Intrathecal baclofen for postoperative analgesia after total knee arthroplasty

Journal of Clinical Anesthesia

Volumn 21, Issue 7, 2009, Pages 486-492

  Sanders, John C ^a,b,c   Gerstein, Neal ^a   Torgeson, Eli ^a   Abram, Stephen ^a,d,e  

^a UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE   (United States)

^b SHRINERS HOSPITALS FOR CHILDREN   (United States)

^c UNIVERSITY OF UTAH SCHOOL OF MEDICINE   (United States)

^d MEDICAL COLLEGE OF WISCONSIN   (United States)

^e FROEDTERT MEMORIAL LUTHERAN HOSPITAL   (United States)

Author keywords

Anesthesia, Spinal; Baclofen, Intrathecal; Knee arthroplasty

Indexed keywords

BACLOFEN; BUPIVACAINE; DIPHENHYDRAMINE; FENTANYL; HYDROCODONE; HYDROMORPHONE; MIDAZOLAM; MORPHINE; ONDANSETRON; OPIATE; OXYCODONE; PARACETAMOL; PETHIDINE; PLACEBO; PROPOFOL;

ACUTE DISEASE; ADULT; ANESTHESIA COMPLICATION; ARTICLE; CHRONIC DISEASE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DOUBLE BLIND PROCEDURE; DRUG SAFETY; DRUG USE; FOLLOW UP; HOSPITAL DISCHARGE; HUMAN; HYPERBARISM; MAJOR CLINICAL STUDY; NAUSEA AND VOMITING; POSTOPERATIVE ANALGESIA; POSTOPERATIVE PAIN; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; PRURITUS; RANDOMIZED CONTROLLED TRIAL; RATING SCALE; RECOVERY ROOM; SPINAL ANESTHESIA; TELECONSULTATION; TOTAL KNEE REPLACEMENT; TREATMENT OUTCOME; VERBAL PAIN SCALE;

AGED; ANALGESICS, OPIOID; ANESTHESIA, SPINAL; ANESTHETICS, LOCAL; ARTHROPLASTY, REPLACEMENT, KNEE; BACLOFEN; BUPIVACAINE; DOUBLE-BLIND METHOD; ENDPOINT DETERMINATION; FEMALE; FOLLOW-UP STUDIES; GABA AGONISTS; HUMANS; MALE; MIDDLE AGED; MORPHINE; PAIN MEASUREMENT; PAIN, POSTOPERATIVE; PREANESTHETIC MEDICATION; PROSPECTIVE STUDIES;

EID: 71649094364     PISSN: 09528180     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jclinane.2008.12.019     Document Type: Article

References (42)

1. Capdevila X., Barthelet Y., and Biboulet P. Effects of perioperative analgesic technique on the surgical outcome and duration of rehabilitation after major knee surgery. Anesthesiology 91 (1999) 8-15
2. Hodgson P.S., and Liu S.S. New developments in spinal anesthesia. Anesthesiol Clin North America 18 (2000) 235-249
3. Zuniga R.E., Schlicht C.R., and Abram S.E. Intrathecal baclofen is analgesic in patients with chronic pain. Anesthesiology 92 (2000) 876-880
4. Slonimski M., Abram S.E., and Zuniga R.E. Intrathecal baclofen in pain management. Reg Anesth Pain Med 29 (2004) 269-276
5. Sawynok J., and Dickson C. Evidence for the involvement of descending noradrenergic pathways in the antinociceptive effect of baclofen. Brain Res 335 (1985) 89-97
6. Zielgansberger W. Dorsal horn neuropharmacology: baclofen and morphine. Ann NY Acad Sci 531 (1988) 150-156
7. Wilson P., and Yaksh T.L. Baclofen is antinociceptive in the spinal intrathecal space of animals. Eur J Pharmacol 51 (1978) 323-420
8. Hara K., Saito Y., Kirihara Y., Yamada Y., Sakura S., and Kosaka Y. Interaction of antinociceptive effects of morphine and GABA receptor agonists within the rat spinal cord. Anesth Analg 89 (1999) 422-427
9. Hwang J.H., and Yaksh T.L. The effect of spinal GABA receptor agonists on tactile allodynia in a surgically-induced neuropathic pain model in the rat. Pain 70 (1997) 15-22
10. Loubser P.G., and Akman N.M. Effects of intrathecal baclofen on chronic spinal cord injury pain. J Pain Symptom Manage 12 (1996) 241-247
11. Herman R.M., D'Luzansky J.C., and Ippolito R. Intrathecal baclofen suppresses central pain in patients with spinal lesions. Clin J Pain 8 (1992) 338-345
12. Middleton J.W., Siddell P.J., Walker S., Molloy A.R., and Rutkowski S.B. Intrathecal clonidine and baclofen in the management of spasticity and neuropathic pain following spinal cord injury: a case study. Arch Phys Med Rehabil 77 (1996) 824-826
13. Penn R.D., and Kroin J.S. Long-term intrathecal baclofen infusion in the treatment of spasticity. J Neurosurg 66 (1987) 181-185
14. Ben Smail D., Jacq C., Denys P., and Bussel B. Intrathecal baclofen in the treatment of painful, disabling spasms in Friedreich's ataxia. Mov Disord 20 (2005) 758-759
15. Vatine J.J., Magora F., Shochina M., Swissa A., and Magora A. Effect of intrathecal baclofen in low back pain with root compression symptoms. Pain Clin 2 (1989) 207-217
16. Aldrete J.A., and Kroulik D. A postanesthetic recovery score. Anesth Analg 49 (1970) 924
17. Miyoshi H.R., and Leckband S.G. Systemic opioid analgesics. In: Loesser J.D. (Ed). Bonica's Management of Pain (2001), Lippincott Williams & Wilkins, Philadelphia 1682-1710
18. SAS Institute Inc. SAS/STATR 9.1 User's Guide (2004), SAS Institute Inc, Cary (NC)
19. R Development Core Team. R: A language and environment for statistical computing (2006), R Foundation for Statistical Computing, Vienna, Austria. 3-900051-07-0. http://www.R-project.org
20. de Oliveira Filho G.R. The construction of learning curves for basic skills in anesthetic procedures: an application for the cumulative sum method. Anesth Analg 95 (2002) 411-416
21. White R.H., Romano P.S., Zhou H., Rodrigo J., and Bargar W. Incidence and time course of thromboembolic outcomes following total hip or knee arthroplasty. Arch Intern Med 158 (1998) 1525-1531
22. Mantilla C.B., Horlocker T.T., Schroeder D.R., Berry D.J., and Brown D.L. Frequency of myocardial infarction, pulmonary embolism, deep venous thrombosis, and death following primary hip or knee arthroplasty. Anesthesiology 96 (2002) 1140-1146
23. Brander V.A., Stulberg S.D., Adams A.D., et al. Predicting total knee replacement pain: a prospective, observational study. Clin Orthop Relat Res 416 (2003) 27-36
24. Singelyn F.J., Deyaert M., Joris D., Pendeville E., and Gouverneur J.M. Effects of intravenous patient-controlled analgesia with morphine, continuous epidural analgesia, and continuous three-in-one block on postoperative pain and knee rehabilitation after unilateral total knee arthroplasty. Anesth Analg 87 (1998) 88-92
25. Gianino J.M., York M.M., and Paice J.A. Pharmacology of Baclothen and Morphine. Intrathecal Drug Therapy for Spasticity and Pain (1996), Springer-Verlag, New York 55-65
26. Teoh H., Malcangio M., and Bowery N.G. GABA glutamate and substance P like immunoreactivity release: effects of novel GABA B antagonists. Br J Pharmacol 118 (1996) 1153-1160
27. Bormann J. Electrophysiology of GABA(A) and GABA(B) receptor subtypes. Trends Neurosci 11 (1998) 112-116
28. Melcangio M., and Bowry N.G. GABA and its receptors in the spinal cord. Trends Pharmacol Sci 17 (1996) 457-462
29. Dirig D.M., and Yaksh T.L. Intrathecal baclofen and muscimol but not midazolam are antinociceptive in the rat formalin model. J Pharmacol Exp Ther 275 (1995) 219-227
30. Malan T.P., Mata H.P., and Porreca F. Spinal GABA(A) and GABA(B) receptor pharmacology in a rat model of neuropathic pain. Anesthesiology 96 (2002) 1161-1167
31. Hartley R.C., Barton-Hanson N.G., Finley R., and Parkinson R.W. Early patient outcomes after primary and revision total knee arthroplasty. A prospective study. J Bone Joint Surg Br 84 (2002) 994-999
32. Salomone M.M., and Durieux M.E. Revision total knee arthroplasty does not increase PACU utilization. Clin Orthop Relat Res 446 (2006) 208-213
33. Miner A.L., Lingard E.A., Wright E.A., Sledge C.B., Katz J.N., and Kinemax Outcomes Group. Knee range of motion after total knee arthroplasty: how important is this as an outcome measure?. J Arthroplasty 18 (2003) 286-294
34. Bellamy N., Buchanan W.W., Goldsmith C.H., Campbell J., and Stitt L.W. Validation study of WOMAC. J Rheumatol 15 (1988) 1833-1840
35. Insall J.N., Dorr L.D., Scott R.D., and Scott W.N. Rationale of the Knee Society clinical rating system. Clin Orthop 248 (1989) 13-14
36. Forsythe M.E., Dunbar M.J., Hennigar A.W., Sullivan M.J., and Gross M. Prospective relation between catastrophizing and residual pain following knee arthroplasty: two-year follow-up. Pain Res Manag 13 (2008) 335-341
37. Oertel B., and Lötsch J. Genetic mutations that prevent pain: implications for future pain medication. Pharmacogenomics 9 (2008) 179-194
38. Chou W.Y., Yang L.C., and Lu J.Y. Association of μ-opioid receptor gene polymorphism (A118G) with variations in morphine consumption for analgesia after total knee arthroplasty. Acta Anaesthesiol Scand 50 (2006) 787-792
39. Harden R.N., Bruehl S., Stanos S., et al. Prospective examination of pain-related and psychological predictors of CRPS-like phenomena following total knee arthroplasty: a preliminary study. Pain 106 (2003) 393-400
40. Roth M.L., Tripp D.A., Harrison M.H., Sullivan M., and Carson P. Demographic and psychosocial predictors of acute perioperative pain for total knee arthroplasty. Pain Res Manag 12 (2007) 185-264
41. Illgen R.L., Pellino T.A., Gordon D.B., Butts S., and Heiner J.P. Prospective analysis of a novel long-acting oral opioid analgesic regimen for pain control after total hip and knee arthroplasty. J Arthroplasty 21 (2006) 814-820
42. Forst J., Wolff S., Thamm P., and Forst R. Pain therapy following joint replacement. A randomized study of patient-controlled analgesia versus conventional pain therapy. Arch Orthop Trauma Surg 119 (1999) 267-270