Page last updated: 2024-10-30

mepivacaine and Back Pain

mepivacaine has been researched along with Back Pain in 7 studies

Mepivacaine: A local anesthetic that is chemically related to BUPIVACAINE but pharmacologically related to LIDOCAINE. It is indicated for infiltration, nerve block, and epidural anesthesia. Mepivacaine is effective topically only in large doses and therefore should not be used by this route. (From AMA Drug Evaluations, 1994, p168)
mepivacaine : A piperidinecarboxamide in which N-methylpipecolic acid and 2,6-dimethylaniline have combined to form the amide bond. It is used as a local amide-type anaesthetic.

Back Pain: Acute or chronic pain located in the posterior regions of the THORAX; LUMBOSACRAL REGION; or the adjacent regions.

Research Excerpts

ExcerptRelevanceReference
"Mepivacaine seems to be a promising alternative to lidocaine for outpatient surgical procedures because of its similar duration of action."2.69Transient neurologic symptoms after spinal anesthesia with mepivacaine and lidocaine. ( Chisholm, MF; Liguori, GA; Zayas, VM, 1998)

Research

Studies (7)

TimeframeStudies, this research(%)All Research%
pre-19902 (28.57)18.7374
1990's2 (28.57)18.2507
2000's2 (28.57)29.6817
2010's1 (14.29)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Coomer, RP1
McKane, SA1
Smith, N1
Vandeweerd, JM1
Holm, KR1
Wennerstrand, J1
Lagerquist, U1
Eksell, R1
Johnston, C1
Dunn, WR1
Cordasco, FA1
Flynn, E1
Jules, K1
Gordon, M1
Liguori, G1
Liguori, GA1
Zayas, VM1
Chisholm, MF1
Salmela, L1
Aromaa, U1
Diesbecq, W1
Rolly, G1
Thiery, M1
Mathews, GJ1
Osterholm, JL1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Randomized, Controlled, Double-Blind Trial of 3 Local Anesthetics for Spinal Anesthesia in Primary Total Hip Arthroplasty to Compare the Percentage of Patients in Each Group With Early Ambulation[NCT03948386]Phase 4159 participants (Actual)Interventional2019-05-13Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Hospital Stay

length of hospital stay (NCT03948386)
Timeframe: hospital stay (0-3 days)

Interventionhours (Median)
Isobaric Bupivacaine26
Hyperbaric Bupivacaine26
Isobaric Mepivacaine22

Number of Patients With Dizziness Events

number of patients with dizziness when transitioning from lying down to sitting or standing (NCT03948386)
Timeframe: Postoperative day 2

InterventionParticipants (Count of Participants)
Isobaric Bupivacaine11
Hyperbaric Bupivacaine7
Isobaric Mepivacaine9

Number of Patients With Transient Neurological Symptoms (TNS)

Number of patients with TNS events occurring. Transient neurological symptoms were defined as new onset of back, buttock, or thigh pain occurring after spinal anesthesia. (NCT03948386)
Timeframe: Postoperative days 0-2

InterventionParticipants (Count of Participants)
Isobaric Bupivacaine2
Hyperbaric Bupivacaine6
Isobaric Mepivacaine5

Number of Patients With Urinary Retention Events

number of patients with inability to urinate within 8 hours of surgery OR a report of distended or painful bladder occurring on postoperative day 0 or 1, either by patient report or on palpation by nursing (NCT03948386)
Timeframe: postoperative day 1

InterventionParticipants (Count of Participants)
Isobaric Bupivacaine6
Hyperbaric Bupivacaine8
Isobaric Mepivacaine5

Percentage Ambulating Early After Spinal Anesthesia

Is there a difference between isobaric mepivacaine, hyperbaric bupivacaine, and isobaric bupivacaine when used for spinal anesthesia in primary total hip replacement in percentage of patients that can ambulate within 3.5 hours after spinal anesthesia? (NCT03948386)
Timeframe: 3.5 hours

InterventionParticipants (Count of Participants)
Isobaric Bupivacaine9
Hyperbaric Bupivacaine20
Isobaric Mepivacaine35

Return of Motor Function of the Thigh and Lower Leg

time to return of motor function of the thigh and lower leg (NCT03948386)
Timeframe: Postoperative day 0 (day of surgery)

Interventionminutes (Median)
Isobaric Bupivacaine148
Hyperbaric Bupivacaine123
Isobaric Mepivacaine109

Trials

3 trials available for mepivacaine and Back Pain

ArticleYear
A prospective randomized comparison of spinal versus local anesthesia with propofol infusion for knee arthroscopy.
    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:5

    Topics: Anesthesia Recovery Period; Anesthesia, Local; Anesthesia, Spinal; Anesthetics, Combined; Anesthetic

2006
Transient neurologic symptoms after spinal anesthesia with mepivacaine and lidocaine.
    Anesthesiology, 1998, Volume: 88, Issue:3

    Topics: Adult; Ambulatory Surgical Procedures; Anesthesia, Spinal; Arthroscopy; Back Pain; Double-Blind Meth

1998
Transient radicular irritation after spinal anesthesia induced with hyperbaric solutions of cerebrospinal fluid-diluted lidocaine 50 mg/ml or mepivacaine 40 mg/ml or bupivacaine 5 mg/ml.
    Acta anaesthesiologica Scandinavica, 1998, Volume: 42, Issue:7

    Topics: Adult; Aged; Aged, 80 and over; Anesthesia, Spinal; Anesthetics, Local; Back Pain; Bupivacaine; Cere

1998

Other Studies

4 other studies available for mepivacaine and Back Pain

ArticleYear
A controlled study evaluating a novel surgical treatment for kissing spines in standing sedated horses.
    Veterinary surgery : VS, 2012, Volume: 41, Issue:7

    Topics: Anesthetics, Local; Animals; Back Pain; Horse Diseases; Horses; Hypnotics and Sedatives; Imidazoles;

2012
Effect of local analgesia on movement of the equine back.
    Equine veterinary journal, 2006, Volume: 38, Issue:1

    Topics: Analgesia; Anesthetics, Local; Animals; Back; Back Pain; Biomechanical Phenomena; Exercise Test; Fem

2006
Continuous lumbar epidural analgesia during labor and delivery.
    Acta anaesthesiologica Belgica, 1974, Volume: 25, Issue:1

    Topics: Adult; Anesthesia, Epidural; Anesthesia, Obstetrical; Back Pain; Bradycardia; Bupivacaine; Female; F

1974
Autonomic deafferentation rhizotomy for surgical relief of chronic neck and back pain.
    Surgical forum, 1973, Volume: 24

    Topics: Autonomic Nerve Block; Back Pain; Humans; Lumbar Vertebrae; Mepivacaine; Methods; Pain Management; S

1973