Page last updated: 2024-10-24

bupivacaine and Drug Overdose

bupivacaine has been researched along with Drug Overdose in 23 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.

Drug Overdose: Accidental or deliberate use of a medication or street drug in excess of normal dosage.

Research Excerpts

ExcerptRelevanceReference
"Thirty-two rats were subjected to bupivacaine to induce asystole."3.78Association of sustained cardiovascular recovery with epinephrine in the delayed lipid-based resuscitation from cardiac arrest induced by bupivacaine overdose in rats. ( Hu, Z; Li, B; Ma, Z; Shen, Y; Yan, J, 2012)
" Fifteen minutes later, each group was randomly subdivided into two equal groups and an infusion of bupivacaine or ropivacaine, 3 mg kg(-1) min(-1), was given until cardiac arrest (asystole) occurred."3.72Effects of clonidine pre-treatment on bupivacaine and ropivacaine cardiotoxicity in rats. ( Aydin, Y; Gulec, S; Senturk, Y; Uzuner, K; Yelken, B, 2004)
"The development of safe and effective local anesthetic agents has possibly been the most important advancement in dental science to occur in the last century."2.46Local anesthetics: pharmacology and toxicity. ( Hersh, EV; Moore, PA, 2010)
" IFE therapy is being recommended by US PCCs; protocols and dosing regimens are nearly uniform."1.39Lipid rescue 911: Are poison centers recommending intravenous fat emulsion therapy for severe poisoning? ( Christian, MR; Mycyk, MB; Pallasch, EM; Wahl, M, 2013)
"Physiologically based pharmacokinetic (PBPK) models were developed for design and optimization of liposome therapy for treatment of overdoses of tricyclic antidepressants and local anesthetics."1.36A physiologically based pharmacokinetic (PBPK) model for predicting the efficacy of drug overdose treatment with liposomes in man. ( Chauhan, A; Howell, BA, 2010)
"Bupivacaine, 20 mg/kg, was infused in rats anesthetized with isoflurane, producing asystole in all subjects."1.35Resuscitation with lipid versus epinephrine in a rat model of bupivacaine overdose. ( Di Gregorio, G; Edelman, L; Feinstein, DL; Kelly, K; Massad, M; Ripper, R; Schwartz, D; Shah, N; Weinberg, GL; Zheng, S, 2008)
"Pregnancy in a patient in a persistent vegetative state presents challenging therapeutic questions about the level of supportive management required, the assessment of fetal well-being, the timing and mode of delivery and the anaesthetic management of labour and delivery."1.31Anaesthetic management of a pregnant patient in a persistent vegetative state. ( Ayorinde, BT; Buggy, DJ; Scudamore, I, 2000)
"Bupivacaine (3."1.30Blood pressure is maintained despite profound myocardial depression during acute bupivacaine overdose in pigs. ( Buffington, CW; Heavner, JE; Nyström, EU, 1999)

Research

Studies (23)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's4 (17.39)18.2507
2000's13 (56.52)29.6817
2010's6 (26.09)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Christian, MR1
Pallasch, EM1
Wahl, M1
Mycyk, MB1
Whiteman, DM1
Kushins, SI1
Buck, D1
Kreeger, R1
Spaeth, J1
Hiller, DB1
Gregorio, GD1
Ripper, R2
Kelly, K2
Massad, M2
Edelman, L2
Edelman, G1
Feinstein, DL2
Weinberg, GL2
Howell, BA1
Chauhan, A1
Moore, PA1
Hersh, EV1
Li, B2
Yan, J1
Shen, Y1
Hu, Z1
Ma, Z1
Wildsmith, JA2
Gulec, S1
Aydin, Y1
Uzuner, K1
Yelken, B1
Senturk, Y1
Mayr, VD1
Raedler, C1
Wenzel, V1
Lindner, KH1
Strohmenger, HU1
Picard, J1
Meek, T1
Weaver, JM1
Jung, CW1
Kim, JT1
Lee, KH1
Powell, E1
Lee, YH1
Partch, R1
Dennis, D1
Morey, T1
Varshney, M1
Di Gregorio, G1
Schwartz, D1
Shah, N1
Zheng, S1
Kemble, J1
Holz, P1
Russell, AW1
Butterworth, J2
James, RL2
Grimes, J1
Nyström, EU1
Heavner, JE1
Buffington, CW1
Nitecki, SS1
Kleiser, A1
Ofer, A1
Karram, T1
Engel, A1
Eisenberg, E1
Hoffman, A1
Groban, L1
Deal, DD1
Vernon, JC1
Ayorinde, BT1
Scudamore, I1
Buggy, DJ1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Intravenous Lidocaine for Postoperative Recovery in Liver Surgery, a Randomized Double Blinded Placebo-controlled Study[NCT05153785]Phase 2/Phase 380 participants (Anticipated)Interventional2021-11-15Recruiting
Methemoglobin Levels in Generally Anesthetized Pediatric Dental Patients Receiving Prilocaine Versus Lidocaine[NCT01402869]91 participants (Actual)Interventional2011-08-31Completed
An Investigation Into the Effects of Intravenous Lipid Emulsion (ILE) on the Pharmacokinetic and Pharmacodynamic Properties of Metoprolol.[NCT02924454]Phase 410 participants (Actual)Interventional2016-09-30Completed
Safety of Local Dental Anesthesia in Patients With Cardiac Channelopathies[NCT03182777]31 participants (Actual)Interventional2015-05-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Delta Methemoglobin Blood Level

Change in percentage of methemoglobin in blood from baseline level to peak level (NCT01402869)
Timeframe: From administration of local anesthetic or start of restorative procedures to time at which maximum methemoglobin blood level was documented during dental treatment for an average of 2 hours

Interventionpercentage of methemoglobin in blood (Mean)
Prilocaine2.73
Lidocaine0.78
No Local Anesthetic0.76

Peak Methemoglobin Blood Levels

The maximum percentage of methemoglobin in blood (NCT01402869)
Timeframe: Measured at 10 second intervals during dental treatment for an average of 2 hours

Interventionpercentage of methemoglobin in blood (Mean)
Prilocaine3.55
Lidocaine1.63
No Local Anesthetic1.60

Time to Peak Methemoglobin Blood Levels

The length of time between the administration of local anesthetic (Prilocaine and Lidocaine Groups) or start of restorative dental procedures (No local anesthetic Group) and the time at which the maximum methemoglobin blood level is observed. (NCT01402869)
Timeframe: Measured at 10 second intervals during dental treatment for an average of 2 hours

Interventionminutes (Mean)
Prilocaine62.73
Lidocaine57.50
No Local Anesthetic29.50

Reviews

1 review available for bupivacaine and Drug Overdose

ArticleYear
Local anesthetics: pharmacology and toxicity.
    Dental clinics of North America, 2010, Volume: 54, Issue:4

    Topics: Anesthesia, Dental; Anesthetics, Local; Bupivacaine; Carticaine; Drug Overdose; Humans; Hydrogen-Ion

2010
Local anesthetics: pharmacology and toxicity.
    Dental clinics of North America, 2010, Volume: 54, Issue:4

    Topics: Anesthesia, Dental; Anesthetics, Local; Bupivacaine; Carticaine; Drug Overdose; Humans; Hydrogen-Ion

2010
Local anesthetics: pharmacology and toxicity.
    Dental clinics of North America, 2010, Volume: 54, Issue:4

    Topics: Anesthesia, Dental; Anesthetics, Local; Bupivacaine; Carticaine; Drug Overdose; Humans; Hydrogen-Ion

2010
Local anesthetics: pharmacology and toxicity.
    Dental clinics of North America, 2010, Volume: 54, Issue:4

    Topics: Anesthesia, Dental; Anesthetics, Local; Bupivacaine; Carticaine; Drug Overdose; Humans; Hydrogen-Ion

2010

Other Studies

22 other studies available for bupivacaine and Drug Overdose

ArticleYear
Lipid rescue 911: Are poison centers recommending intravenous fat emulsion therapy for severe poisoning?
    Journal of medical toxicology : official journal of the American College of Medical Toxicology, 2013, Volume: 9, Issue:3

    Topics: Acute Disease; Adult; Amitriptyline; Bupivacaine; Drug Overdose; Fat Emulsions, Intravenous; Guideli

2013
Successful Resuscitation With Intralipid After Marcaine Overdose.
    Aesthetic surgery journal, 2014, Volume: 34, Issue:5

    Topics: Adult; Anesthetics, Local; Bupivacaine; Drug Overdose; Emulsions; Female; Heart Arrest; Humans; Infu

2014
Case discussion and root cause analysis: bupivacaine overdose in an infant leading to ventricular tachycardia.
    Anesthesia and analgesia, 2014, Volume: 119, Issue:1

    Topics: Anesthetics, Local; Bupivacaine; Drug Overdose; Humans; Infant; Male; Root Cause Analysis; Tachycard

2014
Epinephrine impairs lipid resuscitation from bupivacaine overdose: a threshold effect.
    Anesthesiology, 2009, Volume: 111, Issue:3

    Topics: Anesthetics, Local; Animals; Blood Gas Analysis; Blood Pressure; Bupivacaine; Drug Overdose; Electro

2009
A physiologically based pharmacokinetic (PBPK) model for predicting the efficacy of drug overdose treatment with liposomes in man.
    Journal of pharmaceutical sciences, 2010, Volume: 99, Issue:8

    Topics: Algorithms; Amitriptyline; Anesthetics, Local; Antidepressive Agents, Tricyclic; Area Under Curve; B

2010
Association of sustained cardiovascular recovery with epinephrine in the delayed lipid-based resuscitation from cardiac arrest induced by bupivacaine overdose in rats.
    British journal of anaesthesia, 2012, Volume: 108, Issue:5

    Topics: Anesthetics, Local; Animals; Bupivacaine; Combined Modality Therapy; Disease Models, Animal; Drug Ad

2012
Confidential enquiries into maternal deaths, 1997-1999.
    British journal of anaesthesia, 2003, Volume: 90, Issue:2

    Topics: Anesthesia, Obstetrical; Anesthetics, Local; Bupivacaine; Cause of Death; Drug Overdose; Female; Hum

2003
Effects of clonidine pre-treatment on bupivacaine and ropivacaine cardiotoxicity in rats.
    European journal of anaesthesiology, 2004, Volume: 21, Issue:3

    Topics: Adrenergic alpha-Agonists; Amides; Anesthetics, Local; Animals; Arrhythmias, Cardiac; Blood Pressure

2004
Lipid, not propofol, treats bupivacaine overdose.
    Anesthesia and analgesia, 2004, Volume: 99, Issue:6

    Topics: Anesthetics, Intravenous; Anesthetics, Local; Animals; Bupivacaine; Dogs; Drug Overdose; Fat Emulsio

2004
A response to 'lipid emulsion to treat bupivacaine toxicity'.
    Anaesthesia, 2005, Volume: 60, Issue:11

    Topics: Anesthetics, Local; Animals; Bupivacaine; Dogs; Drug Overdose; Fat Emulsions, Intravenous

2005
Local anaesthetic toxicity: prevention or cure?
    Anaesthesia, 2006, Volume: 61, Issue:5

    Topics: Anesthetics, Local; Bupivacaine; Drug Overdose; Fat Emulsions, Intravenous; Humans

2006
Calculating the maximum recommended dose of local anesthetic.
    Journal of the California Dental Association, 2007, Volume: 35, Issue:1

    Topics: Adult; Anesthesia, Dental; Anesthetics, Local; Body Weight; Bupivacaine; Child; Drug Interactions; D

2007
The hemodynamic effects of insulin following overdosage with levobupivacaine or racemic bupivacaine in dogs.
    Journal of Korean medical science, 2007, Volume: 22, Issue:2

    Topics: Anesthetics, Local; Animals; Blood Flow Velocity; Blood Pressure; Bupivacaine; Cardiac Output; Cardi

2007
Pi-Pi complexation of bupivacaine and analogues with aromatic receptors: implications for overdose remediation.
    International journal of nanomedicine, 2007, Volume: 2, Issue:3

    Topics: Animals; Bupivacaine; Chelating Agents; Chemistry, Pharmaceutical; Cocaine; Drug Carriers; Drug Over

2007
Resuscitation with lipid versus epinephrine in a rat model of bupivacaine overdose.
    Anesthesiology, 2008, Volume: 108, Issue:5

    Topics: Anesthetics, Local; Animals; Bupivacaine; Disease Models, Animal; Drug Overdose; Epinephrine; Heart;

2008
Preventing epidural overdose.
    Anaesthesia and intensive care, 1995, Volume: 23, Issue:1

    Topics: Analgesia, Epidural; Bupivacaine; Drug Overdose; Equipment Design; Fentanyl; Humans; Infusion Pumps

1995
Inadvertent epidural overdose.
    Anaesthesia and intensive care, 1994, Volume: 22, Issue:4

    Topics: Aged; Analgesia, Epidural; Bupivacaine; Drug Overdose; Equipment Design; Equipment Failure; Female;

1994
Structure-affinity relationships and stereospecificity of several homologous series of local anesthetics for the beta2-adrenergic receptor.
    Anesthesia and analgesia, 1997, Volume: 85, Issue:2

    Topics: Adrenergic beta-2 Receptor Antagonists; Adrenergic beta-Antagonists; Adult; Alkanes; Amides; Anesthe

1997
Blood pressure is maintained despite profound myocardial depression during acute bupivacaine overdose in pigs.
    Anesthesia and analgesia, 1999, Volume: 88, Issue:5

    Topics: Anesthetics, Local; Animals; Blood Pressure; Bupivacaine; Depression, Chemical; Drug Overdose; Elect

1999
Severe ergot-induced lower limb ischaemia treated by epidural local anaesthetic.
    European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery, 2000, Volume: 20, Issue:3

    Topics: Analgesia, Epidural; Anesthetics, Local; Bupivacaine; Drug Overdose; Ergotamine; Female; Humans; Isc

2000
Ventricular arrhythmias with or without programmed electrical stimulation after incremental overdosage with lidocaine, bupivacaine, levobupivacaine, and ropivacaine.
    Anesthesia and analgesia, 2000, Volume: 91, Issue:5

    Topics: Amides; Anesthetics, Local; Animals; Bupivacaine; Cardiac Pacing, Artificial; Dogs; Drug Overdose; L

2000
Anaesthetic management of a pregnant patient in a persistent vegetative state.
    British journal of anaesthesia, 2000, Volume: 85, Issue:3

    Topics: Adult; Amnion; Anesthesia, Epidural; Anesthesia, Obstetrical; Anesthetics, Local; Bupivacaine; Decis

2000