

2016

Other Studies

15 other studies available for bupivacaine and Addiction, Opioid

ArticleYear
Pain management after laparoscopic appendectomy: Comparative effectiveness of innovative pre-emptive analgesia using liposomal bupivacaine.
    American journal of surgery, 2022, Volume: 223, Issue:5

    Topics: Adult; Analgesia; Analgesics, Opioid; Anesthetics, Local; Appendectomy; Appendicitis; Bupivacaine; H

2022
Fascia Iliaca Block in Hip and Femur Fractures to Reduce Opioid Use.
    The Journal of emergency medicine, 2022, Volume: 63, Issue:1

    Topics: Adult; Analgesics, Opioid; Bupivacaine; Epinephrine; Fascia; Femoral Fractures; Femur; Humans; Morph

2022
Intradermal and Intramuscular Bupivacaine Reduces Opioid Use Following Noninstrumented Spine Surgery.
    World neurosurgery, 2023, Volume: 170

    Topics: Analgesics, Opioid; Anesthetics, Local; Bupivacaine; Humans; Opioid-Related Disorders; Pain, Postope

2023
Intradermal and Intramuscular Bupivacaine Reduces Opioid Use Following Noninstrumented Spine Surgery.
    World neurosurgery, 2023, Volume: 170

    Topics: Analgesics, Opioid; Anesthetics, Local; Bupivacaine; Humans; Opioid-Related Disorders; Pain, Postope

2023
Intradermal and Intramuscular Bupivacaine Reduces Opioid Use Following Noninstrumented Spine Surgery.
    World neurosurgery, 2023, Volume: 170

    Topics: Analgesics, Opioid; Anesthetics, Local; Bupivacaine; Humans; Opioid-Related Disorders; Pain, Postope

2023
Intradermal and Intramuscular Bupivacaine Reduces Opioid Use Following Noninstrumented Spine Surgery.
    World neurosurgery, 2023, Volume: 170

    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.
    The Journal of the American Academy of Orthopaedic Surgeons, 2023, Mar-01, Volume: 31, Issue:5

    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.
    PloS one, 2023, Volume: 18, Issue:9

    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.
    Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses, 2019, Volume: 34, Issue:6

    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.
    Urology, 2021, Volume: 149

    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.
    American journal of obstetrics & gynecology MFM, 2021, Volume: 3, Issue:2

    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.
    The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 2019, Volume: 32, Issue:23

    Topics: Acetaminophen; Adult; Analgesia, Epidural; Analgesia, Obstetrical; Analgesics, Opioid; Anesthesia, S

2019
Use of liposomal bupivacaine in the postoperative management of posterior spinal decompression.
    Journal of neurosurgery. Spine, 2016, Volume: 25, Issue:1

    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.
    Surgical technology international, 2016, Volume: 28

    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.
    Anesthesiology, 2003, Volume: 98, Issue:2

    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.
    Archives of Iranian medicine, 2007, Volume: 10, Issue:3

    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.
    Anaesthesia and intensive care, 1998, Volume: 26, Issue:4

    Topics: Adult; Amides; Analgesia, Epidural; Analgesics, Opioid; Anesthetics, Dissociative; Anesthetics, Loca

1998
Unilateral trigeminal and facial nerve palsies associated with epidural analgesia in labour.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 1998, Volume: 45, Issue:9

    Topics: Adult; Analgesia, Epidural; Analgesia, Obstetrical; Anesthetics, Local; Anti-Inflammatory Agents, No

1998