Page last updated: 2024-10-24

bupivacaine and Spinal Diseases

bupivacaine has been researched along with Spinal Diseases in 18 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.

Spinal Diseases: Diseases involving the SPINE.

Research Excerpts

ExcerptRelevanceReference
"A total of 103 patients who were scheduled to undergo elective posterior lumbar discectomy, decompressive laminectomy with or without instrumented fusion for degenerative spinal diseases, received either methylprednisolone locally applied to the affected nerve roots (and bupivacaine was infiltrated into the wound) or injected placebo."5.12Peridural methylprednisolone and wound infiltration with bupivacaine for postoperative pain control after posterior lumbar spine surgery: a randomized double-blinded placebo-controlled trial. ( Jirarattanaphochai, K; Jung, S; Krisanaprakornkit, W; Sumananont, C; Thienthong, S, 2007)
" The rate of adverse events with conscious sedation has not been previously assessed in the interventional spine procedure setting."1.37Adverse events of conscious sedation in ambulatory spine procedures. ( Marín, DR; Schaufele, MK; Simmons, AC; Tate, JL, 2011)

Research

Studies (18)

TimeframeStudies, this research(%)All Research%
pre-19902 (11.11)18.7374
1990's5 (27.78)18.2507
2000's8 (44.44)29.6817
2010's2 (11.11)24.3611
2020's1 (5.56)2.80

Authors

AuthorsStudies
Katsevman, GA1
Allison, AA1
Fang, W1
Confer, J1
Elhamdani, S1
Hoyt, A1
Garavaglia, JM1
Marsh, RA1
O'Neill, KR1
Lockney, DT1
Bible, JE1
Crosby, CG1
Devin, CJ1
Scuderi, GJ1
Cuellar, JM1
Cuellar, VG1
Yeomans, DC1
Carragee, EJ1
Angst, MS1
Schaufele, MK1
Marín, DR1
Tate, JL1
Simmons, AC1
Singh, K2
Samartzis, D1
Dip, DS1
Strom, J1
Manning, D1
Campbell-Hupp, M1
Wetzel, FT1
Gupta, P1
Phillips, FM2
Meta, G1
Ghaleb, A1
Gentry, WB1
Firnhaber, J1
Kanniah, S1
Amin, N1
Brancaccio, R1
Cohen, D1
Jirarattanaphochai, K1
Jung, S1
Thienthong, S1
Krisanaprakornkit, W1
Sumananont, C1
Kuo, E1
Campbell, M1
Schwarzer, AC2
Wang, SC1
Bogduk, N2
McNaught, PJ1
Laurent, R1
Aprill, CN1
Derby, R1
Fortin, J1
Kine, G1
Crawford, RW1
Gie, GA1
Ling, RS1
Murray, DW1
Kim, KM1
Kim, HS1
Choi, KH1
Ahn, WS1
Goucke, CR1
Graziotti, P1
Wulf, H1
Striepling, E1
Moran, R1
O'Connell, D1
Walsh, MG1
Reynolds, AF1
Dautenhahn, DL1
Pollay, M1
Fagraeus, L1

Clinical Trials (8)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Local Anesthetic Use at Iliac Crest Bone Graft Site in Spinal Reconstructive Surgery[NCT01087931]40 participants (Actual)Interventional2010-04-30Completed
Using Inflammatory Biomarkers and EMG Results to Predict Epidural Injection Response in Patients Diagnosed With Lumbar Stenosis[NCT03511053]11 participants (Actual)Interventional2017-12-19Completed
Role of Continuous Local Infusion of Ropivacaine for Post-Operative Pain Management in Patients Receiving Osseocutaneous Free Flaps[NCT03349034]Phase 224 participants (Actual)Interventional2017-09-13Completed
Pain Treatment in Posterior Thoracolumbar Operation a Randomized Study to Assess the Effect of Local Analgesia After Operation[NCT01872494]Phase 471 participants (Actual)Interventional2013-05-31Completed
Subjective Intraoperative Use of Epidural Steroid Administration Following Discectomy for Herniated Lumbar Discs Is There a Role? - A Randomized Control Trial[NCT04182997]Phase 4200 participants (Anticipated)Interventional2019-11-21Recruiting
Perioperative IV Steroid Administration Lowers Post-operative Pain Levels and Opioid Use in Pediatric Patients After Posterior Spinal Fusion and Instrumentation for Spine Deformity.[NCT05287035]Early Phase 170 participants (Anticipated)Interventional2023-07-01Enrolling by invitation
Comparative Outcomes of Intraoperative Epidural Application of Anesthetic Cocktail Following Endoscopic Lumbar Discectomy: A Randomized Controlled Trial[NCT05738759]54 participants (Anticipated)Interventional2022-05-01Recruiting
A Randomized Placebo-Controlled Trial of Platelet Rich Plasma (PRP) for Facet Mediated Lumbar Low Back Pain[NCT04822753]170 participants (Anticipated)Interventional2021-09-29Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Narcotic Use, 1st Follow up

Number of participants using narcotics for pain (NCT01087931)
Timeframe: about 4 to 5 weeks after surgery

InterventionParticipants (Count of Participants)
Bupivacaine9
Saline13

Narcotic Use, Final Follow up

Number of participants using narcotics for pain (NCT01087931)
Timeframe: about 18 to 20 weeks after surgery

InterventionParticipants (Count of Participants)
Bupivacaine1
Saline3

Pain, Cumulative Visual Analog Score, 1st Follow Up

Cumulative Visual Analog Score pain score scores were calculated using the sum of scores (at rest and with movement, pain on average at rest and with movement, and maximum pain at rest and with movement) Range = 0-60 for cumulative visual analog pain score with 0=no pain and 60=worst pain ever. (NCT01087931)
Timeframe: about 4 to 5 weeks after surgery

Interventionunits on a scale (Mean)
Bupivacaine10.5
Saline21.7

Pain, Cumulative Visual Analog Score, Final Follow up

Cumulative Visual Analog Score pain score scores were calculated using the sum of scores (at rest and with movement, pain on average at rest and with movement, and maximum pain at rest and with movement) Range = 0-60 for cumulative visual analog pain score with 0=no pain and 60=worst pain ever. (NCT01087931)
Timeframe: about 18 to 20 weeks after surgery

Interventionunits on a scale (Mean)
Bupivacaine15.33
Saline29.33

Pain Disability Questionnaire

Measures how pain is affecting the patients lifestyle on a scale from 0 to 10 as defined by each question. The questionnaire contains 15 questions that each range on a scale form 0 to 10. The total score of the questionnaire ranges from 0 to 150. Lower values represent a better outcome. (NCT03511053)
Timeframe: Change between baseline, 1 month and 2 months post injection

Interventionscore on a scale (Mean)
Average at baselineAverage at 1 monthAverage at 2 monthsAverage at 1 month changeAverage at 2 month change
All Participants77.553.364.327.316.2

Swiss Spinal Stenosis Questionnaire

Measures how pain due to spinal stenosis is effected the patient based on quality of life/pain questions and satisfaction questions for months 1 and 2 (no scales are used) SSSQ scores are reported in percentages 0-100%, higher scores indicate worse outcomes. (NCT03511053)
Timeframe: Change between baseline, 1 month and 2 months post injection

InterventionPercentage (Mean)
Average at baselineAverage at 1 monthAverage at 2 monthsAverage at 1 month changeAverage at 2 month change
All Participants64.153.253.511.710.3

Visual Analogue Scale

Number rating of back/leg pain from 0 to 10, 0 being no pain/discomfort, 10 being extreme pain/discomfort (NCT03511053)
Timeframe: Change between baseline, 1 month and 2 months post injection

Interventionscore on a scale (Mean)
Average at baselineAverage at 1 monthAverage at 2 monthsAverage 1 month changeAverage 2 month change
All Participants6.25.05.00.81

American Pain Society-Patient Outcome Questionnaire - (APS-POQ-R)

Pain question on APS-POQ-R - A standardized pain satisfaction survey distributed to subjects at 48 hours rating their overall satisfaction with postoperative pain management. a 16-item questions measured on a 10-point numeric likert scale, with higher scores indicating more pain. Total range from 0 (no pain) to 200 (severe pain). (NCT03349034)
Timeframe: 48 hours

Interventionscore on a scale (Mean)
Saline Placebo6.0
Ropivacaine4.3

Distance Ambulated

At 48 hours all subjects received a physical therapy evaluation. Distance ambulated measured in feet. (NCT03349034)
Timeframe: 48 hours

Interventionfeet (Mean)
Saline Placebo152
Ropivacaine80

Opioid Consumption

All subjects receive standing tylenol 650mg every 6 hours as well as a dilaudid PCA set for low-dose, opioid-naive patients for the first 48 hours post-operatively. Total opioid consumption for each subject during the first 48 hours is recorded measured in oral morphine equivalents (OME). (NCT03349034)
Timeframe: 48 hours

InterventionOME (Mean)
Saline Placebo119.75
Ropivacaine91.20

Strength

At 48 hours all subjects received a physical therapy evaluation. Strength measured on a standard neurological 5 point scale: 0 = Complete Paralysis to 5 = Normal Power. (NCT03349034)
Timeframe: 48 hours

Interventionscore on a scale (Mean)
Saline Placebo2.67
Ropivacaine2.20

Post-Operative Pain - Global Pain

"Pain assessed every 8 hours for the first 48 hours using a visual analogue pain scale at rest. A visual analogue pain scale is a validated pain measure. Essentially, there is a 100 millimeter line drawn on a piece of paper, with no pain marking the left end of the line and worst pain marking the right end of the line. Subjects mark with a pen along the line where pain is felt fits along that continuum. A researcher then measures how far along the line that mark is placed and then it is recorded. Full scale from 0-100, higher score indicates more pain." (NCT03349034)
Timeframe: 8, 16, 24, 32, 40 and 48 hours

,
Interventionscore on a scale (Mean)
8 hour16 hour24 hour32 hour40 hour48 hour
Ropivacaine40.1426.5641.5635.6733.6037.40
Saline Placebo44.0027.5031.8324.1721.8820.38

Post-Operative Pain at Donor-Site

"Pain assessed every 8 hours for the first 48 hours using a visual analogue pain scale at rest. A visual analogue pain scale is a validated pain measure. Essentially, there is a 100 millimeter line drawn on a piece of paper, with no pain marking the left end of the line and worst pain marking the right end of the line. Subjects mark with a pen along the line where pain is felt fits along that continuum. A researcher then measures how far along the line that mark is placed and then it is recorded. Full scale from 0-100, higher score indicates more pain." (NCT03349034)
Timeframe: 8, 16, 24, 32, 40 and 48 hours

,
Interventionscore on a scale (Mean)
8 hour16 hour24 hour32 hour40 hour48 hour
Ropivacaine41.1440.8845.6737.4442.1130.60
Saline Placebo52.4041.0023.3325.6730.1228.75

Trials

4 trials available for bupivacaine and Spinal Diseases

ArticleYear
Bupivacaine for pain reduction after iliac crest bone graft harvest.
    Orthopedics, 2014, Volume: 37, Issue:5

    Topics: Aged; Anesthetics, Local; Bone Transplantation; Bupivacaine; Female; Humans; Ilium; Male; Middle Age

2014
A prospective, randomized, double-blind study evaluating the efficacy of postoperative continuous local anesthetic infusion at the iliac crest bone graft site after spinal arthrodesis.
    Spine, 2005, Nov-15, Volume: 30, Issue:22

    Topics: Adult; Aged; Aged, 80 and over; Anesthetics, Local; Bone Transplantation; Bupivacaine; Double-Blind

2005
Peridural methylprednisolone and wound infiltration with bupivacaine for postoperative pain control after posterior lumbar spine surgery: a randomized double-blinded placebo-controlled trial.
    Spine, 2007, Mar-15, Volume: 32, Issue:6

    Topics: Adult; Aged; Analgesia, Epidural; Analgesia, Patient-Controlled; Analgesics, Opioid; Anesthetics, Lo

2007
Peridural methylprednisolone and wound infiltration with bupivacaine for postoperative pain control after posterior lumbar spine surgery: a randomized double-blinded placebo-controlled trial.
    Spine, 2007, Mar-15, Volume: 32, Issue:6

    Topics: Adult; Aged; Analgesia, Epidural; Analgesia, Patient-Controlled; Analgesics, Opioid; Anesthetics, Lo

2007
Peridural methylprednisolone and wound infiltration with bupivacaine for postoperative pain control after posterior lumbar spine surgery: a randomized double-blinded placebo-controlled trial.
    Spine, 2007, Mar-15, Volume: 32, Issue:6

    Topics: Adult; Aged; Analgesia, Epidural; Analgesia, Patient-Controlled; Analgesics, Opioid; Anesthetics, Lo

2007
Peridural methylprednisolone and wound infiltration with bupivacaine for postoperative pain control after posterior lumbar spine surgery: a randomized double-blinded placebo-controlled trial.
    Spine, 2007, Mar-15, Volume: 32, Issue:6

    Topics: Adult; Aged; Analgesia, Epidural; Analgesia, Patient-Controlled; Analgesics, Opioid; Anesthetics, Lo

2007
Peridural methylprednisolone and wound infiltration with bupivacaine for postoperative pain control after posterior lumbar spine surgery: a randomized double-blinded placebo-controlled trial.
    Spine, 2007, Mar-15, Volume: 32, Issue:6

    Topics: Adult; Aged; Analgesia, Epidural; Analgesia, Patient-Controlled; Analgesics, Opioid; Anesthetics, Lo

2007
Peridural methylprednisolone and wound infiltration with bupivacaine for postoperative pain control after posterior lumbar spine surgery: a randomized double-blinded placebo-controlled trial.
    Spine, 2007, Mar-15, Volume: 32, Issue:6

    Topics: Adult; Aged; Analgesia, Epidural; Analgesia, Patient-Controlled; Analgesics, Opioid; Anesthetics, Lo

2007
Peridural methylprednisolone and wound infiltration with bupivacaine for postoperative pain control after posterior lumbar spine surgery: a randomized double-blinded placebo-controlled trial.
    Spine, 2007, Mar-15, Volume: 32, Issue:6

    Topics: Adult; Aged; Analgesia, Epidural; Analgesia, Patient-Controlled; Analgesics, Opioid; Anesthetics, Lo

2007
Peridural methylprednisolone and wound infiltration with bupivacaine for postoperative pain control after posterior lumbar spine surgery: a randomized double-blinded placebo-controlled trial.
    Spine, 2007, Mar-15, Volume: 32, Issue:6

    Topics: Adult; Aged; Analgesia, Epidural; Analgesia, Patient-Controlled; Analgesics, Opioid; Anesthetics, Lo

2007
Peridural methylprednisolone and wound infiltration with bupivacaine for postoperative pain control after posterior lumbar spine surgery: a randomized double-blinded placebo-controlled trial.
    Spine, 2007, Mar-15, Volume: 32, Issue:6

    Topics: Adult; Aged; Analgesia, Epidural; Analgesia, Patient-Controlled; Analgesics, Opioid; Anesthetics, Lo

2007
Peridural methylprednisolone and wound infiltration with bupivacaine for postoperative pain control after posterior lumbar spine surgery: a randomized double-blinded placebo-controlled trial.
    Spine, 2007, Mar-15, Volume: 32, Issue:6

    Topics: Adult; Aged; Analgesia, Epidural; Analgesia, Patient-Controlled; Analgesics, Opioid; Anesthetics, Lo

2007
Peridural methylprednisolone and wound infiltration with bupivacaine for postoperative pain control after posterior lumbar spine surgery: a randomized double-blinded placebo-controlled trial.
    Spine, 2007, Mar-15, Volume: 32, Issue:6

    Topics: Adult; Aged; Analgesia, Epidural; Analgesia, Patient-Controlled; Analgesics, Opioid; Anesthetics, Lo

2007
Peridural methylprednisolone and wound infiltration with bupivacaine for postoperative pain control after posterior lumbar spine surgery: a randomized double-blinded placebo-controlled trial.
    Spine, 2007, Mar-15, Volume: 32, Issue:6

    Topics: Adult; Aged; Analgesia, Epidural; Analgesia, Patient-Controlled; Analgesics, Opioid; Anesthetics, Lo

2007
Peridural methylprednisolone and wound infiltration with bupivacaine for postoperative pain control after posterior lumbar spine surgery: a randomized double-blinded placebo-controlled trial.
    Spine, 2007, Mar-15, Volume: 32, Issue:6

    Topics: Adult; Aged; Analgesia, Epidural; Analgesia, Patient-Controlled; Analgesics, Opioid; Anesthetics, Lo

2007
Peridural methylprednisolone and wound infiltration with bupivacaine for postoperative pain control after posterior lumbar spine surgery: a randomized double-blinded placebo-controlled trial.
    Spine, 2007, Mar-15, Volume: 32, Issue:6

    Topics: Adult; Aged; Analgesia, Epidural; Analgesia, Patient-Controlled; Analgesics, Opioid; Anesthetics, Lo

2007
Peridural methylprednisolone and wound infiltration with bupivacaine for postoperative pain control after posterior lumbar spine surgery: a randomized double-blinded placebo-controlled trial.
    Spine, 2007, Mar-15, Volume: 32, Issue:6

    Topics: Adult; Aged; Analgesia, Epidural; Analgesia, Patient-Controlled; Analgesics, Opioid; Anesthetics, Lo

2007
Peridural methylprednisolone and wound infiltration with bupivacaine for postoperative pain control after posterior lumbar spine surgery: a randomized double-blinded placebo-controlled trial.
    Spine, 2007, Mar-15, Volume: 32, Issue:6

    Topics: Adult; Aged; Analgesia, Epidural; Analgesia, Patient-Controlled; Analgesics, Opioid; Anesthetics, Lo

2007
A prospective, randomized, double-blind study of the efficacy of postoperative continuous local anesthetic infusion at the iliac crest bone graft site after posterior spinal arthrodesis: a minimum of 4-year follow-up.
    Spine, 2007, Dec-01, Volume: 32, Issue:25

    Topics: Adult; Aged; Aged, 80 and over; Analgesics, Opioid; Anesthetics, Local; Bone Transplantation; Bupiva

2007

Other Studies

14 other studies available for bupivacaine and Spinal Diseases

ArticleYear
Retrospective Assessment of the Use of Liposomal Bupivacaine in Lumbar Fusions in Immediate Postoperative Hospital Care.
    World neurosurgery, 2020, Volume: 141

    Topics: Adult; Aged; Aged, 80 and over; Anesthetics, Local; Bupivacaine; Female; Humans; Length of Stay; Lip

2020
Epidural interferon gamma-immunoreactivity: a biomarker for lumbar nerve root irritation.
    Spine, 2009, Oct-01, Volume: 34, Issue:21

    Topics: Adult; Aged; Biomarkers; Bupivacaine; Cohort Studies; Epidural Space; Female; Follow-Up Studies; Hum

2009
Adverse events of conscious sedation in ambulatory spine procedures.
    The spine journal : official journal of the North American Spine Society, 2011, Volume: 11, Issue:12

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Ambulatory Surgical Procedures; Anesthesia, Local; Bupiv

2011
Intrathecal therapy-associated masses.
    Anesthesia and analgesia, 2006, Volume: 103, Issue:1

    Topics: Analgesics, Opioid; Anesthetics, Local; Bupivacaine; Catheterization; Diagnosis, Differential; Human

2006
Anesthesia for Cesarean delivery in a parturient with rigid spine syndrome.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2006, Volume: 53, Issue:7

    Topics: Adult; Analgesics, Opioid; Anesthesia, Epidural; Anesthesia, Obstetrical; Anesthesia, Spinal; Anesth

2006
Cutaneous reactions to injectable corticosteroids.
    Dermatitis : contact, atopic, occupational, drug, 2006, Volume: 17, Issue:3

    Topics: Aged; Anti-Inflammatory Agents; Bupivacaine; Diagnosis, Differential; Drug Eruptions; Female; Humans

2006
Prevalence and clinical features of lumbar zygapophysial joint pain: a study in an Australian population with chronic low back pain.
    Annals of the rheumatic diseases, 1995, Volume: 54, Issue:2

    Topics: Aged; Australia; Bupivacaine; Diagnosis, Differential; Female; Humans; Injections, Intra-Articular;

1995
The relative contributions of the disc and zygapophyseal joint in chronic low back pain.
    Spine, 1994, Apr-01, Volume: 19, Issue:7

    Topics: Adult; Bupivacaine; Female; Humans; Intervertebral Disc; Intervertebral Disc Displacement; Lidocaine

1994
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
Cephalic spreading levels after volumetric caudal epidural injections in chronic low back pain.
    Journal of Korean medical science, 2001, Volume: 16, Issue:2

    Topics: Adult; Aged; Anesthesia, Epidural; Anesthetics, Local; Bupivacaine; Chronic Disease; Female; Fluoros

2001
Extradural abscess following local anaesthetic and steroid injection for chronic low back pain.
    British journal of anaesthesia, 1990, Volume: 65, Issue:3

    Topics: Abscess; Aged; Anesthesia, Epidural; Anesthetics, Local; Back Pain; Bupivacaine; Chronic Disease; Di

1990
Postmortem findings after epidural anaesthesia.
    Anaesthesia, 1990, Volume: 45, Issue:5

    Topics: Adult; Aged; Aged, 80 and over; Analgesia, Epidural; Anesthesia, Epidural; Bupivacaine; Epidural Spa

1990
The diagnostic value of facet joint injections.
    Spine, 1988, Volume: 13, Issue:12

    Topics: Adult; Aged; Bupivacaine; Contrast Media; Female; Humans; Injections, Spinal; Male; Middle Aged; Pai

1988
Safety and efficacy of epidural analgesia in spine surgery.
    Annals of surgery, 1986, Volume: 203, Issue:2

    Topics: Adult; Aged; Analgesia; Anesthesia, Epidural; Bupivacaine; Female; Humans; Intervertebral Disc Displ

1986