Page last updated: 2024-10-24

bupivacaine and Apnea, Sleep

bupivacaine has been researched along with Apnea, Sleep in 5 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

Studies (5)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's3 (60.00)18.2507
2000's0 (0.00)29.6817
2010's1 (20.00)24.3611
2020's1 (20.00)2.80

Authors

AuthorsStudies
Albrecht, E1
Bayon, V1
Hirotsu, C1
Al Ja'bari, A1
Heinzer, R1
Moss, JR1
Cofer, S1
Hersey, S1
Goudy, S1
Werkhaven, J1
Swanson, E1
Mantle, C1
Stowell, N1
Byrne, D1
Wang, L1
Labadie, R1
Deegan, PC1
Mulloy, E1
McNicholas, WT1
Ostermeier, AM1
Roizen, MF1
Hautkappe, M1
Klock, PA1
Klafta, JM1
Clyburn, PA1
Rosen, M1
Vickers, MD1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Impact of Intrathecal Morphine on Sleep Apnea Syndrome After Hip Arthroplasty Performed Under Spinal Anaesthesia[NCT02566226]Phase 460 participants (Actual)Interventional2015-11-30Completed
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
Postoperative Management of Obstructive Sleep Apnea With CPAP vs. an Autoadjusting CPAP Device: a Randomized Controlled Single Center Trial[NCT00588848]11 participants (Actual)Interventional2008-01-31Terminated (stopped due to Difficulty with enrollment)
The Effect of Acute Intravenous Morphine Administration on Sleep Disordered Breathing (SDB) in Patients With Moderate Obstructive Sleep Apnoea (OSA): A Paired Design Trial[NCT03127800]Phase 36 participants (Actual)Interventional2016-05-20Terminated (stopped due to Difficulties with recruitment)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

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

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

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

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

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

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

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

Apnea-Hypopnea Index (AHI)

Events are defined as apneas and hypopneas. AHI values are typically categorized as 5-14.9 events/hr = mild; 15-29.9 events/hr = moderate; and >= 30 events/hr = severe (NCT00588848)
Timeframe: On postoperative night number 1 from 2200 to 0600. Study participation will end within 72 hours of admission.

Interventionevents per hour (Mean)
AUTOCPAP2.1
CPAP1.2

Cardiopulmonary Complications

Predefined cardiopulmonary complications: Myocardial Infarction, Arrhythmia, new onset Heart Failure, Stroke (NCT00588848)
Timeframe: 72 hours

InterventionParticipants (Count of Participants)
Autoadjusting CPAP (VPAP Auto)0
CPAP Arm (Usual Care)0

Sleep Related Hypoxemia

(NCT00588848)
Timeframe: On postoperative night number 1 from 2200 to 0600. Study participation will end within 72 hours of admission.

InterventionPercentage of time < 90% saturation (Mean)
AUTOCPAP10.5
CPAP7.1

Reviews

1 review available for bupivacaine and Apnea, Sleep

ArticleYear
Three sudden postoperative respiratory arrests associated with epidural opioids in patients with sleep apnea.
    Anesthesia and analgesia, 1997, Volume: 85, Issue:2

    Topics: Adult; Aged; Analgesia, Epidural; Analgesics, Opioid; Apnea; Blood Pressure; Bupivacaine; Female; Fe

1997
Three sudden postoperative respiratory arrests associated with epidural opioids in patients with sleep apnea.
    Anesthesia and analgesia, 1997, Volume: 85, Issue:2

    Topics: Adult; Aged; Analgesia, Epidural; Analgesics, Opioid; Apnea; Blood Pressure; Bupivacaine; Female; Fe

1997
Three sudden postoperative respiratory arrests associated with epidural opioids in patients with sleep apnea.
    Anesthesia and analgesia, 1997, Volume: 85, Issue:2

    Topics: Adult; Aged; Analgesia, Epidural; Analgesics, Opioid; Apnea; Blood Pressure; Bupivacaine; Female; Fe

1997
Three sudden postoperative respiratory arrests associated with epidural opioids in patients with sleep apnea.
    Anesthesia and analgesia, 1997, Volume: 85, Issue:2

    Topics: Adult; Aged; Analgesia, Epidural; Analgesics, Opioid; Apnea; Blood Pressure; Bupivacaine; Female; Fe

1997

Trials

4 trials available for bupivacaine and Apnea, Sleep

ArticleYear
Intrathecal morphine and sleep apnoea severity in patients undergoing hip arthroplasty: a randomised, controlled, triple-blinded trial.
    British journal of anaesthesia, 2020, Volume: 125, Issue:5

    Topics: Aged; Analgesia, Patient-Controlled; Analgesics, Opioid; Anesthesia, Spinal; Anesthetics, Local; Art

2020
Comparison of clonidine, local anesthetics, and placebo for pain reduction in pediatric tonsillectomy.
    Archives of otolaryngology--head & neck surgery, 2011, Volume: 137, Issue:6

    Topics: Adenoids; Adolescent; Age Factors; Analgesics; Anesthetics, Local; Bupivacaine; Child; Child, Presch

2011
Topical oropharyngeal anesthesia in patients with obstructive sleep apnea.
    American journal of respiratory and critical care medicine, 1995, Volume: 151, Issue:4

    Topics: Bupivacaine; Humans; Lidocaine; Male; Middle Aged; Respiration; Respiratory Function Tests; Sleep Ap

1995
Comparison of the respiratory effects of i.v. infusions of morphine and regional analgesia by extradural block.
    British journal of anaesthesia, 1990, Volume: 64, Issue:4

    Topics: Abdomen; Adult; Aged; Analgesia, Epidural; Arrhythmias, Cardiac; Bupivacaine; Female; Humans; Infusi

1990