Page last updated: 2024-10-24

bupivacaine and Embryopathies

bupivacaine has been researched along with Embryopathies in 14 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.

Research Excerpts

ExcerptRelevanceReference
" Therefore, tissue acidosis may result in ionization and "trapping" of the basic local anaesthetics The following study was done in the pregnant ewe to determine if the highly protein-bound local anaesthetic bupivacaine demonstrates ion-trapping in the acidotic foetus."7.66The effect of foetal acidosis on bupivacaine levels in utero. ( Biehl, D; Meatherall, R; Pickering, B, 1981)
"To report the use of regional anesthesia and iv nitroglycerin to provide anesthesia and uterine relaxation for three Cesarean deliveries (CD) involving ex utero intrapartum treatment (EXIT) of potentially life-threatening airway obstruction in the newborn."3.74Case series: Combined spinal epidural anesthesia for Cesarean delivery and ex utero intrapartum treatment procedure. ( George, RB; Habib, AS; Melnick, AH; Rose, EC, 2007)
" Therefore, tissue acidosis may result in ionization and "trapping" of the basic local anaesthetics The following study was done in the pregnant ewe to determine if the highly protein-bound local anaesthetic bupivacaine demonstrates ion-trapping in the acidotic foetus."3.66The effect of foetal acidosis on bupivacaine levels in utero. ( Biehl, D; Meatherall, R; Pickering, B, 1981)

Research

Studies (14)

TimeframeStudies, this research(%)All Research%
pre-19908 (57.14)18.7374
1990's3 (21.43)18.2507
2000's2 (14.29)29.6817
2010's1 (7.14)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Clivatti, J1
Siddiqui, N1
Goel, A1
Shaw, M1
Crisan, I1
Carvalho, JC1
Kuczkowski, KM1
George, RB1
Melnick, AH1
Rose, EC1
Habib, AS1
Pickering, B1
Biehl, D1
Meatherall, R1
Vincenti, E1
Tambuscio, B1
Mega, M1
Fais, GF1
Polato, D1
Pitton, MA1
Di Lenardo, L1
Ambrosini, A1
Räsänen, J1
Jouppila, P1
Nielsen, PE1
Erickson, JR1
Abouleish, EI1
Perriatt, S1
Sheppard, C1
D'Angelo, R1
Eisenach, JC1
Rüther, K1
Stockhausen, H1
Abouleish, E1
Diesbecq, W2
Rolly, G2
Thiery, M2
De Clercq, A1
Derom, R1
Vroman, S1
Moore, J1
Murnaghan, GA1
Lewis, MA1
Boileau, PA1
Turcot, MJ1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Pulse Pressure-guided IV Fluid Preload to Prevent Post-epidural Fetal Heart Rate (FHR) Changes: a Randomized Controlled Trial[NCT02565485]276 participants (Actual)Interventional2015-09-01Completed
Plasmatic Catecholamines After Neuraxial Labor Analgesia: a Randomized Controlled Trial Comparing Epidural Versus Combined Spinal-epidural[NCT02666794]50 participants (Actual)Interventional2017-07-12Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Adverse Events (Pulmonary Edema)

Pulmonary edema occurring after preload bolus through delivery was considered an adverse event. (NCT02565485)
Timeframe: Duration of intrapartum course

InterventionParticipants (Count of Participants)
Standard IV Preload0
Volume Replacement IV Preload0

Incidence of New-onset Category II or III Fetal Heart Rate Tracings

Each fetal heart rate tracing was evaluated in 15 min increments from the completion of epidural placement and initial dose administration. ACOG Category I, II, and III was assigned to each 15 min increment. (NCT02565485)
Timeframe: First 60 minutes following epidural placement

InterventionParticipants (Count of Participants)
Standard IV Preload72
Volume Replacement IV Preload52

Interventions to Correct Maternal Hypotension or Fetal Heart Rate Abnormalities (Position Change, Supplemental Oxygen, Vasopressor Support, Emergent Operative Delivery)

(NCT02565485)
Timeframe: First 60 minutes following epidural placement

InterventionParticipants (Count of Participants)
Standard IV Preload61
Volume Replacement IV Preload25

New Onset Hypotension (>20% Decrease in Systolic and/or Diastolic Blood Pressure)

(NCT02565485)
Timeframe: First 60 minutes following epidural placement

InterventionParticipants (Count of Participants)
Standard IV Preload48
Volume Replacement IV Preload14

Trials

1 trial available for bupivacaine and Embryopathies

ArticleYear
Fetal heart rate changes after intrathecal sufentanil or epidural bupivacaine for labor analgesia: incidence and clinical significance.
    Anesthesia and analgesia, 1996, Volume: 83, Issue:4

    Topics: Adult; Analgesia, Epidural; Analgesia, Obstetrical; Analgesics, Opioid; Anesthetics, Local; Bradycar

1996
Fetal heart rate changes after intrathecal sufentanil or epidural bupivacaine for labor analgesia: incidence and clinical significance.
    Anesthesia and analgesia, 1996, Volume: 83, Issue:4

    Topics: Adult; Analgesia, Epidural; Analgesia, Obstetrical; Analgesics, Opioid; Anesthetics, Local; Bradycar

1996
Fetal heart rate changes after intrathecal sufentanil or epidural bupivacaine for labor analgesia: incidence and clinical significance.
    Anesthesia and analgesia, 1996, Volume: 83, Issue:4

    Topics: Adult; Analgesia, Epidural; Analgesia, Obstetrical; Analgesics, Opioid; Anesthetics, Local; Bradycar

1996
Fetal heart rate changes after intrathecal sufentanil or epidural bupivacaine for labor analgesia: incidence and clinical significance.
    Anesthesia and analgesia, 1996, Volume: 83, Issue:4

    Topics: Adult; Analgesia, Epidural; Analgesia, Obstetrical; Analgesics, Opioid; Anesthetics, Local; Bradycar

1996

Other Studies

13 other studies available for bupivacaine and Embryopathies

ArticleYear
Quality of labour neuraxial analgesia and maternal satisfaction at a tertiary care teaching hospital: a prospective observational study.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2013, Volume: 60, Issue:8

    Topics: Adjuvants, Anesthesia; Adult; Analgesia, Epidural; Analgesia, Obstetrical; Analgesia, Patient-Contro

2013
Severe persistent fetal bradycardia following subarachnoid administration of fentanyl and bupivacaine for induction of a combined spinal-epidural analgesia for labor pain.
    Journal of clinical anesthesia, 2004, Volume: 16, Issue:1

    Topics: Adult; Analgesia, Epidural; Analgesia, Obstetrical; Analgesics, Opioid; Anesthesia, Spinal; Anesthet

2004
Case series: Combined spinal epidural anesthesia for Cesarean delivery and ex utero intrapartum treatment procedure.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2007, Volume: 54, Issue:3

    Topics: Adult; Airway Obstruction; Anesthesia, Epidural; Anesthesia, Obstetrical; Anesthesia, Spinal; Bupiva

2007
The effect of foetal acidosis on bupivacaine levels in utero.
    Canadian Anaesthetists' Society journal, 1981, Volume: 28, Issue:6

    Topics: Acidosis; Animals; Bupivacaine; Female; Fetal Diseases; Hemodynamics; Humans; Hydrogen-Ion Concentra

1981
Cardiotocographic modifications during continuous epidural anaesthesia in labour.
    Clinical and experimental obstetrics & gynecology, 1981, Volume: 8, Issue:3

    Topics: Adult; Anesthesia, Epidural; Anesthesia, Obstetrical; Bradycardia; Bupivacaine; Female; Fetal Diseas

1981
Does a paracervical block with bupivacaine change vascular resistance in uterine and umbilical arteries?
    Journal of perinatal medicine, 1994, Volume: 22, Issue:4

    Topics: Analgesia, Obstetrical; Blood Flow Velocity; Bradycardia; Bupivacaine; Cervix Uteri; Evaluation Stud

1994
Severe maternal hypotension and fetal bradycardia after a combined spinal epidural anesthetic.
    Anesthesiology, 1997, Volume: 87, Issue:1

    Topics: Adult; Anesthesia, Epidural; Anesthesia, Obstetrical; Anesthetics, Combined; Bradycardia; Bupivacain

1997
[Critical evaluation of paracervical anaesthesia in obstetrics (personal observations in 8038 cases) (author's transl)].
    Geburtshilfe und Frauenheilkunde, 1975, Volume: 35, Issue:10

    Topics: Anesthesia, Obstetrical; Anesthesia, Spinal; Bradycardia; Bupivacaine; Cervix Uteri; Cesarean Sectio

1975
Foetal bradycardia during caudal analgesia: A discussion of possible causative factors.
    British journal of anaesthesia, 1976, Volume: 48, Issue:5

    Topics: Adult; Anesthesia, Caudal; Anesthesia, Epidural; Bradycardia; Bupivacaine; Female; Fetal Diseases; F

1976
Continuous lumbar epidural analgesia during labor and delivery.
    Acta anaesthesiologica Belgica, 1974, Volume: 25, Issue:1

    Topics: Adult; Anesthesia, Epidural; Anesthesia, Obstetrical; Back Pain; Bradycardia; Bupivacaine; Female; F

1974
The fetal influence of continuous lumbar epidural analgesia in labor.
    Acta anaesthesiologica Belgica, 1974, Volume: 25, Issue:1

    Topics: Adolescent; Adult; Anesthesia, Epidural; Anesthesia, Obstetrical; Bupivacaine; Female; Fetal Disease

1974
A clinical evaluation of the maternal effects of lumbar extradural analgesia for labour.
    Anaesthesia, 1974, Volume: 29, Issue:5

    Topics: Anesthesia, Epidural; Anesthesia, Obstetrical; Bupivacaine; Cesarean Section; Epinephrine; Extractio

1974
[Para-cervical block in obstetrics. Preliminary studies on bupivacaine and the use of magnesium sulfate in the control of fetal bradycardia].
    L'union medicale du Canada, 1972, Volume: 101, Issue:2

    Topics: Adolescent; Adult; Anesthesia, Conduction; Anesthesia, Obstetrical; Blood Pressure; Bradycardia; Bup

1972