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

Investigation of Corticosteroid Versus Placebo Injection in Patients With Syndesmotic Ligament Injury or High Ankle Sprain

First Posted Date
2016-09-08
Last Posted Date
2024-02-13
Lead Sponsor
Sanford Health
Target Recruit Count
1
Registration Number
NCT02892500
Locations
🇺🇸

Sanford Orthopedics and Sports Medicine, Fargo, North Dakota, United States

Programmed Intermittent Epidural Bolus for Labor Analgesia During First Stage of Labor-3

Not Applicable
Completed
Conditions
Interventions
First Posted Date
2016-09-02
Last Posted Date
2017-05-25
Lead Sponsor
Samuel Lunenfeld Research Institute, Mount Sinai Hospital
Target Recruit Count
40
Registration Number
NCT02887222
Locations
🇨🇦

Mount Sinai Hospital, Toronto, Ontario, Canada

Post- Thoracotomy Paravertebral Block

Phase 2
Completed
Conditions
Interventions
First Posted Date
2016-09-01
Last Posted Date
2018-12-04
Lead Sponsor
Assiut University
Target Recruit Count
60
Registration Number
NCT02886429
Locations
🇪🇬

Faculty of Medicine, Assiut, Egypt

Patient Controlled Intrathecal Analgesia With Bupivacaine for Chronic Low Back Pain

First Posted Date
2016-09-01
Last Posted Date
2022-03-24
Lead Sponsor
University Hospitals Cleveland Medical Center
Target Recruit Count
17
Registration Number
NCT02886286
Locations
🇺🇸

University Hospitals Case Medical Center, Cleveland, Ohio, United States

Management of Postoperative Pain With Preemptive Analgesia in Cesarean Section

Not Applicable
Conditions
Interventions
First Posted Date
2016-08-25
Last Posted Date
2016-08-25
Lead Sponsor
Mark Kosanovich
Target Recruit Count
120
Registration Number
NCT02879435
Locations
🇺🇸

Mercy Hospital & Medical Center, Chicago, Illinois, United States

Scalp Block Versus Scalp Infiltration With Dexmedetomidine and Local Anesthetic for Post Craniotomy Pain

First Posted Date
2016-08-15
Last Posted Date
2016-08-15
Lead Sponsor
NAVNEH SAMAGH
Target Recruit Count
150
Registration Number
NCT02866409

Chloroprocaine Spinal Anesthesia for Cervical Cerclage (CP Spinal)

First Posted Date
2016-08-11
Last Posted Date
2020-12-24
Lead Sponsor
Columbia University
Target Recruit Count
43
Registration Number
NCT02862912
Locations
🇺🇸

New York Presbyterian Hospital, New York, New York, United States

Liposomal Bupivacaine vs Adductor Canal Block in Total Knee Arthroplasty

First Posted Date
2016-08-11
Last Posted Date
2020-10-08
Lead Sponsor
Texas Orthopaedics, Sports and Rehabilitation Associates
Target Recruit Count
63
Registration Number
NCT02863120
Locations
🇺🇸

Texas Orthopedics, Austin, Texas, United States

Intrathecal Dexmedetomidine Versus Fentanyl With Bupivacaine in Children Undergoing Major Abdominal Cancer Surgery

First Posted Date
2016-08-10
Last Posted Date
2018-04-10
Lead Sponsor
South Egypt Cancer Institute
Target Recruit Count
60
Registration Number
NCT02861716
Locations
🇪🇬

South Egypt Cancer Institute, Assuit, Egypt

Dual Transversus Abdominis Plane Block in Pediatric Renal Transplant: Effect on Pain Control

First Posted Date
2016-08-08
Last Posted Date
2019-05-07
Lead Sponsor
Cairo University
Target Recruit Count
44
Registration Number
NCT02858622
Locations
🇪🇬

Faculty of medicine, Cairo University, Cairo, Egypt

© Copyright 2024. All Rights Reserved by MedPath