Page last updated: 2024-10-24

bupivacaine and Injuries, Knee

bupivacaine has been researched along with Injuries, Knee in 24 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
"Postoperative knee chondrolysis caused by continuous intra-articular pain pumps infusing bupivacaine with epinephrine is a rare but serious complication."7.81Knee chondrolysis by infusion of bupivacaine with epinephrine through an intra-articular pain pump catheter after arthroscopic ACL reconstruction. ( Buchko, JZ; Gurney-Dunlop, T; Shin, JJ, 2015)
"Postoperative knee chondrolysis caused by continuous intra-articular pain pumps infusing bupivacaine with epinephrine is a rare but serious complication."3.81Knee chondrolysis by infusion of bupivacaine with epinephrine through an intra-articular pain pump catheter after arthroscopic ACL reconstruction. ( Buchko, JZ; Gurney-Dunlop, T; Shin, JJ, 2015)
"This requires a patient friendly postoperative pain management."2.73Pre- versus postoperative intraarticular application of local anesthetics and opioids versus femoral nerve block in anterior cruciate ligament repair. ( Entholzner, E; Hein, W; Hube, R; Mayr, HO; Weig, TG, 2007)

Research

Studies (24)

TimeframeStudies, this research(%)All Research%
pre-19902 (8.33)18.7374
1990's7 (29.17)18.2507
2000's7 (29.17)29.6817
2010's8 (33.33)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Astur, DC1
Aleluia, V1
Veronese, C1
Astur, N1
Oliveira, SG1
Arliani, GG1
Badra, R1
Kaleka, CC1
Amaro, JT1
Cohen, M1
Buchko, JZ1
Gurney-Dunlop, T1
Shin, JJ1
Van Le, B1
Harish, S1
Schuster, M1
Engelhardt, L1
Erler, W1
Dienert, B1
Wagner, M1
Birnbaum, J1
Volk, T1
Mitra, S1
Kaushal, H1
Gupta, RK1
Gądek, A1
Wordliczek, J1
Zajaczkowska, R1
Noyes, FR1
Fleckenstein, CM1
Barber-Westin, SD1
Burks, RT1
Yari, M1
Saeb, M1
Golfam, P1
Makhloogh, Z1
Mayr, HO1
Entholzner, E1
Hube, R1
Hein, W1
Weig, TG1
Sibanda, S1
Hughes, JM1
Pawson, PE1
Kelly, G1
Bellenger, CR1
Charalambous, CP1
Tryfonidis, M1
Alvi, F1
Kumar, R1
Hirst, P1
Sekhon, JS1
Anderson, K1
Schär, B1
Boden, BP1
Fassler, S1
Cooper, S1
Marchetto, PA1
Moyer, RA1
Ateş, Y2
Kinik, H1
Bínnet, MS1
Canakçi, N1
Keçik, Y1
Cappellino, A1
Jokl, P1
Ruwe, PA1
Iaquinto, JM1
Pienkowski, D1
Thornsberry, R1
Grant, S1
Stevens, DB1
Lundin, O1
Rydgren, B1
Swärd, L1
Karlsson, J1
Follak, N1
Ganzer, D1
Liguori, GA1
Chimento, GF1
Borow, L1
Figgie, M1
Broadman, L1
Hannallah, R1
DeLeon, E1
Reff, R1
Johnson, PW1
Carpenter, RL1
Ulrich, C1
Burri, C1
Wörsdörfer, O1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
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
Prospective Assessment of Intraoperative Intra-articular Morphine and Clonidine Injection in Hip Arthroscopy on Postoperative Pain Management[NCT02530151]Phase 470 participants (Actual)Interventional2015-11-30Completed
Effect of Volume of Local Anesthetic for Adductor Canal Block on Quadriceps Muscle Function: A Dose Finding Study[NCT02541552]Phase 326 participants (Actual)Interventional2015-04-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Opioid Consumption in the Acute Postoperative Period

The total usage of opioid medication (mEq) for pain relief in the intraoperative period and again through the postoperative recovery period from arrival in the PACU through 7 days post op (NCT02530151)
Timeframe: Recorded intraoperatively, during PACU stay, 6 hours post discharge, 18 hours post discharge, 24 hours post discharge, 48 hours post discharge, and at 7 days post discharge

,
Interventionmilligram morphine equivalents (mEq) (Mean)
IntraoperativePACU6 hours Post Discharge18 hours Post Discharge24 hours Post Discharge48 hours Post Discharge7 days Post Discharge
Morphine With Clonidine57.337.05.514.519.527.750.7
Normal Saline56.040.15.313.820.035.673.8

Quality of Recovery (QoR-15) Scores for Patient Reported Recovery Following Surgery

The Quality of Recovery questionnaire (QoR-15) is a 15 question patient reported outcome measure used to evaluate the quality of recovery following surgical anesthesia concerning pain, physical function, and psychological factors; reported as a summative score with each question graded between 0-10 (Range:0-150) with higher scores indicating improved physical/psychological recovery or infrequent symptoms (NCT02530151)
Timeframe: Preoperative to 24 hrs. post operatively

,
Interventionscore on a scale (Mean)
Preoperative QoR-15 ScoreChange in QoR-15 Score at 24 hrs. Post Op
Morphine With Clonidine123-22
Normal Saline131-20

Visual Analog Scale (VAS) Pain Scores

Patients will rate their pain (0-10) on the Visual Analog Scale with higher scores for the VAS indicated elevated pain intensity reported by the patient for the indicated time point (NCT02530151)
Timeframe: Immediately preoperative (5-10 minutes before surgery), immediately postoperative (5-10 minutes after surgery), 1 hr post operatively

,
Interventionscore on a scale (Mean)
Preoperative VAS Pain ScoreImmediate Post Op VAS Pain Score1 hr. Post Op VAS Pain Score
Morphine With Clonidine234
Normal Saline245

Trials

12 trials available for bupivacaine and Injuries, Knee

ArticleYear
A prospective double blinded randomized study of anterior cruciate ligament reconstruction with hamstrings tendon and spinal anesthesia with or without femoral nerve block.
    The Knee, 2014, Volume: 21, Issue:5

    Topics: Adolescent; Adult; Amides; Anesthesia, Spinal; Anesthetics, Local; Anterior Cruciate Ligament; Anter

2014
[Levobupivacaine vs. ropivacaine for continuous femoral analgesia after anterior cruciate ligament reconstruction].
    Schmerz (Berlin, Germany), 2011, Volume: 25, Issue:1

    Topics: Adult; Amides; Analgesia, Patient-Controlled; Analgesics, Opioid; Anesthetics, Local; Anterior Cruci

2011
Evaluation of analgesic efficacy of intra-articular bupivacaine, bupivacaine plus fentanyl, and bupivacaine plus tramadol after arthroscopic knee surgery.
    Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association, 2011, Volume: 27, Issue:12

    Topics: Adult; Analgesia; Analgesics, Opioid; Anesthetics, Local; Arthroscopy; Bupivacaine; Double-Blind Met

2011
Analgesic efficacy of intra-articular morphine after arthroscopic knee surgery in sport injury patients.
    Journal of injury & violence research, 2013, Volume: 5, Issue:2

    Topics: Adult; Analgesics, Opioid; Anesthetics, Local; Anterior Cruciate Ligament; Anterior Cruciate Ligamen

2013
Pre- versus postoperative intraarticular application of local anesthetics and opioids versus femoral nerve block in anterior cruciate ligament repair.
    Archives of orthopaedic and trauma surgery, 2007, Volume: 127, Issue:4

    Topics: Administration, Oral; Adult; Ambulatory Surgical Procedures; Analgesia; Analgesics, Opioid; Anesthes

2007
The effects of preoperative extradural bupivacaine and morphine on the stress response in dogs undergoing femoro-tibial joint surgery.
    Veterinary anaesthesia and analgesia, 2006, Volume: 33, Issue:4

    Topics: Analgesics, Opioid; Anesthesia, Spinal; Anesthetics, Local; Animals; Anterior Cruciate Ligament; Ant

2006
Purely intra-articular versus general anesthesia for proposed arthroscopic partial meniscectomy of the knee: a randomized controlled trial.
    Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association, 2006, Volume: 22, Issue:9

    Topics: Adult; Alfentanil; Anesthesia, General; Anesthetics, Local; Arthroscopy; Bupivacaine; Epinephrine; F

2006
Analgesic effect of intraarticular morphine, bupivacaine, and morphine/bupivacaine after arthroscopic knee surgery.
    Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association, 1994, Volume: 10, Issue:1

    Topics: Adult; Arthroscopy; Bupivacaine; Double-Blind Method; Drug Therapy, Combination; Female; Humans; Inj

1994
Comparison of prilocaine and bupivacaine for post-arthroscopy analgesia: a placebo-controlled double-blind trial.
    Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association, 1994, Volume: 10, Issue:1

    Topics: Adult; Arthroscopy; Bupivacaine; Double-Blind Method; Female; Humans; Injections, Intra-Articular; K

1994
Analgesic effects of intra-articular morphine during and after knee arthroscopy: a comparison of two methods.
    Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association, 1998, Volume: 14, Issue:2

    Topics: Adult; Analgesics, Opioid; Anesthetics, Local; Arthroscopy; Bupivacaine; Endoscopy; Female; Humans;

1998
Postoperative analgesic value of the intra-articular instillation of bupivacaine and morphine after arthroscopic knee surgery.
    Archives of orthopaedic and trauma surgery, 2001, Volume: 121, Issue:5

    Topics: Analgesics, Opioid; Anesthetics, Local; Anterior Cruciate Ligament; Anterior Cruciate Ligament Injur

2001
Intra-articular bupivacaine does not decrease narcotic requirements after arthroscopic surgery in adolescents.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 1990, Volume: 37, Issue:4 Pt 2

    Topics: Adolescent; Anesthesia, Inhalation; Anesthesia, Local; Arthroscopy; Bupivacaine; Double-Blind Method

1990

Other Studies

12 other studies available for bupivacaine and Injuries, Knee

ArticleYear
Knee chondrolysis by infusion of bupivacaine with epinephrine through an intra-articular pain pump catheter after arthroscopic ACL reconstruction.
    The American journal of sports medicine, 2015, Volume: 43, Issue:2

    Topics: Adolescent; Adult; Anesthetics, Local; Anterior Cruciate Ligament Reconstruction; Arthralgia; Arthro

2015
Quadriceps fat pad edema: sonographic depiction and sonographically guided steroid injection.
    Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine, 2009, Volume: 28, Issue:7

    Topics: Adipose Tissue; Anesthetics, Local; Anti-Inflammatory Agents; Bupivacaine; Edema; Humans; Injections

2009
Evaluation of analgesic efficacy of intra-articular opioids (morphine, fentanyl) after arthroscopic knee surgery.
    Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association, 2012, Volume: 28, Issue:7

    Topics: Analgesia; Arthroscopy; Bupivacaine; Female; Fentanyl; Humans; Knee Injuries; Male; Pain, Postoperat

2012
The development of postoperative knee chondrolysis after intra-articular pain pump infusion of an anesthetic medication: a series of twenty-one cases.
    The Journal of bone and joint surgery. American volume, 2012, Aug-15, Volume: 94, Issue:16

    Topics: Adolescent; Adult; Arthralgia; Bupivacaine; Cartilage Diseases; Cartilage, Articular; Drug Combinati

2012
Chondrolysis is not just a shoulder problem anymore: commentary on an article by Frank R. Noyes, MD, et al.: “The development of postoperative knee chondrolysis after intra-articular pain pump infusion of an anesthetic medication. A series of twenty-one c
    The Journal of bone and joint surgery. American volume, 2012, Aug-15, Volume: 94, Issue:16

    Topics: Bupivacaine; Cartilage Diseases; Female; Humans; Injections, Intra-Articular; Knee Injuries; Male; P

2012
Rupture of the distal semitendinosus tendon: a report of two cases in professional athletes.
    The journal of knee surgery, 2007, Volume: 20, Issue:2

    Topics: Adult; Anesthetics, Local; Anti-Inflammatory Agents, Non-Steroidal; Baseball; Bupivacaine; Cryothera

2007
[Anesthesia in a patient with hereditary angioedema].
    Der Anaesthesist, 1984, Volume: 33, Issue:3

    Topics: Adult; Anesthesia, Epidural; Anesthesia, Inhalation; Angioedema; Bupivacaine; Halothane; Humans; Kne

1984
Regional anesthesia in knee arthroscopy: a new technique involving femoral and sciatic nerve blocks in knee arthroscopy.
    Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association, 1996, Volume: 12, Issue:1

    Topics: Adult; Anesthesia, Conduction; Anesthetics, Local; Anterior Cruciate Ligament; Anterior Cruciate Lig

1996
Increased neurologic complications associated with postoperative epidural analgesia after tibial fracture fixation.
    American journal of orthopedics (Belle Mead, N.J.), 1997, Volume: 26, Issue:9

    Topics: Adult; Analgesia, Epidural; Analgesia, Patient-Controlled; Analgesics, Opioid; Anesthetics, Local; B

1997
Possible bupivacaine toxicity after intraarticular injection for postarthroscopic analgesia of the knee: implications of the surgical procedure.
    Anesthesia and analgesia, 2002, Volume: 94, Issue:4

    Topics: Adult; Anesthetics, Local; Arthroscopy; Bupivacaine; Humans; Injections, Intra-Articular; Knee Injur

2002
Temporary increase in leg pain resulting from lumbar sympathetic blockade.
    Pain, 1990, Volume: 42, Issue:2

    Topics: Adult; Bupivacaine; Female; Humans; Knee Injuries; Leg; Lumbosacral Region; Nerve Block; Pain; Recur

1990
[Postoperative knee joint mobilization in catheter peridural anesthesia following arthrolyses of the knee joint].
    Aktuelle Traumatologie, 1985, Volume: 15, Issue:2

    Topics: Adolescent; Adult; Aged; Anesthesia, Epidural; Arthritis, Infectious; Bupivacaine; Catheterization;

1985