A widely used local anesthetic agent.
Drugs that block nerve conduction when applied locally to nerve tissue in appropriate concentrations. They act on any part of the nervous system and on every type of nerve fiber. In contact with a nerve trunk, these anesthetics can cause both sensory and motor paralysis in the innervated area. Their action is completely reversible. (From Gilman AG, et. al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 8th ed) Nearly all local anesthetics act by reducing the tendency of voltage-dependent sodium channels to activate.
Procedure in which an anesthetic is injected directly into the spinal cord.
The relief of pain without loss of consciousness through the introduction of an analgesic agent into the epidural space of the vertebral canal. It is differentiated from ANESTHESIA, EPIDURAL which refers to the state of insensitivity to sensation.
Organic compounds containing the -CO-NH2 radical. Amides are derived from acids by replacement of -OH by -NH2 or from ammonia by the replacement of H by an acyl group. (From Grant & Hackh's Chemical Dictionary, 5th ed)
The elimination of PAIN, without the loss of CONSCIOUSNESS, during OBSTETRIC LABOR; OBSTETRIC DELIVERY; or the POSTPARTUM PERIOD, usually through the administration of ANALGESICS.
Procedure in which an anesthetic is injected into the epidural space.
A variety of anesthetic methods such as EPIDURAL ANESTHESIA used to control the pain of childbirth.
Interruption of NEURAL CONDUCTION in peripheral nerves or nerve trunks by the injection of a local anesthetic agent (e.g., LIDOCAINE; PHENOL; BOTULINUM TOXINS) to manage or treat pain.
A local anesthetic and cardiac depressant used as an antiarrhythmia agent. Its actions are more intense and its effects more prolonged than those of PROCAINE but its duration of action is shorter than that of BUPIVACAINE or PRILOCAINE.
Pain during the period after surgery.
Epidural anesthesia administered via the sacral canal.
A local anesthetic with rapid onset and long action, similar to BUPIVACAINE.
A blocking of nerve conduction to a specific area by an injection of an anesthetic agent.
An opioid analgesic that is used as an adjunct in anesthesia, in balanced anesthesia, and as a primary anesthetic agent.
A potent narcotic analgesic, abuse of which leads to habituation or addiction. It is primarily a mu-opioid agonist. Fentanyl is also used as an adjunct to general anesthetics, and as an anesthetic for induction and maintenance. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1078)
The use of two or more chemicals simultaneously or sequentially to induce anesthesia. The drugs need not be in the same dosage form.
A method of studying a drug or procedure in which both the subjects and investigators are kept unaware of who is actually getting which specific treatment.
Agents that are administered in association with anesthetics to increase effectiveness, improve delivery, or decrease required dosage.
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)
Introduction of therapeutic agents into the spinal region using a needle and syringe.
Extraction of the FETUS by means of abdominal HYSTEROTOMY.
A thiophene-containing local anesthetic pharmacologically similar to MEPIVACAINE.
Compounds with activity like OPIATE ALKALOIDS, acting at OPIOID RECEPTORS. Properties include induction of ANALGESIA or NARCOSIS.
Scales, questionnaires, tests, and other methods used to assess pain severity and duration in patients or experimental animals to aid in diagnosis, therapy, and physiological studies.
Methods of PAIN relief that may be used with or in place of ANALGESICS.
The phenomenon whereby compounds whose molecules have the same number and kind of atoms and the same atomic arrangement, but differ in their spatial relationships. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 5th ed)
The process in which specialized SENSORY RECEPTOR CELLS transduce peripheral stimuli (physical or chemical) into NERVE IMPULSES which are then transmitted to the various sensory centers in the CENTRAL NERVOUS SYSTEM.
The space between the arachnoid membrane and PIA MATER, filled with CEREBROSPINAL FLUID. It contains large blood vessels that supply the BRAIN and SPINAL CORD.
Relief of PAIN, without loss of CONSCIOUSNESS, through ANALGESIC AGENTS administered by the patients. It has been used successfully to control POSTOPERATIVE PAIN, during OBSTETRIC LABOR, after BURNS, and in TERMINAL CARE. The choice of agent, dose, and lockout interval greatly influence effectiveness. The potential for overdose can be minimized by combining small bolus doses with a mandatory interval between successive doses (lockout interval).
The principal alkaloid in opium and the prototype opiate analgesic and narcotic. Morphine has widespread effects in the central nervous system and on smooth muscle.
The large network of nerve fibers which distributes the innervation of the upper extremity. The brachial plexus extends from the neck into the axilla. In humans, the nerves of the plexus usually originate from the lower cervical and the first thoracic spinal cord segments (C5-C8 and T1), but variations are not uncommon.
The repetitive uterine contraction during childbirth which is associated with the progressive dilation of the uterine cervix (CERVIX UTERI). Successful labor results in the expulsion of the FETUS and PLACENTA. Obstetric labor can be spontaneous or induced (LABOR, INDUCED).
The relationship between the dose of an administered drug and the response of the organism to the drug.
A local anesthetic of the ester type that has a slow onset and a short duration of action. It is mainly used for infiltration anesthesia, peripheral nerve block, and spinal block. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1016).
The injection of drugs, most often analgesics, into the spinal canal without puncturing the dura mater.
Surgery performed on an outpatient basis. It may be hospital-based or performed in an office or surgicenter.
The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.
A local anesthetic that is similar pharmacologically to LIDOCAINE. Currently, it is used most often for infiltration anesthesia in dentistry.
The active sympathomimetic hormone from the ADRENAL MEDULLA. It stimulates both the alpha- and beta- adrenergic systems, causes systemic VASOCONSTRICTION and gastrointestinal relaxation, stimulates the HEART, and dilates BRONCHI and cerebral vessels. It is used in ASTHMA and CARDIAC FAILURE and to delay absorption of local ANESTHETICS.
The ratio of the density of a material to the density of some standard material, such as water or air, at a specified temperature.
A nerve which originates in the lumbar and sacral spinal cord (L4 to S3) and supplies motor and sensory innervation to the lower extremity. The sciatic nerve, which is the main continuation of the sacral plexus, is the largest nerve in the body. It has two major branches, the TIBIAL NERVE and the PERONEAL NERVE.
Surgical incision into the chest wall.
An abdominal hernia with an external bulge in the GROIN region. It can be classified by the location of herniation. Indirect inguinal hernias occur through the internal inguinal ring. Direct inguinal hernias occur through defects in the ABDOMINAL WALL (transversalis fascia) in Hesselbach's triangle. The former type is commonly seen in children and young adults; the latter in adults.
An opioid analgesic made from MORPHINE and used mainly as an analgesic. It has a shorter duration of action than morphine.
Narcotic analgesic related to CODEINE, but more potent and more addicting by weight. It is used also as cough suppressant.
A short-acting beta-2 adrenergic agonist that is primarily used as a bronchodilator agent to treat ASTHMA. Albuterol is prepared as a racemic mixture of R(-) and S(+) stereoisomers. The stereospecific preparation of R(-) isomer of albuterol is referred to as levalbuterol.
An opioid analgesic with actions and uses similar to those of MORPHINE, apart from an absence of cough suppressant activity. It is used in the treatment of moderate to severe pain, including pain in obstetrics. It may also be used as an adjunct to anesthesia. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1092)
Derivatives of the steroid androstane having two double bonds at any site in any of the rings.
The action of a drug that may affect the activity, metabolism, or toxicity of another drug.
An acute hypersensitivity reaction due to exposure to a previously encountered ANTIGEN. The reaction may include rapidly progressing URTICARIA, respiratory distress, vascular collapse, systemic SHOCK, and death.
Acquired or developmental conditions marked by an impaired ability to comprehend or generate spoken forms of language.
A syndrome of ORTHOSTATIC INTOLERANCE combined with excessive upright TACHYCARDIA, and usually without associated ORTHOSTATIC HYPOTENSION. All variants have in common an excessively reduced venous return to the heart (central HYPOVOLEMIA) while upright.
An imprecise term which may refer to a sense of spatial disorientation, motion of the environment, or lightheadedness.
Spherical particles of nanometer dimensions.
Cyclical movement of a body part that can represent either a physiologic process or a manifestation of disease. Intention or action tremor, a common manifestation of CEREBELLAR DISEASES, is aggravated by movement. In contrast, resting tremor is maximal when there is no attempt at voluntary movement, and occurs as a relatively frequent manifestation of PARKINSON DISEASE.

Dose-response effects of spinal neostigmine added to bupivacaine spinal anesthesia in volunteers. (1/1144)

BACKGROUND: Intrathecal adjuncts often are used to enhance small-dose spinal bupivacaine for ambulatory anesthesia. Neostigmine is a novel spinal analgesic that could be a useful adjunct, but no data exist to assess the effects of neostigmine on small-dose bupivacaine spinal anesthesia. METHODS: Eighteen volunteers received two bupivacaine spinal anesthetics (7.5 mg) in a randomized, double-blinded, crossover design. Dextrose, 5% (1 ml), was added to one spinal infusion and 6.25, 12.5, or 50 microg neostigmine in dextrose, 5%, was added to the other spinal. Sensory block was assessed with pinprick; by the duration of tolerance to electric stimulation equivalent to surgical incision at the pubis, knee, and ankle; and by the duration of tolerance to thigh tourniquet. Motor block at the quadriceps was assessed with surface electromyography. Side effects (nausea, vomiting, pruritus, and sedation) were noted. Hemodynamic and respiratory parameters were recorded every 5 min. Dose-response relations were assessed with analysis of variance, paired t tests, or Spearman rank correlation. RESULTS: The addition of 50 microg neostigmine significantly increased the duration of sensory and motor block and the time until discharge criteria were achieved. The addition of neostigmine produced dose-dependent nausea (33-67%) and vomiting (17-50%). Neostigmine at these doses had no effect on hemodynamic or respiratory parameters. CONCLUSIONS: The addition of 50 microg neostigmine prolonged the duration of sensory and motor block. However, high incidences of side effects and delayed recovery from anesthesia with the addition of 6.25 to 50 microg neostigmine may limit the clinical use of these doses for outpatient spinal anesthesia.  (+info)

A double-blind comparison of 0.125% ropivacaine with sufentanil and 0.125% bupivacaine with sufentanil for epidural labor analgesia. (2/1144)

BACKGROUND: This study intends to evaluate the benefits of the administration of intermittent bolus doses of ropivacaine (0.125%) compared with bupivacaine (0.125%) after addition of sufentanil for analgesia during labor. METHODS: One hundred thirty American Society of Anesthesiologists physical status 1 or 2 parturients were studied. The 90 initial patients were assigned randomly to receive 10 ml bupivacaine, 0.125%, plus 7.5 microg sufentanil (initial bupivacaine 0.125% group) or ropivacaine, 0.125%, plus 7.5 microg sufentanil (ropivacaine 0.125% group). Forty additional patients were recruited and received 0.125% bupivacaine plus 7.5 microg sufentanil (additional bupivacaine 0.125% group) or 0.100% bupivacaine plus 7.5 microg sufentanil (additional bupivacaine 0.100% group). The duration of analgesia, visual analogue scores for pain, motor blockade (using a six-point modified Bromage scale), patient satisfaction scores, nausea, pruritus, heart rate, and blood pressure were recorded. RESULTS: Bupivacaine 0.125% and ropivacaine 0.125% coadministered with sufentanil provided rapid and complete analgesia. Onset of analgesia occurred after +/-15 min and lasted +/-90 min. After the third epidural injection, patients in the ropivacaine group experienced significantly less severe motor blockade than patients in the initial bupivacaine 0.125% group. At this point, 93% of the patients in the ropivacaine group were free from motor impairment versus 66% in the bupivacaine group (P<0.05). Comparable levels of motor blockade were obtained in both additional groups. Patients' evaluation of their analgesia was worst in the bupivacaine 0.100% group. CONCLUSIONS: Ropivacaine 0.125% with sufentanil affords reliable analgesia with minimal motor blockade.  (+info)

Interaction of bupivacaine and tetracaine with the sarcoplasmic reticulum Ca2+ release channel of skeletal and cardiac muscles. (3/1144)

BACKGROUND: Although various local anesthetics can cause histologic damage to skeletal muscle when injected intramuscularly, bupivacaine appears to have an exceptionally high rate of myotoxicity. Research has suggested that an effect of bupivacaine on sarcoplasmic reticulum Ca2+ release is involved in its myotoxicity, but direct evidence is lacking. Furthermore, it is not known whether the toxicity depends on the unique chemical characteristics of bupivacaine and whether the toxicity is found only in skeletal muscle. METHODS: The authors studied the effects of bupivacaine and the similarly lipid-soluble local anesthetic, tetracaine, on the Ca2+ release channel-ryanodine receptor of sarcoplasmic reticulum in swine skeletal and cardiac muscle. [3H]Ryanodine binding was used to measure the activity of the Ca2+ release channel-ryanodine receptors in microsomes of both muscles. RESULTS: Bupivacaine enhanced (by two times at 5 mM) and inhibited (66% inhibition at 10 mM) [3H]ryanodine binding to skeletal muscle microsomes. In contrast, only inhibitory effects were observed with cardiac microsomes (about 3 mM for half-maximal inhibition). Tetracaine, which inhibits [3H]ryanodine binding to skeletal muscle microsomes, also inhibited [3H]ryanodine binding to cardiac muscle microsomes (half-maximal inhibition at 99 microM). CONCLUSIONS: Bupivacaine's ability to enhance Ca2+ release channel-ryanodine receptor activity of skeletal muscle sarcoplasmic reticulum most likely contributes to the myotoxicity of this local anesthetic. Thus, the pronounced myotoxicity of bupivacaine may be the result of this specific effect on Ca2+ release channel-ryanodine receptor superimposed on a nonspecific action on lipid bilayers to increase the Ca2+ permeability of sarcoplasmic reticulum membranes, an effect shared by all local anesthetics. The specific action of tetracaine to inhibit Ca2+ release channel-ryanodine receptor activity may in part counterbalance the nonspecific action, resulting in moderate myotoxicity.  (+info)

Effect of i.v. ketamine in combination with epidural bupivacaine or epidural morphine on postoperative pain and wound tenderness after renal surgery. (4/1144)

We studied 60 patients undergoing operation on the kidney with combined general and epidural anaesthesia, in a double-blind, randomized, controlled study. Patients were allocated to receive a preoperative bolus dose of ketamine 10 mg i.v., followed by an i.v. infusion of ketamine 10 mg h-1 for 48 h after operation, or placebo. During the first 24 h after surgery, all patients received 4 ml h-1 of epidural bupivacaine 2.5 mg ml-1. From 24 to 48 h after operation, patients received epidural morphine 0.2 mg h-1 preceded by a bolus dose of 2 mg. In addition, patient-controlled analgesia (PCA) with i.v. morphine (2.5 mg, lockout time 15 min) was offered from 0 to 48 h after operation. Patients who received ketamine felt significantly more sedated at 0-24 h, but not at 24-48 h after operation, compared with patients who received placebo (P = 0.002 and P = 0.127, respectively). There were no significant differences in pain (VAS) at rest, during mobilization or cough, PCA morphine consumption, sensory block to pinprick, pressure pain detection threshold assessed with an algometer, touch and pain detection thresholds assessed with von Frey hairs, peak flow or side effects other than sedation. The power of detecting a reduction in VAS scores of 20 mm in our study was 80% at the 5% significance level. We conclude that we were unable to demonstrate an (additive) analgesic or opioid sparing effect of ketamine 10 mg h-1 i.v. combined with epidural bupivacaine at 0-24 h, or epidural morphine at 24-48 h after renal surgery.  (+info)

Neonatal outcome and mode of delivery after epidural analgesia for labour with ropivacaine and bupivacaine: a prospective meta-analysis. (5/1144)

In this prospective meta-analysis, we have evaluated the effect of epidural analgesia with ropivacaine for pain in labour on neonatal outcome and mode of delivery compared with bupivacaine. In six randomized, double-blind studies, 403 labouring women, primigravidae and multiparae, received epidural analgesia with ropivacaine or bupivacaine 2.5 mg ml-1. The drugs were administered as intermittent boluses in four studies and by continuous infusion in two. Apgar scores, neurological and adaptive capacity scores (NACS), degree of motor block and mode of delivery were recorded. The studies were designed prospectively to fit meta-analysis of the pooled results. Results showed similar pain relief and consumption of the two drugs. In the vaginally delivered neonates, NACS scores were approximately equal for both groups at 2 h, but at 24 h there were fewer infants with NACS less than 35 in the ropivacaine compared with the bupivacaine group (2.8% vs 7.6%; P < 0.05). Spontaneous vaginal deliveries occurred more frequently overall with ropivacaine than with bupivacaine (58% vs 49%; P < 0.05) and instrumental deliveries (forceps and vacuum extraction) less frequently (27% vs 40%; P < 0.01), while the frequency of Caesarean section was similar between groups. The intensity of motor block was lower with ropivacaine. There were no significant differences in adverse events.  (+info)

Incidence of bradycardia during recovery from spinal anaesthesia: influence of patient position. (6/1144)

We administered 0.5% plain bupivacaine 4 ml intrathecally (L2-3 or L3-4) in three groups of 20 patients, according to the position in which they were nursed in the post-anaesthesia care unit (PACU): supine horizontal, 30 degrees Trendelenburg or hammock position (trunk and legs 30 degrees elevated). Patients were observed until anaesthesia descended to less than S1. The incidence of severe bradycardia (heart rate < 50 beat min-1) in the PACU was significantly higher in patients in the Trendelenburg position (60%) than in the horizontal (20%, P < 0.01) or hammock (10%, P < 0.005) position. After 90 min, following admission to the PACU, only patients in the hammock position did not have severe bradycardia. In this late phase, the incidence of severe bradycardia in the Trendelenburg group was 35% (P < 0.005) and 10% in patients in the supine horizontal position. In four patients, severe bradycardia first occurred later than 90 min after admission to the PACU. The latest occurrence of severe bradycardia was recorded 320 min after admission to the PACU. We conclude that for recovery from spinal anaesthesia, the Trendelenburg position should not be used and the hammock position is preferred.  (+info)

Balanced pre-emptive analgesia: does it work? A double-blind, controlled study in bilaterally symmetrical oral surgery. (7/1144)

We studied 32 patients undergoing bilateral symmetrical lower third molar surgery under general anaesthesia to determine if the combined effects of pre-emptive local anaesthetic block using 0.5% bupivacaine, together with i.v. tenoxicam and alfentanil had any benefits over postoperative administration. Patients acted as their own controls and were allocated randomly to have surgery start on one side, the second side always being the pre-emptive side. Difference in pain intensity between the two sides was determined using visual analogue scales completed by each individual at 6 h, and at 1, 3 and 6 days after operation. A long-form McGill pain questionnaire was also used to assess difference in pain intensity between the two sides on the morning after surgery. There was no significant difference in pain intensity at any time after surgery. Our findings indicate that the combined use of pre-emptive analgesia from 0.5% bupivacaine, tenoxicam and alfentanil did not reduce postoperative pain intensity in patients undergoing molar exodontia.  (+info)

Relative analgesic potencies of ropivacaine and bupivacaine for epidural analgesia in labor: implications for therapeutic indexes. (8/1144)

BACKGROUND: The minimum local analgesic concentration (MLAC) has been defined as the median effective local analgesic concentration in a 20-ml volume for epidural analgesia in the first stage of labor. The aim of this study was to assess the relative analgesic potencies of epidural bupivacaine and ropivacaine by determining their respective minimum local analgesic concentrations. METHODS: Seventy-three parturients at < or = 7 cm cervical dilation who requested epidural analgesia were allocated to one of two groups in this double-blinded, randomized, prospective study. After a lumbar epidural catheter was placed, 20 ml of the test solution was given, either ropivacaine (n = 34) or bupivacaine (n = 39). The concentration of local anesthetic was determined by the response of the previous patient in that group to a higher or lower concentration using up-down sequential allocation. Analgesic efficacy was assessed using 100-mm visual analog pain scores with < or = 10 mm within 30 min defined as effective. An effective result directed a 0.01% wt/vol decrement for the next patient. An ineffective result directed a 0.01% wt/vol increment. RESULTS: The minimum local analgesic concentration of ropivacaine was 0.111% wt/vol (95% confidence interval, 0.100-0.122), and the minimum local analgesic concentration of bupivacaine was 0.067% wt/vol (95% confidence interval, 0.052-0.082). Ropivacaine was significantly less potent than bupivacaine, with a potency ratio of 0.6 (95% confidence interval, 0.49-0.74). No difference in motor effects was observed. CONCLUSION: Ropivacaine was significantly less potent than bupivacaine for epidural analgesia in the first stage of labor.  (+info)

Background and Aims: The effect of local anesthetics on myometrial contractility during labor analgesia is debatable. We aimed to compare the effects of bupivacaine and levobupivacaine on rat uterine contractility in an in vivo setting. Methods: Electrical activities of 40 pregnant rat uteruses were recorded on electrohysterogram after dividing the rats into bupivacaine and levobupivacaine groups. Uterine contraction frequencies were recorded at each 5-min interval. The first 5-min recording was considered the control, which was immediately followed by intramyometrial administration of either bupivacaine or levobupivacaine. The recordings were continued for 30 min. The changes in frequencies at each time interval of the groups were compared with each other and the control recording. Results: The frequencies from both groups at each interval were lower than the control values, but not different between the groups. The frequencies of the bupivacaine group during the 5-10 min and 10-15 min ...
Background: Vibrio fluvialis is an emerging zoonotic pathogen that its antibiotic-resistant strains are rapidly expanding. Discovering new antibacterial agents is one way to control it.Aims and Objectives: In this research, inhibitory potentials of glycine, magnesium oxide nanoparticles (NPs), and some synthesized thiazole, imidazolidine-2-thione, and tetrahydropyrimidine-2-thione derivatives were studied against V. 﫿uvialis in an in vitro manner.Materials and Methods: Thiazoles were prepared through Hantzsch reaction. Cyclic thioureas were synthesized from the reaction of diaminoalkanes and carbon disulfde. MgO NPs were created in 23.7-25.7nm by sol-gel processing. Antibacterial properties of all compounds as inhibition zone diameter, the minimum inhibitory concentration, and the minimum bactericidal concentration values were assessed through both disk diffusion and broth microdilution methods.Results: No inhibitory activity on V. 﫿uvialis was observed with MgO NPs and glycine. Among ...
Background: Spinal anaesthesia is the fastest and most reliable form of regional anaesthesia. Additions of intrathecaly adjuvants are useful for prolonging the spinal anaesthesia effects.Subjects and Methods:The Patients were divided in three groups; Group C (control group) = received 15 mg (3 ml) of hyperbaric bupivacaine intrathecaly. Group D = received 15 mg (3 ml) of hyperbaric bupivacaine plus 4μgDexmedetomidine intrathecally. Group F = received Hyperbaric Bupivacaine 15mg (3ml) plus 25μg fentanylintrathecally.Results: For the total duration of sensory block p- value is 0.000003, which is less than 0.05 (α) and is highly significant. From the above p - value and scheffe post hoc test we conclude that the Bupivacaine + Dexmedetomidine has prolonged duration of sensory block as compared to bupivacaine alone and in combination with fentanyl. For the motor block p- value is 0.000000 and is less than 0.05 (α). It is highly significant. For the demand of Analgesic p-value is 0.0000001 and is ...
Case pain visual analog score persisted above 10 mm, patient was rejected and the same bupivacaines concentration was administered to the next patient.. Bupivacaines minimum analgesic concentration was calculated by Massey and Dixons formula 8.. Upper sensory block level and Bromage scores were compared between effective and ineffective concentrations by Mann-Whitney test. Significance level was established to 5%.. RESULTS. Demographics data of both samples are shown in table I.. Study I. Figure 1 shows the responses to different bupivacaine concentrations. Bupivacaines MAC-LA could not be calculated because data did not meet essential Massey and Dixon formulas requirements. There were 6 effective responses, 15 ineffective and 7 rejections. Mean bupivacaine concentration in this sample was 0.18% ±0.05%. Mean effective bupivacaine concentration was 0.19% ±0.07% and mean ineffective concentration was 0.18% ±0.055% (p,0.05). Median pain visual analog score (extremes) before bupivacaine ...
Background-This study was designed to evaluate effect of adding 25 μg of fentanyl to 0.5% intrathecal bupivacaine for elective caesarean section. Methods- The study was conducted on 40 ASA I & II women posted for elective caesarean section. Patients were randomized into two groups and lumbar subarachnoid block performed with bupivacaine and fentanyl, or bupivacaine alone. The time of onset , upper level of block, duration of sensory and motor block, systolic blood pressure, heart rate and respiratory rate were recorded and analysed. Results- It was observed that fall in blood pressure and sedation showed significant differences between the groups. None of the other variables differed. Conclusion- Addition of fentanyl to bupivacaine resulted in faster onset of action and effective spinal anaesthesia with a lower dose of bupivacaine. The duration of block was similar in both groups. The most striking feature was the greater hemodynamic stability with the addition of fentanyl.. ...
TY - JOUR. T1 - A prospective double-blind randomised controlled trial of intraoperative pelvic instillation with bupivacaine for management of pain following laparoscopy and dye. AU - Sripada, Sreebala. AU - Roy, S.. AU - Mathur, M.. AU - Hamilton, M. AU - Cranfield, K.. AU - Bhattacharya, Siladitya. PY - 2006. Y1 - 2006. N2 - The aim of this randomised, double-blind, placebo-controlled trial was to evaluate the effectiveness of intraperitoneal instillation of bupivacaine following laparoscopy and dye test. Women received either 15 ml of 0.9% saline (n=42) or 15 ml of 0.5% bupivacaine (n=43), which was instilled intraperitoneally. Pain and nausea scores were recorded on a visual analogue scale (VAS). Pain perception was no different in the bupivacaine group compared with the control group with median values of VAS at 2 hours (18, 19; P=0.8), 6 hours (21, 22; P=0.5), 12 hours (19, 25; P=0.8), 24 hours (27, 27; P=0.9) and 48 hours (21, 13; P=0.26). Women in the bupivacaine group were less ...
The aim of this study is to measure the effects of bupivacaine administered via epidural catheters on indices of motor blockade ascertained during the second stage of labor. This is a randomized, double-blind, controlled trial designed to address the primary research question: Does bupivacaine lengthen the second stage of labor? The secondary research question is: Is there other evidence of motor blockade attributable to bupivacaine during the second stage of labor?. The investigators know from prior studies that the length of the second stage in nulliparous women delivered at Parkland Hospital without epidural analgesia is 28 minutes. The investigators hypothesize in this now proposed study that epidural analgesia with bupivacaine will significantly increase this baseline from 28 minutes to 37 minutes or more (a 33% increase) thus implicating motor blockade. Baseline data for the Bromage and Breen scores during the second stage as well as the uterine contractility data are not available as ...
METHODS: A retrospective cohort study was conducted to evaluate patient outcomes following liposomal bupivacaine and elastomeric bupivacaine pump use from January through June 2013. The primary objective of the study was to evaluate 24-hour postoperative opioid use (in morphine equivalents).. RESULTS: Sixty-seven liposomal bupivacaine and 262 elastomeric bupivacaine pump patients were included. Significant between-group differences were seen in American Society of Anesthesiologists physical status, patient-controlled analgesia use, postoperative nonopioid use, and surgical procedure. On univariate analysis, liposomal bupivacaine-in comparison with elastomeric bupivacaine pump -was associated with reduced median (interquartile range, IQR) 24-hour postoperative opioid use (33.0 mg morphine equivalents [IQR, 19.0-80.4 mg morphine equivalents] versus 70.4 mg morphine equivalents [IQR, 37.1-115.4 mg morphine equivalents], p , 0.001) and median 72-hour postoperative opioid use (61.3 mg morphine ...
Duration of analgesia, sensory and motor blockade and intra operative hemodynamic changes caused by intrathecal bupivacaine, bupivacaine plus clonidine and bupivacaine plus dexmedetomidine in spinal anesthesia: prospective, comparative study
The aim of this study was to determine the onset and offset of antinociception after sciatic (ScN) and femoral (FN) nerve blocks. Six healthy adult cats (4.8±1.3years; 4.3±0.4 kg) were included in a randomised, crossover, blinded and controlled study. Following sedation with dexmedetomidine (25 µg/kg, intramuscular), each ScN and FN injection was performed using 0.1 ml/kg of saline (CONTROL), bupivacaine (0.46 per cent, 0.46 mg/kg; BUPI), bupivacaine and dexmedetomidine (1 µg/kg; BUPI-DEX) or bupivacaine and buprenorphine (2.5 µg/kg; BUPI-BUPRE). Atipamezole (250 µg/kg) was administered after injections. Paw withdrawal thresholds (PWT) and motor blockade were evaluated before sedation and up to 24 hours. The PWT were significantly increased at half an hour in CONTROL, from two to four hours in BUPI and BUPI-DEX when compared with baseline. Motor blockade was observed between one and three hours in treatments using bupivacaine. Ability to walk was significantly impaired in BUPI at half an ...
Patients eligible for inclusion in the study will be age 8 to 95 years and have an eye deviation (strabismus) that is potentially subject to surgical correction.. The eye alignment will be measured. The eye muscles will be measured by MRI. The eye will be anesthetized by eye drops. One or more eye muscles will be injected with bupivacaine. Botox® will be injected into the antagonist muscle in some cases to increase the effect of the bupivacaine.. Data on the strabismus deviation, any side effects of the drug injection, and the eye muscles as measured by MRI, will be recorded at intervals after injection. These data will be compared with the like measurements taken before injection.. The primary outcome will be the eye alignment change at 180 days. A secondary outcome will be the change in muscle size, strength, or stiffness.. For large strabismus deviations not fully corrected by a first injection, a second injection can be made. Follow-up alignment and muscle measurements will be as for the ...
Introduction: Continuous research were undertaken in past to see the effect of anesthetic agent with adjuvant agents to increase their effect. The addition of adjuvant substances as clonidine, Dexmedetomidine, tramadol, midazolam, opioids, adenosine, to the local anesthetic drugs in TAPB and their efficiency have been studied. Hence the aim of the present study was to check the effect of Bupivacaine alone and Bupivicaine plus Dexamethasone in hernia block.Material & Methods: The total of 60 patients with age range from 30 to 60 years was included in the study. All the 60 patients were divided in to two groups, with 30 patients in each group. Group 1 consisted of 30 patients were administered with 20 ml of 0.5% bupivacaine in a TAP block performed at the same side of surgery to be performed. Group II consisted of 30 patients; were administered with 20 ml of 0.5% bupivicaine with 2 ml of dexamethasone in a TAP block performed at the same side of surgery.Results: In the present study, the duration of
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Levobupivacaine (rINN) /liːvoʊbjuːˈpɪvəkeɪn/ is a local anaesthetic drug belonging to the amino amide group. It is the S-enantiomer of bupivacaine. Levobupivacaine hydrochloride is commonly marketed by AbbVie under the trade name Chirocaine. Compared to bupivacaine, levobupivacaine is associated with less vasodilation and has a longer duration of action. It is approximately 13 percent less potent (by molarity) than racemic bupivacaine and has a longer motor block onset time. Levobupivacaine is indicated for local anaesthesia including infiltration, nerve block, ophthalmic, epidural and intrathecal anaesthesia in adults; and infiltration analgesia in children. Levobupivacaine is contraindicated for IV regional anaesthesia (IVRA). Adverse drug reactions (ADRs) are rare when it is administered correctly. Most ADRs relate to administration technique (resulting in systemic exposure) or pharmacological effects of anesthesia, however allergic reactions can rarely occur. Systemic exposure to ...
Determination of whether bupivacaine enantiomers block Na+ channels differently in the rested, activated, and inactivated channel states may result in a better understanding of their cardiodepressant effects. In the present study, both enantiomers of bupivacaine induced very limited tonic block measured as the reduction of INa amplitude during the first pulse after a long rest period. The amount of block measured from the reduction of peak current reflects both the rested-state block and the activated (open)-state interaction between the Na+ channel and the drug that develops during the depolarizing step before reaching peak current.18 Although tonic block is not necessarily an accurate measure of drug binding to rested Na+ channels, the observed low level indicates that both enantiomers must exhibit a low affinity for the rested state of the Na+ channel. Moreover, the interaction of bupivacaine enantiomers with the rested state of the Na+ channel was not stereoselective. Similar results were ...
On the Convergence of Bio-, Information-, Enrivonmental-, Energy-, Space- and Nano-Technolgies: Effect of Morphine and Bupivacaine on Nicotine-Induced Catecholamine Secretion from Encapsulated Chromaffin Cells
HPLC Application #17309: Bupivacaine on Lux Cellulose-2. Column used: Lux® 5 µm Cellulose-2, LC Column 250 x 4.6 mm, Ea Part#: 00G-4457-E0
RSACP wishes to inform that it shall be discontinuing the dispatch of print copy of JOACP to its Life members. The print copy of JOACP will be posted only to those life members who send us a written confirmation for continuation of print copy ...
HTX-011, which utilizes our proprietary Biochronomer® drug delivery technology, is under investigation in Phase 3 clinical studies as a long-acting formulation of the local anesthetic bupivacaine in a fixed-dose combination with the anti-inflammatory meloxicam for the prevention of post-operative pain. By delivering sustained levels of both a potent anesthetic and an anti-inflammatory agent directly to the site of tissue injury, HTX-011 was designed to deliver superior pain relief while potentially reducing the need for systemically administered pain medications such as opioids, which carry the risks of harmful side effects, abuse, and addiction.. HTX-011 is the first long-acting anesthetic that is designed to address both post-operative pain and accompanying inflammation by combining the local anesthetic bupivacaine and the anti-inflammatory meloxicam in a single administration. Targeting both pain and inflammation has allowed HTX-011 to demonstrate an advantage over current standard of care ...
Manganese superoxide dismutase (SOD2) is a key enzyme to scavenge free radical superoxide in the mitochondrion. SOD2 deficiency leads to oxidative injury in cells. Bupivacaine, a local anesthetic commonly used in clinic, could induce neurotoxic injury via oxidative stress. The role and the mechanism of SOD2 regulation in bupivacaine-induced oxidative stress remains unclear. Here, bupivacaine was used to treat Sprague-Dawley rats with intrathecal injection and culture human neuroblastoma cells for developing vivo injury model and vitro injury model. The results showed that bupivacaine caused the over-production of mitochondrial reactive oxygen species (mtROS), the activation of C-Jun N-terminal kinase (JNK), and the elevation of SOD2 transcription. Decrease of mtROS with N-acetyl-L-cysteine attenuated the activation of JNK and the increase of SOD2 transcription. Inhibition of JNK signaling with a small interfering RNA (siRNA) or with sp600125 down-regulated the increase of SOD2 transcription. SOD2 gene
0.5 Bupivacaine HCl with 1:200,000 epinephrine bitartrate. Specifically effective in lengthy dental procedures for which more than 90 minutes of pulpal anesthesia is necessary, or for the management of post-operative pain. Marcaine ® is the original bupivacaine in the dental world and is part of the complete line of Cook-Waite products the brand dental professionals have relied on for more than 60 years. Each box contains 50 x 1.7mL cartridges.. MSDS. Product Brochure. ...
Background Ropivacaine is a new amide local anesthetic, having therapeutic properties similar to those of bupivacaine but with a wider margin of safety. Bupivacaine is probably the most commonly used drug in obstetric epidural analgesia, even though laboratory studies have suggested that pregnancy increases the cardiotoxicity of bupivacaine but not of other local anesthetics. The current study was designed to reevaluate, in a random and blinded fashion, the systemic toxicity of bupivacaine and ropivacaine in nonpregnant and pregnant sheep. Methods Chronically prepared nonpregnant and pregnant ewes were randomized to receive an intravenous infusion of ropivacaine or bupivacaine at a constant rate of 0.5 mg.kg-1.min-1 until circulatory collapse. The investigators were blinded to the identity of local anesthetic. Heart rate, arterial blood pressure, and cardiac rhythm were monitored throughout the study. Arterial blood samples were obtained before infusion and at the onset of toxic manifestations, ...
Abstract of Paper: Comparative Study of Neostigmine and Ketamine as Additives to Plain Bupivacaine in Caudal Analgesia after Lower Abdominal Surgery in Pediatrics , Author: Omar Mohey Eldin A. El-Maksoud MD, Ehab El -Shebat Afifi MD, Ahmed Mostafa A. El-Hamid MD and Ahmed A. Mosaad M.Sc , Year: 2012 , Faculty of Medicine, Benha University
Bupivacaine - Get up-to-date information on Bupivacaine side effects, uses, dosage, overdose, pregnancy, alcohol and more. Learn more about Bupivacaine
Twenty patients undergoing elective cholecystectomy were prospectively randomised to receive either intrapleural (bolus 20 ml followed by 10 ml/h) or thoracic epidural (bolus 9 ml followed by 5 ml/h) bupivacaine 0.5% for 8 h postoperatively to assess the effect of these two techniques on pain, pulmonary function and the surgical stress response. As assessed by the visual analogue scale (VAS), both groups received good but not total pain relief. Both groups had a 50% reduction in forced expiratory volume (FEV1), forced vital capacity (FVC) and peak expiratory flow rate (PEFR) after operation, and there was no observed effect on the stress response as measured by plasma glucose and cortisol. It is concluded that while both techniques provide good analgesia, the degree and extent of nerve blockade are not sufficient to affect the afferent neurogenic stimuli responsible for the observed effects on pulmonary function and the stress response ...
Great question. Here is Dr. Rayazs response:. You calculate the number of milligrams for both local anesthetics and then use the max dose that is the lower of the two local anesthetics. For example, if you give 100mg plain lidocaine without epinephrine (max dose of 4.5-5mg/kg depending on the source) and then intend on giving bupivacaine (max dose of 2.5mg/kg) for a 100kg patient, then you would do the following calculation:. Use the max dose for bupivacaine since it is the lower max dose of the two local anesthetics being used.. 2.5mg/kg x 100kg = 250mg. 250mg - 100mg = 150mg. That leaves 150mg of bupivacaine that can be used or about 60cc of 0.25% bupivacaine (150mg/2.5mg/kg) left over for a tap block.. For a 70kg patient:. 2.5mg/kg x 70kg = 175mg. 175mg - 100mg = 75mg. That leaves 75mg of bupivacaine for a tap block or 30cc of 0.25% bupivacaine (75mg/2.5mg/kg) or 15cc of 0.5% bupivacaine (75mg/5mg/kg). Its a bit more simple in practice than the math problems make it seem. In general, ...
Particulate matter found in solution, glass vial. The US Food and Drug Administration (FDA) has alerted health care professionals that Hospira, Inc (Lake Forest, IL) has announced a voluntary nationwide recall to the user level for 1 lot of 0.5% Marcaine (bupivacaine HCl injection, USP), 30 mL, single-dose vial - preservative free (NDC 0409-1560-29), lot 33-545-DD.. The recall is due to a confirmed customer report of particulate embedded in the glass vial as well as visible particulate in the solution. Hospira has attributed the embedded particulate to a suppliers glass defect, and is working with its supplier on implementing corrective and preventive actions.. According to Hospira, the recalled lot of Marcaine was distributed November 2013 through March 2014 to wholesalers/distributors, hospitals, and clinics across the United States.. If you have any inventory of the recalled product, you are advised to immediately stop use and quarantine it. Please also inform potential users of this product ...
The number of ambulatory surgical procedures is growing and local anesthesia represents the technique of choice for outpatients undergoing minor surgery. The aim of this study was to verify whether differences exist in postoperative pain relief using equipotent doses of two long-acting local anesthetics, ropivacaine and levobupivacaine, in patients who underwent minor breast surgery. A series of 86 consecutive women (median age=55, range=39-75 years) with small (,2 cm in size) breast masses requiring surgical excision were prospectively enrolled in the study. Patients were randomly selected to receive 75 mg/ml ropivacaine (group A, 42 patients) or 5 mg/ml levobupivacaine (group B, 44 patient). For post-surgical measurement of pain intensity a visual analog scale (VAS) was used. The age of the patients (56.4±9.6 vs. 56.7 ±9.5 years; p=0.88) and operative time (38.4 ± vs. 39.8 ±5.0 min; p=0.16), did not differ significantly between the groups (A vs. B). Transient adverse effects were observed ...
To evaluate the analgesic effect of spinal block and systemic morphine, we conducted a preliminary experiment. Analgesia was evaluated by the tail-flick (TF) test. The light beam from a projector bulb was focused on the middle portion of the tail to produce a spot of intense heat, and the TF latency was measured. The intensity of the thermal stimulus was adjusted so that the baseline TF latency was 1.0-2.5 s. A 10-s cutoff time was imposed to minimize tissue damage. In all experiments, the TF latency was determined three times for each mouse. Measurements were obtained before intervention and at 10, 30, 60, 120, 180, 240, 300, and 360 min after awaking from anesthesia. We tested five regimens of spinal block (25 μg bupivacaine alone, 25 μg bupivacaine plus 0.5 μg morphine, 25 μg bupivacaine plus 1.25 μg morphine, 25 μg bupivacaine plus 2.5 μg morphine, and 25 μg bupivacaine plus 5 μg morphine) and systemic injection of morphine (5 mg/kg intraperitoneally23). We also tested two control ...
Materials and Methods: This was a prospective study carried out in department of obstetrics and gynaecology in Rajah muthiah Medical College and Hospital from 2015-2017 after ethical clearance and written knowledgeable concent. A total of 100 parturients in both latent and active phase of labour were to receive an epidural injection of 12 ml of bupivacaine 0.125% as initial bolus dose. Same dose regimen was used as subsequent top-up dose on patients demand for pain relief. The duration and quality of analgesia, motor block, top-up doses required consumption of bupivacaine and feto-maternal outcome were observed ...
Rev. Bras. Anestesiol., vol.59 n3, 261-272, 2009 Epidural block for cesarean section: a comparative study between 0.5% racemic Bupivacaine (S50-R50) and 0.5% enantiomeric excess Bupivacaine (S75-R25) associated with Sufentanil Angélica de Fátima de Assunção Braga; José Aristeu F. Frias; Franklin Sarmento da Silva Braga; Rosa Inês Costa Pereira; Mayla F Blumer; Marcia F Ferreira Scientific Article ...
Bupivacaine-induced myocardial depression and pulmonary edema: a case report.: Central nervous system and cardiovascular toxicity are well-known side effects of
The pharmacokinetics of lidocaine and bupivacaine and tri-deuteromethyl-labelled lidocaine and bupivacaine were investigated in healthy volunteers. The deuterium-labelled and the unlabelled form of the drug to be investigated were simultaneously infu
We aimed to investigate the efficacy of either plain or hyperbaric solutions of intrathecal bupivacaine and ropivacaine on maternal block characteristics, complications, side effects and neonatal parameters to find out which is superior in a single s
Innocoll (a subsidiary of Gurnet Point Capital) is developing a bupivacaine implant formulation for the treatment of postoperative pain. Bupivacaine is a local
Both PKA and PKC contribute to the activation of ERK in dorsal horn neurons. Kawasaki et al. 10 reported that there were additive effects of PKA and PKC on ERK activation, indicating that PKA and PKC are independent pathways to activate ERK in dorsal horn neurons. Forskolin, acting as a classic stimulator of adenylyl cyclase,34 can increase cAMP, activating PKA, and thus coupling to ERK through the Raf/Ras pathway. Although bupivacaine had no effects on pERK induced by nociceptor-associated GPCR agonists, which might also act through Ras/Raf, bupivacaine still reduced forskolin-induced pERK. Several studies have demonstrated, however, that forskolin has diverse sites of action including not only adenylyl cyclase, but also the glucose transporter and ligand- and voltage-gated ion channels.35 Forskolin modulates voltage-dependent K+conductance through cAMP-dependent and cAMP-independent mechanisms,35 inhibiting voltage-dependent K+channels in Helix neurons,36 nudibranch neurons,18 and PC12 cells37 ...
Bupivacaine & Adrenaline 0.5% is a medicine available in a number of countries worldwide. A list of US medications equivalent to Bupivacaine & Adrenaline 0.5% is available on the Drugs.com website.
Update on the clinical utility and practical use of ropivacaine in Chinese patients Man Li, Li Wan, Wei Mei, Yuke Tian Department of Anesthesiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People's Republic of China Abstract: We reviewed the Chinese and English literature for efficacy and tolerability data as well as pharmacological properties of ropivacaine in Chinese patients. Ropivacaine is a long-acting amide local anesthetic agent that elicits nerve block via reversible inhibition of sodium ion influx in nerve fibers. The available evidence in the literature on anesthesia practice indicates that ropivacaine produces equally surgical sensory block and postoperative and obstetrics analgesia with good maternal and fetal outcome to those of bupivacaine or levobupivacaine. It appears to be associated with comparable onset, quality, and duration of sensory block, but with a lower incidence or grade of motor block, compared to bupivacaine. The
Levobupivacaine is a long-acting local anesthetic agent belonging to the amido amine group, it is basically an S-enantiomer of bupivacaine drug. It has become popular among anesthesiologists worldwide owing to its less cardiotoxicity and motor blockade. It was primarily developed due to the reported incidents of seizures and cardiac arrests experienced due to the use of intravenous injection of bupivacaine. Significant rise in surgeries performed and increasing demand for post-operative pain management drive the levobupivacaine market growth. Epidural anesthesia is currently representing the largest market share in the levobupivacaine market.…. Read More ...
Bupivicaine hydrochloride is a long-acting local anaesthetic. Its use results in local anaesthesia lasting between 12-24 hours. The drug has been extensively used in thoracic and abdominal surgery and as caudal analgesia in obstetrics. It has also been used in nerve blocks.
We conducted a retrospective study to determine whether bupivacaine or fentanyl is a better adjuvant to epidural morphine for postoperative analgesia using 108 patients. Following epidural lidocaine...
Sequence Analysis BLAST (Basic Local Alignment Search Tool) BLAST (Stand-alone) BLAST Link (BLink) Conserved Domain Search Service (CD Search) Genome ProtMap Genome Workbench Influenza Virus Primer-BLAST ProSplign Splign All Sequence Analysis Resources.There is concern regarding neurotoxicity induced by the use of local anesthetics.The effect of pH buffering on reducing the pain associated with subcutaneous infiltration of bupivicaine.Lidocaine buffered with bicarb combination of lidocaine and bupivacaine,.The time taken to find the LA with epi with right concentration and working out the final combination dose is longer than the time to wait for the LA with epi (given straight) to work ...
A study comparing thoracic epidural bupivacaine with and without opioid to a continuous paravertebral infusion of bupivacaine showed that analgesia on all postoperative days was superior in the thoracic epidural group receiving bupivacaine plus hydromorphone, but was similar in the epidural and continuous paravertebral groups receiving bupivacaine alone (Grider et al. 2012, n=75, LoE 1 ...
Bupivacaine; Anekain; Bloqueina; Bupivacaina [INN-Spanish]; Bupivacaine HCL; Bupivacaine HCL KIT; Bupivacainum [INN-Latin]; Bupivacine HCL Preservative Free; Bupivan; Carbostesin; Chirocaine; DL-Bupivacaine; LAC-43; Marcaina; Marcaine; Marcaine HCL; Marcaine Spinal; Sensorcaine; Sensorcaine Forte; Sensorcaine-MPF; Sensorcaine-MPF Spinal; ...
Multimodal analgesia following total hip arthroplasty has been shown to improve patient satisfaction, participation with physical therapy, and allow early return to self care. Liposomal bupivacaine is a formulation of local anesthetic which has the potential to provide anesthesia for up to 72 hours following administration. The purpose of this study was to compare the effectiveness of liposomal bupivacaine with bupivacaine following total hip arthroplasty. A retrospective chart review was performed on 28 patients undergoing total hip arthroplasty or hip resurfacing who received intraoperative administration of liposomal bupivacaine. A control group of 30 patients who had previously undergone total hip arthroplasty or hip resurfacing and had received intraoperative administration of bupivacaine also underwent a chart review. Length of stay, post-operative opioid use, and pain scores were compared for both groups. The average length of stay in the study group was 1.93 days and the control group length of
Finally, the role of T-, P-, and Q-type channels in modulating sensory transduction at the level of nociceptors in skin remains to be investigated further. In our hands, the T-type Ca++channel blocker flunarizine failed to modulate bupivacaine anesthesia. In fact, flunarizine was inactive alone, and all three concentrations failed to affect the ED50value for bupivacaine (data not shown). Flunarizine has been reported to block Na+and L-type Ca++channels. Yet flunarizine did not enhance bupivacaine like the 1,4-dihydropyridines or elicit anesthesia like verapamil. Instead, the results indicate that T-type channels, if present on nociceptors, do not modulate bupivacaine anesthesia to noxious radiant heat. Infiltration of the P-type Ca++channel blocker ω-agatoxin IVA (0.063-0.48 μm) in the tail also failed to affect bupivacaine anesthesia. Yet several studies reported that P-type channels in the spinal cord block nociceptive input. Intrathecal ω-agatoxin IVA blocked formalin-induced nociception ...
TY - JOUR. T1 - Effects of extradural bupivacaine with adrenaline for caesarean section on uteroplacental and fetal circulation. AU - Alahuhta, S.. AU - Räsänen, J.. AU - Jouppila, R.. AU - Jouppila, P.. AU - Hollmén, A. I.. N1 - Copyright: Copyright 2018 Elsevier B.V., All rights reserved.. PY - 1991/12. Y1 - 1991/12. N2 - We have studied the effects of an extradural block using bupivacaine with adrenaline 90-100 μg on blood flow in the maternal uterine and placental arcuate arteries and the fetal umbilical, renal and middle cerebral arteries, using a colour Doppler technique in eight healthy parturients undergoing elective Caesarean section. Fetal myocardial function was investigated simultaneously by M-mode echocardiography. Maternal heart rate increased and diastolic arterial pressure decreased after extradural administration of bupivacaine with adrenaline. The latter effect was relieved by increasing the infusion rate in every case and none of the patients required vaso-pressors. There ...
BACKGROUND: Moderate to severe pain associated with the removal of pleural chest tubes is poorly controlled with opioids. New methods are needed to manage the pain associated with this procedure. OBJECTIVES: To compare the effects of interpleural injections of 0.25% bupivacaine without epinephrine to those of normal saline on chest tube removal pain in cardiothoracic surgery patients. METHODS: A randomized, double-blind, placebo-controlled trial was used, with a repeated measures design. Pain intensity and distress were measured before, immediately after, and 1 hour after chest tube removal. Pain sensations and affect were evaluated immediately after chest tube removal. The experimental group (n = 21) received bupivacaine and the control group (n = 20) received normal saline. RESULTS: In both groups pain intensity and distress scores were significantly higher at the time of chest tube removal than immediately before or 1 hour after. No significant differences in pain intensity, distress, ...
Adverse drug reactions (ADRs) are rare when it is administered correctly. Most ADRs relate to administration technique (resulting in systemic exposure) or pharmacological effects of anesthesia, however allergic reactions can rarely occur. Systemic exposure to excessive quantities of ropivacaine mainly result in central nervous system (CNS) and cardiovascular effects - CNS effects usually occur at lower blood plasma concentrations and additional cardiovascular effects present at higher concentrations, though cardiovascular collapse may also occur with low concentrations. CNS effects may include CNS excitation (nervousness, tingling around the mouth, tinnitus, tremor, dizziness, blurred vision, seizures followed by depression (drowsiness, loss of consciousness), respiratory depression and apnea). Cardiovascular effects include hypotension, bradycardia, arrhythmias, and/or cardiac arrest - some of which may be due to hypoxemia secondary to respiratory depression.[2] ...
BACKGROUND: Tramadol has been administered peripherally to prolong analgesia after brachial plexus and neuraxial blocks. Our aim was to evaluate the systemic and perineural effects of tramadol as an analgesic adjunct to psoas compartment block (PCB) with levobupivacaine. METHODS: In a randomized, prospective, double-blinded trial, 60 patients (ASA I-III), aged 49-88 yr, undergoing primary total hip or knee arthroplasty underwent PCB and subsequent bupivacaine spinal anaesthesia. Patients were randomized into three groups. Each patient received PCB with levobupivacaine 0.5%, 0.4 ml kg(-1). The control group (group L, n=21) received i.v. saline, the systemic tramadol group (group IT, n=19) received i.v. tramadol 1.5 mg kg(-1) and the perineural tramadol group (group T, n=20) received i.v. saline and PCB with tramadol 1.5 mg kg(-1). Postoperatively patients received regular paracetamol 6-hourly and diclofenac sodium 12-hourly. Time to first morphine analgesia, 24-hour morphine consumption, sensory ...
Bupivacaine Hcl is accessible in concentrations of 0.25, 0.5, and 0.75% (2.5, 5, and 7.5 mg/mL, respectively) in single-dose containers. The 0.25 and 0.5% concentrations aswell appear in 50-mL multiple-dose vials with methylparaben 1 mg/mL as a preservative. Sodium hydroxide or hydrochloric acerbic is acclimated to acclimatize the pH. Bupivacaine Hcl is aswell accessible in…
The effectiveness of a combination of a lipid emulsion with epinephrine in reversing local anesthetic-induced cardiac arrest has been confirmed. The combination of a lipid emulsion with levosimendan, was shown to be superior to administration of a lipid emulsion alone with regard to successful resuscitation. In this study, we compared the reversal effects of levosimendan, epinephrine, and a combination of the two agents in lipid-based resuscitation in a rat model of bupivacaine-induced cardiac arrest. Fifty-four adult male Sprague-Dawley rats were subjected to bupivacaine (15 mg·kg−1) -induced asystole and were then randomly divided into 3 groups. A lipid emulsion was used as the basic treatment, and administration of drug combinations varied in each group as follows: (1) levosimendan combined with epinephrine (LiEL); (2) epinephrine (LiE); and (3) levosimendan (LiL). The resuscitation outcomes were recorded and included the rate of return of spontaneous circulation (ROSC) and survival at 40 min,
Note the lack of local anesthetics on that list. Lidocaine? No. Hyperbaric bupivacaine? No. Good ol tetracaine? Nope. All local anesthetics in the intrathecal space are off-label. Yet these are the very drugs that serve as the cornerstone for spinal anesthesia.. With a spinal needle and a few milliliters of local anesthetic like bupivacaine or lidocaine, we can achieve an anesthetic which enables surgeons to operate on the abdomen or lower extremities pain-free without any significant cardiopulmonary drawbacks. Sure, sympathectomies are a concern, but weve become extremely good at predicting and mitigating the effects of hypotension, tachy/bradycardias, etc ...
The final dataset included 38 subjects, 26 in the bupivacaine group and 12 in the saline group. A repeated measures analysis of variance showed that subjects receiving treatment with bupivacaine experienced a significant reduction in the numeric rating scale scores compared with those receiving saline at baseline (M = 3.78 vs M = 3.18, P = .10), 15 minutes (M = 3.51 vs M = 2.53, P , .001), 30 minutes (M = 3.45 vs M = 2.41, P , .001), and 24 hours after treatment (M = 4.20 vs M = 2.85, P , .001), respectively. Headache Impact Test-6 scores were statistically significantly decreased in subjects receiving treatments with bupivacaine from before treatment to the final treatment (Mdiff = -4.52, P = .005), whereas no significant change was seen in the saline group (Mdiff = -1.50, P = .13). CONCLUSION: SPG blockade with bupivacaine delivered repetitively for 6 weeks with the Tx360® device demonstrates promise as an acute treatment of headache in some subjects with CM. Statistically significant ...
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The final dataset included 38 subjects, 26 in the bupivacaine group and 12 in the saline group. A repeated measures analysis of variance showed that subjects receiving treatment with bupivacaine experienced a significant reduction in the numeric rating scale scores compared with those receiving saline at baseline (M = 3.78 vs M = 3.18, P = .10), 15 minutes (M = 3.51 vs M = 2.53, P , .001), 30 minutes (M = 3.45 vs M = 2.41, P , .001), and 24 hours after treatment (M = 4.20 vs M = 2.85, P , .001), respectively. Headache Impact Test-6 scores were statistically significantly decreased in subjects receiving treatments with bupivacaine from before treatment to the final treatment (Mdiff = -4.52, P = .005), whereas no significant change was seen in the saline group (Mdiff = -1.50, P = .13). CONCLUSION: SPG blockade with bupivacaine delivered repetitively for 6 weeks with the Tx360® device demonstrates promise as an acute treatment of headache in some subjects with CM. Statistically significant ...
Sixty eligible patients scheduled for arthroscopic shoulder surgery were randomized (1:1:1) to receive US-ISB (5 mL) with 0.5% bupivacaine with 1:200,000 epinephrine, 0.5% ropivacaine, or 1% ropivacaine. All individuals were blinded including study participants, anesthesiologists, surgeons, research personnel, and statistician. All participants received a standardized general anesthetic and multimodal analgesia. The primary outcome was duration of analgesia defined as the time from the end of injection to the time that the patients reported a significant increase in pain (,3 numeric rating scale [NRS]) at the surgical site.. ...
In the following experiments, the use dependence of Na sup + current block by local anesthetics (i.e., phasic block) was studied. Na sup + currents were activated every second by voltage steps from -80 to -30 mV, first in control solution and then in the presence of local anesthetics. Control current and several consecutive currents recorded with 100-micro Meter bupivacaine are shown in Figure 4(A). The amplitudes of peak Na sup + currents as a function of pulse number for 0-(control solution), 3-, and 300-micro Meter bupivacaine (n = 8, 8, and 6, respectively) are given in Figure 4(B). Na sup + currents recorded in the presence of local anesthetic were normalized to first currents recorded in control solution. The strongest reduction in the amplitude was seen in the currents activated by the first two pulses (N1 and N2;Figure 4(B)). In the presence of 300-micro Meter bupivacaine, the Na sup + current activated by the second pulse was reduced by 40.0 +/- 4.9%(n = 6) compared with that activated ...
Stream Bupivacaine Field Block With Clonidine for Postoperative Pain Control in Posterior Spine Approaches by Congress of Neurological Surgeons Journal Club from desktop or your mobile device
Results: Onset of analgesia is fast with tramadol added to bupivacaine and time to achieve complete block without any increase in side- effects ...
Xaracoll® (bupivacaine HCl; Innocoll Pharmaceuticals Limited) implant is now available for acute postsurgical pain relief for up to 24 hours in adults following open inguinal hernia repair. Xaracoll is a bioresorbable collagen-matrix implant designed to deliver bupivacaine HCl to the surgical site. Each implant contains 100mg of bupivacaine HCl (equivalent to 88.8mg bupivacaine) and 75mg…. ...
Rapid chiral separation and impurity determination of ropivacaine and bupivacaine by Densitometry-HPTLC, using mucopolysaccharide as chiral mobile phase additive
Background. Chronic pain as the result of long-term peripheral arterial disease and critical limb ischemia is difficult to manage and needs a multidisciplinary approach (pharmacological, psychological and functional) especially when the patient undergoes a lower limb amputation. Amputees show high rates of acute postoperative pain and chronic phantom limb pain in which there are few satisfactory available treatments. Nevertheless, it has been suggested for many years that continuous regional infusion of local anesthetic during immediate postoperative period is an effective and safe way of reducing these complications, morphine consumption and opioids-related adverse effects. However, data is conflicting as to its efficacy for both short-and log-term outcomes. Objective. The purpose of this study is to investigate whether a continuous postoperative perineural infusion system with bupivacaine is effective in reduction of postoperative acute pain and morphine intake during the first 72 hours ...
This study aimed to test the hypothesis that levobupivacaine has anti-tumour effects on breast cancer cells. Colony formation and transwell assay were used to determine breast cancer cells proliferation. Flow Cytometry (annexin V and PI staining) was used to investigate breast cancer cells apoptosis. The effects of levobupivacaine on cellular signalling and molecular response were studied with Quantitative Polymerase Chain Reaction and western blot. Induction of apoptosis was confirmed by cell viability, morphological changes showed cell shrinkage, rounding, and detachments from plates. The results of the western blot and Quantitative Polymerase Chain Reaction indicated activation of active caspase-3 and inhibition of FOXO1. The results of the flow Cytometry confirmed that levobupivacaine inhibited breast cancer cell proliferation and enhanced apoptosis of breast cancer cells. Quantitative Polymerase Chain Reaction and Western blot analysis showed increased p21 and decreased cyclin D. Quantitative
Objectives: To evaluate the effect on post tonsillectomy pain control with IV and infiltrated dexamethasone and infiltrated bupivacaine.. Methodology: This randomized controlled trial study was conducted in the department of ENT and neck surgery of Holy Family hospital, Rawalpindi, over a period of one year from May 2019 to May 2020. A total of 140 pediatric patients were selected and were divided into four equal groups randomly by lottery method. Patients in all four groups had endotracheal intubation with general anesthesia. As premedication, all the patients received intravenous midazolam (1mg). Intravenous fentanyl (1.5mg/kg) and propofol (2.5 mg/kg) followed by endotracheal intubation facilitated with atracurium (0.5 mg/kg) were used as general anesthesia in all patients.. Results: There was no significant (p-value ,0.05) difference in gender, age of children, postoperative heart rate, postoperative SPO2, and fentanyl consumption. The duration of surgery was significantly (p-value , 0.05) ...
Semantic Scholar extracted view of [Effects of bupivacaine and lidocaine on mitochondrial respiration and ATP synthesis]. by P Ben Driss et al.
Breast Cancer clinical trial. Clinical trial for Bupivacaine vs Placebo for Unilateral Mastectomy Surgical Site Post-operative Pain Control.
Comparison of low dose dexmedetomidine and clonidine as additives to bupivacaine in ultrasound directed supraclavicular blocks-IJCA-Print ISSN No:-2394-4781 Online ISSN No:-2394-4994Article DOI No:-10.18231/2394-4994.2019.0025,Indian Journal of Clinical Anaesthesia-IP Innovative Publication Pvt Limited, Medical Journ
This trial investigated the safety and efficacy of bupivacaine extended release (Exparel) in patients undergoing open ventral hernia repair or laparoscopic
825 medications are known to interact with bupivacaine/hydromorphone. Includes Advair Diskus (fluticasone/salmeterol), AndroGel (testosterone), Celebrex (celecoxib).
Sixty neonates and infants will be enrolled and randomised into two groups of n=30 each . For their surgical procedures, one group general (GA) anaesthesia the second group will receive a combined general and epidural anaesthesia (CGEA). Anaesthetic technique: Patients in the GA group will be induced with intravenous propofol (2-4 mg.kg-1) and fentanyl (2-4 µg.kg-1) and will receive rocuronium bromide (0.5 mg.kg-1) to facilitate endotracheal intubation. Anaesthesia will be maintained with sevoflurane (2-3%) in an air/oxygen mixture as well as intravenous fentanyl as required. In the (CGEA) 0.5 ml.kg-1 of 0.25% bupivacaine will be injected into the epidural catheter, followed by a continuous infusion of 0.1% bupivacaine at a rate of 0.2 mg.kg-1.hr-1 for up to 48 hours postoperatively. Assessment of anaesthetic efficacy will be measured Intraoperative care vital signs. And will continuously be monitored with a Datex AS/3
Buy Levobupivacaine Hydrochloride Local Anesthesia Drugs Levobupivacaine HCL 27262 from Hongkong Pengfei Pharmaceutical Technology Co.,Ltd,Local Anesthesia Drugs Distributor online Service suppliers.
Results 70 patients (43% female; mean age 60 (±13) years) were included. The intervention and controls groups included 35 patients each. Diagnoses included diverticulitis (72%), colonic malignancy (14%), benign neoplasm (10%) and inflammatory bowel disease (4%). The median number of port sites was 4 (3-5), where 39% of patients had a midline extraction site vs. 61% with a Pfannenstiel. Total incision length was 9.5cm in 63% of patients. No difference in total opioid use was identified between groups (61mg vs. 70mg; p = 0.51) on univariate analysis. A sensitivity analysis was used to account for extremes in opioid use by removing the outermost 10thpercentiles of opioid use; no difference was confirmed (59mg vs. 60mg; p = 0.98). LOS was similar in both groups (median 5 days), with no difference in AEs. There was no significant difference in time to first flatus or bowel movement (p = 0.23 and p = 0.35, respectively). A multivariate logistic regression adjusting for ketorolac and acetaminophen use ...
EXPAREL and two other products have successfully utilized DepoFoam®, a unique and proprietary product delivery technology that encapsulates drugs without altering their molecular structure, and releases them over a desired period of time. Additional information about Pacira is available at www.pacira.com.. About EXPAREL®. EXPAREL (bupivacaine liposome injectable suspension) is currently indicated for single-dose infiltration into the surgical site to produce postsurgical analgesia. The product combines bupivacaine with DepoFoam®, a proven product delivery technology that delivers medication over a desired time period. EXPAREL represents the first and only multivesicular liposome local anesthetic that can be utilized in the peri- or postsurgical setting. By utilizing the DepoFoam platform, a single dose of EXPAREL delivers bupivacaine over time, providing significant reductions in cumulative pain score with a decrease in opioid consumption; the clinical benefit of the opioid reduction was not ...
Spinal and epidural anaesthesia were compared in 65 patients undergoing hip arthroplasty, with regard to the degree of sensory and motor blockade, cardiovascular effects, operating conditions, the dose of propofol required to produce satisfactory hypnosis, and complications. Epidural anaesthesia was successful in 30 patients using an initial dose of 15 ml of 0.5% bupivacaine, and spinal anaesthesia in 32 patients, using 4 ml 0.5% isobaric bupivacaine. The two techniques were similar with regard to the level of sensory blockade (T8), degree of hypotension and perioperative haemorrhage ...
Hospira, a Pfizer company, has issued a recall of one lot of 0.25% Bupivacaine Hydrochloride Injection at the hospital/retail level due to the presence of particulate matter within a single vial. If administered to a patient, it may result in swelling, irritation, or allergic response.
A 47-yr-old woman with cervical cancer locally advanced and metastasized to the lung, mediastinum, and bones was admitted to the Pain Relief and Palliative Care Unit for severe lumbar and inguinal pain, which was aggravated by movement and caused by lumbar metastases. She had received different courses of chemotherapy and radiotherapy and was receiving a morphine slow-release preparation 180 mg daily, without reporting analgesic benefit. Opioid doses were increased up to 300 mg, but escalation was stopped because of the occurrence of drowsiness and vomiting. An intrathecal catheter was placed at the L3-4 level and was connected to a subcutaneous port and then to an external pump. A morphine/bupivacaine combination was given. The combination of the drugs was balanced to obtain the best analgesic effect with minimal neurological impairment in the lower limbs. The patient obtained adequate pain relief with doses of 8 mg of morphine and 40 mg of bupivacaine daily. Concentrations were adjusted to ...
Patients and Methods Following approval of the medical ethical committee of Ain Shams University, 40 patients ASA I-II physical status that were scheduled for elective urologic surgeries via abdominal wall incision under general anesthesia were included in this prospective study. All patients provided written informed consent. Patients with known allergy to any of the study medications, receiving medical therapies producing tolerance to opoids, with coagulapolly, and psychiatric problems were excluded. A preoperative evaluation was performed the day before surgery. Patients were divided into two groups: The TAP group (n=20) received TAP block with 0.25% bupivacaine (30mL) and infiltration group (n=20) the skin and subcutaneous tissues of the surgical incision and deep muscle layers were infiltrated with 0.25% bupivacaine (50ml), patients were monitored with electrocardiogram, invasive and non invasive arterial blood pressure, arterial oxygen saturation, end-tidal carbon dioxide monitoring. All ...
While generally safe, local anesthetic agents can be toxic if administered inappropriately, and in some cases may cause unintended reactions even when properly administered. Adverse effects are usually caused by high plasma concentrations of the agent, which may result from one of the following: Inadvertent intravascular injection Excessive d...
Tell your doctor or nurse right away if you have the following symptoms with this medicine: anxiety; blurred vision; depression; drowsiness; lightheadedness; nausea or vomiting; numbness and tingling of the mouth or lips; restlessness; ringing in the ears; speech problems; or tremors. This medicine may cause serious allergic reactions, including anaphylaxis. Anaphylaxis can be life-threatening and requires immediate medical attention. Call your doctor right away if you have a rash; itching; fever; increased sweating; lightheadedness or fainting; trouble breathing; trouble swallowing; or any swelling of your hands, face, mouth, or throat after receiving this medicine. ...
Moya Moya is a rare disease of uncertain origin, characterised by stenosis of one or both of the internal carotid arteries and responsible of several neurological signs. We present the case of a boy with Moya Moya disease who was scheduled for an epiphisiodesis of the lateral malleola and had a spinal anaesthesia with hyperbaric bupivacaine 0.5% 10 mg without any perioperative complications. Any anaesthetic method could be used, provided special attention is given to avoid changes of capnea and blood pressure to preserve cerebral blood flow and palliate to cerebral flow steal ...
Hospira Inc. announced June 17 it will initiate a voluntary nationwide recall to the user level for one lot of the anetsthetic 0.5% Marcaine¿ (Bupivacaine HCl Injection, USP), 30 mL, Single-dose Vial - Preservative Free (NDC 0409-1560-29), Lot 33-545-DD. The recall is due to a confirmed customer report of particulate embedded in the glass vial as well as visible particulate in the solution. To date, Hospira has not received reports of any adverse events associated with this issue for this lot. Hospira has attributed the embedded particulate to a suppliers glass defect. Hospira is working with its supplier on implementing corrective and preventive actions. Anyone with an existing... ...
... thereby providing about twice the alignment correction of bupivacaine alone. The effectiveness of a bupivacaine injection may ... After bupivacaine injection the muscle is inactivated by the drug's anesthetic effect for a day, and weakened by myofiber ... If bupivacaine injection is combined with a small dose of botulinum toxin in the antagonist muscle, eye deviation during ... Bupivacaine injection is not effective in paralyzed or atrophic muscles, or where there are restrictions to movement elsewhere ...
Examples include lidocaine and bupivacaine. Passerini reaction Ugi I, Meyr R, Fetzer U, Steinbrückner C (1959). "Versuche mit ...
Marcaine/Sensorcaine (bupivacaine). *Naropin (ropivacaine). *Xylocaine (lidocaine). *Xyloproct (lidocaine/hydrocortisone). - ...
Compared to bupivacaine, levobupivacaine is associated with less vasodilation and has a longer duration of action. It is ... It is the S-enantiomer of bupivacaine. Levobupivacaine hydrochloride is commonly marketed by AbbVie under the trade name ... ISBN 0-9757919-2-3 Gulec D, Karsli B, Ertugrul F, Bigat Z, Kayacan N (April 2014). "Intrathecal bupivacaine or levobupivacaine ... Systemic exposure to excessive quantities of bupivacaine mainly result in central nervous system (CNS) and cardiovascular ...
BUPIVA CAINE HYDROCHLORIDE 72. BUPROPION 73. BUSPIRONE 74. BUTENAFINE HYDROCHLORIDE 75. BUTORPHANOL TARTRATE ...
... or an incorrectly administered drug such as bupivacaine.[citation needed] One of the ways to detect cardiotoxicity at early ...
Bupivacaine is a safe alternative in this case. Impaired liver function - people with lowered hepatic function may have an ... Longer-acting substances such as bupivacaine are sometimes given preference for spinal and epidural anaesthesias; lidocaine, ...
Punke MA, Licher T, Pongs O, Friederich P (Jun 2003). "Inhibition of human TREK-1 channels by bupivacaine". Anesthesia and ... Bupivacaine Quinidine Fluoxetine Seproxetine (Norfluoxetine) 12-O-tetradecanoylphorbol-13-acetate (TPA) (phorbol 12-myristate ...
In some interventions bupivacaine has been used alone. In others, a botulinum toxin injection into an extraocular muscle is ... The thickening of bupivacaine-injected extraocular muscle has been demonstrated by means of magnetic resonance imaging and by ... Bupivacaine is a local anaesthetic known to cause considerable myotoxicity and neurotoxicity. Its injection into muscle tissue ... Scott, AB; Miller, JM; Shieh, KR (April 2009). "Bupivacaine injection of the lateral rectus muscle to treat esotropia". J AAPOS ...
Punke MA, Licher T, Pongs O, Friederich P (June 2003). "Inhibition of human TREK-1 channels by bupivacaine". Anesthesia and ...
Bupivacaine injection stresses a muscle and triggers a growth process, analogous to how load-bearing exercise builds skeletal ... Clinical studies over the past decade have demonstrated that bupivacaine injection in a weak muscle has a synergistic effect ... Miller, J. M.; Scott, A. B.; Danh, K. K.; Strasser, D.; Sane, M. (2013). "Bupivacaine injection remodels extraocular muscles ... Scott is therefore now developing the anesthetic drug bupivacaine as an injection to strengthen and shorten weak muscles. ...
And last but not least, some degree of improving in therapeutic index of NSTX can be observed when is mixed with bupivacaine ... Padera R, Bellas E, Tse JY, Hao D, Kohane DS (May 2008). "Local Myotoxicity from Sustained Release of Bupivacaine from ... Beilin Y, Halpern S (August 2012). "Focused review: ropivacaine versus bupivacaine for epidural labor analgesia". Anesthesia & ... Additionally, two human reports demonstrated strong potentiation between NSTX anesthetic effect, bupivacaine and epinephrine. ...
Bupivacaine Plecko B, Hikel C, Korenke GC, et al. (2005). "Pipecolic acid as a diagnostic marker of pyridoxine-dependent ...
The amides include lidocaine, mepivacaine, prilocaine, bupivacaine, ropivacaine, and levobupivacaine. Chloroprocaine is a short ... bupivacaine, and mepivacaine. These drugs are often combined with adjuvants (additives) with the end goal of increasing the ... drug (45-90 minutes), lidocaine and mepivacaine are intermediate duration (90-180 minutes), and bupivacaine, levobupivacaine, ...
It is reported that seizures are more likely to occur when bupivacaine is used, particularly in combination with chloroprocaine ... Lidocaine can be safely used but bupivacaine and mepivacaine should be avoided. Consultation with the obstetrician is vital ... Weinberg G, Ripper R, Feinstein DL, Hoffman W (2003). "Lipid emulsion infusion rescues dogs from bupivacaine-induced cardiac ... Although all local anesthetics potentially shorten the myocardial refractory period, bupivacaine blocks the cardiac sodium ...
As for bupivacaine, Celepid, a commonly available intravenous lipid emulsion, can be effective in treating severe ... Weinberg G, Ripper R, Feinstein DL, Hoffman W (2003). "Lipid emulsion infusion rescues dogs from bupivacaine-induced cardiac ... Ropivacaine was developed after bupivacaine was noted to be associated with cardiac arrest, particularly in pregnant women. ... Ropivacaine was found to have less cardiotoxicity than bupivacaine in animal models. Ropivacaine is contraindicated for ...
Weinberg G, Ripper R, Feinstein DL, Hoffman W (2003). "Lipid emulsion infusion rescues dogs from bupivacaine-induced cardiac ... "Pretreatment or resuscitation with a lipid infusion shifts the dose-response to bupivacaine-induced asystole in rats". ... treating experimental models of severe cardiotoxicity from intravenous overdose of local anaesthetic drugs such as bupivacaine ...
Cardiotoxic local anesthetic agents like bupivacaine and etidocaine are strictly contraindicated. The safety and effectiveness ... However, cardiotoxic local anesthetic agents like bupivacaine and etidocaine are contraindicated. Shorter procedure times (for ...
Commercially significant derivatives are the anesthetics lidocaine, bupivacaine, mepivacaine, and etidocaine. Many xylidines ...
... by temporarily damaging muscle fibres with myotoxins such as bupivacaine; or 3) by using hypertonic solutions of saline or ...
"Hypercarbic and hypoxic ventilatory responses after intrathecal administration of bupivacaine and sameridine". Anesthesia and ...
A small dose of local anaesthetic (e.g. bupivacaine) is then instilled. An opioid such as fentanyl may also be given if desired ... It further recommends the use of bupivacaine and fentanyl to establish the block. Combined spinal-epidural anaesthesia is a ...
For example, 0.1% bupivacaine may provide adequate analgesia for a woman in labour, but would likely be insufficient for ... Bupivacaine has caused several deaths by cardiac arrest when epidural anaesthetic has been accidentally inserted into a vein ... Bupivacaine is markedly toxic if inadvertently given intravenously, causing excitation, nervousness, tingling around the mouth ... Common local anaesthetics include lidocaine, mepivacaine, bupivacaine, ropivacaine, and chloroprocaine. Common opioids include ...
Paracaine, tetracaine, bupivacaine, lidocaine etc. may also be used in place of xylocaine. Cataract surgery by ...
Bupivacaine/meloxicam Use During Pregnancy and Breastfeeding Noble S, Balfour JA (March 1996). "Meloxicam". Drugs. 51 (3): 424- ...
... like bupivacaine, pyrimethamine) are more charged inside the cell than outside. The cell membrane is permeable to non-ionized ( ...
A local anesthetic, like Bupivacaine, is injected into the area to numb the joint. The patient might feel a slight sting. ...
"Efficacy of Continuous Subacromial Bupivacaine Infusion for Pain Control After Arthroscopic Rotator Cuff Repair". Journal of ... "Efficacy of continuous subacromial bupivacaine infusion for pain control after arthroscopic rotator cuff repair". J Shoulder ...
N01BB01 Bupivacaine. N01BB02 Lidocaine. N01BB03 Mepivacaine. N01BB04 Prilocaine. N01BB05 Butanilicaine. N01BB06 Cinchocaine. ... N01BB51 Bupivacaine, combinations. N01BB52 Lidocaine, combinations. N01BB53 Mepivacaine, combinations. N01BB54 Prilocaine, ...
Long-acting bupivacaine can reduce treatment cost and be as effective as a femoral nerve block for pain relief from knee ... In the bupivacaine group, an intraoperative extended-release liposome injection of bupivacaine 266 mg was administered at the ... Extended-Release Bupivacaine vs Femoral Block In the second analysis, pain management was randomly assigned after knee ... Extended-release bupivacaine "has been an absolute game-changer as far as the control of pain," said Charles Lowry Barnes, MD, ...
Bupivacaine was discovered in 1957. It is on the World Health Organizations List of Essential Medicines. Bupivacaine is ... Bupivacaine is available as a generic medication. Levobupivacaine is the (S)-(-)-enantiomer of bupivacaine, with a longer ... Bupivacaine is contraindicated in patients with known hypersensitivity reactions to bupivacaine or amino-amide anesthetics. It ... Additionally, bupivacaine can cause chondrolysis after continuous infusion into a joint space. Bupivacaine has caused several ...
A list of US medications equivalent to Bupivacaine & Adrenaline 0.5% is available on the Drugs.com website. ... Bupivacaine & Adrenaline 0.5% is a medicine available in a number of countries worldwide. ... Bupivacaine. Bupivacaine hydrochloride monohydrate (a derivative of Bupivacaine) is reported as an ingredient of Bupivacaine & ... Bupivacaine & Adrenaline 0.5%. Bupivacaine & Adrenaline 0.5% may be available in the countries listed below. ...
bupivacaine synonyms, bupivacaine pronunciation, bupivacaine translation, English dictionary definition of bupivacaine. n. A ... bupivacaine. Also found in: Medical, Acronyms, Wikipedia.. Related to bupivacaine: lidocaine. bu·piv·a·caine (byo͞o-pĭv′ə-kān′) ... Call for quotations for the supply of bupivacaine 0.. Quotations For The Supply Of Bupivacaine 0.50 Percent And Adrenaline 1 In ... Levobupivacaine, the isolated S (-) enantiomer of Bupivacaine, has been shown to be less cardiotoxic than Bupivacaine in pre- ...
825 medications are known to interact with bupivacaine/hydromorphone. Includes Advair Diskus (fluticasone/salmeterol), AndroGel ... bupivacaine / hydromorphone alcohol/food Interactions. There is 1 alcohol/food interaction with bupivacaine / hydromorphone ... bupivacaine / hydromorphone disease Interactions. There are 19 disease interactions with bupivacaine / hydromorphone which ... Check for interactions with bupivacaine / hydromorphone. Type in a drug name and select a drug from the list. ...
Bupivacaine is used as a local (in only one area) anesthetic. Bupivacaine is given as an epidural injection into the spinal ... Bupivacaine is an anesthetic (numbing medicine) that blocks nerve impulses in your body. ... Bupivacaine is used as a local (in only one area) anesthetic. Bupivacaine is given as an epidural injection into the spinal ... Bupivacaine is also used as an anesthetic for dental procedures.. Bupivacaine may also be used for purposes not listed in this ...
Tell your doctor or nurse right away if you have the following symptoms with this medicine: anxiety; blurred vision; depression; drowsiness; lightheadedness; nausea or vomiting; numbness and tingling of the mouth or lips; restlessness; ringing in the ears; speech problems; or tremors. This medicine may cause serious allergic reactions, including anaphylaxis. Anaphylaxis can be life-threatening and requires immediate medical attention. Call your doctor right away if you have a rash; itching; fever; increased sweating; lightheadedness or fainting; trouble breathing; trouble swallowing; or any swelling of your hands, face, mouth, or throat after receiving this medicine. ...
... José Raul Soberón,1 Scott F. Duncan,2 and W. Charles Sternbergh3 ... K. Candiotti, "Liposomal bupivacaine: an innovative nonopioid local analgesic for the management of postsurgical pain," ... Pacira Pharmaceuticals Inc, EXPAREL (Bupivacaine Liposome Injectable Suspension) Prescribing Information, Pacira ...
Information about this bupivacaine-injection-route. Pregnancy Category. Explanation. All Trimesters. C. Animal studies have ... Appropriate studies have not been performed on the relationship of age to the effects of bupivacaine injection in the pediatric ... which may require caution and an adjustment in the dose for patients receiving bupivacaine injection. ... studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of bupivacaine ...
Bupivacaine Hydrochloride (UNII: 7TQO7W3VT8) (Bupivacaine - UNII:Y8335394RO) BUPIVACAINE HYDROCHLORIDE ANHYDROUS. 5 mg in 1 mL ... bupivacaine hydrochloride 5 MG/ML Injectable Solution. SCD. 3. 1012404. bupivacaine hydrochloride 0.5 % Injectable Solution. SY ... Continuous infusions of bupivacaine in children have been reported to result in high systemic levels of bupivacaine and ... After injection of Bupivacaine Hydrochloride for caudal, epidural, or peripheral nerve block in man, peak levels of bupivacaine ...
If you have an allergy to bupivacaine, epinephrine, or any other part of this drug. ...
No se debe utilizar esta información para decidir si se debe tomar este medicamento o cualquier otro. Solamente el proveedor de atención médica tiene el conocimiento y la capacitación para decidir qué medicamentos son adecuados para un paciente específico. Esta información no recomienda ningún medicamento como seguro, eficaz o aprobado para tratar a ningún paciente o enfermedad. Es solamente un breve resumen de información general sobre este medicamento. NO incluye toda la información sobre los usos, las instrucciones, las advertencias, las precauciones, las interacciones, los efectos secundarios o los riegos posibles que podrían aplicarse a este medicamento. Esta información no constituye asesoramiento médico específico y no reemplaza la información que usted recibe de su proveedor de atención médica. Debe hablar con el proveedor de atención médica para obtener información completa sobre los riesgos y los beneficios de tomar este medicamento.. ...
Get an overview of BUPIVACAINE HYDROCHLORIDE AND EPINEPHRINE (injection, solution), including warnings and precautions, ...
Find treatment reviews for Bupivacaine-Fentanyl from other patients. Learn from their experiences about effectiveness, side ... Bupivacaine-fentanyl is a narcotic analgesic combination medication used to treat pain, often through an epidural ...
Bupivacaine is an effective potassium channel blocker in heart.. Courtney KR1, Kendig JJ. ... The local anesthetic agent bupivacaine increases action potential duration in isolated frog atrial myocytes, and blocks two ...
Posted in Health Concerns, Pharmaceuticals, Product Recalls , Tagged 0.25% Bupivacaine Hydrochloride Injection, Bupivacaine ... Tag Archives: Bupivacaine Hydrochloride Injection. This page is having a slideshow that uses Javascript. Your browser either ... The voluntary recall affects one lot of 0.25% Bupivacaine Hydrochloride Injection, USP (NDC: 0409-1159-02, Lot 59-064- DK, ...
bupivacaine. UF studies anesthetic with potential for misuse in racehorses. April 16, 2019 ... The study will observe bupivacaine as there are concerns the extended release form of the drug could be used unethically to ... "Bupivacaine has been around for a while," says Taralyn McCarrel, DVM, an equine surgeon … ...
Effectiveness of Bupivacaine After Laparoscopic Cholecystectomy. The safety and scientific validity of this study is the ... Effectiveness of Bupivacaine After Laparoscopic Cholecystectomy. Official Title ICMJE Effectiveness for Postoperative Pain ... Group1: a bupivacaine 0,5% (2mg/kg) soaked-tabotamp is placed in gallbladder bed after remove of gallbladder ... Group1: a bupivacaine 0,5% (2mg/kg) soaked-tabotamp is placed in gallbladder bed after remove of gallbladder ...
Bupivacaine (By injection). Introduction. Bupivacaine (bue-PIV-a-kane). Used to numb an area of your body during surgery or ... Some medicines can affect how bupivacaine works. Tell your doctor if you are taking any of the following: *An MAO inhibitor ... Bupivacaine HCl Novaplus, Bupivacaine Spinal, Bupivilog Kit. ...
Dogs and pigs may differ in terms of susceptibility to bupivacaine cardiac toxicity; the porcine and canine models may not be ... They used a single 5 mg/kg IV bolus of bupivacaine, applied advanced cardiac life support 1 min after asystole, and ... We have recommended treating bupivacaine-associated cardiac arrest by injecting a 1 mL/kg bolus of 20% lipid emulsion (such as ... 1) also incorrectly cite us as indicating that "....a lipid infusion such as propofol increases the dose of bupivacaine ...
... By DrBicuspid Staff. November 12, 2018 -- The ADA has created a new Code on Dental ... Procedures and Nomenclature (CDT) for Exparel, a bupivacaine liposome injectable suspension from Pacira Pharmaceuticals. ...
Large Dose Bupivacaine 0.5% versus Small Dose in Elective Cesarean Section.. Ali HM1, Ismail AA1. ... In this study, we tried to solve this challenge by increasing the dose of bupivacaine to achieve a proper spinal level ... Large dose 15 mg of bupivacaine with the prolonged sitting position will lead to fewer incidences of hypotension and proper ... from large bupivacaine dose or insufficient satisfactory anesthesia level conditions as a result of small bupivacaine dose. ...
Background and objective We conducted a prospective double-blind randomized study assessing bupivacaine end-of-surgery wound ... Hosseini H, Abrisham SMJ, Jomeh H et al (2012) The comparison of intraarticular morphine-bupivacaine and tramadol-bupivacaine ... Chapman PJ (1987) Review: bupivacaine-a long-acting local anaesthetic. Aust Dent J 32:288-291CrossRefPubMedGoogle Scholar ... Tam K-W, Chen S-Y, Huang T-W et al (2015) Effect of wound infiltration with ropivacaine or bupivacaine analgesia in breast ...
Bupivacaine Liposome Injectable Suspension) may treat, uses, dosage, side effects, drug interactions, warnings, patient ... Bupivacaine is known to be substantially excreted by the kidney, and the risk of toxic reactions to bupivacaine may be greater ... Bupivacaine is present at a concentration of 13.3 mg/mL. After injection of EXPAREL into soft tissue, bupivacaine is released ... After bupivacaine has been released from EXPAREL and is absorbed systemically, bupivacaine excretion is expected to be the same ...
Group1: a bupivacaine 0,5% (2mg/kg) soaked-tabotamp is placed in gallbladder bed after remove of gallbladder ... Group1: a bupivacaine 0,5% (2mg/kg) soaked-tabotamp is placed in gallbladder bed after remove of gallbladder ... Verma GR, Lyngdoh TS, Kaman L, Bala I. Placement of 0.5% bupivacaine-soaked Surgicel in the gallbladder bed is effective for ... Bupivacaine. Anesthetics, Local. Anesthetics. Central Nervous System Depressants. Physiological Effects of Drugs. Sensory ...
Bupivacaine. Group: local anaesthetic agent. Injection (hydrochloride): 2.5 mg/ml (0.25%) or 5 mg/ml (0.5%) in 10-ml ampoule; 5 ... Bupivacaine injection should be kept protected from light and should not be allowed to freeze. Ampoules should not be used if ... Concentrations of bupivacaine greater than 0.5% are contraindicated for this purpose in view of reports of cardiac arrest and ... Bupivacaine is generally not recommended for children aged less than 12 years since there is insufficient information on the ...
Bupivacaine with Epinephrine Injection. Products Affected - Description. * *Bupivacaine (with epinephrine 1:200,000) injection ... The 0.25% bupivacaine with epinephrine 50 mL vials are on back order and the company estimates a release date of June 2021. The ... The 0.5% bupivacaine with epinephrine 30 mL preservative-free vials are on back order and the company estimates a release date ... The 0.25% bupivacaine with epinephrine 30 mL preservative-free vials are on back order and the company estimates a release date ...
O/B stands for Oxymorphone-Bupivacaine (drug combination). O/B is defined as Oxymorphone-Bupivacaine (drug combination) very ... S.v. "O/B." Retrieved June 13 2021 from https://www.acronymfinder.com/Oxymorphone_Bupivacaine-(drug-combination)-(O%2fB).html ... a href=https://www.acronymfinder.com/Oxymorphone_Bupivacaine-(drug-combination)-(O%2fB).html,O/B,/a,. ... 2021 https://www.acronymfinder.com/Oxymorphone_Bupivacaine-(drug-combination)-(O%2fB).html ...
Bupivacaine (an experimental pain-relieving medication). SABER™-Bupivac... ... Bupivacaine is designed to continuously deliver bupivacaine, a common local ane.... Trial of Extended Release Bupivacaine for ... medication). SABER™-Bupivacaine is designed to continuously deliver bupivacaine, a common local anesthetic, for a few days in ... Liposomal Bupivacaine vs. Bupivacaine Hydrochloride with Lidocaine During Midurethral Sling Placement: a Randomized Controlled ...
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  • We have recommended treating bupivacaine-associated cardiac arrest by injecting a 1 mL/kg bolus of 20% lipid emulsion (such as Intralipid) and starting an infusion of 0.25 mL/kg/min for 10 min, while continuing basic life support ( 5 ). (lww.com)
  • The maximum cumulative safe dose for adults and children of a 0.25% solution of bupivacaine is 1.5 mg/kg. (who.int)
  • Pfizer has 0.25% bupivacaine with epinephrine 10 mL preservative-free vials on back order and the company estimates a release date of June 2021. (ashp.org)
  • This may be facilitated by using lower concentrations of bupivacaine, for example the 0.25% or 0.125% solutions that have been recommended for other neonatal regional anesthesia procedures, 3 or by limiting 0.5% bupivacaine to 0.25 mL per kg 2 or 1.5 to 2 mg per kg. (aafp.org)
  • Hospira, Inc. on July 12, 2013, initiated a voluntary nationwide recall to the user level for one lot of 0.25% Bupivacaine HCl Injection, USP (2.5 mg/mL), 30 mL Single-dose Vial (NDC 0409-1159-02). (asahq.org)
  • The particulate was identified as stainless steel ranging in size from 542 microns to 1700 microns in lot 18-136-DK (0.25% bupivacaine) and as iron oxide with an average size of 2000 microns in lot 23-338-DK (0.75% bupivacaine). (asahq.org)
  • Bupivacaine 0.25% and 0.5% solutions are used for the production of local anaesthesia by percutaneous infiltration, peripheral nerve block(s) and central neural block (caudal or epidural), that is, for specialist use in areas where prolonged anaesthesia is indicated. (medicines.org.uk)
  • Exposure to concentrations up to 0.25% of bupivacaine, 0.5% of ropivacaine, and 0.5% of mepivacaine did not reveal significant chondrotoxicity in flow cytometry. (ovid.com)
  • METHODS: In a randomized double-blind design, 60 adult American Society of Anesthesiologists class I or class II patients undergoing elective arthroscopic knee surgery under general anesthesia were randomized to 3 groups: all received 30 mL of 0.25% bupivacaine, plus either 1 mL of normal saline solution (group I), 1 mL (50 mug) of fentanyl (group II), or 1 mL (50 mg) of tramadol (group III). (druglib.com)
  • Concentrated bupivacaine is not recommended for epidural freezing. (wikipedia.org)
  • Bupivacaine is indicated for local infiltration, peripheral nerve block, sympathetic nerve block, and epidural and caudal blocks. (wikipedia.org)
  • Bupivacaine has caused several deaths when the epidural anaesthetic has been administered intravenously accidentally. (wikipedia.org)
  • Bupivacaine is given as an epidural injection into the spinal column to produce numbness during labor, surgery, or certain medical procedures. (cigna.com)
  • For an epidural, bupivacaine is given as an injection through a needle placed into an area of your middle or lower back near your spine. (cigna.com)
  • Bupivacaine Hydrochloride is available in sterile isotonic solutions with and without epinephrine (as bitartrate) 1:200,000 for injection via local infiltration, peripheral nerve block, and caudal and lumbar epidural blocks. (nih.gov)
  • Bupivacaine-fentanyl is a narcotic analgesic combination medication used to treat pain, often through an epidural administration. (patientslikeme.com)
  • We conducted a retrospective study to determine whether bupivacaine or fentanyl is a better adjuvant to epidural morphine for postoperative analgesia using 108 patients. (springer.com)
  • In conclusion, fentanyl appears to be a better adjuvant to epidural morphine than bupivacaine. (springer.com)
  • This study aimed at comparing racemic bupivacaine and levobupivacaine in epidural anesthesia for elective cesarean section. (scielo.br)
  • Fifteen minutes after epidural anesthesia, 62.5% of levobupivacaine group patients experienced Bromage 2 or 3 motor block, whereas the same event was documented in 72.7% of bupivacaine group patients (p = 0.83). (scielo.br)
  • Levobupivacaine and bupivacaine were equally effective for epidural block in patients undergoing cesarean section. (scielo.br)
  • Currently, most common drug for obstetric epidural anesthesia is bupivacaine. (scielo.br)
  • Effect of epidural bupivacaine block on midazolam hypnotic requirements. (harvard.edu)
  • A clinical comparison of compounded solution (2% xylocaine & 0.5% bupivacaine) with 0.5% bupivacaine in epidural analgesia. (thefreelibrary.com)
  • The commonly used drugs for epidural analgesia are 2% xylocaine and 0.5% bupivacaine. (thefreelibrary.com)
  • Epidural solutions containing combinations of bupivacaine hydrochloride and fentanyl citrate are commonly administered in the labor and delivery and postoperative settings for pain control. (ijpc.com)
  • For epidural anaesthesia, a test dose of 3 - 5ml of bupivacaine containing adrenaline should be administered, since an intravascular injection of adrenaline will be quickly recognised by an increase in heart rate. (medicines.org.uk)
  • Solutions of Bupivacaine Hydrochloride may be autoclaved if they do not contain epinephrine. (nih.gov)
  • If you have an allergy to bupivacaine, epinephrine, or any other part of this drug. (mskcc.org)
  • However, we and others ( 3 ) believe the rapid return of normal rhythm and hemodynamics in both dogs and rats following massive bupivacaine overdose (twice the dose used in Mayr's study), indicates superior efficacy of lipid rescue for bupivacaine toxicity to drugs, such as epinephrine and vasopressin that are components of the generic ACLS protocol for cardiopulmonary arrest ( 4 ). (lww.com)
  • Perhaps Dr. Mayr will consider comparing combined epinephrine/vasopressin with lipid rescue in the porcine model of bupivacaine cardiac toxicity. (lww.com)
  • Fresenius Kabi has bupivacaine and epinephrine on shortage due to increased demand and manufacturing delays. (ashp.org)
  • Pfizer has bupivacaine with epinephrine on shortage due to manufacturing delays. (ashp.org)
  • Fore Pharma has released its new research, Bupivacaine / Epinephrine Sales, Price Analysis, & Sales Forecast - 2017. (reportlinker.com)
  • Find out the sales of Bupivacaine / Epinephrine worldwide and by countries in North America, Europe, Japan, BRIC, and Australia. (reportlinker.com)
  • Discover the growth trends of Bupivacaine / Epinephrine by countries, and also find out sales forecast until 2021. (reportlinker.com)
  • The research also provides Bupivacaine / Epinephrine unit price by countries. (reportlinker.com)
  • The sales and price data from this report is useful for analyzing Bupivacaine / Epinephrine sales trends, sales forecast for Bupivacaine / Epinephrine, brand planning, Bupivacaine / Epinephrine generics trends, product positioning, strategic forecasts, BD&L, competitive intelligence, pricing analysis, and price benchmarks. (reportlinker.com)
  • Patients were assigned to receive either 20 mL of 0.5% racemic bupivacaine or 20 mL of 0.5% levobupivacaine, both with 10 µg sufentanil and epinephrine 1:200,000. (scielo.br)
  • Randomized trial of intraoperative intercostal block with bupivacaine with epinephrine compared to lipossomal extended release bupivacaine. (bioportfolio.com)
  • Spinal analgesia during labor with low-dose bupivacaine, sufentanil, and epinephrine. (biomedsearch.com)
  • Bupivacaine is commercially available as a racemic mixture of R(+) and S(-) enantiomers and it was first used in spinal blocks in concentrations of 0.5%, 0.75%, and 1%, with or without epinephrine 1 . (scielo.br)
  • The fixed-dose combination of bupivacaine with Type I collagen (brand name Xaracoll) is indicated for acute postsurgical analgesia (pain relief) for up to 24 hours in adults following open inguinal hernia repair. (wikipedia.org)
  • Bupivacaine (Posimir) is indicated in adults for administration into the subacromial space under direct arthroscopic visualization to produce post-surgical analgesia for up to 72 hours following arthroscopic subacromial decompression. (wikipedia.org)
  • XaraColl®, a collagen-based implant that delivers bupivacaine to the site of surgical trauma, is under development for postoperative analgesia. (dovepress.com)
  • The use of liposomal bupivacaine, compared with use of bupivacaine HCl, following gynecologic surgery decreased the need for narcotics and reduced the use of patient-controlled analgesia. (obgyn.net)
  • Still, the data pointed to a reduction in use of patient-controlled analgesia among those who were treated with liposomal bupivacaine (1.4% vs 8.3%, P=.05). (obgyn.net)
  • This was also found among women who underwent cytoreductive surgeries, with 4.1% of the women treated with liposomal bupivacaine using patient-controlled analgesia compared with 33.3% of women in the control group. (obgyn.net)
  • Conclusion: The present study demonstrates that addition of 20 mg nalbuphine to bupivacaine in supraclavicular brachial plexus block is associated with significant increase in the duration of both sensory and motor block and also prolong the duration of analgesia. (scirp.org)
  • 4. Stolik-Dollberg OC, Dollberg S. Bupivacaine versus lidocaine analgesia for neonatal circumcision. (aafp.org)
  • Liposomal bupivacaine was developed for injection at the surgical site with the potential for extended analgesia. (healio.com)
  • Multiple studies have reported successful results and improvement in postoperative analgesia with liposomal bupivacaine. (healio.com)
  • Bupivacaine is indicated for the production of local or regional anesthesia or analgesia for surgery, dental and oral surgery procedures, diagnostic and therapeutic procedures, and for obstetrical procedures. (asahq.org)
  • Does Continuous Wound Infusion of 0.2% Bupivacaine Provide Superior Analgesia Compared to Standard Opioid-based Therapy in Patients Following Axillary Clearance Surgery? (knowcancer.com)
  • It is intended to be administered during surgery, where it continuously releases therapeutic levels of bupivacaine in a controlled fashion, providing up to 72 hours of uninterrupted local analgesia. (fiercepharma.com)
  • Hower, despite incorporating more data in the analysis, we found little evidence that the need for conversion to general anaesthesia and supplemental analgesia differed between the hyperbaric or isobaric bupivacaine groups. (cochrane.org)
  • The duration of analgesia and comparative efficacy of liposomal bupivacaine and an elastomeric bupivacaine pump in a diverse surgical population were determined" Kenes et al (2015). (ivteam.com)
  • Bupivacaine analgesia in morphine tolerance reduced. (sid.ir)
  • The Objectives were to compare the mean period of analgesia for intrathecal Midazolam 0.5 ml plus bupivacaine and bupivacaine alone and to monitor the side effects of intrathecal Midazolam (0.5 ml) plus bupivacaine and bupivacaine alone. (alliedacademies.org)
  • Many authors have suggested the addition of 0.5 ml Midazolam to bupivacaine to extend the period of analgesia [ 1 , 2 , 3 ]. (alliedacademies.org)
  • So this study was carried out to study the effect of addition of 0.5 ml intrathecal Midazolam to bupivacaine in humans with the objectives to compare the mean period of analgesia for intrathecal Midazolam 0.5 ml plus bupivacaine and bupivacaine alone and to compare the side effects of intrathecal Midazolam (0.5 ml) plus bupivacaine and bupivacaine alone. (alliedacademies.org)
  • however, a new delivery system for bupivacaine ( Exparel , Pacira), in which injected liposomes release the drug slowly, relieves pain for 72 hours, he explained. (medscape.com)
  • Liposomal formulations of bupivacaine (brand name EXPAREL) have shown to be more effective in providing pain relief than plain solutions of bupivacaine. (wikipedia.org)
  • November 12, 2018 -- The ADA has created a new Code on Dental Procedures and Nomenclature (CDT) for Exparel, a bupivacaine liposome injectable suspension from Pacira Pharmaceuticals . (drbicuspid.com)
  • EXPAREL is a sterile, non-pyrogenic white to off-white preservative-free aqueous suspension of multivesicular liposomes (DepoFoam ® drug delivery system) containing bupivacaine. (rxlist.com)
  • After injection of EXPAREL into soft tissue, bupivacaine is released from the multivesicular liposomes over a period of time. (rxlist.com)
  • Therefore, it is not possible to convert dosing from any other formulations of bupivacaine to EXPAREL. (rxlist.com)
  • This alert is being issued to inform health professionals about a potential medication safety issue with Exparel (bupivacaine liposome injectable suspension): wrong route of administration errors if the drug is confused with propofol. (ismp.org)
  • Ensure that directions for treatment of bupivacaine toxicity are readily available in all surgical areas where Exparel may be used. (ismp.org)
  • The investigators have therefore chosen liposomal bupivacaine (Exparel, Pacira Pharmaceuticals), which is an FDA approved product for local infiltration that has a longer duration of action (up to 72 hours) and a slower absorption into the systemic circulation, avoiding high plasma concentrations. (checkorphan.org)
  • Bupivacaine, marketed under the brand name Marcaine among others, is a medication used to decrease feeling in a specific area. (wikipedia.org)
  • We report a case of central nervous system toxicity associated with bupivacaine (Marcaine) dorsal penile block used to facilitate a circumcision. (aafp.org)
  • The aim of this study was to evaluate analgesic effects of Bupivacaine (marcaine), Bupivacaine plus midazolam, and Bupivacaine plus fentanyl in reducing pain after knee arthroscopic surgery. (magiran.com)
  • The US Food and Drug Administration (FDA) has alerted health care professionals that Hospira, Inc (Lake Forest, IL) has announced a voluntary nationwide recall to the user level for 1 lot of 0.5% Marcaine (bupivacaine HCl injection, USP), 30 mL, single-dose vial - preservative free (NDC 0409-1560-29), lot 33-545-DD. (asrs.org)
  • In the bupivacaine group, an intraoperative extended-release liposome injection of bupivacaine 266 mg was administered at the end of surgery. (medscape.com)
  • Recent clinical reports and animal research suggest that these cardiovascular changes are more likely to occur after unintended intravascular injection of bupivacaine. (nih.gov)
  • However, accidental intravascular injection of bupivacaine can produce severe arrhythmias and cardiac depression. (ahajournals.org)
  • Neurotoxicity of intraneural injection of bupivacaine liposome injectable suspension versus bupivacaine hydrochloride in a porcine model. (bioportfolio.com)
  • Risks of discontinuing breast feeding versus discontinuing bupivacaine should be discussed with the patient. (wikipedia.org)
  • Large Dose Bupivacaine 0.5% versus Small Dose in Elective Cesarean Section. (nih.gov)
  • Ayman M, Materazzi G, Bericotti M et al (2012) Bupivacaine 0.5% versus ropivacaine 0.75% wound infiltration to decrease postoperative pain in total thyroidectomy, a prospective controlled study. (springer.com)
  • Levobupivacaína versus bupivacaína en anestesia peridural para cesáreas. (scielo.br)
  • After 20 minutes, 66.7% of levobupivacaine group patients experienced Bromage 2 or 3 motor block versus 86.3% of bupivacaine group patients (p = 0.21). (scielo.br)
  • The aim of this study was to evaluate the effect of nalbuphine as an adjuvant to local anesthetics in peripheral nerve block, so we compare the effect of a combination of nalbuphine and bupivacaine versus bupivacaine alone in supraclavicular brachial plexus block for the patients undergoing elective upper limb surgeries. (scirp.org)
  • This study aims to compare the effectiveness of liposomal bupivacaine (LB) versus standard of practice local injection containing plain bupivacaine. (bioportfolio.com)
  • The investigators will be comparing pain scores and opioid use in patients receiving interscalene peripheral blocks with plain bupivacaine versus those receiving liposomal bupivacaine. (bioportfolio.com)
  • Effects of Bupivacaine Versus Bupivacaine Plus Dexamethasone-Soaked Nasal Packing After Endoscopic Nasal Surgery. (bioportfolio.com)
  • The aim of this randomized prospective study was to investigate the postoperative analgesic effectiveness of bupivacaine versus bupivacaine plus dexamethasone-soaked nasal packing in patients schedule. (bioportfolio.com)
  • Kenes, M.T., Leonard, M.C., Bauer, S.R. and Wyman, M.J. (2015) Liposomal bupivacaine versus continuous infusion bupivacaine via an elastomeric pump for the treatment of postoperative pain. (ivteam.com)
  • After surgical sperm retrieval, the wound will be injected with liposomal bupivacaine (266 mg) mixed with standard bupivacaine (bupivacaine hydrochloride 50mg) for post-operative pain relief. (clinicaltrials.gov)
  • Liposomal Bupivacaine vs. Bupivacaine Hydrochloride with Lidocaine During Midurethral Sling Placement: a Randomized Controlled Trial. (bioportfolio.com)
  • The primary objective was to study the effects of liposomal bupivacaine (LB) compared to bupivacaine HCL with lidocaine on postoperative day 1 pain scores. (bioportfolio.com)
  • A local anesthetic that is chemically related to BUPIVACAINE but pharmacologically related to LIDOCAINE. (bioportfolio.com)
  • 4 In addition, lidocaine (Xylocaine) may offer a wider margin of safety than bupivacaine and may be the preferred agent in these cases. (aafp.org)
  • The prospective randomized study was conducted to compare the analgesic efficacy of dilute concentration of bupivacaine and ropivacaine with fentanyl. (thefreedictionary.com)
  • What is Bupivacaine-Fentanyl? (patientslikeme.com)
  • No patients have reported taking Bupivacaine-Fentanyl. (patientslikeme.com)
  • There are no evaluations for Bupivacaine-Fentanyl. (patientslikeme.com)
  • Eighty patients were prospectively randomised to receive plain 1.5 ml levobupivacaine 0.5% (group levobupivacaine) or 1.5 ml plain bupivacaine 0.5% (group bupivacaine) in combination with fentanyl 0.3 ml (15 microg) for spinal anaesthesia. (biomedsearch.com)
  • Intrathecal hyperbaric or isobaric bupivacaine and ropivacaine with fentanyl for elective caesarean section. (biomedsearch.com)
  • METHODS: One hundred and three term parturients were randomly assigned to receive intrathecal 10 mg hyperbaric bupivacaine (Group Bh), 10 mg plain bupivacaine (Group Bp), 15 mg hyperbaric ropivacaine prepared with dextrose 30% (Group Rh) or 15 mg plain ropivacaine (Group Rp) coadministered with fentanyl 20 μg. (biomedsearch.com)
  • Group A, B and C received Bupivacaine (50 mg), Bupivacaine (50 mg) plus midazolam (50 μg/kg), and Bupivacaine (50 mg) plus fentanyl (3 μg/kg), respectively. (magiran.com)
  • The spinal regimen was 5 mg bupivacaine heavy 0,5% combined with 50 mcg fentanyl. (omicsonline.org)
  • Low dose spinal anesthesia using 5 mg of bupivacaine heavy 0,5% and adjuvant opioid fentanyl 50 mcg can be successfully used for the performance of CS delivery as regards to onset, adequacy, level, duration of the block and hemodynamic stability and good fetal outcome, with impressive cardiovascular stability. (omicsonline.org)
  • Evaluation of analgesic efficacy of intra-articular bupivacaine, bupivacaine plus fentanyl, and bupivacaine plus tramadol after arthroscopic knee surgery. (druglib.com)
  • PURPOSE: To compare the efficacy of intra-articular (IA) bupivacaine, bupivacaine-fentanyl, and bupivacaine-tramadol for relief of postoperative pain after arthroscopic knee surgery. (druglib.com)
  • CONCLUSIONS: On the primary outcome measure (VAS pain score), both bupivacaine with fentanyl and bupivacaine with tramadol were better than IA bupivacaine, and bupivacaine with fentanyl was better than that with tramadol. (druglib.com)
  • Thus IA bupivacaine-fentanyl appears to be the best combination for relief of postoperative pain in patients undergoing arthroscopic knee surgery, followed by IA bupivacaine-tramadol. (druglib.com)
  • To test whether neurotoxic effects of a bupivacaine liposome injectable suspension differ from those of a standard formulation of bupivacaine hydrochloride (HCl) after intraneural injection into the s. (bioportfolio.com)
  • To determine the effective dose 50% (ED50) and the effective dose 95% (ED95) of intrathecal bupivacaine associated with opioids in the cesarean section of morbidly obese patients. (thefreedictionary.com)
  • sup][6],[11] However, to the best of our knowledge, few previous studies have determined the ideal dose of intrathecal bupivacaine when coadministered with sufentanil for cesarean delivery in severely preeclamptic parturients so far. (thefreedictionary.com)
  • Effect of Long-Term Intrathecal Bupivacaine Infusion on Blood Pressure. (bioportfolio.com)
  • OBJECTIVE: We aimed to investigate the efficacy of either plain or hyperbaric solutions of intrathecal bupivacaine and ropivacaine on maternal block characteristics, complications, side effects and neonatal parameters to find out which is superior in a single study. (biomedsearch.com)
  • A randomised, double-blind comparison of three different volumes of hypobaric intrathecal bupivacaine for orthopaedic surgery. (thefreelibrary.com)
  • We studied the effect of three different doses of oral clonidine on surgeries below umbilicus which were administered intrathecal bupivacaine. (omicsonline.org)
  • Bupivacaine application is effective in decreasing postoperative pain and analgesic requirement during the hospital stay for patients with thyroidectomy. (springer.com)
  • The local anesthetic bupivacaine is a common analgesic adjuvant medication used in combination with opioids in intrathecal drug delivery systems (IDDSs). (bioportfolio.com)
  • Liposomal bupivacaine is an analgesic consisting of bupivacaine hydrochloride encapsulated within multiple, non-concentric lipid bi-layers offering a novel method of sustained release. (cochrane.org)
  • To assess the analgesic efficacy and adverse effects of liposomal bupivacaine infiltration peripheral nerve block for the management of postoperative pain. (cochrane.org)
  • 7-NI the nNOS inhibitor drug could reduce the tolerance to analgesic effect of morphine along bupivacaine in compare to morphine tolerance. (sid.ir)
  • Conclusion: The results showed that nNOS has a crucial role in reduction of analgesic effect of bupivacaine in morphine tolerance. (sid.ir)
  • A comparative study was carried out to evaluate the analgesic efficacy and side effects of intrathecal Midazolam along with 0.5% Bupivacaine in 80 ASA I and II patients, aged 16 - 60 years, undergoing surgeries below umbilicus, elective as well as emergency. (alliedacademies.org)
  • So this study compare efficacy of diclofenac and bupivacaine by measured the pain score and requirement of morphine injection. (clinicaltrials.gov)
  • Nady Hamid, MD, and colleagues recorded patient demographics, in-hospital numeric pain rating scale score obtained at 12-hour intervals, length of stay and total in-hospital morphine equivalents among 79 patients undergoing total shoulder arthroplasty and receiving either liposomal bupivacaine or interscalene block. (healio.com)
  • Effect of Morphine and Bupivacaine on. (scientific.net)
  • Therefore, the present study investigated the effect of morphine or bupivacaine on the secretion of nicotine-induced CAs from encapsulated chromaffin cells over a period of 180 min. (scientific.net)
  • The capsules were then pre-incubated with nicotine for 5 min prior to morphine or bupivacaine stimulation, and the quantity of CAs analyzed using a high performance liquid chromatography (HPLC) analysis system. (scientific.net)
  • The objective of this study was to evaluate the physical and chemical stability of morphine sulfate 5 mg/mL with bupivacaine hydrochloride 2.5 mg/mL in 0.9% sodium chloride injection and morphine sulfate 50 mg/mL with bupivacaine hydrochloride 25 mg/mL in sterile water for injection packaged in plastic syringes. (ijpc.com)
  • Test samples of morphine sulfate 5-mg/mL with bupivacaine hydrochloride 2.5-mg/mL and morphine sulfate 50-mg/mL with bupivacaine hydrochloride 25-mg/mL solutions were packaged as 20 mL of drug solution in 30-mL plastic syringes, sealed with plastic tip caps, and stored at 4°C and 23°C for 60 days. (ijpc.com)
  • The inclusion of the bupivacaine hydrochloride prevented the precipitation of morphine sulfate that occurs at a lower storage temperature. (ijpc.com)
  • However, morphine sulfate 50 mg/mL with bupivacaine hydrochloride 25 mg/mL exhibited a slight yellow discoloration after 7 days of storage at 23°C. (ijpc.com)
  • Little or no loss of morphine sulfate and bupivacaine hydrochloride occurred in any of the samples at any storage temperature throughout the study. (ijpc.com)
  • Morphine concentrations were found to be about 97% or greater, and bupivacaine hydrochloride concentrations were about 95% or greater throughout the study period under each storage condition. (ijpc.com)
  • Morphine sulfate solutions at concentrations ranging from 5 mg/mL to 50 mg/mL combined with bupivacaine hydrochloride 2.5 mg/mL to 25 mg/mL can be packaged in plastic syringes, stored, and shipped with little or no loss of drug. (ijpc.com)
  • Twenty minute after the last morphine injection at 5th day, bupivacaine 5 m g/kg was injected interathecally, and then formaline test was performed. (sid.ir)
  • In another series of experiments, 20 minutes after last morphine injection at 5th day, bupivacaine 5 m g/kg injected and then after 20 minutes, nNOS inhibitor (7-NI) 10 m g/?l was injected and after 60 minutes, formalin test was perfumed. (sid.ir)
  • Patients treated with extended-release bupivacaine also used less narcotic rescue medication, spent less time in the hospital, and had fewer falls than those treated with femoral nerve block. (medscape.com)
  • Dr. Emerson and his colleague, John Barrington, MD, from the Texas Center for Joint Replacement in Plano, presented results from 2 cohorts of patients treated with extended-release bupivacaine here at the American Academy of Orthopaedic Surgeons 2014 Annual Meeting. (medscape.com)
  • The extended-release bupivacaine cut the number of falls from 10 to 2 and saved $1246 per patient. (medscape.com)
  • 36 patients received extended-release bupivacaine and 36 received femoral nerve block. (medscape.com)
  • There were no adverse reactions to the extended-release bupivacaine, Dr. Emerson reported. (medscape.com)
  • Extended-release bupivacaine "has been an absolute game-changer as far as the control of pain," said Charles Lowry Barnes, MD, professor of orthopedics at the University of Arkansas in Little Rock. (medscape.com)
  • GB suppressed bupivacaine-induced mitochondrial depolarization and mitochondria complex I and III inhibition and increased cleaved caspase-3 and Htra2 expression, which was strongly indicative of activation of mitochondria-dependent apoptosis with concomitantly enhanced expressions of Grp78, caspase-12 mRNA, protein, and ER stress. (hindawi.com)
  • Mismar AA, Mahseeri MI, Al-Ghazawi MA et al (2017) Wound infiltration with bupivacaine 0.5% with or without adrenaline does not decrease pain after thyroidectomy. (springer.com)
  • Does Preincisional Infiltration with Bupivacaine Reduce Postoperative Pain in Laparoscopic Bariatric Surgery? (cun.es)
  • Therefore, we analyzed the influence of trocar site infiltration with bupivacaine on the management of postoperative pain in laparoscopic bariatric surgery. (cun.es)
  • Bupivacaine is contraindicated in patients with known hypersensitivity reactions to bupivacaine or amino-amide anesthetics. (wikipedia.org)
  • Each vial contains bupivacaine at a nominal concentration of 13.3 mg/mL. (rxlist.com)
  • The novel delivery system contains bupivacaine within a carrier molecule that allows gradual release over an extended period. (healio.com)
  • Each 1ml contains bupivacaine hydrochloride BP equivalent to 0.5% w/v anhydrous Bupivacaine Hydrochloride. (medicines.org.uk)
  • The spinal anesthesia in a cesarean section is still presenting a challenge to the anesthetist in the form of either severe hypotension from large bupivacaine dose or insufficient satisfactory anesthesia level conditions as a result of small bupivacaine dose. (nih.gov)
  • Large dose 15 mg of bupivacaine with the prolonged sitting position will lead to fewer incidences of hypotension and proper anesthesia block. (nih.gov)
  • Nanoscale Bupivacaine Formulations to Enhance the Duration and Safety of Intravenous Regional Anesthesia. (bioportfolio.com)
  • This study demonstrated that in patients undergoing shoulder arthroplasty, liposomal bupivacaine provided comparable pain control and opioid consumption compared to regional anesthesia without the added cost and risk of going to a regional anesthetic procedure," Hamid told Healio.com/Orthopedics . (healio.com)
  • Background Bupivacaine is a potent local anesthetic widely used for prolonged local and regional anesthesia. (ahajournals.org)
  • Although used clinically as a racemic mixture, S (−)-bupivacaine appears less toxic than the R (+)-enantiomer despite at least equal potency for local anesthesia. (ahajournals.org)
  • Hyperbaric bupivacaine (0.75% in dextrose) is used for spinal obstetric anesthesia. (bioportfolio.com)
  • To determine the dose of hyperbaric bupivacaine 0.5% required for unilateral spinal anesthesia during diagnostic knee arthroscopy. (dovepress.com)
  • However, 7.5 mg of hyperbaric bupivacaine 0.5% was the dose required for adequate unilateral spinal anesthesia. (dovepress.com)
  • and the choice of bupivacaine for regional anesthesia. (aafp.org)
  • Bupivacaine is a prescription medication used to prevent pain and induce spinal anesthesia. (rxwiki.com)
  • Bupivacaine injection should not be used in obstetrical paracervical block (local anesthetic injection around cervix) anesthesia. (rxwiki.com)
  • NEW ORLEANS - The extended-release formulation of the local anesthetic bupivacaine is just as effective as a femoral nerve block for relieving pain after total knee replacement surgery, new research shows. (medscape.com)
  • They will be assigned to either TAP block with the liposomal bupivacaine solution or to traditional preincisional local anesthetic with bupivacaine alone. (thefreedictionary.com)
  • Bupivacaine is an anesthetic (numbing medicine) that blocks nerve impulses in your body. (cigna.com)
  • Bupivacaine is used as a local (in only one area) anesthetic. (cigna.com)
  • Bupivacaine is also used as an anesthetic for dental procedures. (cigna.com)
  • The local anesthetic agent bupivacaine increases action potential duration in isolated frog atrial myocytes, and blocks two potassium conductances, IK and IK1. (nih.gov)
  • A local anesthetic with rapid onset and long action, similar to BUPIVACAINE. (bioportfolio.com)
  • We tested the neuroprotective efficacy of ginkgolide B (GB), an active component of Ginkgo biloba, against ROS-mediated neurotoxicity caused by the local anesthetic bupivacaine. (hindawi.com)
  • Local anesthetic bupivacaine is found in two different enantiomers: levobupivacaine - S (-) and dextrobupivacaine - R (+). Based on studies showing that S(-) enantiomers are less cardiotoxic, their use has been increasing in clinical practice. (scielo.br)
  • The study is a drug trial comparing the post-operative pain control provided by liposomal bupivacaine (a local anesthetic) against standard bupivacaine (a different formulation of the local anesthetic) for men undergoing testicular sperm extraction. (clinicaltrials.gov)
  • Investigation into spinal anesthetic failure with hyperbaric bupivacaine: the role of cold exposure on bupivacaine degradation. (bioportfolio.com)
  • Impaired autophagosome clearance contributes to local anesthetic bupivacaine-induced myotoxicity in mouse myoblasts. (sigmaaldrich.com)
  • 6 This case exemplifies the principle that relatively small volumes of bupivacaine may result in local anesthetic toxicity. (aafp.org)
  • Bupivacaine is used as a local or regional anesthetic for various procedures. (rxwiki.com)
  • The anesthetic action of S(-)-bupivacaine, R(+)-bupivacaine and ropivacaine was directly compared in vitro by studying their effects on action potential and the maximum value of dV/dt (dV/dt max) in crayfish giant axon. (nii.ac.jp)
  • Publications] Kanai Yuko, Katsuki Hiroshi and Takasaki Mayumi: 'Comparison of anesthetic effect of bupivacaine and ropivacaine. (nii.ac.jp)
  • Bupivacaine is an amino amide anesthetic that decreases current amplitude and inhibits whole cell K+ currents in Ca2+-activated (BK/SK) K+ channels and N-type voltage-gated (Kv1/shaker and Kv3 KCNA/KCNC) K+ channels. (lktlabs.com)
  • Dumlu EG, Tokaç M, Öcal H et al (2015) Local bupivacaine for postoperative pain management in thyroidectomized patients: a prospective and controlled clinical study. (springer.com)
  • Unsurprisingly, the researchers found that patients who received liposomal bupivacaine following complex cytoreductive surgery required significantly fewer doses of intravenous opioids during the first and second postoperative days than those whose pain was managed with bupivacaine HCl. (obgyn.net)
  • This prospective, randomized, clinical study was performed in 80 patients who were assigned to four groups to receive different doses of intrathecal hyperbaric bupivacaine (5 mg, 7.5 mg, 10 mg and 12.5 mg in Groups 1, 2, 3, and 4 respectively). (dovepress.com)
  • Unilateral sensory and motor block can be achieved with doses of 5 mg and 7.5 mg hyperbaric bupivacaine 0.5% with a stable hemodynamic state. (dovepress.com)
  • He received two 1-mL doses of 0.5% bupivacaine, spaced apart by two to three minutes. (aafp.org)
  • The primary objective of this randomised clinical study was to evaluate the frequency of unilateral block when different doses of hypobaric bupivacaine solution were used for single limb orthopaedic surgery. (thefreelibrary.com)
  • The proposed study aims to investigate the effect of three different doses of oral clonidine on subarachnoid block, anxiolysis, sedation, hemodynamic stability and their side effects, in patients undergoing surgeries below umbilicus in order to find out its optimum dose as a premedication agent with spinal anaesthesia Bupivacaine . (omicsonline.org)
  • Bupivacaine may be neurotoxic at high doses, activating p38 MAPK, increasing levels of ROS and WDR53, and inducing apoptosis in neuroblastoma cells. (lktlabs.com)
  • Hyperbaric bupivacaine is commercially available in its racemic form. (scielo.br)
  • Separation of racemic bupivacaine allows the production of the levorotatory and dextrorotatory enantiomers. (scielo.br)
  • Background : Levobupivacaine and ropivacaine are both single S(-)-enantiomers that have less cardiotoxic and convulsant effects than racemic bupivacaine. (nii.ac.jp)
  • Concentrations of bupivacaine greater than 0.5% are contraindicated for this purpose in view of reports of cardiac arrest and maternal death. (who.int)
  • SH-SY5Y cells were treated with different concentrations of bupivacaine alone or following preincubation with GB. (hindawi.com)
  • A serum bupivacaine concentration, obtained 2.5 hours after injection, was 0.76 mcg per mL, which is consistent with previous reports of bupivacaine toxicity 1 and higher than bupivacaine concentrations reported in older boys after circumcision. (aafp.org)
  • At concentrations lower than 40 microM (concentrations encountered in clinical situations), the low capacity, high affinity apparent site was predominant and S(-)-bupivacaine exhibited a higher free fraction than R(+)-bupivacaine. (aspetjournals.org)
  • Human articular chondrocytes were exposed to equal and equipotent concentrations of bupivacaine, ropivacaine, and mepivacaine for 1 hour. (ovid.com)
  • A "heavy" solution (0.75% bupivacaine in 8.25% glucose) will provide the muscular relaxation required for abdominal surgery. (who.int)
  • An expanded recall was issued on August 29, 2013 for one lot of 0.75% Bupivacaine HCl Injection, USP (7.5 mg/mL), 30 mL Single-dose Vial (NDC 0409-1165-02). (asahq.org)
  • a lipid infusion such as propofol increases the dose of bupivacaine required to induce cardiac arrest, and, therefore, this strategy has been suggested as a potential means to improve outcomes from such toxicity. (lww.com)
  • The higher potency of R (+)-bupivacaine to block the inactivated state of the cardiac Na + channel may explain its higher toxicity because of the large contribution of the inactivated-state block during the plateau phase of the cardiac action potential. (ahajournals.org)
  • Acute bupivacaine toxicity as a result of venous leakage under the tourniquet cuff during a Bier block. (aafp.org)
  • Additionally, bupivacaine can cause chondrolysis after continuous infusion into a joint space. (wikipedia.org)
  • Hospira, Inc., a provider of injectable drugs and infusion technologies located in Lake Forest, Ill., has issued a voluntary recall of one lot of Preservative-Free Bupivacaine HCl Injection due to possible contamination with iron oxide. (petmd.com)
  • CONCLUSION: No difference was found between patients who received liposomal bupivacaine compared with elastomeric continuous infusion bupivacaine from a traditional pump in 24- or 72-hour postoperative opioid utilization after adjustment for baseline differences. (ivteam.com)
  • An implantable formulation of bupivacaine (Xaracoll) was approved for medical use in the United States in August 2020. (wikipedia.org)
  • Liposomal bupivacaine (LB) is Food and Drug Administration-approved extended-release formulation of bupivacaine for interscalene peripheral nerve blocks. (medworm.com)
  • What are the possible side effects of bupivacaine? (cigna.com)
  • In the study, which included about 400 surgical patients, researchers compared the efficacy of liposomal bupivacaine and bupivacaine hydrochloride (HCl) for controlling postoperative pain after laparotomy for gynecological malignancies. (obgyn.net)
  • This study aimed to evaluate the effect of liposomal bupivacaine infiltration on total amount of opioid use, incidence of AEs and length of stay (LOS) after minimally invasive (MIS) sigmoid coloctomy. (bmj.com)
  • Bupivacaine is available as a generic medication. (wikipedia.org)
  • Bupivacaine may also be used for purposes not listed in this medication guide. (cigna.com)
  • This is a research study testing SABER™-Bupivacaine (an experimental pain-relieving medication). (bioportfolio.com)
  • This is a research study of SABER® -Bupivacaine, an experimental medication designed to relieve pain up to 3 days after surgery. (bioportfolio.com)
  • This is an extension to a previous research trial testing SABER™-Bupivacaine (an experimental pain-relieving medication). (bioportfolio.com)
  • Bupivacaine added to liposomal bupivacaine addressed the delayed onset of this medication and gave an accurately matched comparison with the ropivacaine cocktail. (healio.com)
  • In the case of bupivacaine, there are no specific foods that you must exclude from your diet when receiving this medication. (rxwiki.com)
  • In this study, we tried to solve this challenge by increasing the dose of bupivacaine to achieve a proper spinal level accompanied by prolonged sitting up to avoid hypotension. (nih.gov)
  • Conclusions Both the large level of pulse-dependent block and the failure of the pure inactivated-state block model indicate that bupivacaine interacts with the activated (or open) state of the cardiac sodium channel in addition to its block of the inactivated state. (ahajournals.org)
  • These data indicate that bupivacaine is not transported through the brain capillary wall, i.e., the blood-brain barrier, from the bovine albumin-bound pool, but bupivacaine is partially available for transfer from the circulating AAG-bound pool. (aspetjournals.org)
  • Compared to other local anaesthetics, bupivacaine is markedly cardiotoxic. (wikipedia.org)
  • Bupivacaine is related chemically and pharmacologically to the aminoacyl local anesthetics. (nih.gov)
  • Chapman PJ (1987) Review: bupivacaine-a long-acting local anaesthetic. (springer.com)
  • Bupivacaine is a long-acting local anaesthetic. (who.int)
  • To compare effects of local and systemic administrations of dexamethasone and local bupivacaine on postoperative pain in patients who have had tonsillectomy. (bioportfolio.com)
  • Thus, mitochondrial and ER damage associated with ROS overproduction may act synergistically to evoke cell death in response to bupivacaine or other structurally related local anesthetics. (hindawi.com)
  • El anestésico local bupivacaína es encontrado en la forma de dos enantiómeros: levobupivacaína - S (-) y dextrobupivacaína - R (+). Basado en estudios que demuestran que la cardiotoxicidad es menor con el enantiómero S(-), fue difundido el uso de este agente en la práctica clínica. (scielo.br)
  • ANESTHETICS, Local: 50% enantiomeric excess bupivacaine. (scielo.br)
  • 9) So to know the effectiveness of compounding the local anaesthetics, we have in our study, used 2% xylocaine and 0.5% bupivacaine in a 1:1 ratio. (thefreelibrary.com)
  • Bupivacaine belongs to a group of drugs called local anesthetics. (rxwiki.com)
  • Currently many cancer patients receive general opioids or local anesthetics, such as bupivacaine. (scientific.net)
  • Bupivacaine is an amide local anaesthetic used in hyperbaric and isobaric forms. (cochrane.org)
  • Local myotoxicity from sustained release of bupivacaine from microparticles. (semanticscholar.org)
  • RATIONALE: Bupivacaine is a local anaesthetic prohibited in equine sports. (diva-portal.org)
  • At the time of closure of surgical incision, 20ml of bupivacaine 0. (thefreedictionary.com)
  • Participants in this arm will have a single injection of liposomal bupivacaine admixed with standard bupivacaine (266mg liposomal bupivacaine mixed with 50mg bupivacaine hydrochloride) at the conclusion of their surgical sperm retrieval procedure. (clinicaltrials.gov)
  • Participants in this arm will have a single injection of standard bupivacaine (100mg bupivacaine hydrochloride) at the conclusion of their surgical sperm retrieval procedure. (clinicaltrials.gov)
  • Randomised, double- blind , placebo - or active-controlled clinical trials of a single dose of liposomal bupivacaine administered as a peripheral nerve block in adults aged 18 years or over undergoing elective surgery at any surgical site. (cochrane.org)
  • XARACOLL is Innocoll's late-stage surgically implantable and bioresorbable collagen matrix developed to provide sustained postsurgical pain relief through controlled delivery of bupivacaine at the surgical site. (globenewswire.com)
  • XARACOLL® is a surgically implantable and bioresorbable bupivacaine-collagen matrix that utilizes our CollaRx® proprietary collagen-based delivery technology and is being developed to provide sustained postsurgical pain relief directly into the surgical site. (globenewswire.com)
  • CUPERTINO, Calif. , Feb. 9, 2011 /PRNewswire/ -- DURECT Corporation (Nasdaq: DRRX) announced today results from a European Phase IIb shoulder clinical trial conducted by Nycomed of POSIDUR™ (also known as SABER™-bupivacaine or Optesia™ in the E.U.), a proprietary product under development for the treatment of post-surgical pain, and the amendment of the Company's collaboration agreement with Nycomed. (fiercepharma.com)
  • Patients in the intervention group received 266mg of liposomal bupivacaine in the surgical incision by a single surgeon and were matched to controls for age, gender, BMI, procedure and extraction site. (bmj.com)
  • One hundred ladies with severe pre e clampsia scheduled for urgent caesarian section were recruited in 2 groups, both received 10 mg bupivacaine 0.5%, Midazolam group received 1 mg midazolam and the other group received 0.2 ml sterile saline 0.9% NaCl. (scirp.org)
  • Group I (control): received Bupivacaine 0.5% heavy 3 ml + NS 0.5 ml and Group II (study): received Bupivacaine 0.5% heavy 3 ml + Midazolam 0.5 ml. (alliedacademies.org)
  • The aim of this randomised, double-blind, placebo-controlled trial was to evaluate the effectiveness of intraperitoneal instillation of bupivacaine following laparoscopy and dye test. (wiley.com)
  • This Cochrane Review summarizes the best available evidence for the effectiveness and safety of the denser form of bupivacaine compared to the isobaric form when spinal anaesthesia (injection of medications into the lower back) is used for delivery of a baby by caesarean section. (cochrane.org)
  • Its actions are more intense and its effects more prolonged than those of procaine but its duration of action is shorter than that of bupivacaine or prilocaine. (bioportfolio.com)
  • 0.4% hyperbaric 50% enantiomeric excess bupivacaine (S75:R25) with D5W provided fast onset of the blockade and the level of sensitive and motor blockades as well as the duration of the blockade were dose-dependent. (scielo.br)
  • Xylocaine produces good results but its duration of action is short whereas with bupivacaine, through it has a longer duration of action it takes longer time to start acting. (thefreelibrary.com)
  • For most indications, the duration of anaesthesia with bupivacaine solutions is such that a single dose is sufficient. (medicines.org.uk)
  • Different formulations of bupivacaine are not bioequivalent even if the milligram strength is the same. (rxlist.com)
  • see Non-Interchangeability with Other Formulations of Bupivacaine ]. (rxlist.com)
  • Bupivacaine without adrenaline may also be used for intradural spinal anaesthesia. (medicines.org.uk)
  • We included all randomized controlled trials (RCTs) involving parturients undergoing spinal anaesthesia for elective caesarean section that compared the use of hyperbaric with isobaric bupivacaine. (cochrane.org)
  • Preoperative oral clonidine 4 μg kg-1 appears to be the optimum dose for optimization of spinal anaesthesia with bupivacaine as it prolongs the sensory block maximally with minimal side effects. (omicsonline.org)
  • These results implicate bupivacaine-induced ROS-dependent mitochondria, ER dysfunction, and apoptosis, which can be attenuated by GB through its antioxidant property. (hindawi.com)
  • For example, bupivacaine may inhibit mitochondrial respiratory complexes I and III, leading to decreased ATP production, collapse of the mitochondrial membrane potential (Δ ψ m), overproduction of reactive oxygen species (ROS), and ultimately liberation of cytochrome c and activation of the caspase-3-dependent apoptosis pathway [ 10 - 12 ]. (hindawi.com)
  • DRG was prepared from adult C57BL/6 mice and incubated with 10 mM bupivacaine in vitro to induce apoptosis. (ovid.com)
  • SiRNA-mediated TNF-α or TNF-R1 inhibition, but not TNF-R2 inhibition, rescued bupivacaine-induced DRG apoptosis. (ovid.com)
  • In other cellular models, bupivacaine induces depolarization of the mitochondrial membrane potential, resulting in apoptosis. (lktlabs.com)
  • Bupivacaine-induced apoptosis independently of WDR35 expression in mouse neuroblastoma Neuro2a cells. (lktlabs.com)
  • Bupivacaine induces apoptosis via mitochondria and p38 MAPK dependent pathways. (lktlabs.com)
  • One group will receive liposomal bupivacaine plus bupivacaine and the other will receive bupivacaine alone. (bioportfolio.com)
  • We conducted a prospective double-blind randomized study assessing bupivacaine end-of-surgery wound infiltration for pain relief in thyroid surgery. (springer.com)
  • patients treated with femoral nerve block used twice as much as those treated with bupivacaine. (medscape.com)
  • However, elderly patients are more likely to have low blood pressure or kidney problems, which may require caution and an adjustment in the dose for patients receiving bupivacaine injection. (mayoclinic.org)
  • We included 53 patients in this study whom were randomly divided into two groups, namely Group B and Group C. In Group B (25 patients), each patient received 3 mL of bupivacaine and left 5 min sitting up, whereas in Group C (28 patients), each patient received 2.5 mL of bupivacaine and was asked to lie supine immediately. (nih.gov)
  • High blood levels of bupivacaine must be avoided in patients with hepatic impairment. (who.int)
  • The objective of this study was to compare the block durations and haemodynamic effects associated with intrathecal levobupivacaine or bupivacaine in elderly patients undergoing transurethral prostate surgery. (biomedsearch.com)
  • Participated in this study 47 patients being 24 in the levobupivacaine group and 23 in the bupivacaine group. (scielo.br)
  • Most common complication was hypotension, detected in 16 (66.7%) levobupivacaine group patients and in 10 (43.5%) bupivacaine group patients (p = 0.11). (scielo.br)
  • Results published in Orthopedics showed similar efficacy between injectable liposomal bupivacaine and an interscalene brachial plexus block among patients who underwent total shoulder arthroplasty. (healio.com)
  • Using liposomal bupivacaine to control pain in patients after gynecological surgery reduced the amount of narcotics needed and may lead to faster recovery times, a recent study found. (obgyn.net)
  • During the first day following surgery, 21.5% of the patients treated with liposomal bupivacaine required opioids, while 46.9% of patients who received bupivacaine HCI were given opioids to control pain. (obgyn.net)
  • By day two, just 7.4% of patients treated with liposomal bupivacaine were given opioids compared with 27.2% in the other group. (obgyn.net)
  • Patients and Methods: Fifty-six patients under- going elective forearm and hand surgery under supraclavicular brachial plexus block were allocated randomly into one of two groups of 28 patients each to receive either 25 ml (0.5%) bupivacaine with 1 ml of NS or 25 ml (0.5%) bupivacaine with 1 ml (20 mg) nalbuphine. (scirp.org)
  • In this study, 107 patients were randomly assigned to one of three treatment groups prior to undergoing elective arthroscopic shoulder surgery: POSIDUR at a dose of 5 mL, an active comparator (commercially available bupivacaine HCI solution) or SABER-Placebo (SABER vehicle without drug). (fiercepharma.com)
  • RESULTS: Sixty-seven liposomal bupivacaine and 262 elastomeric bupivacaine pump patients were included. (ivteam.com)
  • Conclusion When added to an aggressive ERP, liposomal bupivacaine does not decrease the amount of total opioid consumption, the incidence of AEs or the LOS in patients undergoing MIS sigmoid resection. (bmj.com)
  • Among patients undergoing shoulder arthroplasty, liposomal bupivacaine was shown to provide better pain relief at 19 to 21 weeks post-surgery with fewer complications compared with continuous interscalene nerve block, according to research published in the Journal of Shoulder & Elbow Surgery . (clinicalpainadvisor.com)
  • In this prospective clinical trial, 70 patients undergoing shoulder arthroplasty were randomly assigned to receive continuous interscalene nerve block (n=36) or liposomal bupivacaine (n=34) with a single bolus interscalene block. (clinicalpainadvisor.com)
  • ATHLONE, Ireland, March 29, 2017 (GLOBE NEWSWIRE) -- Innocoll Holdings plc (NASDAQ:INNL) ("Innocoll" or the "Company"), a global, commercial-stage, specialty pharmaceutical and medical device company, today announced receipt of formal Type A Meeting minutes from the United States Food and Drug Administration (FDA) relating to its New Drug Application (NDA) for XARACOLL (bupivacaine HCl collagen-matrix implant). (globenewswire.com)