Page last updated: 2024-10-24

bupivacaine and Encephalopathy, Toxic

bupivacaine has been researched along with Encephalopathy, Toxic in 42 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
" The anesthetic bupivacaine (Bup) has been reported to induce neurotoxicity mediated by reactive oxygen species (ROS), which is aggravated by hyperglycemia."8.02KLF9 regulates PRDX6 expression in hyperglycemia-aggravated bupivacaine neurotoxicity. ( Lai, L; Lei, H; Li, H; Li, L; Weng, Y; Xu, S; Zhang, Y, 2021)
" In the current study, we explored the mechanisms by which microRNA-132 (miR-132) regulated the neurotoxicity of human neuroblastoma cells (SH-SY5Y) induced by bupivacaine (BUP)."7.91Effect of miR-132 on bupivacaine-induced neurotoxicity in human neuroblastoma cell line. ( He, Q; Hu, T; Lin, J; Ren, Z; Wang, W; Zhang, H, 2019)
"LLLT, at the dose used, reduced fibrosis and myonecrosis in the sternomastoid muscle triggered by bupivacaine, accelerating the muscle regeneration process."7.85Low-level laser therapy (LLLT) accelerates the sternomastoid muscle regeneration process after myonecrosis due to bupivacaine. ( Alessi Pissulin, CN; Henrique Fernandes, AA; Michelin Matheus, SM; Rossi E Silva, RC; Sanchez Orellana, AM, 2017)
" The anesthetic bupivacaine (Bup) has been reported to induce neurotoxicity mediated by reactive oxygen species (ROS), which is aggravated by hyperglycemia."4.02KLF9 regulates PRDX6 expression in hyperglycemia-aggravated bupivacaine neurotoxicity. ( Lai, L; Lei, H; Li, H; Li, L; Weng, Y; Xu, S; Zhang, Y, 2021)
" In the current study, we explored the mechanisms by which microRNA-132 (miR-132) regulated the neurotoxicity of human neuroblastoma cells (SH-SY5Y) induced by bupivacaine (BUP)."3.91Effect of miR-132 on bupivacaine-induced neurotoxicity in human neuroblastoma cell line. ( He, Q; Hu, T; Lin, J; Ren, Z; Wang, W; Zhang, H, 2019)
"LLLT, at the dose used, reduced fibrosis and myonecrosis in the sternomastoid muscle triggered by bupivacaine, accelerating the muscle regeneration process."3.85Low-level laser therapy (LLLT) accelerates the sternomastoid muscle regeneration process after myonecrosis due to bupivacaine. ( Alessi Pissulin, CN; Henrique Fernandes, AA; Michelin Matheus, SM; Rossi E Silva, RC; Sanchez Orellana, AM, 2017)
"Fentanyl 20 micro g was added to both local anesthetics, and the total volume was diluted to 3 mL with 0."2.71Subarachnoid small-dose bupivacaine versus lidocaine for cervical cerclage. ( Abramovitz, S; Beilin, Y; Bernstein, HH; Bodian, C; Hossain, S; Zahn, J, 2003)
"Chloroprocaine has been demonstrated to be associated with a lower risk of transient neurologic symptoms compared with lidocaine."2.50Spinal anesthesia revisited: toxicity of new and old drugs and compounds. ( Hampl, K; Steinfeldt, T; Wulf, H, 2014)
"The duration of postsurgical pain greatly outlasts the duration of analgesia (typically < 12 h) following single administration of traditional formulations of local anesthetics."2.49Liposome bupivacaine in peripheral nerve blocks and epidural injections to manage postoperative pain. ( Ilfeld, BM, 2013)
"Bupivacaine (BUP) has previously been shown to trigger neurotoxicity after spinal anesthesia."1.91Ferrostatin-1 ameliorates Bupivacaine-Induced spinal neurotoxicity in rats by inhibiting ferroptosis. ( Chen, Y; Ji, J; Lai, J; Lin, Y; Liu, J; Liu, Z; Luo, X; Luo, Y; Wei, L; Zhao, Y; Zhou, G, 2023)
"Melatonin (MT), is a potent neuroprotective molecule."1.72Melatonin ameliorates bupivacaine-induced spinal neurotoxicity in rats by suppressing neuronal NLRP3 inflammasome activation. ( Chen, MY; Huang, LS; Ji, JM; Lai, J; Liu, JC; Luo, YP; Wei, LL; Yu, Y; Zhou, G, 2022)
"Bupivacaine (BUP) is a long-acting amide local anesthetic that may induce strong neurotoxicity and neurological complications."1.62MiRNA-494-3p Regulates Bupivacaine-Induced Neurotoxicity by the CDK6-PI3K/AKT Signaling. ( Guo, F; Zhang, L, 2021)
"Bupivacaine has been widely used in clinical Anesthesia, but its neurotoxicity has been frequently reported, implicating cellular oxidative DNA damage as the major underlying mechanism."1.62The roles of PARP-1 and XPD and their potential interplay in repairing bupivacaine-induced neuron oxidative DNA damage. ( Lai, L; Liu, Z; Luo, J; Ma, C; Xia, Z; Xu, S; Zhao, W, 2021)
" Any substances that can mitigate the toxic effects of BV are of great importance in surgical procedures and pain management."1.62Hesperidin alleviates bupivacaine anesthesia-induced neurotoxicity in SH-SY5Y cells by regulating apoptosis and oxidative damage. ( Wang, T; Zhang, W; Zheng, L, 2021)
"Subarachnoid administration of liposomal bupivacaine in pigs exhibited a dose-response effect, and resulted in longer duration of neuraxial block than bupivacaine hydrochloride without histological evidence of neurotoxicity."1.51Neurological and histological outcomes after subarachnoid injection of a liposomal bupivacaine suspension in pigs: a pilot study. ( Cvetko, E; Damjanovska, M; Hadzic, A; Kuroda, MM; Sega Jazbec, S; Seliskar, A; Stopar Pintaric, T; Zel, J, 2019)
"Bupivacaine has been shown to induce neurotoxicity through inducing excessive reactive oxygen species (ROS), but the underlying mechanism remains unclear."1.46Activation of p47phox as a Mechanism of Bupivacaine-Induced Burst Production of Reactive Oxygen Species and Neural Toxicity. ( Li, FX; Li, L; Li, YJ; Liu, ZT; Xu, SY; Yu, XJ; Zhao, W, 2017)
"Bupivacaine is a local anesthetic widely used in surgical procedures."1.43Comparison of histopathological effects of perineural administration of bupivacaine and bupivacaine-dexmedetomidine in rat sciatic nerve. ( Alizadeh, L; Arhami-Dolatabadi, A; Daneshbod, Y; Hosseinian, MA; Khandaghy, M; Memari, E; Mirabotalebi, M; Mirkheshti, A; Shirian, S, 2016)
"Ropivacaine is not safe when intrathecally administered with lidocaine at the concentrations used in this study."1.40Intrathecal lidocaine neurotoxicity: combination with bupivacaine and ropivacaine and effect of nerve growth factor. ( Chen, W; Ding, X; Guo, Y; Zhao, G, 2014)

Research

Studies (42)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's8 (19.05)29.6817
2010's22 (52.38)24.3611
2020's12 (28.57)2.80

Authors

AuthorsStudies
Zhang, L2
Guo, F1
Lai, J2
Ji, JM1
Chen, MY1
Luo, YP1
Yu, Y1
Zhou, G2
Wei, LL1
Huang, LS1
Liu, JC1
Zhao, Y2
Luo, Y1
Liu, Z4
Chen, Y1
Wei, L1
Luo, X2
Ji, J3
Lin, Y1
Liu, J3
Wang, Y1
Lai, L3
Guo, W1
Peng, S1
Liu, R1
Hong, P1
Wei, G1
Li, F1
Jiang, S1
Wang, P1
Li, J1
Lei, H2
Zhao, W5
Xu, S4
Nie, H1
Bai, Z1
Li, Z2
Yan, L1
Chen, XX1
Ji, ZH1
Zhou, Y1
Wang, H2
Li, S1
Liang, GQ1
Mao, J1
Guan, L1
Li, T1
Jiang, J1
Ji, Z1
Xu, H1
Xia, Z2
Xu, R1
Yuning, F1
Liang, C1
Tenghuan, W1
Zhenhua, N1
Shengkai, G1
Luo, J1
Ma, C1
Li, H1
Weng, Y1
Zhang, Y1
Li, L2
Wang, T1
Zheng, L1
Zhang, W1
Guo, J1
Tao, Q1
Sun, S1
Liu, L2
Zhang, J1
Yang, D1
Lim, WY1
Wijeratne, SA1
Lim, EHL1
Li, YJ1
Yu, XJ1
Li, FX1
Liu, ZT1
Xu, SY2
Chen, L1
Wang, X1
Huang, W1
Ying, T1
Chen, M1
Cao, J1
Wang, M1
Zel, J1
Hadzic, A1
Cvetko, E1
Seliskar, A1
Damjanovska, M1
Kuroda, MM1
Sega Jazbec, S1
Stopar Pintaric, T1
Zhang, H1
Lin, J1
Hu, T1
Ren, Z1
Wang, W1
He, Q1
Liu, B1
Feng, Q1
Yan, X2
Ni, Y1
He, Y1
Mao, Z1
Ai, Y1
Ilfeld, BM1
Vadi, MG1
Patel, N1
Stiegler, MP1
Hampl, K1
Steinfeldt, T1
Wulf, H1
Zhao, G1
Ding, X1
Guo, Y1
Chen, W1
Lai, Z1
Chen, X1
Xu, Z1
Lin, R1
Fan, YL1
Li, HC1
Peng, HH1
Huang, F1
Jiang, WH1
Memari, E1
Hosseinian, MA1
Mirkheshti, A1
Arhami-Dolatabadi, A1
Mirabotalebi, M1
Khandaghy, M1
Daneshbod, Y1
Alizadeh, L1
Shirian, S1
Alessi Pissulin, CN1
Henrique Fernandes, AA1
Sanchez Orellana, AM1
Rossi E Silva, RC1
Michelin Matheus, SM1
Brummett, CM1
Norat, MA1
Palmisano, JM1
Lydic, R1
Hung, CH1
Liu, KS1
Shao, DZ1
Cheng, KI1
Chen, YC1
Chen, YW1
Wolfe, JW1
Butterworth, JF1
Wang, Z1
Shen, J1
Wang, J1
Lu, T1
Li, C1
Zhang, X1
Ding, Z1
Takenami, T1
Wang, G1
Nara, Y1
Fukushima, S1
Yagishita, S1
Hiruma, H1
Kawakami, T1
Okamoto, H1
Birkelund, T1
Revenfeld, TS1
Møller, JF1
Beilin, Y1
Zahn, J1
Abramovitz, S1
Bernstein, HH1
Hossain, S1
Bodian, C1
Punke, MA1
Friederich, P1
Casati, A1
Putzu, M1
Sakura, S1
Kirihara, Y1
Muguruma, T1
Kishimoto, T1
Saito, Y1
Zimmer, C1
Piepenbrink, K1
Riest, G1
Peters, J1
Markey, JR1
Naseer, OB1
Bird, DJ1
Rabito, SF1
Winnie, AP1
Rorarius, M1
Suominen, P1
Haanpaa, M1
Puura, A1
Baer, G1
Pajunen, P1
Tuimala, R1

Clinical Trials (11)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Impact of Dexmedetomidine Combined With Ropivacaine for Postoperative Continuous Femoral Nerve Block on Postoperative Delirium and Long-term Oucomes in Elderly Patients After Single Knee Arthroplasty[NCT03629483]Phase 4736 participants (Anticipated)Interventional2018-12-10Suspended (stopped due to Trial stopped by the sponsor because of no funding.)
Dexmedetomidine Versus Triamcinolone Local Injection for Pain Alleviation in Patients With Carpal Tunnel Syndrome; A Randomized Clinical Trial[NCT04961281]60 participants (Actual)Interventional2021-07-22Completed
The Effect of Dexamedetomidine for Interscalene Brachial Plexus Block on Plasma Cortisol and IL-6 After Rotator Cuff Repair: a Prospective Randomized Study[NCT02766556]50 participants (Actual)Interventional2014-08-31Completed
Fractional Carbon Dioxide Laser Assisted Delivery of Topical Anesthetics: a Randomized Controlled Pilot Study[NCT02246179]Phase 410 participants (Actual)Interventional2014-09-30Completed
Parameters in Fractional Laser Assisted Delivery of Topical Anesthetics: Role of Anesthetic and Application Time[NCT03279757]Phase 415 participants (Actual)Interventional2016-10-01Completed
Parameters in Fractional Laser Assisted Delivery of Topical Anesthetics: Role of Laser Type and Laser Settings[NCT02938286]Phase 415 participants (Actual)Interventional2016-03-31Completed
Fractional CO2 Laser Assisted Topical Articaine Anesthesia vs. Topical EMLA Administration: a Randomized Controlled Study[NCT02548533]Phase 43 participants (Actual)Interventional2015-06-30Terminated (stopped due to Not enough patients eligible for recruitment.)
Prospective Randomized Trial of Penile Nerve Block With Liposomal Bupivacaine for Hypospadias Repair vs Standard Penile Block With Bupivacaine[NCT04479371]Phase 10 participants (Actual)Interventional2021-07-31Withdrawn (stopped due to Limited funding and resources to complete FDA requirements for enrollment)
Use of Preemptive Pudendal Nerve Block Prior to Hydrodistension for the Treatment of Interstitial Cystitis/Painful Bladder Syndrome (IC/PBS): a Prospective, Double-blinded, Randomized Control Trial[NCT02517996]18 participants (Actual)Interventional2015-02-28Terminated (stopped due to Preliminary results were promising when interim analysis performed but terminated due to primary investigators left recruitment site.)
A Randomized Controlled Clinical Trial of Intrathecal Chloroprocaine vs. Bupivacaine for Cervical Cerclage[NCT03305575]Phase 410 participants (Actual)Interventional2017-10-13Completed
High Thoracic Epidural Anesthesia and Postoperative Analgesia With Ropivacaine or Levobupivacaine for Coronary Surgery: A Prospective Randomized Double-Blind Comparison[NCT00552864]Phase 461 participants (Actual)Interventional2003-01-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in IC Symptom Index Questionnaire With Preemptive Pudendal Nerve Block Compared to Saline

"To determine the change in interstitial cystitis symptom index at baseline, 2 hours, 2 weeks, 6 weeks and 3 months after hydrodistention with preemptive pudendal nerve block (1% Lidocaine) compared to hydrodistention with placebo (saline).~The IC symptom index questionnaire consists of 4 questions on IC symptoms. 2 of the questions have 6 answer choices ranging from 0-never, to 5-almost always. 1 question has 6 answer choices ranging from 0-never to 5-usually. 1 question has 7 answer choices ranging from 0-never to 6-5 or more times. The numerical score for each question are added together, with a minimum score of 0 and a maximum score of 21. A higher score indicates greater severity of IC symptoms." (NCT02517996)
Timeframe: Baseline, 2 weeks, 6 weeks, 3 months (Up to 3 months)

,
Interventionscore on a scale (Mean)
Baseline2 weeks6 weeks12 weeks
1% Lidocaine12.511.4311.810
Normal Saline1098.675

Change in Pain Level as Assessed by the Visual Analog Scale (VAS)

"To determine the change in pain at 2 hours, 2 weeks, 6 weeks, and 3 months postoperatively in patients undergoing hydrodistention with preemptive pudendal nerve block (1% Lidocaine) compared to hydrodistention with placebo (saline) using the visual analog scale (VAS).~VAS consists of a 10cm horizontal line with the minimum endpoint labeled no pain (0) and maximum labeled worst pain ever (10). Patients placed a mark on the point that corresponds to the level of pain severity they felt. The cm distance from the low end of the VAS to the patient's mark is used as the numerical index of the intensity of pain. Pain scores of 3.0-5.4 cm are moderate, over 5.4 indicates severe pain." (NCT02517996)
Timeframe: Baseline, 2 hours, 2 weeks, 6 weeks, 3 months (Up to 3 months)

,
Interventionscore on a scale (Mean)
Pre operative VAS scorePost operative VAS score2 week post operative VAS scores6 week post operative VAS score12 weeks post operative VAS score
1% Lidocaine3.1253.752.732.6
Normal Saline4.554.84.332

Change in Pelvic Urgency, Pain, and Frequency (PUF) Questionnaire With Preemptive Pudendal Nerve Block Compared to Saline

"To determine the change in pelvic urgency, pain and frequency (PUF) questionnaire at baseline, 2 hours, 2 weeks, 6 weeks and 3 months after hydrodistention with preemptive pudendal nerve block (1% Lidocaine) compared to hydrodistention with placebo (saline).~The Pelvic Urgency, Pain, and Frequency Patient Symptom Scale asks 11 questions, 7 on PUF symptoms, 4 on how bothersome PUF symptoms are. Symptom questions include 3, 4, or 5 ranked answers, with higher answers indicating more voids, or greater frequency of pain. The bother questions each of 4 ranked answers from 0-never, to 3-always. The symptom score is added, the bother score is added, and then the total score is added. The total PUF score is then reported. The minimum score is 0 and the maximum score is 35, and a higher score indicates greater symptoms and higher bother from pelvic pain and frequency." (NCT02517996)
Timeframe: Baseline, 2 hours, 2 weeks, 6 weeks, 3 months (Up to 3 months)

,
Interventionscore on a scale (Mean)
Baseline2 weeks6 weeks12 weeks
1% Lidocaine22.6318.8318.217.2
Normal Saline1917.416.714

Change in Problem Index (O'Leary Sant) With Preemptive Pudendal Nerve Block Compared to Saline

"To determine the change in problem index (O'Leary Sant) at baseline, 2 hours, 2 weeks, 6 weeks and 3 months after hydrodistention with preemptive pudendal nerve block (1% Lidocaine) compared to hydrodistention with placebo (saline).~The IC problem index questionnaire consists of 4 questions on how much of a problem a patient's IC symptoms cause them. Each question has 5 answer choices ranging from 0-no problem, to 4-big problem. The numerical score for each question are added together, with a minimum score of 0 and a maximum score of 16. A higher score indicates that IC symptoms cause more problems for the patient." (NCT02517996)
Timeframe: Baseline, 2 hours, 2 weeks, 6 weeks, 3 months (Up to 3 months)

,
Interventionscore on a scale (Mean)
Baseline2 weeks6 weeks12 weeks
1% Lidocaine11.759.71109.6
Normal Saline9.438.67.336

Duration of Motor Block

"The time difference between local anesthetic injection and complete resolution of motor block -as measured on the Bromage scale:~I = free movement of feet, legs and hip = No block II = able to flex knees, with free movement of feet = Mild block III = unable to flex knees, but with free movement of feet = Moderate block IV = unable to move legs or feet = Complete block" (NCT03305575)
Timeframe: 6 hours

Interventionminutes (Mean)
Chloroprocaine75
Bupivacaine99

Duration of Sensory Block

The time difference between local anesthetic injection and complete resolution of sensory block. The sensory level was tested using a blunt needle tip along the patient's demratomal distribution of the spinal anesthetic. (NCT03305575)
Timeframe: 6 hours

Interventionminutes (Mean)
Chloroprocaine127
Bupivacaine210

Time to Ambulation

The time difference between local anesthetic injection and patient's walking for the first time postoperatively. (NCT03305575)
Timeframe: 6 hours

Interventionminutes (Mean)
Chloroprocaine110
Bupivacaine179

Time to Micturation

The time difference between local anesthetic injection and the patient's voiding for the first time postoperatively. (NCT03305575)
Timeframe: 6 hours

Interventionminutes (Mean)
Chloroprocaine111
Bupivacaine233

Reviews

4 reviews available for bupivacaine and Encephalopathy, Toxic

ArticleYear
Liposome bupivacaine in peripheral nerve blocks and epidural injections to manage postoperative pain.
    Expert opinion on pharmacotherapy, 2013, Volume: 14, Issue:17

    Topics: Anesthetics, Local; Animals; Bupivacaine; Humans; Injections, Epidural; Liposomes; Muscular Diseases

2013
Spinal anesthesia revisited: toxicity of new and old drugs and compounds.
    Current opinion in anaesthesiology, 2014, Volume: 27, Issue:5

    Topics: Anesthesia, Spinal; Anesthetics, Local; Bupivacaine; Humans; Levobupivacaine; Lidocaine; Neurotoxici

2014
Local anesthetic systemic toxicity: update on mechanisms and treatment.
    Current opinion in anaesthesiology, 2011, Volume: 24, Issue:5

    Topics: Anesthesia, Local; Anesthetics, Local; Animals; Bupivacaine; Cardiovascular Diseases; Disease Models

2011
Local anesthetic systemic toxicity: update on mechanisms and treatment.
    Current opinion in anaesthesiology, 2011, Volume: 24, Issue:5

    Topics: Anesthesia, Local; Anesthetics, Local; Animals; Bupivacaine; Cardiovascular Diseases; Disease Models

2011
Local anesthetic systemic toxicity: update on mechanisms and treatment.
    Current opinion in anaesthesiology, 2011, Volume: 24, Issue:5

    Topics: Anesthesia, Local; Anesthetics, Local; Animals; Bupivacaine; Cardiovascular Diseases; Disease Models

2011
Local anesthetic systemic toxicity: update on mechanisms and treatment.
    Current opinion in anaesthesiology, 2011, Volume: 24, Issue:5

    Topics: Anesthesia, Local; Anesthetics, Local; Animals; Bupivacaine; Cardiovascular Diseases; Disease Models

2011
Local anesthetic systemic toxicity: update on mechanisms and treatment.
    Current opinion in anaesthesiology, 2011, Volume: 24, Issue:5

    Topics: Anesthesia, Local; Anesthetics, Local; Animals; Bupivacaine; Cardiovascular Diseases; Disease Models

2011
Local anesthetic systemic toxicity: update on mechanisms and treatment.
    Current opinion in anaesthesiology, 2011, Volume: 24, Issue:5

    Topics: Anesthesia, Local; Anesthetics, Local; Animals; Bupivacaine; Cardiovascular Diseases; Disease Models

2011
Local anesthetic systemic toxicity: update on mechanisms and treatment.
    Current opinion in anaesthesiology, 2011, Volume: 24, Issue:5

    Topics: Anesthesia, Local; Anesthetics, Local; Animals; Bupivacaine; Cardiovascular Diseases; Disease Models

2011
Local anesthetic systemic toxicity: update on mechanisms and treatment.
    Current opinion in anaesthesiology, 2011, Volume: 24, Issue:5

    Topics: Anesthesia, Local; Anesthetics, Local; Animals; Bupivacaine; Cardiovascular Diseases; Disease Models

2011
Local anesthetic systemic toxicity: update on mechanisms and treatment.
    Current opinion in anaesthesiology, 2011, Volume: 24, Issue:5

    Topics: Anesthesia, Local; Anesthetics, Local; Animals; Bupivacaine; Cardiovascular Diseases; Disease Models

2011
Local anesthetic systemic toxicity: update on mechanisms and treatment.
    Current opinion in anaesthesiology, 2011, Volume: 24, Issue:5

    Topics: Anesthesia, Local; Anesthetics, Local; Animals; Bupivacaine; Cardiovascular Diseases; Disease Models

2011
Local anesthetic systemic toxicity: update on mechanisms and treatment.
    Current opinion in anaesthesiology, 2011, Volume: 24, Issue:5

    Topics: Anesthesia, Local; Anesthetics, Local; Animals; Bupivacaine; Cardiovascular Diseases; Disease Models

2011
Local anesthetic systemic toxicity: update on mechanisms and treatment.
    Current opinion in anaesthesiology, 2011, Volume: 24, Issue:5

    Topics: Anesthesia, Local; Anesthetics, Local; Animals; Bupivacaine; Cardiovascular Diseases; Disease Models

2011
Local anesthetic systemic toxicity: update on mechanisms and treatment.
    Current opinion in anaesthesiology, 2011, Volume: 24, Issue:5

    Topics: Anesthesia, Local; Anesthetics, Local; Animals; Bupivacaine; Cardiovascular Diseases; Disease Models

2011
Local anesthetic systemic toxicity: update on mechanisms and treatment.
    Current opinion in anaesthesiology, 2011, Volume: 24, Issue:5

    Topics: Anesthesia, Local; Anesthetics, Local; Animals; Bupivacaine; Cardiovascular Diseases; Disease Models

2011
Local anesthetic systemic toxicity: update on mechanisms and treatment.
    Current opinion in anaesthesiology, 2011, Volume: 24, Issue:5

    Topics: Anesthesia, Local; Anesthetics, Local; Animals; Bupivacaine; Cardiovascular Diseases; Disease Models

2011
Local anesthetic systemic toxicity: update on mechanisms and treatment.
    Current opinion in anaesthesiology, 2011, Volume: 24, Issue:5

    Topics: Anesthesia, Local; Anesthetics, Local; Animals; Bupivacaine; Cardiovascular Diseases; Disease Models

2011
Local anesthetic systemic toxicity: update on mechanisms and treatment.
    Current opinion in anaesthesiology, 2011, Volume: 24, Issue:5

    Topics: Anesthesia, Local; Anesthetics, Local; Animals; Bupivacaine; Cardiovascular Diseases; Disease Models

2011
Local anesthetic systemic toxicity: update on mechanisms and treatment.
    Current opinion in anaesthesiology, 2011, Volume: 24, Issue:5

    Topics: Anesthesia, Local; Anesthetics, Local; Animals; Bupivacaine; Cardiovascular Diseases; Disease Models

2011
Local anesthetic systemic toxicity: update on mechanisms and treatment.
    Current opinion in anaesthesiology, 2011, Volume: 24, Issue:5

    Topics: Anesthesia, Local; Anesthetics, Local; Animals; Bupivacaine; Cardiovascular Diseases; Disease Models

2011
Local anesthetic systemic toxicity: update on mechanisms and treatment.
    Current opinion in anaesthesiology, 2011, Volume: 24, Issue:5

    Topics: Anesthesia, Local; Anesthetics, Local; Animals; Bupivacaine; Cardiovascular Diseases; Disease Models

2011
Local anesthetic systemic toxicity: update on mechanisms and treatment.
    Current opinion in anaesthesiology, 2011, Volume: 24, Issue:5

    Topics: Anesthesia, Local; Anesthetics, Local; Animals; Bupivacaine; Cardiovascular Diseases; Disease Models

2011
Local anesthetic systemic toxicity: update on mechanisms and treatment.
    Current opinion in anaesthesiology, 2011, Volume: 24, Issue:5

    Topics: Anesthesia, Local; Anesthetics, Local; Animals; Bupivacaine; Cardiovascular Diseases; Disease Models

2011
Local anesthetic systemic toxicity: update on mechanisms and treatment.
    Current opinion in anaesthesiology, 2011, Volume: 24, Issue:5

    Topics: Anesthesia, Local; Anesthetics, Local; Animals; Bupivacaine; Cardiovascular Diseases; Disease Models

2011
Local anesthetic systemic toxicity: update on mechanisms and treatment.
    Current opinion in anaesthesiology, 2011, Volume: 24, Issue:5

    Topics: Anesthesia, Local; Anesthetics, Local; Animals; Bupivacaine; Cardiovascular Diseases; Disease Models

2011
Local anesthetic systemic toxicity: update on mechanisms and treatment.
    Current opinion in anaesthesiology, 2011, Volume: 24, Issue:5

    Topics: Anesthesia, Local; Anesthetics, Local; Animals; Bupivacaine; Cardiovascular Diseases; Disease Models

2011
Local anesthetic systemic toxicity: update on mechanisms and treatment.
    Current opinion in anaesthesiology, 2011, Volume: 24, Issue:5

    Topics: Anesthesia, Local; Anesthetics, Local; Animals; Bupivacaine; Cardiovascular Diseases; Disease Models

2011
Local anesthetic systemic toxicity: update on mechanisms and treatment.
    Current opinion in anaesthesiology, 2011, Volume: 24, Issue:5

    Topics: Anesthesia, Local; Anesthetics, Local; Animals; Bupivacaine; Cardiovascular Diseases; Disease Models

2011
Local anesthetic systemic toxicity: update on mechanisms and treatment.
    Current opinion in anaesthesiology, 2011, Volume: 24, Issue:5

    Topics: Anesthesia, Local; Anesthetics, Local; Animals; Bupivacaine; Cardiovascular Diseases; Disease Models

2011
Local anesthetic systemic toxicity: update on mechanisms and treatment.
    Current opinion in anaesthesiology, 2011, Volume: 24, Issue:5

    Topics: Anesthesia, Local; Anesthetics, Local; Animals; Bupivacaine; Cardiovascular Diseases; Disease Models

2011
Local anesthetic systemic toxicity: update on mechanisms and treatment.
    Current opinion in anaesthesiology, 2011, Volume: 24, Issue:5

    Topics: Anesthesia, Local; Anesthetics, Local; Animals; Bupivacaine; Cardiovascular Diseases; Disease Models

2011
Local anesthetic systemic toxicity: update on mechanisms and treatment.
    Current opinion in anaesthesiology, 2011, Volume: 24, Issue:5

    Topics: Anesthesia, Local; Anesthetics, Local; Animals; Bupivacaine; Cardiovascular Diseases; Disease Models

2011
Local anesthetic systemic toxicity: update on mechanisms and treatment.
    Current opinion in anaesthesiology, 2011, Volume: 24, Issue:5

    Topics: Anesthesia, Local; Anesthetics, Local; Animals; Bupivacaine; Cardiovascular Diseases; Disease Models

2011
Local anesthetic systemic toxicity: update on mechanisms and treatment.
    Current opinion in anaesthesiology, 2011, Volume: 24, Issue:5

    Topics: Anesthesia, Local; Anesthetics, Local; Animals; Bupivacaine; Cardiovascular Diseases; Disease Models

2011
Local anesthetic systemic toxicity: update on mechanisms and treatment.
    Current opinion in anaesthesiology, 2011, Volume: 24, Issue:5

    Topics: Anesthesia, Local; Anesthetics, Local; Animals; Bupivacaine; Cardiovascular Diseases; Disease Models

2011
Local anesthetic systemic toxicity: update on mechanisms and treatment.
    Current opinion in anaesthesiology, 2011, Volume: 24, Issue:5

    Topics: Anesthesia, Local; Anesthetics, Local; Animals; Bupivacaine; Cardiovascular Diseases; Disease Models

2011
Local anesthetic systemic toxicity: update on mechanisms and treatment.
    Current opinion in anaesthesiology, 2011, Volume: 24, Issue:5

    Topics: Anesthesia, Local; Anesthetics, Local; Animals; Bupivacaine; Cardiovascular Diseases; Disease Models

2011
Bupivacaine, levobupivacaine and ropivacaine: are they clinically different?
    Best practice & research. Clinical anaesthesiology, 2005, Volume: 19, Issue:2

    Topics: Amides; Anesthetics, Local; Bupivacaine; Humans; Levobupivacaine; Neurotoxicity Syndromes; Ropivacai

2005

Trials

2 trials available for bupivacaine and Encephalopathy, Toxic

ArticleYear
Subarachnoid small-dose bupivacaine versus lidocaine for cervical cerclage.
    Anesthesia and analgesia, 2003, Volume: 97, Issue:1

    Topics: Adult; Anesthesia, Epidural; Anesthesia, Spinal; Anesthetics, Intravenous; Anesthetics, Local; Bupiv

2003
Neurologic sequelae after caesarean section.
    Acta anaesthesiologica Scandinavica, 2001, Volume: 45, Issue:1

    Topics: Adolescent; Adult; Anesthesia, Epidural; Anesthesia, Obstetrical; Anesthetics, Local; Bupivacaine; C

2001

Other Studies

36 other studies available for bupivacaine and Encephalopathy, Toxic

ArticleYear
MiRNA-494-3p Regulates Bupivacaine-Induced Neurotoxicity by the CDK6-PI3K/AKT Signaling.
    Neurotoxicity research, 2021, Volume: 39, Issue:6

    Topics: Animals; Blotting, Western; Bupivacaine; Cyclin-Dependent Kinase 6; Flow Cytometry; Hippocampus; Mic

2021
Melatonin ameliorates bupivacaine-induced spinal neurotoxicity in rats by suppressing neuronal NLRP3 inflammasome activation.
    Neuroscience letters, 2022, 02-16, Volume: 772

    Topics: Animals; Anti-Inflammatory Agents; Antioxidants; Bupivacaine; Male; Melatonin; Microglia; Neurons; N

2022
Ferrostatin-1 ameliorates Bupivacaine-Induced spinal neurotoxicity in rats by inhibiting ferroptosis.
    Neuroscience letters, 2023, 07-13, Volume: 809

    Topics: Animals; Bupivacaine; Ferroptosis; Glutathione; Neurotoxicity Syndromes; Rats; Spinal Cord

2023
Inhibition of Ku70 in a high-glucose environment aggravates bupivacaine-induced dorsal root ganglion neurotoxicity.
    Toxicology letters, 2020, Volume: 318

    Topics: Anesthetics, Local; Animals; Apoptosis; Bupivacaine; Cells, Cultured; Chromones; DNA Damage; Enzyme

2020
Intravenous lipid emulsion modifies synaptic transmission in hippocampal CA1 pyramidal neurons after bupivacaine-induced central nervous system toxicity.
    Journal of neurochemistry, 2020, Volume: 154, Issue:2

    Topics: Anesthetics, Local; Animals; Bupivacaine; CA1 Region, Hippocampal; Fat Emulsions, Intravenous; Male;

2020
Inhibition of DNA Repair Protein Ku70 in High-Glucose Environment Aggravates the Neurotoxicity Induced by Bupivacaine in SH-SY5Y Cells.
    BioMed research international, 2020, Volume: 2020

    Topics: Apoptosis; Bupivacaine; Caspase 3; Cell Line, Tumor; Cell Survival; DNA Damage; DNA Repair; Gene Exp

2020
Bupivacaine-Induced Neurotoxicity Is Modulated by Epigenetic Axis of Long Noncoding RNA SNHG16 and Hsa-miR-132-3p.
    Neurotoxicity research, 2020, Volume: 38, Issue:1

    Topics: Anesthetics, Local; Apoptosis; Bupivacaine; Cell Line, Tumor; Cell Survival; Epigenesis, Genetic; Hu

2020
Mechanistic study of mtROS-JNK-SOD2 signaling in bupivacaine-induced neuron oxidative stress.
    Aging, 2020, 07-13, Volume: 12, Issue:13

    Topics: Acetylcysteine; Animals; Anthracenes; Antioxidants; Bupivacaine; Cell Line, Tumor; Cyclic N-Oxides;

2020
Knockdown of lincRNA PADNA promotes bupivacaine-induced neurotoxicity by miR-194/FBXW7 axis.
    Molecular medicine (Cambridge, Mass.), 2020, 08-13, Volume: 26, Issue:1

    Topics: 3' Untranslated Regions; Anesthetics, Local; Animals; Apoptosis; Bupivacaine; Cell Line; Cell Surviv

2020
The roles of PARP-1 and XPD and their potential interplay in repairing bupivacaine-induced neuron oxidative DNA damage.
    Aging, 2021, 01-20, Volume: 13, Issue:3

    Topics: Anesthetics, Local; Apoptosis; Bupivacaine; Cell Line, Tumor; DNA Repair; Humans; Neurons; Neurotoxi

2021
KLF9 regulates PRDX6 expression in hyperglycemia-aggravated bupivacaine neurotoxicity.
    Molecular and cellular biochemistry, 2021, Volume: 476, Issue:5

    Topics: Bupivacaine; Cell Line, Tumor; Gene Expression Regulation, Enzymologic; Humans; Hyperglycemia; Krupp

2021
Hesperidin alleviates bupivacaine anesthesia-induced neurotoxicity in SH-SY5Y cells by regulating apoptosis and oxidative damage.
    Journal of biochemical and molecular toxicology, 2021, Volume: 35, Issue:7

    Topics: Anesthetics, Local; Apoptosis; Bupivacaine; Cell Line, Tumor; Hesperidin; Humans; Neurotoxicity Synd

2021
Antidepressant Imipramine Protects Bupivacaine-Induced Neurotoxicity in Dorsal Root Ganglion Neurons Through Coactivation of TrkA and TrkB.
    Journal of cellular biochemistry, 2017, Volume: 118, Issue:11

    Topics: Animals; Antidepressive Agents; Bupivacaine; Enzyme Activation; Ganglia, Spinal; Imipramine; Mice; N

2017
Awake caudal anaesthesia in neonates/young infants for improved patient safety.
    BMJ case reports, 2017, May-27, Volume: 2017

    Topics: Adenosine; Adjuvants, Anesthesia; Anesthesia, Caudal; Anti-Arrhythmia Agents; Bupivacaine; Fat Emuls

2017
Activation of p47phox as a Mechanism of Bupivacaine-Induced Burst Production of Reactive Oxygen Species and Neural Toxicity.
    Oxidative medicine and cellular longevity, 2017, Volume: 2017

    Topics: Animals; Benzoxazoles; Bupivacaine; Cell Line, Tumor; Cell Membrane; Male; NADPH Oxidases; Neurotoxi

2017
MicroRNA-137 and its downstream target LSD1 inversely regulate anesthetics-induced neurotoxicity in dorsal root ganglion neurons.
    Brain research bulletin, 2017, Volume: 135

    Topics: Anesthetics; Animals; Bupivacaine; Disease Models, Animal; Down-Regulation; Ganglia, Spinal; Histone

2017
Neurological and histological outcomes after subarachnoid injection of a liposomal bupivacaine suspension in pigs: a pilot study.
    British journal of anaesthesia, 2019, Volume: 122, Issue:3

    Topics: Anesthetics, Local; Animals; Bupivacaine; Delayed-Action Preparations; Disease Models, Animal; Dose-

2019
Effect of miR-132 on bupivacaine-induced neurotoxicity in human neuroblastoma cell line.
    Journal of pharmacological sciences, 2019, Volume: 139, Issue:3

    Topics: Anesthetics, Local; Apoptosis; Bupivacaine; Cell Line, Tumor; Cell Survival; Flow Cytometry; Humans;

2019
Monosialoganglioside protects against bupivacaine-induced neurotoxicity caused by endoplasmic reticulum stress in rats.
    Drug design, development and therapy, 2019, Volume: 13

    Topics: Animals; Bupivacaine; Endoplasmic Reticulum Stress; Gangliosides; Male; Neuroprotective Agents; Neur

2019
Knockdown of lncRNA MALAT1 alleviates bupivacaine-induced neurotoxicity via the miR-101-3p/PDCD4 axis.
    Life sciences, 2019, Sep-01, Volume: 232

    Topics: Anesthetics, Local; Animals; Apoptosis; Apoptosis Regulatory Proteins; Bupivacaine; Cell Line, Tumor

2019
Local anesthetic systemic toxicity after combined psoas compartment-sciatic nerve block: analysis of decision factors and diagnostic delay.
    Anesthesiology, 2014, Volume: 120, Issue:4

    Topics: Aged, 80 and over; Anesthetics, Local; Bradycardia; Bupivacaine; Delayed Diagnosis; Epilepsy, Tonic-

2014
Intrathecal lidocaine neurotoxicity: combination with bupivacaine and ropivacaine and effect of nerve growth factor.
    Life sciences, 2014, Sep-01, Volume: 112, Issue:1-2

    Topics: Amides; Anesthetics, Local; Animals; Apoptosis; Bupivacaine; Caspase 3; Down-Regulation; Drug Combin

2014
Therapeutic effects of intrathecal versus intravenous monosialoganglioside against bupivacaine-induced spinal neurotoxicity in rats.
    Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie, 2015, Volume: 69

    Topics: Animals; Axons; Blood-Brain Barrier; Bupivacaine; Caspase 3; Gangliosides; Hot Temperature; Immunohi

2015
Persistent cauda equina syndrome after cesarean section under combined spinal-epidural anesthesia: a case report.
    Journal of clinical anesthesia, 2015, Volume: 27, Issue:6

    Topics: Adult; Anesthesia, Epidural; Anesthesia, Obstetrical; Anesthesia, Spinal; Anesthetics, Local; Arachn

2015
Curcumin Attenuated Bupivacaine-Induced Neurotoxicity in SH-SY5Y Cells Via Activation of the Akt Signaling Pathway.
    Neurochemical research, 2016, Volume: 41, Issue:9

    Topics: Apoptosis; Bupivacaine; Cell Line, Tumor; Cell Survival; Curcumin; Humans; Membrane Potential, Mitoc

2016
Comparison of histopathological effects of perineural administration of bupivacaine and bupivacaine-dexmedetomidine in rat sciatic nerve.
    Experimental and toxicologic pathology : official journal of the Gesellschaft fur Toxikologische Pathologie, 2016, Volume: 68, Issue:10

    Topics: Anesthetics, Local; Animals; Bupivacaine; Dexmedetomidine; Disease Models, Animal; Microscopy, Elect

2016
Low-level laser therapy (LLLT) accelerates the sternomastoid muscle regeneration process after myonecrosis due to bupivacaine.
    Journal of photochemistry and photobiology. B, Biology, 2017, Volume: 168

    Topics: Animals; Bupivacaine; Fibrosis; Low-Level Light Therapy; Muscular Diseases; Neck Muscles; Necrosis;

2017
Perineural administration of dexmedetomidine in combination with bupivacaine enhances sensory and motor blockade in sciatic nerve block without inducing neurotoxicity in rat.
    Anesthesiology, 2008, Volume: 109, Issue:3

    Topics: Analgesics, Non-Narcotic; Anesthetics, Local; Animals; Bupivacaine; Dexmedetomidine; Dose-Response R

2008
Perineural administration of dexmedetomidine in combination with bupivacaine enhances sensory and motor blockade in sciatic nerve block without inducing neurotoxicity in rat.
    Anesthesiology, 2008, Volume: 109, Issue:3

    Topics: Analgesics, Non-Narcotic; Anesthetics, Local; Animals; Bupivacaine; Dexmedetomidine; Dose-Response R

2008
Perineural administration of dexmedetomidine in combination with bupivacaine enhances sensory and motor blockade in sciatic nerve block without inducing neurotoxicity in rat.
    Anesthesiology, 2008, Volume: 109, Issue:3

    Topics: Analgesics, Non-Narcotic; Anesthetics, Local; Animals; Bupivacaine; Dexmedetomidine; Dose-Response R

2008
Perineural administration of dexmedetomidine in combination with bupivacaine enhances sensory and motor blockade in sciatic nerve block without inducing neurotoxicity in rat.
    Anesthesiology, 2008, Volume: 109, Issue:3

    Topics: Analgesics, Non-Narcotic; Anesthetics, Local; Animals; Bupivacaine; Dexmedetomidine; Dose-Response R

2008
Perineural administration of dexmedetomidine in combination with bupivacaine enhances sensory and motor blockade in sciatic nerve block without inducing neurotoxicity in rat.
    Anesthesiology, 2008, Volume: 109, Issue:3

    Topics: Analgesics, Non-Narcotic; Anesthetics, Local; Animals; Bupivacaine; Dexmedetomidine; Dose-Response R

2008
Perineural administration of dexmedetomidine in combination with bupivacaine enhances sensory and motor blockade in sciatic nerve block without inducing neurotoxicity in rat.
    Anesthesiology, 2008, Volume: 109, Issue:3

    Topics: Analgesics, Non-Narcotic; Anesthetics, Local; Animals; Bupivacaine; Dexmedetomidine; Dose-Response R

2008
Perineural administration of dexmedetomidine in combination with bupivacaine enhances sensory and motor blockade in sciatic nerve block without inducing neurotoxicity in rat.
    Anesthesiology, 2008, Volume: 109, Issue:3

    Topics: Analgesics, Non-Narcotic; Anesthetics, Local; Animals; Bupivacaine; Dexmedetomidine; Dose-Response R

2008
Perineural administration of dexmedetomidine in combination with bupivacaine enhances sensory and motor blockade in sciatic nerve block without inducing neurotoxicity in rat.
    Anesthesiology, 2008, Volume: 109, Issue:3

    Topics: Analgesics, Non-Narcotic; Anesthetics, Local; Animals; Bupivacaine; Dexmedetomidine; Dose-Response R

2008
Perineural administration of dexmedetomidine in combination with bupivacaine enhances sensory and motor blockade in sciatic nerve block without inducing neurotoxicity in rat.
    Anesthesiology, 2008, Volume: 109, Issue:3

    Topics: Analgesics, Non-Narcotic; Anesthetics, Local; Animals; Bupivacaine; Dexmedetomidine; Dose-Response R

2008
The systemic toxicity of equipotent proxymetacaine, oxybuprocaine, and bupivacaine during continuous intravenous infusion in rats.
    Anesthesia and analgesia, 2010, Jan-01, Volume: 110, Issue:1

    Topics: Analgesia; Anesthetics, Local; Animals; Bupivacaine; Dose-Response Relationship, Drug; Hemodynamics;

2010
Lithium attenuates bupivacaine-induced neurotoxicity in vitro through phosphatidylinositol-3-kinase/threonine-serine protein kinase B- and extracellular signal-regulated kinase-dependent mechanisms.
    Neuroscience, 2012, Mar-29, Volume: 206

    Topics: Anesthetics, Local; Animals; Blotting, Western; Bupivacaine; Cell Line; Extracellular Signal-Regulat

2012
Intrathecally administered ropivacaine is less neurotoxic than procaine, bupivacaine, and levobupivacaine in a rat spinal model.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2012, Volume: 59, Issue:5

    Topics: Amides; Anesthetics, Local; Animals; Axons; Behavior, Animal; Bupivacaine; Dose-Response Relationshi

2012
[Transient segmental hyperalgesia following epidural analgesia].
    Ugeskrift for laeger, 2012, May-21, Volume: 174, Issue:21

    Topics: Adult; Analgesia, Epidural; Analgesics, Opioid; Anesthetics, Local; Bupivacaine; Catheterization; Di

2012
Retigabine stimulates human KCNQ2/Q3 channels in the presence of bupivacaine.
    Anesthesiology, 2004, Volume: 101, Issue:2

    Topics: Anesthetics, Local; Animals; Bupivacaine; Carbamates; CHO Cells; Cricetinae; Humans; KCNQ2 Potassium

2004
The comparative neurotoxicity of intrathecal lidocaine and bupivacaine in rats.
    Anesthesia and analgesia, 2005, Volume: 101, Issue:2

    Topics: Anesthetics, Local; Animals; Bupivacaine; Chemistry, Pharmaceutical; Dose-Response Relationship, Dru

2005
[Cardiotoxic and neurotoxic effects after accidental intravascular bupivacaine administration. Therapy with lidocaine propofol and lipid emulsion].
    Der Anaesthesist, 2007, Volume: 56, Issue:5

    Topics: Aged, 80 and over; Anesthesia, Epidural; Anesthetics, Intravenous; Anesthetics, Local; Blood Pressur

2007
Transient neurologic symptoms after epidural analgesia.
    Anesthesia and analgesia, 2000, Volume: 90, Issue:2

    Topics: Adult; Analgesia, Epidural; Analgesia, Obstetrical; Anesthetics, Local; Bupivacaine; Female; Humans;

2000