Page last updated: 2024-10-23

bupivacaine and Apnea

bupivacaine has been researched along with Apnea in 35 studies

Bupivacaine: A widely used local anesthetic agent.
1-butyl-N-(2,6-dimethylphenyl)piperidine-2-carboxamide : A piperidinecarboxamide obtained by formal condensation of the carboxy group of N-butylpipecolic acid with the amino group of 2,6-dimethylaniline.
bupivacaine : A racemate composed of equimolar amounts of dextrobupivacaine and levobupivacaine. Used (in the form of its hydrochloride hydrate) as a local anaesthetic.

Apnea: A transient absence of spontaneous respiration.

Research Excerpts

ExcerptRelevanceReference
" On the first postoperative night, the breathing pattern was studied with a new noninvasive monitoring device measuring respiratory frequency and apnea."7.71Apnea and bradypnea in patients receiving epidural bupivacaine-morphine for postoperative pain relief as assessed by a new monitoring method. ( Flisberg, P; Jakobsson, J; Lundberg, J, 2002)
"After a retro-bulbar block for glaucoma surgery, a 60-year-old man developed loss of consciousness, apnea with hypotension and bradycardia-features of brainstem anesthesia."3.83Brainstem Anesthesia after Retrobulbar Block: A Case Report and Review of Literature. ( Gebreal, GW; Tolesa, K, 2016)
" Next, during continuous intravenous infusion of equipotent doses of bupivacaine, dextromethorphan, and dextrorphan (n = 8 in each group), we observed the time to seizure, apnea, and complete cardiac arrest."3.77Systemic dextromethorphan and dextrorphan are less toxic in rats than bupivacaine at equianesthetic doses. ( Chen, YC; Chen, YW; Hung, CH; Liu, TY; Wang, JJ, 2011)
" On the first postoperative night, the breathing pattern was studied with a new noninvasive monitoring device measuring respiratory frequency and apnea."3.71Apnea and bradypnea in patients receiving epidural bupivacaine-morphine for postoperative pain relief as assessed by a new monitoring method. ( Flisberg, P; Jakobsson, J; Lundberg, J, 2002)
" Systemic effects (contralateral leg analgesia, seizures, respiratory distress, apnea) were quantified."3.70Sciatic nerve blockade in infant, adolescent, and adult rats: a comparison of ropivacaine with bupivacaine. ( Berde, CB; Hu, D; Kohane, DS; Rifai, N; Sankar, WN; Shubina, M, 1998)
" One minute after performing a second stellate ganglion block the patient showed signs of apnea and paralysis of the upper extremities and face, with no involvement of oculomotor muscles or the lower extremities, and no loss of consciousness."3.70[A possibility of central diffusion during stellate ganglion blockade: "the sheath of the spinal rachidian nerve"]. ( Escudero, A; Fas, MJ; Ortiz, M; Roca, G; Soriano, C; Vidal, F, 1999)
" Arterial blood samples were obtained before infusion and at the onset of toxic manifestations, which appeared in the following sequence: convulsions, hypotension, apnea, and circulatory collapse."3.69Comparative systemic toxicity of ropivacaine and bupivacaine in nonpregnant and pregnant ewes. ( Arthur, GR; De Armas, P; Finster, M; Morishima, HO; Santos, AC; Wlody, D, 1995)
" Four percent bupivacaine produced arrhythmias in 5 of 10 cats in two groups and apnea in 4 of 6 cats."3.67Duration and toxicity of bupivacaine for topical anesthesia of the airway in the cat. ( Ford, DJ; Raj, PP; Singh, P; Watters, C, 1984)
" Resuscitation was performed using open-chest heart massage, bretylium for ventricular tachycardia, and epinephrine with atropine for electromechanical dissociation and bradycardia."3.67Successful cardiovascular resuscitation after massive intravenous bupivacaine overdosage in anesthetized dogs. ( Kasten, GW; Martin, ST, 1985)
"The effects of inhalation of 100 breaths of bupivacaine hydrochloride (5 percent solution in saline) on the cough reflex, the Breuer-Hering inflation, reflex, and the duration of apnea and bronchoconstriction produced by histamine aerosol were studied in nine anesthetized dogs."3.65Inhibition of respiratory reflexes by local anesthetic aerosols in dogs and rabbits. ( Boushey, HA; Dain, DS; Gold, WM, 1975)
"Awake regional anaesthesia for inguinal hernia repair in former preterm infants is suggested to avoid life-threatening respiratory complications known to occur after general anaesthesia."1.31Apnoea in a former preterm infant after caudal bupivacaine with clonidine for inguinal herniorrhaphy. ( Fellmann, C; Gerber, AC; Weiss, M, 2002)
"The case of cardiopulmonary arrest we report is rare in the literature."1.31[Cardiorespiratory arrest: a rare complication of subdural block]. ( Bermejo, S; Escolano, F; Montes, A; Sánchez, JC; Silva Costa-Gomes, T, 2002)
" Three minutes after pretreatment, group 1 (n = 11), group 3 (n = 10), and their respective control groups (n = 11 and n = 9) received intravenous bupivacaine LD50 (median lethal dose)."1.28Nimodipine reduces the toxicity of intravenous bupivacaine in rats. ( Horn, JL; Hyman, SA; Kambam, JR; Kinney, WW; Skelley, CC, 1992)
" Our data suggest that epinephrine or phenylephrine added to bupivacaine may be more toxic to cardiorespiratory systems than plain bupivacaine or epinephrine alone or phenylephrine alone when injected intravenously in rats."1.28Epinephrine and phenylephrine increase cardiorespiratory toxicity of intravenously administered bupivacaine in rats. ( Holaday, DA; Kambam, JR; Kinney, WW; Matsuda, F; Wright, W, 1990)

Research

Studies (35)

TimeframeStudies, this research(%)All Research%
pre-19906 (17.14)18.7374
1990's18 (51.43)18.2507
2000's9 (25.71)29.6817
2010's2 (5.71)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Tolesa, K1
Gebreal, GW1
Chen, YW1
Wang, JJ1
Liu, TY1
Chen, YC1
Hung, CH1
Fellmann, C1
Gerber, AC1
Weiss, M1
Sites, BD1
Blike, G1
Cravero, J1
Andeweg, S1
Beach, M1
Hussain, AS1
Siddiqui, MS1
Hamdard, F1
Mayhew, JF1
Celik, JB1
Reisli, R1
Sarkilar, G1
Okesli, S1
Grefkens, JM1
Bürger, K1
Kachko, L1
Simhi, E1
Tzeitlin, E1
Efrat, R1
Tarabikin, E1
Peled, E1
Metzner, I1
Katz, J1
Ford, DJ1
Singh, P1
Watters, C1
Raj, PP1
Edge, KR1
Davis, A1
Santos, AC1
Arthur, GR1
Wlody, D1
De Armas, P1
Morishima, HO1
Finster, M1
Ostermeier, AM1
Roizen, MF1
Hautkappe, M1
Klock, PA1
Klafta, JM1
Katsiris, S1
Williams, S1
Leighton, BL1
Halpern, S1
Kohane, DS1
Sankar, WN1
Shubina, M1
Hu, D1
Rifai, N1
Berde, CB1
Kunst, G1
Linderkamp, O1
Holle, R1
Motsch, J1
Martin, E1
Carvalho, JC1
Soriano, C1
Ortiz, M1
Fas, MJ1
Escudero, A1
Roca, G1
Vidal, F1
William, JM1
Stoddart, PA1
Williams, SA1
Wolf, AR1
Flisberg, P1
Jakobsson, J1
Lundberg, J1
Silva Costa-Gomes, T1
Montes, A1
Sánchez, JC1
Bermejo, S1
Escolano, F1
Dain, DS1
Boushey, HA1
Gold, WM1
Orser, B1
MacDonald, J1
Hyman, SA1
Kinney, WW4
Horn, JL1
Skelley, CC1
Kambam, JR4
Smart, NG1
Gibson, P1
Murrell, D1
Paech, M1
Wright, W3
Matsuda, F2
Holaday, DA1
Riley, RH1
Desparmet, JF1
Kao, YJ1
Zavisca, F1
Enty, D1
Kasten, GW1
Martin, ST1
Sehhati, G1
Frey, R1
Mildner, R1
Gillies, ID1
Morgan, M1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Postoperative Management of Obstructive Sleep Apnea With CPAP vs. an Autoadjusting CPAP Device: a Randomized Controlled Single Center Trial[NCT00588848]11 participants (Actual)Interventional2008-01-31Terminated (stopped due to Difficulty with enrollment)
The Effect of Acute Intravenous Morphine Administration on Sleep Disordered Breathing (SDB) in Patients With Moderate Obstructive Sleep Apnoea (OSA): A Paired Design Trial[NCT03127800]Phase 36 participants (Actual)Interventional2016-05-20Terminated (stopped due to Difficulties with recruitment)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Apnea-Hypopnea Index (AHI)

Events are defined as apneas and hypopneas. AHI values are typically categorized as 5-14.9 events/hr = mild; 15-29.9 events/hr = moderate; and >= 30 events/hr = severe (NCT00588848)
Timeframe: On postoperative night number 1 from 2200 to 0600. Study participation will end within 72 hours of admission.

Interventionevents per hour (Mean)
AUTOCPAP2.1
CPAP1.2

Cardiopulmonary Complications

Predefined cardiopulmonary complications: Myocardial Infarction, Arrhythmia, new onset Heart Failure, Stroke (NCT00588848)
Timeframe: 72 hours

InterventionParticipants (Count of Participants)
Autoadjusting CPAP (VPAP Auto)0
CPAP Arm (Usual Care)0

Sleep Related Hypoxemia

(NCT00588848)
Timeframe: On postoperative night number 1 from 2200 to 0600. Study participation will end within 72 hours of admission.

InterventionPercentage of time < 90% saturation (Mean)
AUTOCPAP10.5
CPAP7.1

Reviews

1 review available for bupivacaine and Apnea

ArticleYear
Three sudden postoperative respiratory arrests associated with epidural opioids in patients with sleep apnea.
    Anesthesia and analgesia, 1997, Volume: 85, Issue:2

    Topics: Adult; Aged; Analgesia, Epidural; Analgesics, Opioid; Apnea; Blood Pressure; Bupivacaine; Female; Fe

1997
Three sudden postoperative respiratory arrests associated with epidural opioids in patients with sleep apnea.
    Anesthesia and analgesia, 1997, Volume: 85, Issue:2

    Topics: Adult; Aged; Analgesia, Epidural; Analgesics, Opioid; Apnea; Blood Pressure; Bupivacaine; Female; Fe

1997
Three sudden postoperative respiratory arrests associated with epidural opioids in patients with sleep apnea.
    Anesthesia and analgesia, 1997, Volume: 85, Issue:2

    Topics: Adult; Aged; Analgesia, Epidural; Analgesics, Opioid; Apnea; Blood Pressure; Bupivacaine; Female; Fe

1997
Three sudden postoperative respiratory arrests associated with epidural opioids in patients with sleep apnea.
    Anesthesia and analgesia, 1997, Volume: 85, Issue:2

    Topics: Adult; Aged; Analgesia, Epidural; Analgesics, Opioid; Apnea; Blood Pressure; Bupivacaine; Female; Fe

1997

Trials

2 trials available for bupivacaine and Apnea

ArticleYear
The proportion of high risk preterm infants with postoperative apnea and bradycardia is the same after general and spinal anesthesia.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 1999, Volume: 46, Issue:1

    Topics: Anesthesia, General; Anesthesia, Spinal; Anesthetics, Inhalation; Anesthetics, Local; Apnea; Bradyca

1999
Post-operative recovery after inguinal herniotomy in ex-premature infants: comparison between sevoflurane and spinal anaesthesia.
    British journal of anaesthesia, 2001, Volume: 86, Issue:3

    Topics: Anesthesia, Spinal; Anesthetics, Inhalation; Anesthetics, Local; Apnea; Bradycardia; Bupivacaine; He

2001

Other Studies

32 other studies available for bupivacaine and Apnea

ArticleYear
Brainstem Anesthesia after Retrobulbar Block: A Case Report and Review of Literature.
    Ethiopian journal of health sciences, 2016, Volume: 26, Issue:6

    Topics: Anesthetics, Local; Apnea; Brain Stem; Bupivacaine; Glaucoma; Humans; Hypotension; Male; Middle Aged

2016
Systemic dextromethorphan and dextrorphan are less toxic in rats than bupivacaine at equianesthetic doses.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2011, Volume: 58, Issue:1

    Topics: Anesthetics, Local; Animals; Apnea; Bupivacaine; Dextromethorphan; Dextrorphan; Dose-Response Relati

2011
Apnoea in a former preterm infant after caudal bupivacaine with clonidine for inguinal herniorrhaphy.
    Paediatric anaesthesia, 2002, Volume: 12, Issue:7

    Topics: Anesthesia, Caudal; Anesthetics, Combined; Apnea; Bupivacaine; Clonidine; Hernia, Inguinal; Humans;

2002
Single-dose caudal anaesthesia for two infants undergoing diagnostic brain magnetic resonance imaging: high risk and nonhigh risk.
    Paediatric anaesthesia, 2003, Volume: 13, Issue:2

    Topics: Anesthesia, Caudal; Anesthetics, Local; Apnea; Brain; Bupivacaine; Craniofacial Abnormalities; Epile

2003
Postoperative apnoea in an ex-premature infant: is it only related to clonidine?
    Paediatric anaesthesia, 2003, Volume: 13, Issue:8

    Topics: Analgesics; Anesthesia, Caudal; Anesthesia, General; Anesthetics, Local; Apnea; Bupivacaine; Clonidi

2003
Respiratory arrest after intrathecal injection of sufentanil and bupivacaine.
    Acta anaesthesiologica Scandinavica, 2004, Volume: 48, Issue:6

    Topics: Adult; Anesthetics, Intravenous; Anesthetics, Local; Apnea; Bupivacaine; Drug Combinations; Humans;

2004
Total spinal anaesthesia after an attempted brachial plexus block using the posterior approach.
    Anaesthesia, 2006, Volume: 61, Issue:11

    Topics: Aged; Anesthesia, Spinal; Anesthetics, Local; Apnea; Arthroplasty, Replacement; Brachial Plexus; Bup

2006
Spinal anesthesia in neonates and infants - a single-center experience of 505 cases.
    Paediatric anaesthesia, 2007, Volume: 17, Issue:7

    Topics: Anesthesia, Spinal; Anesthetics, Local; Apnea; Body Weight; Bradycardia; Bupivacaine; Female; Gestat

2007
Duration and toxicity of bupivacaine for topical anesthesia of the airway in the cat.
    Anesthesia and analgesia, 1984, Volume: 63, Issue:11

    Topics: Anesthesia, Local; Animals; Apnea; Arrhythmias, Cardiac; Bupivacaine; Cats; Cough; Female; Lidocaine

1984
Brainstem anaesthesia following a peribulbar block for eye surgery.
    Anaesthesia and intensive care, 1995, Volume: 23, Issue:2

    Topics: Aged; Apnea; Brain Stem; Bupivacaine; Cataract Extraction; Eye; Humans; Injections; Lenses, Intraocu

1995
Comparative systemic toxicity of ropivacaine and bupivacaine in nonpregnant and pregnant ewes.
    Anesthesiology, 1995, Volume: 82, Issue:3

    Topics: Amides; Animals; Apnea; Blood Pressure; Bupivacaine; Dose-Response Relationship, Drug; Double-Blind

1995
Respiratory arrest following intrathecal injection of sufentanil and bupivacaine in a parturient.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 1998, Volume: 45, Issue:9

    Topics: Adult; Analgesia, Epidural; Analgesia, Obstetrical; Analgesics, Opioid; Anesthesia, Epidural; Anesth

1998
Sciatic nerve blockade in infant, adolescent, and adult rats: a comparison of ropivacaine with bupivacaine.
    Anesthesiology, 1998, Volume: 89, Issue:5

    Topics: Aging; Amides; Anesthetics, Local; Animals; Apnea; Behavior, Animal; Bupivacaine; Dose-Response Rela

1998
Respiratory arrest following intrathecal sufentanil.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 1999, Volume: 46, Issue:2

    Topics: Analgesia, Epidural; Analgesia, Obstetrical; Analgesics, Opioid; Anesthetics, Local; Apnea; Bupivaca

1999
[A possibility of central diffusion during stellate ganglion blockade: "the sheath of the spinal rachidian nerve"].
    Revista espanola de anestesiologia y reanimacion, 1999, Volume: 46, Issue:3

    Topics: Adult; Anesthetics, Local; Apnea; Autonomic Nerve Block; Bupivacaine; Diffusion; Facial Paralysis; F

1999
Apnea and bradypnea in patients receiving epidural bupivacaine-morphine for postoperative pain relief as assessed by a new monitoring method.
    Journal of clinical anesthesia, 2002, Volume: 14, Issue:2

    Topics: Adult; Aged; Aged, 80 and over; Analgesia, Epidural; Analgesics, Opioid; Anesthetics, Local; Apnea;

2002
[Cardiorespiratory arrest: a rare complication of subdural block].
    Revista espanola de anestesiologia y reanimacion, 2002, Volume: 49, Issue:2

    Topics: Aged; Anesthesia, Epidural; Anesthetics, Local; Apnea; Arthroplasty, Replacement, Hip; Bradycardia;

2002
Inhibition of respiratory reflexes by local anesthetic aerosols in dogs and rabbits.
    Journal of applied physiology, 1975, Volume: 38, Issue:6

    Topics: Aerosols; Airway Resistance; Anesthesia, Local; Animals; Apnea; Bronchi; Bupivacaine; Constriction;

1975
Propranolol protection from bupivacaine toxicity.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 1992, Volume: 39, Issue:4

    Topics: Animals; Apnea; Bupivacaine; Calcium Channels; Heart Arrest; Propranolol; Rats; Rats, Inbred Strains

1992
Nimodipine reduces the toxicity of intravenous bupivacaine in rats.
    Anesthesia and analgesia, 1992, Volume: 74, Issue:6

    Topics: Animals; Apnea; Arrhythmias, Cardiac; Body Weight; Bupivacaine; Cardiovascular System; Drug Interact

1992
Epidural LA/opioid.
    Anaesthesia and intensive care, 1991, Volume: 19, Issue:4

    Topics: Analgesia, Epidural; Apnea; Bupivacaine; Fentanyl; Humans; Lumbar Vertebrae; Respiratory Insufficien

1991
Complications of epidural analgesia.
    Anaesthesia and intensive care, 1991, Volume: 19, Issue:4

    Topics: Adult; Analgesia, Epidural; Apnea; Bupivacaine; Child; Fentanyl; Humans; Infant; Respiratory Insuffi

1991
Epidural bupivacaine-fentanyl infusions.
    Anaesthesia and intensive care, 1991, Volume: 19, Issue:4

    Topics: Analgesia, Epidural; Apnea; Bupivacaine; Fentanyl; Humans; Respiratory Insufficiency

1991
Propranolol pretreatment reduces cardiorespiratory toxicity due to plain, but not epinephrine-containing, intravenous bupivacaine in rats.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 1991, Volume: 38, Issue:4 Pt 1

    Topics: Animals; Apnea; Arrhythmias, Cardiac; Bupivacaine; Electrocardiography; Epinephrine; Heart; Injectio

1991
Nicardipine reduces the cardio-respiratory toxicity of intravenously administered bupivacaine in rats.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 1990, Volume: 37, Issue:8

    Topics: Analysis of Variance; Anesthesia, Conduction; Animals; Apnea; Arrhythmias, Cardiac; Bupivacaine; Hea

1990
Epinephrine and phenylephrine increase cardiorespiratory toxicity of intravenously administered bupivacaine in rats.
    Anesthesia and analgesia, 1990, Volume: 70, Issue:5

    Topics: Animals; Apnea; Bupivacaine; Drug Interactions; Epinephrine; Heart Rate; Injections, Intravenous; Ma

1990
Respiratory arrest following interpleural block in a narcotized patient.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 1990, Volume: 37, Issue:4 Pt 1

    Topics: Aged; Anesthesia, Conduction; Anesthesia, Intravenous; Apnea; Bupivacaine; Humans; Injections; Male;

1990
Total spinal anesthesia after caudal anesthesia in an infant.
    Anesthesia and analgesia, 1990, Volume: 70, Issue:6

    Topics: Anesthesia, Caudal; Anesthesia, Epidural; Anesthesia, Spinal; Apnea; Bupivacaine; Heart Rate; Humans

1990
Haemodynamic decompensation during caesarean section.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 1989, Volume: 36, Issue:3 Pt 1

    Topics: Adult; Anesthesia, Epidural; Anesthesia, Obstetrical; Apnea; Bradycardia; Bupivacaine; Cesarean Sect

1989
Successful cardiovascular resuscitation after massive intravenous bupivacaine overdosage in anesthetized dogs.
    Anesthesia and analgesia, 1985, Volume: 64, Issue:5

    Topics: Animals; Apnea; Atropine; Bradycardia; Bupivacaine; Dogs; Electrocardiography; Epinephrine; Female;

1985
[Complications of regional anaesthesia and their treatment (author's transl)].
    Munchener medizinische Wochenschrift (1950), 1973, Oct-12, Volume: 115, Issue:41

    Topics: Adrenal Cortex Hormones; Anesthesia, Local; Apnea; Barbiturates; Bradycardia; Bupivacaine; Diagnosis

1973
Accidental total spinal analgesia with bupivacaine.
    Anaesthesia, 1973, Volume: 28, Issue:4

    Topics: Aged; Anesthesia, Epidural; Anesthesia, Spinal; Apnea; Blood Pressure; Bupivacaine; Female; Humans;

1973