Doctor insights on:
Bupivacaine Allergy In Children
Same as any allergy : If there are hives/body or throat swelling/local rash / rapid heart beat, shortness of breath, low blood pressure after injection it MAY indicate allergy. BUT almost every time a patient tells me that we find the reaction was actually related to something mixed with the Bupivacaine ( like epinephrine etc) which can cause similar symptoms as a normal side effect hence important to clarify with doc. ...Read more
If there are hives/body or throat swelling/local rash / rapid heart beat, shortness of breath, low blood pressure after injection it MAY indicate allergy. BUT almost every time a patient tells me that we find the reaction was actually related to something mixed with the Bupivacaine ( like epinephrine etc) which can cause similar symptoms as a normal side effect hence important ...Read more
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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
DiagnosticSUPINE celiac plexus block yesterday,only received bupivacaine.Painfree x10 hrs.Today,Bad new type of upper abd pain. Tender in mid & upper abd Doubled up at times.No fevers.
Given injection (Kenalog/Bupivacaine) for costochondritits 4 weeks ago. 3 days after developed non-itchy redness on upper left chest, down outer half of left arm to wrist, occasional slight ache. Dermatologist & Physiatrist had no answers. Any ideas?
Difficult to say: It is difficult to say what happened here. I do not know your medical history. Let us say you were in perfect health other than costochondritis and you got this reddness after the injection , anybody would think that there could be a relation between injected medication and rash. Leave it to dermatologist to manage. It may gradually disappear on it's on. ...Read more
Exposure + Genes: One needs both a genetic component and "exposure" to a said allergen to develop an allergy. There is a growing support over the past 20 years, that growing up in an environment which is "too clean" can also lead to development of allergies down the road. Either way, allergies are on the rise. ...Read moreSee 2 more doctor answers
Nut allergy: Maybe. Your children may have inherited genes from you that make them more likely to develop an allergy, but they do not inherit a specific allergy to a food e.g. Nuts. The children have to be exposed to food proteins in the diet, before an allergy can develop. Once one develops an allergy then they are always allergic and need proper medical attention to prevent severe problems. ...Read moreSee 1 more doctor answer
Allergy tests: There are several types of testing. Some involve certain types of blood tests. Another method is to do a series of skin tests done by pricking the skin and applying different allergens. Other tests are provocative tests that can involve challanging the patient with allergic materials. Testing should be done by doctors specializing in allergy to obtain the best results. ...Read moreSee 1 more doctor answer
No: The pain is minimal with skin testing, similar testing can be done with a blood test which requires some blood being withdrawn with a needle. ...Read more
Delayed reaction: Symptoms do not appear for hours or even days. Poison ivy and similar plants cause some of the best-known delayed hypersensitivity reactions. When a person first touches the plant, no reaction occurs for the first 24 to 48 hours. Read more: http://www.Livestrong.Com/article/253484-types-of-delayed-reaction-allergies/#ixzz2vcsli9lf. ...Read more
Several choices: For anaphylaxis, self injectable Epinephrine is recommended. Antihistamines available include: Allegra suspension down to 2 years old, Clarinex syrup down to 6 months old, Claritin syrup down to 2 years old, xyzal (levocetirizine) syrup down to 6 months old, zyrtec syrup down to 2 years old; palgic syrup down to 1 year old. Also, singulair is approved down to 6 months old. For severe allergies, see allergist! ...Read more
Does exposing small children to peanuts earlier in life make them more likely to develop allergies?
Allergies occur when your immune system is triggered by envirionmental factors it should ignore--for example, pollen in the air, or dander on a cat or dog--and creates cells to fight against them. An allergic reaction typically causes itching, congestion, or drainage, and ...Read more