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

Bupivacaine Versus Ropivacaine on Diaphragmatic Motility and Ventilatory Function

Not Applicable
Completed
Conditions
Interventions
First Posted Date
2014-02-11
Last Posted Date
2014-11-25
Lead Sponsor
Anesthesiology WSU/DMC-NorthStar
Target Recruit Count
39
Registration Number
NCT02059070
Locations
🇺🇸

DMC Surgery Hospital, Madison Heights, Michigan, United States

A Health Economic Trial in Adult Patients Undergoing Laparoscopic Colectomy

First Posted Date
2014-02-10
Last Posted Date
2014-05-14
Lead Sponsor
Pacira Pharmaceuticals, Inc
Target Recruit Count
122
Registration Number
NCT02058290
Locations
🇺🇸

Methodist Hospital, Houston, Texas, United States

🇺🇸

University of Miami, Dept. Anesthesiology, Miami, Florida, United States

🇺🇸

Tampa General Hospital, Tampa, Florida, United States

and more 3 locations

The Effect of Exparel on Post Operative Pain and Narcotic Use After Colon Surgery

First Posted Date
2014-02-03
Last Posted Date
2021-01-08
Lead Sponsor
Des Moines University
Target Recruit Count
51
Registration Number
NCT02052557
Locations
🇺🇸

Mercy Medical Center, Des Moines, Iowa, United States

Early Post-Operative Pain Control Following Wrist Operations

Not Applicable
Conditions
Interventions
First Posted Date
2014-01-31
Last Posted Date
2014-01-31
Lead Sponsor
University of Tennessee
Target Recruit Count
70
Registration Number
NCT02052180
Locations
🇺🇸

UTCOM Chattanooga Department of Plastic Surgery, Chattanooga, Tennessee, United States

Comparision of the Use in Marcaine and Chloroprocaine in Rachianesthesia for the Surgical Correction of Inguinal Hernia.

Phase 4
Completed
Conditions
Interventions
First Posted Date
2014-01-30
Last Posted Date
2014-11-02
Lead Sponsor
Astes
Target Recruit Count
50
Registration Number
NCT02049255
Locations
🇧🇪

Clinique Saint-Luc Bouge, Bouge, Namur, Belgium

Effect of the Addition of Dexmedetomidine to Bupivacaine During Supraclavicular Brachial Plexus Blockade

First Posted Date
2014-01-30
Last Posted Date
2014-11-10
Lead Sponsor
TC Erciyes University
Target Recruit Count
44
Registration Number
NCT02049970
Locations
🇹🇷

Erciyes University Medical Faculty, Kayseri, Turkey

A Prospective Trial to Reduce Post-Operative Pain in Implant Based Breast Reconstruction

First Posted Date
2014-01-23
Last Posted Date
2017-04-10
Lead Sponsor
Yale University
Target Recruit Count
2
Registration Number
NCT02044302
Locations
🇺🇸

Yale New Haven Hospital, New Haven, Connecticut, United States

Caudal Epidural Catheterization in Pediatric Renal Transplant: Effect on Hemodynamics and Pain After Surgery

First Posted Date
2014-01-16
Last Posted Date
2014-10-06
Lead Sponsor
Cairo University
Target Recruit Count
60
Registration Number
NCT02037802
Locations
🇪🇬

Faculty of medicine, Cairo University, Cairo, Egypt

Reducing Post-Op Pain After Sacrospinous Ligament Colpopexy

Not Applicable
Completed
Conditions
Interventions
First Posted Date
2014-01-15
Last Posted Date
2019-08-14
Lead Sponsor
The Cleveland Clinic
Target Recruit Count
46
Registration Number
NCT02037061
Locations
🇺🇸

Cleveland Clinic, Cleveland, Ohio, United States

Dexmedetomidine in Transversus Abdominis Plane Block for Laparoscopic Cholecystectomy

First Posted Date
2014-01-09
Last Posted Date
2015-04-06
Lead Sponsor
Imam Abdulrahman Bin Faisal University
Target Recruit Count
195
Registration Number
NCT02031510
Locations
🇸🇦

King Fahd Hospital of Dammam University, Al Khubar, Eastern, Saudi Arabia

🇸🇦

Dammam University, Al Khubar, Eastern, Saudi Arabia

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