Evidence map›Paper›PMID 23095130›Full record

ArticleInternational wound journal2014

Effect of local anaesthetic infiltration with bupivacaine and ropivacaine on wound healing: a placebo-controlled study.

João Abrão, Cleverson R Fernandes, Paul F White, Antonio C Shimano, Rodrigo Okubo, Giovanni Bp Lima, José A Bachur, Sérgio B Garcia

Open access · bronzeAbstract read
In one paragraph

Article in International wound journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 38 citations in OpenAlex.

  1. Trial
  2. Article
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  4. Pharmacokinetics and local tissue response to local instillation of vocacapsaicin, a novel capsaicin prodrug, in rat and rabbit osteotomy models.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2022
    Article
  5. Article
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  8. Comparison ofFrontiers in pain research (Lausanne, Switzerland) · 2021
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 3 countries.

João AbrãoDepartment of Biomechanics, Medicine and Rehabilitation, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, BrazilDepartment of Pathology, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, BrazilDepartment of Anesthesiology, Cedars-Sinai Medical Center, Los Angeles, CA, USA, Instituto Ortopédico, Rizzoli, University of Bologna, ItalyDepartment of Radiology, Faculty of Medicine, University of Triângulo Mineiro, Uberaba, Minas Gerais, Brazil.
Cleverson R Fernandes
Paul F White
Antonio C Shimano
Rodrigo Okubo
Giovanni Bp Lima
José A Bachur
Sérgio B Garcia
Universidade de São Paulo · BRCedars-Sinai Medical Center · USUniversidade de Ribeirão Preto · BRUniversidade Federal do Triângulo Mineiro · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Infiltration of surgical wounds with long-acting local anaesthetics (LA) is used to reduce postoperative incisional pain. We hypothesised that infiltration with LA interferes with wound healing in rats. Seventy-two rats were allocated into nine groups. After intraperitoneal anaesthesia, the interscapular dorsal region was infiltrated with equivolumes of saline, 0·5% bupivacaine or ropivacaine, in a randomised double-blind fashion. A standardised incision was performed in the infiltrated area and sutured closed. The rats were euthanised on the 3rd or 14th day after the operation and tissue from the incision site was subjected to histochemical analyses and mechanical testing (MT). Compared with the control group, bupivacaine displayed a significant increase in the macrophage number on day 3 (+63% versus +27% for ropivacaine). The transforming growth factor β-1 expression had a significant increase in the LA (versus saline) groups, +63% in ropivacaine group and +115% in bupivacaine group on day 3 (P < 0·05). The collagen fibres as measured by dyed area were significantly higher in the bupivacaine group on day 3 (+56%, P < 0·01 versus +15% for ropivacaine). CD34 was reduced in bupivacaine group (-51%, P < 0·05 versus +3% for ropivacaine). On day 14, no statistical differences were observed in either LA group (versus saline) with respect to histopathologic or inflammatory mediators. MT on day 14 showed no differences between the LA and saline groups. The LA-induced increases in histological markers did not extend beyond the third day, suggesting that wound infiltration with long-acting LA does not impair the wound healing process in rats.

Indexed as

AmidesAnesthesia, LocalAnesthetics, LocalAnimalsBupivacaineDisease Models, AnimalMalePain MeasurementPostoperative PainRatsRats, WistarRopivacaineTreatment OutcomeWound HealingWounds and InjuriesAmidesAnesthetics, LocalBupivacaineRopivacaineAnaestheticsImmunohistochemistryLocalMechanical testWound Healing

Identifiers

PMID23095130
PMCPMC7950954
OpenAlexW2126268538

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.