Journal of Oral and Maxillofacial Surgery
Volume 65, Issue 8 , Pages 1477-1485 , August 2007

The Analgesic Efficacy and Safety of Intra-Articular Morphine and Mepivicaine Following Temporomandibular Joint Arthroplasty

  • John R. Zuniga, DMD, MS, PhD

      Affiliations

    • Professor, Department of Surgery, Division of Oral and Maxillofacial Surgery, University of Texas Southwestern Medical Center, Dallas, TX.
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Zuniga: Oral and Maxillofacial Surgery, 5323 Harry Hines Blvd, Dallas, TX 75390-9109
    • ,
  • Carlos Ibanez, DDS

      Affiliations

    • Assistant Professor, Department of Oral and Maxillofacial Surgery, University of Connecticut Health Center, School of Dental Medicine, Farmington, CT.
    • ,
  • Mark Kozacko, DDS

      Affiliations

    • Private Practice, Raleigh, NC.

References 

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  2. Dolin SJ, Cashman JN, Bland JM. Effectiveness of acute postoperative pain management: 1 (Evidence from published data). Br J Anaesth. 2002;89:409
  3. Stein C. Peripheral mechanisms of opioid analgesia. Anesth Analg. 1993;76:182
  4. Stein C, Comisel K, Haimer E, et al. Analgesic effect of intraarticular morphine after arthroscopic knee surgery. N Engl J Med. 1991;325:1123
  5. Joshi GP, McCarroll SM, Coonerf CM, et al. Intra-articular morphine for pain relief after knee arthroscopy. J Bone J Surg. 1992;74:749
  6. Moiniche S, Mikkelsen S, Wetterslev J, et al. A systematic review of intra-articular local anesthesia for postoperative pain relief after arthroscopic knee surgery. Reg Anesth Pain Med. 1999;24:430
  7. McSwiney MM, Joshi GP, Kenny P, et al. Analgesia following arthroscopic knee surgery (A controlled study of intra-articular morphine, bupivicaine or both combined). Anaesth Intens Care. 1993;21:201
  8. Lundin O, Rydgren B, Sward I, et al. Analgesic effects of intra-articular morphine during and after knee arthroscopy: A comparison of two methods. Arthroscopy. 1998;14:192
  9. Boden BP, Fassler S, Cooper S, et al. Analgesic effect of intra-articular morphine, bupivacaine, and morphine/bupivacaine after arthroscopic knee surgery. Arthroscopy. 1994;10:104
  10. Allen GC, St. Amand MA, Lui AC, et al. Postarthroscopy analgesia with intra-articular bupivacaine/morphine (A randomized clinical trial). Anesthesiology. 1993;79:475
  11. Gupta A, Lennart B, Bjorn H, et al. A systematic review of the peripheral analgesic effects of intraarticular morphine. Anesth Analg. 2001;93:761
  12. Rosseland LA, Stubhaug A, Grevbo F, et al. Effective pain relief from intraarticular saline with or without morphine 2 mg in patients with moderate-to-severe pain after knee arthroscopy: A randomized, double-blind controlled clinical study. Acta Anaesthesiol Scand. 2003;47:732
  13. Heard SO, Edwards WT, Ferrari D, et al. Analgesic effect of intra-articular bupivicaine or morphine after arthroscopic knee surgery: A randomized, prospective double-blind study. Anesth Analg. 1992;74:822
  14. Geutens G, Hambridge JE. Analgesic effects of intra-articular bupivicaine after day-case arthroscopy. Arthroscopy. 1994;10:299
  15. Aasbo V, Raeder JC, Grogaard B, et al. No additional analgesic effect of intra-articular morphine or bupivicaine compared with placebo after elective knee arthroscopy. Acta Anaesthesiol Scand. 1996;40:585
  16. Bryant CJ, Harrison SD, Hopper C, et al. Use of intra-articular morphine for postoperative analgesia following TMJ arthroscopy. Br J Oral Maxillofac Surg. 1999;37:391
  17. Furst IM, Kryshtalksyj B, Weinberg S. The use of intra-articular opioids and bupivicaine for analgesia following temporomandibular joint arthroscopy: A prospective, randomized trial. J Oral Maxillofac Surg. 2001;59:979
  18. Bianconi M, Ferraro L, Triana GC, et al. Pharmacokinetics and efficacy of ropivicaine continuous wound instillation after joint replacement surgery. Br J Anaesth. 2003;91:830
  19. Bianconi M, Ferraro L, Ricci R, et al. The pharmacokinetics and efficacy of ropivicaine continuous wound instillation after spine fusion surgery. Anesth Analg. 2004;98:166
  20. Gottschalk A, Burmeister M-A, Radtke P, et al. Continuous wound infiltration with ropivicaine reduces pain and analgesic requirement after shoulder surgery. Anesth Analg. 2003;97:1086
  21. Gupta A, Thorn S, Axelsson K, et al. Postoperative pain relief using intermittent injections of 0.5% ropivicaine through a catheter after laparoscopic cholecystectomy. Anesth Analg. 2002;95:450
  22. Quinn PD. Surgical approaches to the temporomandibular joint. In:  Quinn PD editors. Color Atlas of Temporomandibular Joint Surgery. St Louis: MO, Mosby; 1998;p. 30–54
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  24. Marchal J, Delgado-Martinez A, Poncela M, et al. Does the type of arthroscopic surgery modify the analgesic effect of intraarticular morphine and bupivicaine? (A preliminary study). Clin J Pain. 2003;19:240
  25. Rosseland LA, Knut H, Breivik H, et al. Moderate-to severe pain after knee arthroscopy is relieved by intraarticular saline: A randomized controlled trial. Anesth Analg. 2004;98:1546
  26. Convery PN, Milligan KR, Quinn P, et al. Efficacy and uptake of ropivacaine and bupivacaine after single intra-articular injection in the knee joint. Br J Anaesth. 2001;87:570

PII: S0278-2391(07)00382-5

doi: 10.1016/j.joms.2007.04.001

Journal of Oral and Maxillofacial Surgery
Volume 65, Issue 8 , Pages 1477-1485 , August 2007

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