Bupivacaine

Generic Name
Bupivacaine
Brand Names
Exparel, Kenalog, Marbeta, Marcaine, Marcaine With Epinephrine, Marvona Suik, P-Care M, P-Care MG, P-care, Posimir, Readysharp Anesthetics Plus Ketorolac, Readysharp-A, Readysharp-p40, Readysharp-p80, Sensorcaine, Sensorcaine With Epinephrine, Vivacaine, Xaracoll, Exparel liposomal
Drug Type
Small Molecule
Chemical Formula
C18H28N2O
CAS Number
38396-39-3
Unique Ingredient Identifier
Y8335394RO
Background

Bupivacaine is a widely used local anesthetic agent.

Indication

As an implant, bupivacaine is indicated in adults for placement into the surgical site to produce postsurgical analgesia for up to 24 hours following open inguinal hernia repair.

Bupivacaine, in liposome suspension, is indicated in patients aged 6 years and older for single-dose infiltration to produce postsurgical local analgesia. In adults, it is also indicated as an interscalene brachial plexus nerve block to produce postsurgical regional analgesia.

Bupivacaine, in combination with meloxicam, is indicated for postsurgical analgesia in adult patients for up to 72 hours following foot and ankle, small-to-medium open abdominal, and lower extremity total joint arthroplasty surgical procedures.

Bupivacaine, alone or in combination with epinephrine, is indicated in adults 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. Specific concentrations and presentations are recommended for each type of block indicated to produce local or regional anesthesia or analgesia. Finally, its use is not indicated in all blocks given clinically significant risks associated with use.

Associated Conditions
Acute Gouty Arthritis, Adrenocortical Insufficiency, Alopecia Areata (AA), Ankylosing Spondylitis (AS), Berylliosis, Bullous dermatitis herpetiformis, Congenital Adrenal Hyperplasia (CAH), Congenital Hypoplastic Anemia, Dermatomyositis (DM), Discoid Lupus Erythematosus (DLE), Edema of the cerebrum, Epicondylitis, Hemolytic Anemia, Hypercalcemia caused by Cancer, Keloids Scars, Leukemias, Mycosis Fungoides (MF), Necrobiosis lipoidica diabeticorum, Ocular Inflammation, Ophthalmia, Sympathetic, Osteoarthritis (OA), Pain, Labor, Polymyositis, Postoperative pain, Psoriatic Arthritis, Psoriatic plaque, Pure Red Cell Aplasia, Regional Enteritis, Rheumatoid Arthritis, Secondary thrombocytopenia, Stevens-Johnson Syndrome, Synovitis, Systemic Lupus Erythematosus, Temporal Arteritis, Trichinosis, Tuberculous Meningitis, Ulcerative Colitis, Uveitis, Acute Bursitis, Acute Idiopathic Nephrotic Syndrome, Acute Lupus Erythematosus, Acute Multiple sclerosis, Acute Rheumatic heart disease, unspecified, Acute nonspecific tenosynovitis, Cystic tumors of aponeurosis, Cystic tumors of tendon, Disseminated Pulmonary Tuberculosis (TB), Exfoliative erythroderma, Inflammatory lesions of granuloma annulare, Inflammatory lesions of lichen planus, Inflammatory lesions of lichen simplex, Non-suppurative Thyroiditis, Permphigus, Severe Allergic Reactions
Associated Therapies
General Anesthesia, Local Anaesthesia therapy, Regional nerve block therapy

Pain Relief After Hiatal Hernia Repair Surgery

First Posted Date
2021-06-23
Last Posted Date
2021-06-23
Lead Sponsor
Norton Thoracic Institute
Target Recruit Count
90
Registration Number
NCT04936711
Locations
🇺🇸

St. Joseph's Hospital and Medical Center, Phoenix, Arizona, United States

Intrathecal Midazolam, Fentanyl and Nalbuphine as Adjuvants to Bupivacaine in Spinal Anesthesia for Cesarean Section

First Posted Date
2021-06-18
Last Posted Date
2022-04-05
Lead Sponsor
Benha University
Target Recruit Count
100
Registration Number
NCT04932083
Locations
🇪🇬

Samar Rafik Amin, Banhā, Qalubia, Egypt

Nebulized Bupivacaine Analgesia for Cleft Palate Repair

First Posted Date
2021-06-16
Last Posted Date
2024-07-31
Lead Sponsor
Assiut University
Target Recruit Count
90
Registration Number
NCT04928352
Locations
🇪🇬

Assiut university hospital, Assiut, Assuit, Egypt

Modified Thoracoabdominal Nerve Block Through Perichondrial Approach (M-TAPA) in Major Abdominal Surgeries

First Posted Date
2021-06-10
Last Posted Date
2022-07-11
Lead Sponsor
Sameh Fathy
Target Recruit Count
80
Registration Number
NCT04920994
Locations
🇪🇬

Department of Anesthesia, Mansoura University Hospitals, Mansoura, Dakahlia, Egypt

Ultrasound Guided Sacral Erector Spinae Plane Block in Pediatric Anorectal Surgery

First Posted Date
2021-06-10
Last Posted Date
2022-07-07
Lead Sponsor
Sameh Fathy
Target Recruit Count
60
Registration Number
NCT04921007
Locations
🇪🇬

Department of Anesthesia, Mansoura University Hospitals, Mansoura, Dakahlia, Egypt

Exparel Use in Adductor Canal Block After Total Knee Arthroplasty

First Posted Date
2021-06-02
Last Posted Date
2022-05-20
Lead Sponsor
St. Luke's Hospital, Pennsylvania
Target Recruit Count
100
Registration Number
NCT04910165
Locations
🇺🇸

St. Luke's University Health Network, Bethlehem, Pennsylvania, United States

POPLITEAL SCIATIC NERVE BLOCK FOR DIABETIC FOOT SURGERIES

First Posted Date
2021-05-26
Last Posted Date
2021-05-27
Lead Sponsor
Alexandria University
Target Recruit Count
50
Registration Number
NCT04903743
Locations
🇪🇬

rehab Abd Elaziz, Alexandria, Egypt

Obstetric Liposomal Bupivacaine Via Surgical Transversus Abdominis Plane Block for Post Cesarean Pain Control

First Posted Date
2021-05-24
Last Posted Date
2023-10-30
Lead Sponsor
University of Wisconsin, Madison
Target Recruit Count
60
Registration Number
NCT04897841
Locations
🇺🇸

Unity-Point Health Meriter, Madison, Wisconsin, United States

Effectiveness of Corticosteroid vs Ketorolac Shoulder Injections

First Posted Date
2021-05-20
Last Posted Date
2024-11-15
Lead Sponsor
Michael Khazzam
Target Recruit Count
400
Registration Number
NCT04895280
Locations
🇺🇸

University of Texas Southwestern Medical Center, Dallas, Texas, United States

Video-assisted Thoracoscopic Surgery - Exparel Study

Phase 2
Active, not recruiting
Conditions
Interventions
First Posted Date
2021-04-28
Last Posted Date
2024-11-25
Lead Sponsor
Nada Sadek
Target Recruit Count
128
Registration Number
NCT04864210
Locations
🇺🇸

University of Iowa, Iowa City, Iowa, United States

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