Page last updated: 2024-10-23

bupivacaine and Appendicitis

bupivacaine has been researched along with Appendicitis in 13 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.

Appendicitis: Acute inflammation of the APPENDIX. Acute appendicitis is classified as simple, gangrenous, or perforated.

Research Excerpts

ExcerptRelevanceReference
"No differences were noted in postoperative pain, the total number of analgesic doses per day, the quantity of narcotic medication administered, and the length of hospital stay."2.68Preemptive analgesia in patients undergoing appendectomy. ( Alcantara, A; Hiyama, D; Ko, CY; Thompson, JE, 1997)
"Assessment of postoperative pain using a numerical scoring system was made by the child, the recovery sister and the ward sister, and by measurement of the time between the end of the operation and the need for narcotic injection."2.67Controlled trial of wound infiltration with bupivacaine for postoperative pain relief after appendicectomy in children. ( Wright, JE, 1993)
"The patient reported mild postoperative pain scores, was able to ambulate comfortably on the day of surgery, and had early return of bowel function."1.42Multimodal analgesia in abdominal sepsis: a case report of liposome bupivacaine in ultrasound-guided rectus sheath blocks after unexpected open hemi-colectomy. ( Patzkowski, MS; Stevens, G, 2015)
"Morphine requirements were markedly less for CLAWI."1.42Local anesthetic wound infusion versus standard analgesia in paediatric post-operative pain control. ( Albetyn, H; Cox, SG; Machoki, MS; Millar, AJ; Numanoglu, A; Thomas, J, 2015)

Research

Studies (13)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's3 (23.08)18.2507
2000's2 (15.38)29.6817
2010's6 (46.15)24.3611
2020's2 (15.38)2.80

Authors

AuthorsStudies
Waddimba, AC1
Newman, P1
Shelley, JK1
McShan, EE1
Cheung, ZO1
Gibson, JN1
Bennett, MM1
Petrey, LB1
Hernandez, MC1
Finnesgard, EJ1
Aho, JM1
Zielinski, MD1
Schiller, HJ1
Hamill, JK2
Liley, A2
Hill, AG2
Patzkowski, MS1
Stevens, G1
Machoki, MS1
Millar, AJ1
Albetyn, H1
Cox, SG1
Thomas, J1
Numanoglu, A1
Durai, R1
Ng, PC1
Delfosse, F1
Pronnier, P1
Levent, T1
Coget, ML1
Blanckaert, K1
Wasiluk, I1
Attali, A1
Manimekalai, N1
Panni, MK1
Lohsiriwat, V1
Lert-akyamanee, N1
Rushatamukayanunt, W1
Brimacombe, J1
Newell, S1
Wright, JE1
Ko, CY1
Thompson, JE1
Alcantara, A1
Hiyama, D1

Clinical Trials (5)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
ROPIVACAINE WITH CLONIDINE FOR PEDIATRIC RECTUS SHEATH BLOCKS- THE MAGIC COMBINATION? - A Double Blinded Prospective Study[NCT02439281]50 participants (Actual)Interventional2015-05-31Terminated (stopped due to The patients were discharged on the day of the surgery.)
Laparoscopically Guided Rectus Sheath Block in Pediatric Appendicitis - a Randomized Control Trial[NCT04717193]Phase 2100 participants (Anticipated)Interventional2021-05-28Recruiting
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
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
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
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Average Pain Severity at the Umbilicus Laparoscopic Site

Numeric Rating Pain Scores ( 0-10), will be obtained every 2 hours after PACU discharge up to 18 hours or until hospital discharge, whichever occurs first. The pain score of 0, means no pain, is a good outcome , and a pain score of 10 is excruciating pain, a very bad outcome. The average of these scores will be evaluated.The pain scores will not longer be documented after the numbness went away. (NCT02439281)
Timeframe: Logistic regression of the 4 th pain score assessment

Interventionunits on a scale (Median)
Ropivacaine Group2
Ropivacaine/ Clonidine Group1.5

Change in Anxiety Scores

The investigators hypothesize that patient postoperative anxiety scores are lower in the Ropivacaine/Clonidine group and postoperative anxiety scores decrease more in Ropivacaine /Clonidine Group, than in Ropivacaine Group. (NCT02439281)
Timeframe: 6 hours after block placement

Interventionunits on a scale (Median)
Ropivacaine Group30
Ropivacaine/ Clonidine Group29

Complications Rate

The investigators expect no difference in incidence of complications (e.g. oversedation, hypotension, bradycardia episodes, etc.). (NCT02439281)
Timeframe: until study completion

InterventionParticipants (Count of Participants)
Ropivacaine/ Clonidine Group1
Ropivacaine Group1

Duration of Analgesia at Umbilicus Instrument Site-How Many Minutes Passed From the Time When the Blocks Where Performed Until Patient Reported Pain at Umbilicus

The investigators hypothesize that rectus sheath injections with ropivacaine/ clonidine would result in longer duration of analgesia and decreased pain scores compared to ropivacaine alone. (NCT02439281)
Timeframe: indicated by the first request for pain medication at umbilicus site

Interventionminutes (Median)
Ropivacaine/ Clonidine Group230
Ropivacaine Group240

Duration of Sensory Block (Paresthesia)

The investigators hypothesize that rectus sheath injections with ropivacaine and clonidine result in longer duration of sensory block (paresthesia) compared to ropivacaine alone. (NCT02439281)
Timeframe: Indicated by return of normal sensation (expected average of 12 hours after block placement).

Interventionminutes (Median)
Ropivacaine/ Clonidine Group823.5
Ropivacaine Group540

Medication Consumption

Total intravenous morphine equivalents mg/kg (NCT02439281)
Timeframe: 18 hours after surgery

Interventionmg/kg (Median)
Ropivacaine/ Clonidine Group0.20
Ropivacaine Group0.22

Satisfaction With Pain Control From Patient

The investigators hypothesize that rectus sheath injections with ropivacaine/ clonidine would result in better satisfaction with pain control. (NCT02439281)
Timeframe: Prior to hospital discharge (up to 24 hours after surgery)

Interventionunits on a scale (Median)
Ropivacaine/ Clonidine Group9
Ropivacaine Group9

Trials

5 trials available for bupivacaine and Appendicitis

ArticleYear
Rectus sheath block for laparoscopic appendicectomy: a randomized clinical trial.
    ANZ journal of surgery, 2015, Volume: 85, Issue:12

    Topics: Adolescent; Analgesics, Opioid; Anesthetics, Local; Appendectomy; Appendicitis; Bupivacaine; Child;

2015
Rectus sheath block for laparoscopic appendicectomy: a randomized clinical trial.
    ANZ journal of surgery, 2015, Volume: 85, Issue:12

    Topics: Adolescent; Analgesics, Opioid; Anesthetics, Local; Appendectomy; Appendicitis; Bupivacaine; Child;

2015
Rectus sheath block for laparoscopic appendicectomy: a randomized clinical trial.
    ANZ journal of surgery, 2015, Volume: 85, Issue:12

    Topics: Adolescent; Analgesics, Opioid; Anesthetics, Local; Appendectomy; Appendicitis; Bupivacaine; Child;

2015
Rectus sheath block for laparoscopic appendicectomy: a randomized clinical trial.
    ANZ journal of surgery, 2015, Volume: 85, Issue:12

    Topics: Adolescent; Analgesics, Opioid; Anesthetics, Local; Appendectomy; Appendicitis; Bupivacaine; Child;

2015
Intraperitoneal Local Anesthetic for Laparoscopic Appendectomy in Children: A Randomized Controlled Trial.
    Annals of surgery, 2017, Volume: 266, Issue:1

    Topics: Acute Disease; Adolescent; Anesthesia, Local; Anesthetics, Local; Appendectomy; Appendicitis; Bupiva

2017
Efficacy of pre-incisional bupivacaine infiltration on postoperative pain relief after appendectomy: prospective double-blind randomized trial.
    World journal of surgery, 2004, Volume: 28, Issue:10

    Topics: Adolescent; Adult; Anesthetics, Local; Appendectomy; Appendicitis; Bupivacaine; Double-Blind Method;

2004
Controlled trial of wound infiltration with bupivacaine for postoperative pain relief after appendicectomy in children.
    The British journal of surgery, 1993, Volume: 80, Issue:1

    Topics: Adolescent; Appendectomy; Appendicitis; Bupivacaine; Child; Double-Blind Method; Female; Humans; Mal

1993
Preemptive analgesia in patients undergoing appendectomy.
    Archives of surgery (Chicago, Ill. : 1960), 1997, Volume: 132, Issue:8

    Topics: Acute Disease; Adolescent; Adult; Analgesia; Anesthetics, Local; Appendicitis; Bupivacaine; Double-B

1997

Other Studies

8 other studies available for bupivacaine and Appendicitis

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
Reduced Opioid Prescription Practices and Duration of Stay after TAP Block for Laparoscopic Appendectomy.
    Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2020, Volume: 24, Issue:2

    Topics: Adult; Analgesics, Opioid; Anesthetics, Local; Appendectomy; Appendicitis; Bupivacaine; Drug Toleran

2020
Multimodal analgesia in abdominal sepsis: a case report of liposome bupivacaine in ultrasound-guided rectus sheath blocks after unexpected open hemi-colectomy.
    Military medicine, 2015, Volume: 180, Issue:6

    Topics: Abdominal Muscles; Administration, Intravenous; Adult; Analgesia; Analgesics, Non-Narcotic; Analgesi

2015
Local anesthetic wound infusion versus standard analgesia in paediatric post-operative pain control.
    Pediatric surgery international, 2015, Volume: 31, Issue:11

    Topics: Acetaminophen; Analgesia, Epidural; Analgesics, Non-Narcotic; Analgesics, Opioid; Anesthetics, Local

2015
Mittelschmerz mimicking appendicitis.
    British journal of hospital medicine (London, England : 2005), 2009, Volume: 70, Issue:7

    Topics: Adult; Analgesics; Appendicitis; Bupivacaine; Diagnosis, Differential; Female; Humans; Menstruation

2009
[Infections complicating femoral nerve catheter for postoperative analgesia: about two cases].
    Annales francaises d'anesthesie et de reanimation, 2011, Volume: 30, Issue:6

    Topics: Anesthetics, Local; Appendectomy; Appendicitis; Arthroplasty, Replacement, Knee; Bupivacaine; Cathet

2011
Novel use of a continuous intrathecal catheter for appendectomy following cesarean section.
    International journal of obstetric anesthesia, 2012, Volume: 21, Issue:4

    Topics: Acute Disease; Adult; Anesthesia, Spinal; Anesthetics, Local; Appendectomy; Appendicitis; Bupivacain

2012
Successful anaesthetic management of a patient with thyrotoxic hypokalaemic periodic paralysis for coincidental appendicitis.
    Anaesthesia and intensive care, 1995, Volume: 23, Issue:1

    Topics: Adult; Anesthesia, Spinal; Appendicitis; Bupivacaine; Carbimazole; Humans; Hypokalemia; Male; Paraly

1995