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Doctor insights on: Bupivacaine

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What is in bupivacaine?

What is in bupivacaine?

Local anesthetic: long acting local anesthetic with generic name bupivacaine, belonging to the class of amide local anesthetics, as opposed to some other "caines" that have an esteric bond in their molecule ( procaine (Novocain), tetracaine). It is used by prescription for nerve blocks, labor epidurals, local infiltration to relive pain by temporarily numbing the nerves responsible for the sensation from the area ...Read more

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What's uses of bupivacaine?

What's uses of bupivacaine?

Anesthetic: This is an injectable anesthetic. It is slower in action than the most commonly used - lidocaine. But it is longer acting and so is commonly mixed with Lidocaine to get a fast, but long lasting effect. ...Read more

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Will bupivacaine hurt baby?

Will bupivacaine hurt baby?

No: Bupivicaine in an epidural does not cross the placenta and affect the baby. The use of an epidural also does not significantly alter the length or duration of labor. ...Read more

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How is bupivacaine administered?

Multiple ways: Bupivacaine is a long-acting local anesthetic. As such, it can be injected around a site to be operated on (local infiltration), around a nerve or group of nerves supplying an area of the body (a nerve block), into the sac of fluid bathing the spinal cord (spinal block) or outside that sac (epidural block), essentially numbing up a larger area (usually the lower half of the body) ...Read more

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Is it true that bupivacaine is the same as lidocaine?

No: Lidocaine and bupivacaine are in the same family of local anesthetics as they are both amino amides but there are difference in onset of action and duration of action and toxicities. Lido is a shorter acting agent whereas bupivacaine is a longer acting agent. ...Read more

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Why lidocaine can be used for antiarrhythmic, while the bupivacaine not?

Why lidocaine can be used for antiarrhythmic, while the bupivacaine not?

Therapeutic profile: The anti and proarrhythmic effects of bupivacaine have been studied (pubmed id 9605693). Similarly, the local anesthetic properties of class i arrhythmics (function through sodium channel blockade like local anesthetics) have been compared with Lidocaine and bupivacaine. Toxicity of bupivacaine must be understood in the context of complex cardiac effects. See pmid3408033 and tinyurl.Com/bjdzske. ...Read more

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How many bupivacaine injections in the right scaplothoracic region are safe at one time? Is 8 ok? Are flu-like symptoms cause for concern?

How many bupivacaine injections in the right scaplothoracic region are safe at one time? Is 8 ok? Are flu-like symptoms cause for concern?

Depends: You need to discuss the risks/benefits of multiple injections with your doctor. Depending on your condition, doing several injections, if beneficial, may be acceptable despite slightly higher risk. That decision needs to be made mutually in the clinic before the injections. ...Read more

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What is the max dose of .5% bupivicaine for a man?

What is the max dose of .5% bupivicaine for a man?

Depends on weight: and also it the bupivicaine solution contains epinephrine. An easy way to calculate the max dose of 0.5% bupivacaine in milliliters is to take 1/2 of the patient's weight. ...Read more

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What is the max dose of .5% bupivicaine for a man?

What is the max dose of .5% bupivicaine for a man?

On a weight basis: the maximal does is usually calculated by the patient's body weight; around 1.5 mg per kg of body weight each cc of 0.5% marcaine contains 5 mg of the drug ...Read more

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Am I dying?

Am I dying?

We all are: A 3-word question with no details... well, life is short on Earth, regardless of whether a person lives 3 days, 3000 days, or 30,000 days. It is not length of one's life that matters, but the quality of the life lived. The goal is not to live a long life, but to live a good life. Even if a person makes it all the way to age 82, that's only 30,000 days. ...Read more