Ibuprofen for intravenous administration: new possibilities for the use of NSAIDs in postoperative pain management

Cover Page

Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription Access

Abstract

Non-steroidal anti-inflammatory drugs are an essential component of postoperative multimodal analgesia. Their analgesic efficacy has been confirmed by data from evidence-based medicine. The appearance of an intravenous form of ibuprofen on the Russian pharmaceutical market expands the possibilities of using NSAIDs in postoperative pain managment schemes. Ibuprofen characterized a high analgesic potential and an optimal safety profile in relation to the risk of gastrointestinal and cardiovascular complications.

About the authors

Аlexei M. Ovechkin

Sechenov First Moscow State Medical University

Author for correspondence.
Email: ovechkin_alexei@mail.ru
ORCID iD: 0000-0002-3453-8699
SPIN-code: 1277-9220

MD, Dr. Sci. (Med.), professor

Russian Federation, Moscow

Mikhail E. Politov

Sechenov First Moscow State Medical University

Email: ovechkin_alexei@mail.ru
ORCID iD: 0000-0003-0623-4927
SPIN-code: 2048-9705

MD, Cand. Sci. (Med.), associate professor

Russian Federation, Moscow

Sergey V. Sokologorskiy

Sechenov First Moscow State Medical University

Email: ovechkin_alexei@mail.ru
ORCID iD: 0000-0001-6805-9744
SPIN-code: 8933-8819

MD, Dr. Sci. (Med.), professor

Russian Federation, Moscow

References

  1. Schug SA, Palmer GM, Scott D, et al. Acute Pain Management: Scientific Evidence. Australian and New Zeland College of Anaesthetists, 4th edition. Melbourne, Australia; 2015.
  2. Chou R, Gordon DB, de Leon-Casasola OA, et al. Management of postoperative pain: A clinical practice guideline from the American Pain Society, the American Society of Regional Anesthesia and pain medicine, and the American Society of Anesthesiologists’ committee on Regional Anesthesia, executive committee, and administrative council. J Pain. 2016;17(2):131–57. doi: 10.1016/j.jpain.2015.12.008
  3. Malmberg AB, Yaksh TL. Antinociceptive actions of spinal nonsteroidal anti-inflammatory agents on the formalin test in the rat. J Pharmacol Exp Ther. 1992;263(1):136–46.
  4. Eisenach JC, Curry R, Hood DD, et al. Phase I safety assessment of intrathecal ketorolac. Pain. 2002;99(3):599–604. doi: 10.1016/S0304-3959(02)00208-7
  5. Bookstaver PB, Miller AD, Rudisill CN, et al. Intravenous ibuprofen: the first injectable product for the treatment of pain and fever. J Pain Res. 2010;3:67–79. doi: 10.2147/jpr.s6993
  6. Gerbeshagen H, Aduckathil S, Van Wijck A, et al. Pain intensity on the first day after surgery. Anesthesiology. 2013;118:934–44. doi: .1097/aln.0b013e31828866b3
  7. Weisz RD, Fokin AA, Lerner V, et al. Intravenous ibuprofen reduces opioid consumption during the initial 48 hours after injury in orthopedic trauma patients. J Orthop Trauma. 2020;34(7):341–7. doi: 10.1097/BOT.0000000000001733
  8. Gago Martínez A, Escontrela Rodriguez B, Planas Roca A, et al. Intravenous ibuprofen for treatment of post–operative pain: A multicenter, double blind, placebo-controlled, randomized clinical trial. PLoS One. 2016;11(5):e0154004. doi: 10.1371/journal.pone.0154004
  9. Singla N, Rock A, Pavliv L. A multi-center, randomized, double-blind placebo-controlled trial of intravenous-ibuprofen (IV-ibuprofen) for treatment of pain in post-operative orthopedic adult patients. Pain Med. 2010;11(8):1284–93. doi: 10.1111/j.1526-4637.2010.00896.x
  10. Kandil TS, El Hefnawy E. Shoulder pain following laparoscopic cholecystectomy: factors affecting the incidence and severity. J Laparoendosc Adv Surg Tech A. 2010;20(8):677–82. doi: 10.1089/lap.2010.0112
  11. Ahiskalioglu EO, Ahiskalioglu A, Aydin P, et al. Effects of single-dose preemptive intravenous ibuprofen on postoperative opioid consumption and acute pain after laparoscopic cholecystectomy. Medicine (Baltimore). 2017;96(8):e6200. doi: 10.1097/MD.0000000000006200
  12. Kroll PB, Meadows L, Rock A, et al. A multicenter, randomized, double-blind, placebo-controlled trial of intravenous ibuprofen (i.v.-ibuprofen) in the management of postoperative pain following abdominal hysterectomy: Intravenous ibuprofen for abdominal hysterectomy pain. Pain Pract. 2011;11(1):23–32. doi: 10.1111/j.1533-2500.2010.00402.x
  13. Shepherd DM, Jahnke H, White WL, et al. Randomized, double-blinded, placebo-controlled trial comparing two multimodal opioid-minimizing pain management regimens following transsphenoidal surgery. J Neurosurg. 2018;128(2):444–51. doi: 10.3171/2016.10.JNS161355
  14. Uribe AA, Arbona FL, Flanigan DC, et al. Comparing the efficacy of IV ibuprofen and ketorolac in the management of postoperative pain following arthroscopic knee surgery. A randomized double-blind active comparator pilot study. Front Surg. 2018;5:59. doi: 10.3389/fsurg.2018.00059
  15. Katz J, Clarke H. Preventive analgesia and beyond: current status, evidence, and future directions: Local anesthetics. In: Clinical Pain Management. CRC Press; 2008:154–97.
  16. Kim SY, Lee S, Lee Y, et al. Effect of single dose preoperative intravenous ibuprofen on postoperative pain and opioid consumption: a systematic review and meta-analysis. Korean J Anesthesiol. 2021;74(5):409–21. doi: 10.4097/kja.21050
  17. Koo CH, Cho YJ, Hong DM, et al. Influence of high-dose intraoperative remifentanil with intravenous ibuprofen on postoperative morphine consumption in patients undergoing pancreaticoduodenectomy: a randomized trial. J Clin Anesth. 2016;35:47–53. doi: 10.1016/j.jclinane.2016.07.017
  18. Mutlu V, Ince I. Preemptive intravenous ibuprofen application reduces pain and opioid consumption following thyroid surgery. Am J Otolaryngol. 2019;40(1):70–3. doi: 10.1016/j.amjoto.2018.10.008
  19. Karaca O, Pınar HU, Turk E, et al. Effects of single-dose preemptive pregabalin and intravenous ibuprofen on postoperative opioid consumption and acute pain after laparoscopic cholecystectomy. J Invest Surg. 2019;32(3):189-95. doi: 10.1080/08941939.2017.1386738
  20. Strom BL, Berlin JA, Kinman JL, et al. Parenteral ketorolac and risk of gastrointestinal and operative site bleeding. A postmarketing surveillance study. JAMA. 1996;275(5):376–82. doi: 10.1001/jama.275.5.376
  21. Forrest JB, Camu F, Greer IA, et al. Ketorolac, diclofenac, and ketoprofen are equally safe for pain relief after major surgery. Br J Anaesth. 2002;88(2):227–33. doi: 10.1093/bja/88.2.227
  22. Belyayeva IB, Mazurov VI. Rational use of non-steroidal anti-inflammatory drugs in comorbid patients with rheumatic diseases: emphasis on nimesulide. Effektivnaya farmakoterapiya. 2021;17(7):40–46. (in Russ.). doi: 10.33978/2307-3586-2021-17-7-40-46
  23. Southworth SR, Sellers JA. Narrative summary of recently published literature on intravenous ibuprofen. Clin Ther. 2020;42(7):1210–21. doi: 10.1016/j.clinthera.2020.05.004
  24. Castellsague J, Riera-Guardia N, Calingaert B, et al. Individual NSAIDs and upper gastrointestinal complications: a systematic review and meta-analysis of observational studies (the SOS project): A systematic review and meta-analysis of observational studies (the SOS project). Drug Saf. 2012;35(12):1127–46. doi: 10.2165/11633470-000000000-00000
  25. McGettigan P, Henry D. Cardiovascular risk with non-steroidal anti-inflammatory drugs: systematic review of population-based controlled observational studies. PLoS Med. 2011;8(9):e1001098. doi: 10.1371/journal.pmed.1001098

Supplementary files

Supplementary Files
Action
1. JATS XML
2. Fig. Classification of NSAIDs according to the degree of selectivity for COX-1 and COX-2 [22].

Download (229KB)

Copyright (c) 2022 Ovechkin А.M., Politov M.E., Sokologorskiy S.V.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
 


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies