Page last updated: 2024-10-24

bupivacaine and Ischemia

bupivacaine has been researched along with Ischemia in 40 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.

Ischemia: A hypoperfusion of the BLOOD through an organ or tissue caused by a PATHOLOGIC CONSTRICTION or obstruction of its BLOOD VESSELS, or an absence of BLOOD CIRCULATION.

Research Excerpts

ExcerptRelevanceReference
"Bupivacaine and lidocaine were reacted with the membrane preparations at cardiotoxically relevant concentrations and their membrane interactivities were determined by measuring fluorescence polarization."1.38Cardiotoxic local anesthetics increasingly interact with biomimetic membranes under ischemia-like acidic conditions. ( Mizogami, M; Shigemi, K; Tsuchiya, H; Ueno, T, 2012)
"A female drug abuser inadvertently injected an intravenous injection of an oral anorexiant, phentaramine (Preludin), into her own brachial artery."1.26Inadvertent intra-arterial injection of phentaramine: a complication of drug abuse. ( Hamer, R; Phelps, D, 1981)

Research

Studies (40)

TimeframeStudies, this research(%)All Research%
pre-199012 (30.00)18.7374
1990's15 (37.50)18.2507
2000's9 (22.50)29.6817
2010's3 (7.50)24.3611
2020's1 (2.50)2.80

Authors

AuthorsStudies
Schnedl, C1
Fürstner, M1
Hausegger, KA1
Panov, VM1
Fesenko, UA1
Kutsyn, VM1
Keskinbora, K1
Aydinli, I1
Tsuchiya, H1
Mizogami, M1
Ueno, T1
Shigemi, K1
Wu, X1
Liu, Y1
Chen, X1
Sun, Q1
Tang, R1
Wang, W1
Yu, Z1
Xie, M1
Smoot, EC1
Colpitts, R1
Bittner, Ch1
Zuber, M1
Eisner, L1
Breschan, C1
Kraschl, R1
Jost, R1
Marhofer, P1
Likar, R2
Al-Rawi, OY1
Pennefather, SH1
Page, RD1
Dave, I1
Russell, GN1
Carlson, BM2
Faulkner, JA1
Smith, BE1
Fischer, HB1
Scott, PV1
Stoner, HB1
Marshall, HW1
Hamer, R1
Phelps, D1
Hickey, NC1
Wilkes, MP1
Howes, D1
Watt, J1
Shearman, CP1
Loken, RG1
Coupland, SG1
Deschênes, MC1
Naesh, O1
Haljamäe, H1
Hindberg, I1
Holm, J1
Jivegård, L1
Wennmalm, A1
Mehta, Y1
Juneja, R1
Sutcliffe, NP1
Mostafa, SM1
Gannon, J1
Harper, SJ1
Pavy, TJ1
Doyle, DL1
Kessell, G1
Barker, I1
Valdivielso Serna, A1
González Bravo, MN1
Monleón Luque, M1
Casado Flores, J1
Tetzlaff, JE1
Dilger, J1
Yap, E1
Smith, MP1
Schoenwald, PK1
Lévecque, JP1
Ladagnous, JF1
Saïssy, JM1
Kapral, S1
Gollmann, G1
Bachmann, D1
Prohaska, B1
Jandrasits, O1
Weinstabl, C1
Lehofer, F1
Ozzeybek, D1
Koca, U1
Elar, Z1
Olguner, M1
Hakgüder, G1
Khalyfa, A1
Carlson, JA1
Wang, E1
Ceballos, A1
Cabezudo, L1
Bovaira, M1
Fenollosa, P1
Moro, B1
Nitecki, SS1
Kleiser, A1
Ofer, A1
Karram, T1
Engel, A1
Eisenberg, E1
Hoffman, A1
Heard, CM1
LaJohn, S1
Fletcher, JE1
Casals Merchán, M1
Eshan, F1
Martínez Mañas, F1
Alonso Gómez, A1
Benlloch Petit, R1
Bausili Pons, JM1
Hall-Craggs, EC1
Dyszkiewicz, W1
Slaczka, K1
Perkins, G1
Johansen, K1
Murphy, T1
Pavlin, E1
Ledbetter, D1
Tobias, JD1
Haun, SE1
Helfaer, M1
Nichols, DG1
Sakio, H1
Hirose, K1
Okuda, C1
Weber, S1
Bennett, CR1
Jones, NF1
Sanchez, V1
Segedin, ER1
Moser, M1
Pallares, VS1
Dyson, A1
Henderson, AM1
Baron, HC1
LaRaja, RD1
Rossi, G1
Atkinson, D1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
The Study of Regional Hemodynamic Changes After Specific Brachial Plexus Block by Ultrasound Guidance[NCT02139982]Phase 1110 participants (Actual)Interventional2011-01-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Changes in Skin Temperature From Baseline to 30min After Brachial Plexus Block(Phase 2)

Skin temperature was measured at the thenar. change= 30min after brachial plexus block minus baseline (NCT02139982)
Timeframe: Baseline,30 min after brachial plexus block

Intervention℃ (Mean)
Group A(Phase 2)1.18
Group B(Phase 2)1.91
Group C(Phase 2)2.27
Group D(Phase 2)2.32
Group E(Phase 2)2.44
Group F(Phase 2)2.43

Success of Brachial Plexus Block ( Phase 2)

Success of Brachial Plexus Block(BPB) was defined as the absence of sensation to in all innervation areas of above four nerves (musculocutaneous, ulnar, radial, and median nerves) 30min. after the BPB and no pain during the surgery. (NCT02139982)
Timeframe: 30 min after brachial plexus block

Interventionparticipants (Number)
Group A(Phase 2)1
Group B(Phase 2)9
Group C(Phase 2)11
Group D(Phase 2)12
Group E(Phase 2)13
Group F(Phase 2)13

Changes in Cross-sectional Area of Radial/Ulnar Artery From Baseline to 30min After Specific Nerve Block Followed by 30min After Brachial Plexus Block(Phase 1)

The cross-sectional area(CSA, cm2) of Radial/ulnar Artery was assessed with B-mode imaging. Probe was kept perpendicular to the long axis of the artery to obtain the largest oval arterial section. The image at end diastole was chosen and measured with the cine loop. (NCT02139982)
Timeframe: baseline(t0), 30 min after specific nerve block(t1), 30 min after brachial plexus block(t2)

,,,
Interventioncm^2 (Mean)
CSA of radial artery T0CSA of radial artery T1CSA of radial artery T2CAS of ulnar artery T0CAS of ulnar artery T1CAS of ulnar artery T2
Group MC(Phase 1)0.0510.0530.0730.0390.0390.061
Group ME (Phase 1)0.0510.0690.0730.0500.0560.069
Group RA (Phase 1)0.0400.0440.0610.0430.0440.068
Group UL( Phase 1)0.0510.0530.0740.0390.0590.061

Changes in Hemodynamic Parameters of Brachial Artery From Baseline to 30min After Brachial Plexus Block(Phase 2)

"These parameters included peak systolic velocity (PSV, cm/s), end-diastolic velocity (EDV, cm/s), time average maximum velocity (TAMAX), resistance index (RI), and pulsatility index (PI),The cross-sectional area of the artery imaging.Blood flow (BF) = TAMAX× CSA×60s.~Relative ratio of hemodymanic parameter=30 min after brachial plexus block divide by baseline" (NCT02139982)
Timeframe: baseline, 30 min after brachial plexus block

,,,,,
Interventionratio (Median)
relative ratio of PSVRelative ratio of TAMAXRelative ratio of BFRelative ratio of PIRelative ratio of RI
Group A(Phase 2)1.0313711.211.400.750.91
Group B(Phase 2)1.151.561.870.610.87
Group C(Phase 2)1.191.842.100.530.85
Group D(Phase 2)1.192.092.540.470.84
Group E(Phase 2)1.292.343.180.440.81
Group F(Phase 2)1.432.573.530.430.82

Changes in Hemodynamic Parameters of Radial/Ulnar Artery From Baseline to 30min After Specific Nerve Block Followed by 30min After Brachial Plexus Block(Phase 1)

These parameters included peak systolic velocity (PSV, cm/s), end-diastolic velocity (EDV, cm/s), time average maximum velocity (TAMAX),and was measured by Pulsed-wave Doppler(PWD) ultrasound. (NCT02139982)
Timeframe: baseline(t0), 30 min after specific nerve block(t1), 30 min after brachial plexus block(t2)

,,,
Interventioncm/s (Mean)
PSV of radial artery T0PSV of radial artery T1PSV of radial artery T2EDV of radial artery T0EDV of radial artery T1EDV of radial artery T2TAMAX of radial artery T0TAMAX of radial artery T1TAMAX of radial artery T2PSV of ulnar artery T0PSV of ulnar artery T1PSV of ulnar artery T2EDV of ulnar artery T0EDV of ulnar artery T1EDV of ulnar artery T2TAMAX of ulnar artery T0TAMAX of ulnar artery T1TAMAX of ulnar artery T2
Group MC(Phase 1)40.940.758.03.43.619.410.210.432.042.540.256.95.95.119.611.210.927.8
Group ME (Phase 1)42.652.458.55.516.118.011.524.829.743.945.162.85.37.420.211.111.929.0
Group RA (Phase 1)47.650.569.66.09.321.113.118.433.351.153.968.46.06.218.814.014.030.5
Group UL( Phase 1)39.640.960.15.85.720.411.411.231.045.860.568.77.921.626.914.929.936.8

Changes in Skin Temperature From Baseline to 30 Min After Specific Nerve Block Followed by 30 Min After Brachial Plexus Block(Phase 1)

Skin temperature(Ts) was measured at four different points within the cutaneous innervation areas of the musculocutaneous(lateral skin of forearm), ulnar(hypothenar region), radial (thumb-index web) and median(thenar) Specific points were located with skin marker to provide consistency of measurement. (NCT02139982)
Timeframe: baseline, 30 min after specific nerve block, 30 min after brachial plexus block

,,,
Intervention℃ (Mean)
Ts MC t0Ts MC t1Ts MC t2Ts UL t0Ts UL t1Ts UL t2Ts RA t0Ts RA t1Ts RA t2Ts ME t0Ts ME t1Ts ME t2
Group MC(Phase 1)30.029.931.329.129.031.930.530.532.628.929.032.4
Group ME (Phase 1)30.030.433.729.729.832.930.132.733.929.833.333.7
Group RA (Phase 1)30.230.133.429.529.632.629.529.732.229.529.532.0
Group UL( Phase 1)29.830.031.130.132.432.630.530.533.230.030.132.7

Reviews

1 review available for bupivacaine and Ischemia

ArticleYear
The regeneration of skeletal muscle fibers following injury: a review.
    Medicine and science in sports and exercise, 1983, Volume: 15, Issue:3

    Topics: Anesthetics, Local; Animals; Athletic Injuries; Bupivacaine; Cats; Humans; Ischemia; Muscle Contract

1983

Trials

5 trials available for bupivacaine and Ischemia

ArticleYear
Perineural morphine in patients with chronic ischemic lower extremity pain: efficacy and long-term results.
    Journal of anesthesia, 2009, Volume: 23, Issue:1

    Topics: Adult; Analgesics, Opioid; Anesthetics, Local; Bupivacaine; Double-Blind Method; Female; Humans; Isc

2009
The effect of thoracic epidural bupivacaine and an intravenous adrenaline infusion on gastric tube blood flow during esophagectomy.
    Anesthesia and analgesia, 2008, Volume: 106, Issue:3

    Topics: Aged; Analgesia, Epidural; Anastomosis, Surgical; Anesthetics, Local; Blood Flow Velocity; Blood Pre

2008
Epidural anaesthesia prolonged into the postoperative period prevents stress response and platelet hyperaggregability after peripheral vascular surgery.
    European journal of vascular surgery, 1994, Volume: 8, Issue:4

    Topics: Aged; Allylamine; Anesthesia, Epidural; Anesthesia, General; Arteriosclerosis; Bupivacaine; Drug Com

1994
The effect of epidural blockade on gastric intramucosal pH in the peri-operative period.
    Anaesthesia, 1996, Volume: 51, Issue:1

    Topics: Anesthesia, Epidural; Anesthetics, Local; Bupivacaine; Gastric Mucosa; Humans; Hydrogen-Ion Concentr

1996
The effects of thoracic epidural anesthesia on intraoperative visceral perfusion and metabolism.
    Anesthesia and analgesia, 1999, Volume: 88, Issue:2

    Topics: Abdomen; Anesthesia, Epidural; Anesthetics, Local; Blood Pressure; Body Temperature; Bupivacaine; Ca

1999

Other Studies

34 other studies available for bupivacaine and Ischemia

ArticleYear
    RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin, 2020, Volume: 192, Issue:4

    Topics: Adult; Anesthesia, Local; Brachial Plexus Neuritis; Bupivacaine; Contrast Media; Drug Delivery Syste

2020
[Improvement of approach to performance of lumbar sympathetic blockade in patients with tissue ischemia of the lower extremities].
    Klinichna khirurhiia, 2014, Issue:6

    Topics: Adult; Aged; Anesthetics, Local; Aorta; Autonomic Nerve Block; Bupivacaine; Humans; Ischemia; Leg; L

2014
Cardiotoxic local anesthetics increasingly interact with biomimetic membranes under ischemia-like acidic conditions.
    Biological & pharmaceutical bulletin, 2012, Volume: 35, Issue:6

    Topics: Anesthetics, Local; Bupivacaine; Cardiolipins; Cardiotoxins; Cell Membrane; Glycerophospholipids; Hy

2012
Involvement of TREK-1 activity in astrocyte function and neuroprotection under simulated ischemia conditions.
    Journal of molecular neuroscience : MN, 2013, Volume: 49, Issue:3

    Topics: Animals; Apoptosis; Astrocytes; Bupivacaine; Cell Hypoxia; Cells, Cultured; Cerebral Cortex; Cocultu

2013
Wound complications of infusion pain pump therapy.
    Plastic and reconstructive surgery, 2002, Volume: 110, Issue:6

    Topics: Anesthetics; Arthroplasty, Replacement, Knee; Bupivacaine; Drug Therapy, Combination; Epinephrine; H

2002
[Acute ischemia of the hand in a drug addict after accidental intra-arterial injection].
    Swiss surgery = Schweizer Chirurgie = Chirurgie suisse = Chirurgia svizzera, 2002, Volume: 8, Issue:6

    Topics: Adult; Bupivacaine; Compartment Syndromes; Fasciotomy; Hand; Heparin; Humans; Illicit Drugs; Injecti

2002
Axillary brachial plexus block for treatment of severe forearm ischemia after arterial cannulation in an extremely low birth-weight infant.
    Paediatric anaesthesia, 2004, Volume: 14, Issue:8

    Topics: Amputation, Surgical; Anesthetics, Local; Brachial Plexus; Bupivacaine; Catheterization, Peripheral;

2004
Continuous sciatic nerve block.
    Anaesthesia, 1984, Volume: 39, Issue:2

    Topics: Aged; Amputation, Surgical; Anesthesia, Conduction; Bupivacaine; Foot; Gangrene; Humans; Ischemia; M

1984
Neural pathways mediating the inhibition of shivering by nonthermal afferent impulses from ischemic limbs.
    Experimental neurology, 1982, Volume: 78, Issue:2

    Topics: Afferent Pathways; Animals; Body Temperature; Bupivacaine; Colon; Differential Threshold; Extremitie

1982
Inadvertent intra-arterial injection of phentaramine: a complication of drug abuse.
    Annals of emergency medicine, 1981, Volume: 10, Issue:3

    Topics: Adult; Arm; Autonomic Nerve Block; Bupivacaine; Constriction, Pathologic; Female; Humans; Injections

1981
The effect of epidural anaesthesia on peripheral resistance and graft flow following femorodistal reconstruction.
    European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery, 1995, Volume: 9, Issue:1

    Topics: Aged; Anesthesia, Epidural; Arteriovenous Shunt, Surgical; Bupivacaine; Case-Control Studies; Female

1995
The electroretinogram during orbital compression following intraorbital regional block for cataract surgery.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 1994, Volume: 41, Issue:9

    Topics: Adult; Anesthesia, Local; Bupivacaine; Cataract Extraction; Electroretinography; Female; Humans; Isc

1994
Continuous axillary block for ischemia following failed radial artery cannulation.
    Journal of cardiothoracic and vascular anesthesia, 1994, Volume: 8, Issue:2

    Topics: Aged; Autonomic Nerve Block; Axilla; Bupivacaine; Catheterization, Peripheral; Fingers; Humans; Isch

1994
Prevention of phantom limb pain by infusion of local anaesthetic into the sciatic nerve.
    Anaesthesia and intensive care, 1996, Volume: 24, Issue:5

    Topics: Aged; Amputation, Surgical; Analgesia; Anesthetics, Local; Bupivacaine; Fatal Outcome; Humans; Injec

1996
Leg ischaemia in an infant following accidental intra-arterial administration of atracurium treated with caudal anaesthesia.
    Anaesthesia, 1996, Volume: 51, Issue:12

    Topics: Anesthesia, Caudal; Atracurium; Bupivacaine; Humans; Infant; Injections, Intra-Arterial; Ischemia; L

1996
[Digital ischemia of the lower limb: reversion via sympathetic blockage].
    Anales espanoles de pediatria, 1997, Volume: 46, Issue:2

    Topics: Anesthetics, Local; Bupivacaine; Female; Humans; Infant; Ischemia; Necrosis; Toes

1997
Cauda equina syndrome after spinal anaesthesia in a patient with severe vascular disease.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 1998, Volume: 45, Issue:7

    Topics: Anesthesia, Spinal; Anesthetics, Local; Bupivacaine; Cauda Equina; Electromyography; Epinephrine; Hu

1998
[Analgesia by continuous tibial nerve block after ischemia and amputation].
    Annales francaises d'anesthesie et de reanimation, 1997, Volume: 16, Issue:8

    Topics: Aged; Amputation, Surgical; Analgesia; Bupivacaine; Clonidine; Humans; Ischemia; Leg; Male; Nerve Bl

1997
Glycerol trinitrate plus epidural sympathetic block in the ischemia of glans penis.
    Anesthesia and analgesia, 1999, Volume: 89, Issue:4

    Topics: Anesthesia, Epidural; Anesthetics, Local; Anticoagulants; Autonomic Nerve Block; Bupivacaine; Child;

1999
Toxin injury-dependent switched expression between EF-1 alpha and its sister, S1, in rat skeletal muscle.
    Developmental dynamics : an official publication of the American Association of Anatomists, 1999, Volume: 216, Issue:3

    Topics: Actins; Anesthetics, Local; Animals; Blotting, Western; Bupivacaine; Ischemia; Muscle, Skeletal; Nec

1999
Spinal cord stimulation: a possible therapeutic alternative for chronic mesenteric ischaemia.
    Pain, 2000, Volume: 87, Issue:1

    Topics: Abdominal Pain; Aged; Analgesics, Opioid; Anesthetics, Local; Autonomic Nerve Block; Bupivacaine; Ce

2000
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
An accidental ringblock of the great toe?
    Paediatric anaesthesia, 2001, Volume: 11, Issue:1

    Topics: Adolescent; Anesthesia, Local; Anesthetics, Local; Arthrogryposis; Bupivacaine; Epinephrine; Foot; H

2001
[Combined subarachnoid-epidural anesthesia technique using a double catheter in lower limb revascularization surgery].
    Revista espanola de anestesiologia y reanimacion, 2000, Volume: 47, Issue:10

    Topics: Aged; Amputation, Surgical; Anesthesia, Epidural; Anesthetics, Local; Bupivacaine; Catheterization;

2000
Ischemic muscle as a model of regeneration.
    Experimental neurology, 1978, Volume: 60, Issue:2

    Topics: Animals; Bupivacaine; Ischemia; Models, Biological; Muscles; Rats; Regeneration

1978
[Treatment of pain caused by ischemia of the lower extremities by way of continuous marcain infusion into the extradural lumbar region].
    Polski tygodnik lekarski (Warsaw, Poland : 1960), 1976, Sep-27, Volume: 31, Issue:39

    Topics: Adult; Aged; Bupivacaine; Humans; Infusions, Parenteral; Ischemia; Leg; Lumbosacral Region; Middle A

1976
Interpleural anaesthesia in the management of upper limb ischaemia. A report of three cases.
    Anaesthesia and intensive care, 1991, Volume: 19, Issue:4

    Topics: Adult; Anesthesia, Conduction; Bupivacaine; Catheterization; Female; Fingers; Horner Syndrome; Human

1991
Digital ischemia complicating pneumococcal sepsis: reversal with sympathetic blockade.
    Critical care medicine, 1991, Volume: 19, Issue:1

    Topics: Adult; Autonomic Nerve Block; Bupivacaine; Female; Fingers; Humans; Ischemia; Pneumococcal Infection

1991
Use of continuous caudal block to relieve lower-extremity ischemia caused by vasculitis in a child with meningococcemia.
    The Journal of pediatrics, 1989, Volume: 115, Issue:6

    Topics: Autonomic Nerve Block; Bupivacaine; Female; Humans; Infant; Ischemia; Leg; Meningococcal Infections;

1989
[The participation of the sympathetic nervous system in thromboxane A2 release induced by limb ischemia].
    Masui. The Japanese journal of anesthesiology, 1989, Volume: 38, Issue:2

    Topics: Animals; Bupivacaine; Dogs; Ischemia; Labetalol; Leg; Sympathetic Nervous System; Thromboxane A2; Th

1989
Improvement in blood flow during lower extremity microsurgical free tissue transfer associated with epidural anesthesia.
    Anesthesia and analgesia, 1988, Volume: 67, Issue:7

    Topics: Anesthesia, Epidural; Bupivacaine; Humans; Intraoperative Complications; Ischemia; Leg; Male; Middle

1988
Role of lumbar sympathectomy in the pediatric intensive care unit.
    Anesthesia and analgesia, 1988, Volume: 67, Issue:8

    Topics: Autonomic Nerve Block; Bupivacaine; Child, Preschool; Female; Foot; Humans; Infant; Intensive Care U

1988
Continuous axillary brachial plexus blockade following intra-arterial injection of nicotinic acid.
    Anaesthesia and intensive care, 1987, Volume: 15, Issue:4

    Topics: Adult; Autonomic Nerve Block; Brachial Plexus; Bupivacaine; Hand; Humans; Injections, Intra-Arterial

1987
Continuous epidural analgesia in the heparinized vascular surgical patient: a retrospective review of 912 patients.
    Journal of vascular surgery, 1987, Volume: 6, Issue:2

    Topics: Adult; Aged; Aged, 80 and over; Anesthesia, Epidural; Bupivacaine; Catheterization; Female; Heparin;

1987