Page last updated: 2024-10-24

bupivacaine and Arthritis, Degenerative

bupivacaine has been researched along with Arthritis, Degenerative in 29 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
"The postoperative analgesic effects of intra-articular injections of bupivacaine and/or morphine were examined prospectively in 437 patients who had total knee replacement for osteoarthritis."5.09Intra-articular morphine and/or bupivacaine after total knee replacement. ( Faris, PM; Keating, EM; Koehler, M; Meding, JB; Ritter, MA, 1999)
"A double blind randomised trial was carried out to ascertain whether intra-articular injections of saline, bupivacaine or bupivacaine plus triamcinolone would be of value in the relief of hip pain suffered by patients awaiting total hip replacement for osteoarthritis."5.06Intra-articular injection for pain relief in patients awaiting hip replacement. ( Casale, FF; Desai, KB; Flanagan, J; Thomas, TL, 1988)
"The pain relief provided by intra-articular injection of morphine plus bupivacaine after total knee arthroplasty (TKA) plus partial synovectomy in patients with rheumatoid arthritis was compared with pain relief after TKA alone in patients with osteoarthritis."3.71The efficacy of intra-articular analgesia after total knee arthroplasty in patients with rheumatoid arthritis and in patients with osteoarthritis. ( Hirose, K; Ishii, S; Sakahashi, H; Sato, E; Tanaka, N, 2001)
"Morphine has been shown to be an effective intra-articular analgesic, and its anti-inflammatory role seen in this study makes it a potential alternative to bupivacaine."1.35The effect of bupivacaine and morphine in a coculture model of diarthrodial joints. ( Anz, A; Branson, K; Cook, JL; Linville, C; Markway, H; Smith, MJ; Stoker, A, 2009)
"Bupivacaine HCl is a 50:50 racemic mixture of the levo [S(-)] and dex [R(+)] enantiomers."1.30Arterial and pulmonary arterial concentrations of the enantiomers of bupivacaine after epidural injection in elderly patients. ( Go, G; Mather, LE; Sculco, TP; Sharrock, NE, 1998)
"Temporomandibular joint osteoarthrosis is common but typically asymptomatic."1.29Osteoarthrosis, the temporomandibular joint, and Eagle's syndrome. ( Barrett, AW; Griffiths, MJ; Scully, C, 1993)

Research

Studies (29)

TimeframeStudies, this research(%)All Research%
pre-19908 (27.59)18.7374
1990's7 (24.14)18.2507
2000's4 (13.79)29.6817
2010's9 (31.03)24.3611
2020's1 (3.45)2.80

Authors

AuthorsStudies
Moser, LB1
Bauer, C1
Jeyakumar, V1
Niculescu-Morzsa, EP1
Nehrer, S1
Mulligan, RP1
Morash, JG1
DeOrio, JK1
Parekh, SG1
Zhao, B1
Ma, X1
Zhang, J1
Ma, J1
Cao, Q1
Breu, A1
Rosenmeier, K1
Kujat, R1
Angele, P1
Zink, W1
Chan, EY1
Teo, YH1
Assam, PN1
Fransen, M1
Barry, SL1
Martinez, SA1
Davies, NM1
Remsberg, CM1
Sayre, CL1
Bachelez, A1
Herbst, SA1
Kim, T1
Seol, DR1
Hahm, SC1
Ko, C1
Kim, EH1
Chun, K1
Kim, J1
Lim, TH1
Khanna, A1
Saxena, R1
Dutta, A1
Ganguly, N1
Sood, J1
Anz, A1
Smith, MJ1
Stoker, A1
Linville, C1
Markway, H1
Branson, K1
Cook, JL1
Lareau, JM1
Robbins, CE1
Talmo, CT1
Mehio, AK1
Puri, L1
Bono, JV1
Soltesz, EG1
van Pelt, F1
Byrne, JG1
Harmon, D1
Hearty, C1
Coates, DP1
Sanders, R1
Edmonds-Seal, J1
Barrett, AW1
Griffiths, MJ1
Scully, C1
Hopper, JM1
Carter, SR1
Spruit, M1
Van Goethem, CJ1
Kooijman, MA1
Pavlov, PW1
Sharrock, NE1
Mather, LE1
Go, G1
Sculco, TP1
Crawford, RW1
Gie, GA1
Ling, RS1
Murray, DW1
Ritter, MA1
Koehler, M1
Keating, EM1
Faris, PM1
Meding, JB1
Tanaka, N1
Sakahashi, H1
Sato, E1
Hirose, K1
Ishii, S1
Fernandes, L1
Goodwill, CJ1
Wright, MG1
James, CD1
Little, TF1
Lamer, TJ1
Flanagan, J1
Casale, FF1
Thomas, TL1
Desai, KB1
Wulf, H1
Winckler, K1
Denzer, D1
Bogduk, N1
Marsland, A1
Hannington-Kiff, JG1

Clinical Trials (7)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
On Postoperative Analgesic Requirements in Laparoscopic Colorectal Surgery Patients After Exparel Administration Via Transversus Abdominis Plane Block Versus Surgical Infiltration[NCT03927326]150 participants (Anticipated)Interventional2019-08-31Not yet recruiting
Does the Addition of Liposomal Bupivacaine to the Adductor Canal Block Impact Narcotic Use After Primary Total Knee Arthroplasty: a Prospective, Blind Randomized Control Trial[NCT04539730]Phase 40 participants (Actual)Interventional2021-12-01Withdrawn (stopped due to Did not acquire funding to pursue study)
Effects of Continuous Femoral Nerve Block Versus Single-Injection Femoral Nerve Block With Intravenous Patient Controlled Analgesia Versus Intravenous Patient Controlled Analgesia on Knee Pain and Function After Total Knee Replacement[NCT01187537]200 participants (Actual)Interventional2009-07-31Completed
Does the Use of Liposomal Bupivacaine Decrease Narcotic Requirements in Geriatric Hip Fractures? A Randomized, Double Blinded Control Trial[NCT03289858]Phase 455 participants (Actual)Interventional2017-09-01Completed
A Prospective, Randomized Trial Evaluating Regional Anesthesia, Long-Acting Local Anesthesia, and Traditional Care for Pain Control of Operatively Treated Ankle Fractures[NCT03696199]Phase 470 participants (Anticipated)Interventional2020-09-01Recruiting
Comparison of the Effect of Intra-articular Administration of 2% Ropivacaine vs. 7.5% Ropivacaine as an Analgesic in the Immediate Postoperative Period of Knee Arthroscopy in Acute Injuries at the ABC Medical Center[NCT05807945]Phase 468 participants (Actual)Interventional2020-04-01Completed
The Role of Intra-Operative Intracapsular Blocks in Post-Operative Pain Management Following Total Knee Arthroplasty: A Double-Blinded Randomized Controlled Trial[NCT00620828]Phase 467 participants (Actual)Interventional2007-05-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Opiate Requirements

Morphine meq given (NCT03289858)
Timeframe: 72 hours

InterventionMorphine mEq (Mean)
Exparel (Liposomal Bupivacaine)52.5
Saline Control65.39

Postoperative Day 1 Physical Therapy Outcome - Ambulation Distance

Ambulation distance walked by participants 24-hours post-operatively (NCT00620828)
Timeframe: 24 hours post-op

InterventionFeet (Median)
Block Group38.4
Control Group26.4

Numeric Pain Score

Participants were asked to rate their pain on a scale of 0 to 10 at all time intervals up to 24 hours post-injection. Scores were organized into the following categories: 3 or less (mild pain), 4 to 6 (moderate pain), 7 or higher (severe pain). (NCT00620828)
Timeframe: Post-anesthesia care unit (PACU), 4 hours, 8 hours, 12 hours and 24 hours post-injection

,
Interventionunits on a scale (Mean)
PACU4 hours8 hours12 hours24 hours
Block Group0.672.53.83.23.9
Control Group1.63.64.93.94.9

Postoperative Day 1 Physical Therapy Outcome - Straight Leg Raise

Straight Leg Raise (SLR): number of people that can perform a SLR at designated intervals (NCT00620828)
Timeframe: 4 hours, 8 hours, 12 hours and 24 hours post-op

,
Interventionparticipants (Number)
SLR 4 hrsSLR 8 hrsSLR 12 hrsSLR 24 hrs
Block Group4131213
Control Group5556

Postoperative Day 1 Physical Therapy Outcome- Knee Extension and Flexion

Knee extension and knee flexion measured at 24-hours post-operatively for patient cohort (NCT00620828)
Timeframe: 24 hours post-op

,
Interventiondegrees (Mean)
Knee extensionKnee flexion
Block Group7.871.5
Control Group7.069.6

Total Fentanyl Patient-Controlled Anesthesia (PCA) Narcotic Consumption

The PCA total dose at the 4-hour, 8-hour, 12-hour and 24-hour post-operative time points. (NCT00620828)
Timeframe: 4 hours to 24 hours post-op

,
Interventionmicrograms (Mean)
4 hours8 hours12 hours24 hours
Block Group22.495.6173.4418.5
Control Group43.7126.6205.6292.2

Reviews

4 reviews available for bupivacaine and Arthritis, Degenerative

ArticleYear
The efficacy of local liposomal bupivacaine infiltration on pain and recovery after Total Joint Arthroplasty: A systematic review and meta-analysis of randomized controlled trials.
    Medicine, 2019, Volume: 98, Issue:3

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

2019
Local infiltration of liposome bupivacaine in foot and ankle surgery: case-based reviews.
    American journal of orthopedics (Belle Mead, N.J.), 2014, Volume: 43, Issue:10 Suppl

    Topics: Anesthesia, Local; Anesthetics, Local; Ankle Fractures; Ankle Joint; Arthroplasty, Replacement, Ankl

2014
Local infiltration of liposome bupivacaine in foot and ankle surgery: case-based reviews.
    American journal of orthopedics (Belle Mead, N.J.), 2014, Volume: 43, Issue:10 Suppl

    Topics: Anesthesia, Local; Anesthetics, Local; Ankle Fractures; Ankle Joint; Arthroplasty, Replacement, Ankl

2014
Local infiltration of liposome bupivacaine in foot and ankle surgery: case-based reviews.
    American journal of orthopedics (Belle Mead, N.J.), 2014, Volume: 43, Issue:10 Suppl

    Topics: Anesthesia, Local; Anesthetics, Local; Ankle Fractures; Ankle Joint; Arthroplasty, Replacement, Ankl

2014
Local infiltration of liposome bupivacaine in foot and ankle surgery: case-based reviews.
    American journal of orthopedics (Belle Mead, N.J.), 2014, Volume: 43, Issue:10 Suppl

    Topics: Anesthesia, Local; Anesthetics, Local; Ankle Fractures; Ankle Joint; Arthroplasty, Replacement, Ankl

2014
Emergent cardiopulmonary bypass for bupivacaine cardiotoxicity.
    Journal of cardiothoracic and vascular anesthesia, 2003, Volume: 17, Issue:3

    Topics: Adult; Anesthetics, Local; Ankle; Arthroplasty; Bupivacaine; Cardiopulmonary Bypass; Emergency Treat

2003
Anaphylaxis after intra-articular injection of bupivacaine and methylprednisolone.
    The Journal of bone and joint surgery. British volume, 1993, Volume: 75, Issue:3

    Topics: Anaphylaxis; Bupivacaine; Drug Therapy, Combination; Humans; Injections, Intra-Articular; Knee; Male

1993

Trials

6 trials available for bupivacaine and Arthritis, Degenerative

ArticleYear
Functional discharge readiness and mobility following total knee arthroplasty for osteoarthritis: a comparison of analgesic techniques.
    Arthritis care & research, 2014, Volume: 66, Issue:11

    Topics: Aged; Analgesia, Patient-Controlled; Analgesics, Opioid; Arthroplasty, Replacement, Knee; Bupivacain

2014
Comparison of ropivacaine with and without fentanyl vs bupivacaine with fentanyl for postoperative epidural analgesia in bilateral total knee replacement surgery.
    Journal of clinical anesthesia, 2017, Volume: 37

    Topics: Aged; Amides; Analgesia, Epidural; Analgesia, Patient-Controlled; Analgesics, Opioid; Anesthetics, L

2017
Diagnostic infiltration of the hip joint with bupivacain in adult acetabular dysplasia.
    Acta orthopaedica Belgica, 1997, Volume: 63, Issue:4

    Topics: Acetabulum; Adolescent; Adult; Analysis of Variance; Anesthetics, Local; Bupivacaine; Chi-Square Dis

1997
Intra-articular morphine and/or bupivacaine after total knee replacement.
    The Journal of bone and joint surgery. British volume, 1999, Volume: 81, Issue:2

    Topics: Adult; Aged; Aged, 80 and over; Analgesics, Opioid; Anesthetics, Local; Arthroplasty, Replacement; B

1999
Local anaesthetic nerve block in the treatment of intractable pain from osteoarthritis of the hip.
    Rheumatology and rehabilitation, 1978, Volume: 17, Issue:4

    Topics: Aged; Anesthesia, Local; Bupivacaine; Clinical Trials as Topic; Double-Blind Method; Female; Hip Joi

1978
Intra-articular injection for pain relief in patients awaiting hip replacement.
    Annals of the Royal College of Surgeons of England, 1988, Volume: 70, Issue:3

    Topics: Aged; Bupivacaine; Clinical Trials as Topic; Double-Blind Method; Drug Therapy, Combination; Female;

1988

Other Studies

19 other studies available for bupivacaine and Arthritis, Degenerative

ArticleYear
Hyaluronic Acid as a Carrier Supports the Effects of Glucocorticoids and Diminishes the Cytotoxic Effects of Local Anesthetics in Human Articular Chondrocytes In Vitro.
    International journal of molecular sciences, 2021, Oct-25, Volume: 22, Issue:21

    Topics: Anesthetics, Local; Bupivacaine; Cell Survival; Cells, Cultured; Chondrocytes; Drug Therapy, Combina

2021
Liposomal Bupivacaine Versus Continuous Popliteal Sciatic Nerve Block in Total Ankle Arthroplasty.
    Foot & ankle international, 2017, Volume: 38, Issue:11

    Topics: Aged; Arthroplasty, Replacement, Ankle; Bupivacaine; Cohort Studies; Female; Follow-Up Studies; Huma

2017
The cytotoxicity of bupivacaine, ropivacaine, and mepivacaine on human chondrocytes and cartilage.
    Anesthesia and analgesia, 2013, Volume: 117, Issue:2

    Topics: Adult; Amides; Anesthetics, Local; Apoptosis; Bupivacaine; Cartilage; Caspases; Cell Survival; Cells

2013
Synovial fluid bupivacaine concentrations following single intra-articular injection in normal and osteoarthritic canine stifles.
    Journal of veterinary pharmacology and therapeutics, 2015, Volume: 38, Issue:1

    Topics: Anesthetics, Local; Animals; Bupivacaine; Case-Control Studies; Dog Diseases; Dogs; Injections, Intr

2015
Analgesic Effect of Intra-Articular Injection of Temperature-Responsive Hydrogel Containing Bupivacaine on Osteoarthritic Pain in Rats.
    BioMed research international, 2015, Volume: 2015

    Topics: Analgesics; Anesthetics, Local; Animals; Arthralgia; Behavior, Animal; Bupivacaine; Chronic Pain; Di

2015
The effect of bupivacaine and morphine in a coculture model of diarthrodial joints.
    Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association, 2009, Volume: 25, Issue:3

    Topics: Analgesics, Opioid; Anesthetics, Local; Animals; Body Water; Bupivacaine; Cartilage, Articular; Cell

2009
Complications of femoral nerve blockade in total knee arthroplasty and strategies to reduce patient risk.
    The Journal of arthroplasty, 2012, Volume: 27, Issue:4

    Topics: Aged; Anesthetics, Local; Arthroplasty, Replacement, Knee; Bupivacaine; Catheters; Compartment Syndr

2012
Ultrasound-guided suprascapular nerve block technique.
    Pain physician, 2007, Volume: 10, Issue:6

    Topics: Adult; Anesthesia, Local; Anesthetics, Local; Arthralgia; Brachial Plexus; Bupivacaine; Humans; Levo

2007
Regional hip blockade.
    Anaesthesia, 1983, Volume: 38, Issue:11

    Topics: Aged; Bupivacaine; Hip Joint; Humans; Nerve Block; Osteoarthritis; Pain, Intractable

1983
Convulsions following regional hip blockade with bupivacaine and adrenaline.
    Anaesthesia, 1983, Volume: 38, Issue:6

    Topics: Aged; Bupivacaine; Epinephrine; Female; Hip; Humans; Male; Middle Aged; Nerve Block; Obturator Nerve

1983
Osteoarthrosis, the temporomandibular joint, and Eagle's syndrome.
    Oral surgery, oral medicine, and oral pathology, 1993, Volume: 75, Issue:3

    Topics: Adult; Bupivacaine; Facial Pain; Female; Humans; Methylprednisolone; Occlusal Splints; Osteoarthriti

1993
Arterial and pulmonary arterial concentrations of the enantiomers of bupivacaine after epidural injection in elderly patients.
    Anesthesia and analgesia, 1998, Volume: 86, Issue:4

    Topics: Absorption; Aged; Anesthesia, Epidural; Anesthetics, Local; Area Under Curve; Arthroplasty, Replacem

1998
Diagnostic value of intra-articular anaesthetic in primary osteoarthritis of the hip.
    The Journal of bone and joint surgery. British volume, 1998, Volume: 80, Issue:2

    Topics: Anesthetics, Local; Arthroplasty, Replacement, Hip; Bupivacaine; Female; Follow-Up Studies; Hip Join

1998
The efficacy of intra-articular analgesia after total knee arthroplasty in patients with rheumatoid arthritis and in patients with osteoarthritis.
    The Journal of arthroplasty, 2001, Volume: 16, Issue:3

    Topics: Analgesia; Analgesics, Opioid; Anesthetics, Local; Arthritis, Rheumatoid; Arthroplasty, Replacement,

2001
Regional hip blockade. A simplified technique for the relief of intractable osteoarthritic pain.
    Anaesthesia, 1976, Volume: 31, Issue:8

    Topics: Autonomic Nerve Block; Bupivacaine; Hip Joint; Humans; Obturator Nerve; Osteoarthritis; Pain, Intrac

1976
Ear pain due to cervical spine arthritis: treatment with cervical facet injection.
    Headache, 1991, Volume: 31, Issue:10

    Topics: Aged; Bupivacaine; Cervical Vertebrae; Delayed-Action Preparations; Earache; Female; Humans; Injecti

1991
Plasma concentrations of alpha-1-acid glycoprotein following operations and its effect on the plasma protein binding of bupivacaine.
    Progress in clinical and biological research, 1989, Volume: 300

    Topics: Arthritis, Rheumatoid; Bupivacaine; Hip Prosthesis; Humans; Middle Aged; Orosomucoid; Osteoarthritis

1989
On the concept of third occipital headache.
    Journal of neurology, neurosurgery, and psychiatry, 1986, Volume: 49, Issue:7

    Topics: Adult; Axis, Cervical Vertebra; Bupivacaine; Cervical Vertebrae; Female; Headache; Humans; Male; Mid

1986
Treatment of intractable pain by bupivacaine nerve-block.
    Lancet (London, England), 1971, Dec-25, Volume: 2, Issue:7739

    Topics: Aged; Analgesia; Anesthesia, Conduction; Anesthetics, Local; Bupivacaine; Female; Humans; Male; Midd

1971