Doctor insights on:
What do you think about injecting in the site of s total knree teplacement exparel. Read about it and people have so much less pain with lit.
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
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
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
In order to manage the pain after a sigmoid colectomy (open surgery), what are the differences in efficacy between Exparel and an epidural? Is one considered generally better?
Apples and oranges: sorry if names sound similar, it might be confusing.. Exparel is a brand name for the paricular formulation of a numbing medicine, or local anesthetic - liposomal bupivacaine. This or traditional bupivacaine could be administered via particular injection technique, that received the name from the anatomical location - epidural space. Your anesthesiologist or any specialist on HealthTap can help ...Read moreSee 4 more doctor answers
Views on using Exparel as pain control for a total knee replacement? Will not be using general anesticia. epedural and propofol during procedure.
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
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
Not effective: Medications start losing effectiveness once they expire. It is just like food which starys to degrade or spoil after the expiration date. It is a good idea only to take meds before the expiration date. Hope this helps! ...Read more