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Bupivacaine, marketed under the brand name Marcaine among others, is a medication used to decrease sensation in a specific small area. [5] In nerve blocks , it is injected around a nerve that supplies the area, or into the spinal canal's epidural space . [ 5 ]
In the European Union, the combination bupivacaine/meloxicam is indicated for treatment of somatic postoperative pain from small- to medium-sized surgical wounds in adults. [ 2 ] In the United States it is indicated for soft tissue or periarticular instillation to produce postsurgical analgesia for up to 72 hours after bunionectomy, open ...
Levobupivacaine was designed, in the late 1970s, to be a safer and more effective alternative to bupivacaine, which had been associated with a higher risk of cardiotoxicity. [1] [2] Compared to bupivacaine, levobupivacaine is associated
However, new data suggested both ropivacaine (1.2-1.8 mg/kg in 40ml) and levobupivacaine (40 ml of 0.125% solution) can be used, because they have less cardiovascular and central nervous system toxicity than racemic bupivacaine.
Medical intervention Epidural administration A freshly inserted lumbar epidural catheter. The site has been prepared with tincture of iodine, and the dressing has not yet been applied. Depth markings may be seen along the shaft of the catheter. ICD-9-CM 03.90 MeSH D000767 OPS-301 code 8-910 [edit on Wikidata] Epidural administration (from Ancient Greek ἐπί, "upon" + dura mater) is a method ...
bupivacaine: Marcaine, Sensorcaine, Vivacaine 1957 (Ekenstam) 1963 (Widman and Telivuo) Amide Moderate butacaine: ester- aminobenzoic butanilicaine: Amide chloroprocaine: Nesacaine Ester - Aminobenzoic cinchocaine (INN) dibucaine (USAN), Cincain, Cinchocaine, Nupercainal, Nupercaine, Sovcaine 1925 (Meischer) 1930 (Uhlmann) Ester - Aminobenzoic ...
Bupivacaine injection treatment, in contrast, directly increases muscle strength and reduces length. Strabismus surgery requires an operating room, anesthetist, and other personnel, whereas bupivacaine injection in cooperative adults is an office procedure taking only a few minutes.
Bupivacaine (Marcaine) is the local anaesthetic most commonly used, although lidocaine , tetracaine, procaine, ropivacaine, levobupivicaine, prilocaine, or cinchocaine may also be used. Commonly opioids are added to improve the block and provide post-operative pain relief, examples include morphine , fentanyl , diamorphine , and buprenorphine .