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

Efficacy of Ipack Block and Surgeon's Joint Infiltration in Total Knee Arthroplasty

First Posted Date
2018-08-31
Last Posted Date
2020-11-03
Lead Sponsor
Icahn School of Medicine at Mount Sinai
Target Recruit Count
99
Registration Number
NCT03653416
Locations
🇺🇸

Icahn School of Medicine at Mount Sinai, New York, New York, United States

Onset and Duration of Forearm Nerve Blockade

Phase 4
Completed
Conditions
Interventions
First Posted Date
2018-08-28
Last Posted Date
2019-02-26
Lead Sponsor
New York School of Regional Anesthesia
Target Recruit Count
36
Registration Number
NCT03649763
Locations
🇧🇪

Ziekenhuis Oost-Limburg, Genk, Limburg, Belgium

The Effect of Pre-sacral Nerve Block on Immediate Post-operative Pain Following Laparoscopic Hysterectomy.

First Posted Date
2018-08-24
Last Posted Date
2018-08-27
Lead Sponsor
Mount Sinai Hospital, Canada
Target Recruit Count
60
Registration Number
NCT03646006
Locations
🇨🇦

Mount Sinai Hospital, Toronto, Ontario, Canada

Epidural Analgesia and Postoperative Respiratory Functions (EPAPRES)

First Posted Date
2018-08-23
Last Posted Date
2018-08-23
Lead Sponsor
Yedikule Training and Research Hospital
Target Recruit Count
62
Registration Number
NCT03643757

Efficacy Between Serratus Plane Block And Local Infiltration In Vats

Phase 4
Terminated
Conditions
Interventions
First Posted Date
2018-08-22
Last Posted Date
2020-09-30
Lead Sponsor
Icahn School of Medicine at Mount Sinai
Target Recruit Count
65
Registration Number
NCT03642457
Locations
🇺🇸

Mount Sinai West Hospital, New York, New York, United States

🇺🇸

Mount Sinai St. Luke's Hospital, New York, New York, United States

Postoperative Pain, Recovery and Discharge Following Robot-assisted Laparoscopic Prostatectomy

First Posted Date
2018-08-21
Last Posted Date
2022-06-22
Lead Sponsor
Karolinska Institutet
Target Recruit Count
211
Registration Number
NCT03639389
Locations
🇸🇪

Karolinska Hospital, Solna, Stockholm, Sweden

🇸🇪

Capio St Görans Hospital, Stockholm, Sweden

Interscalene Single Shot With Plain Bupivacaine Versus Liposomal Bupivacaine for Arthroscopic Shoulder Surgery

First Posted Date
2018-08-20
Last Posted Date
2024-04-15
Lead Sponsor
University of Southern California
Target Recruit Count
40
Registration Number
NCT03638960
Locations
🇺🇸

University of Southern California, Los Angeles, California, United States

Standard Bupivacaine vs Liposomal Bupivacaine in Colorectal Patients

First Posted Date
2018-08-20
Last Posted Date
2019-09-09
Lead Sponsor
Inova Health Care Services
Target Recruit Count
63
Registration Number
NCT03638635
Locations
🇺🇸

Inova Fairfax Medical Campus, Falls Church, Virginia, United States

🇺🇸

Fairfax Colon & Rectal Surgery, Fair Oaks Office, Fairfax, Virginia, United States

🇺🇸

Fairfax Colon & Rectal Surgery, Loudoun Office, Lansdowne Town Center, Virginia, United States

and more 3 locations

A Comparison of the Post-C/S Analgesic Effects of Neuraxial Duramorph vs Bilateral TAP Block With Liposomal Bupivacaine

Phase 4
Terminated
Conditions
Interventions
First Posted Date
2018-08-20
Last Posted Date
2022-06-07
Lead Sponsor
Maimonides Medical Center
Target Recruit Count
71
Registration Number
NCT03638011
Locations
🇺🇸

Maimonides Medical Center, Brooklyn, New York, United States

🇺🇸

Kalpana Tyagaraj, Brooklyn, New York, United States

Evaluation of Diaphragm Movement After an Interscalene Block

First Posted Date
2018-08-17
Last Posted Date
2022-11-30
Lead Sponsor
University of Minnesota
Target Recruit Count
26
Registration Number
NCT03636542
Locations
🇺🇸

Univeristy of Minnesota, Minneapolis, Minnesota, United States

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