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bupivacaine and Methemoglobinemia

bupivacaine has been researched along with Methemoglobinemia in 9 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.

Methemoglobinemia: The presence of methemoglobin in the blood, resulting in cyanosis. A small amount of methemoglobin is present in the blood normally, but injury or toxic agents convert a larger proportion of hemoglobin into methemoglobin, which does not function reversibly as an oxygen carrier. Methemoglobinemia may be due to a defect in the enzyme NADH methemoglobin reductase (an autosomal recessive trait) or to an abnormality in hemoglobin M (an autosomal dominant trait). (Dorland, 27th ed)

Research Excerpts

ExcerptRelevanceReference
"We report a patient with chronic renal failure and ischemic heart disease who developed clinically significant methemoglobinemia after an axillary block with bupivacaine and additional injection of lidocaine in the operative field."5.30Methemoglobinemia after axillary block with bupivacaine and additional injection of lidocaine in the operative field. ( Dieterich, HJ; Mühlbauer, B; Schroeder, TH, 1999)
"Methemoglobinemia (MetHb) after exposure to benzocaine (BZC) has been reported for more than 50 years, however the pathophysiologic mechanism has not been previously established."3.80Identification of N-Hydroxy-para-aminobenzoic acid in a cyanotic child after benzocaine exposure. ( Casavant, MJ; Gerona, RR; Ho, RY; Russell, JL; Spiller, HA, 2014)
"We report the case of a full-term neonate who presented with cyanosis from birth secondary to methemoglobinemia precipitated by the obstetric use of bupivacaine in a spinal anaesthetic for caesarean delivery."3.79Thinking outside of the blue box: a case presentation of neonatal methemoglobinemia. ( Aladangady, N; Parish, E; van de Vijver, M, 2013)
" Methemoglobinemia was suspected and treated with ascorbine acid and methylene blue."3.77[Toxic methemoglobinemia]. ( Bender, P; Neuhaus, H, 2011)
"Phenazopyridine has been associated with methemoglobinemia in patients who have received an overdose, have decreased renal function, or are discovered to be unusually susceptible to the drug (ie, they may have an undetected NADH methemoglobin reductase deficiency)."3.68Acquired methemoglobinemia from multiple oxidants. ( Bailey, MK; Baker, JD; Conroy, JM; Dorman, BH; Martin, WJ, 1993)
"Prilocaine was chosen as the medium-long acting LA because it has the lowest toxicity of this group and for pharmacological reasons."2.66[Clinical effectiveness and systemic toxicity of various mixtures of prilocaine and bupivacaine in axillary plexus block]. ( Börner, P; Tryba, M, 1988)
"We report a patient with chronic renal failure and ischemic heart disease who developed clinically significant methemoglobinemia after an axillary block with bupivacaine and additional injection of lidocaine in the operative field."1.30Methemoglobinemia after axillary block with bupivacaine and additional injection of lidocaine in the operative field. ( Dieterich, HJ; Mühlbauer, B; Schroeder, TH, 1999)

Research

Studies (9)

TimeframeStudies, this research(%)All Research%
pre-19902 (22.22)18.7374
1990's2 (22.22)18.2507
2000's1 (11.11)29.6817
2010's4 (44.44)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
van de Vijver, M1
Parish, E1
Aladangady, N1
Spiller, HA1
Russell, JL1
Casavant, MJ1
Ho, RY1
Gerona, RR1
Berksun, H1
Akpek, EA1
Arslan, G1
Bender, P1
Neuhaus, H1
Sambrook, PJ1
Smith, W1
Elijah, J1
Goss, AN1
Rupieper, N1
Stöcker, L1
Conroy, JM1
Baker, JD1
Martin, WJ1
Bailey, MK1
Dorman, BH1
Schroeder, TH1
Dieterich, HJ1
Mühlbauer, B1
Tryba, M1
Börner, P1

Trials

2 trials available for bupivacaine and Methemoglobinemia

ArticleYear
Methemoglobin levels during epidural anesthesia for renal transplantation--comparison of prilocaine with bupivacaine.
    Middle East journal of anaesthesiology, 2008, Volume: 19, Issue:5

    Topics: Adult; Anesthesia, Epidural; Anesthetics, Local; Blood Gas Analysis; Bupivacaine; Female; Hemodynami

2008
[Clinical effectiveness and systemic toxicity of various mixtures of prilocaine and bupivacaine in axillary plexus block].
    Regional-Anaesthesie, 1988, Volume: 11, Issue:2

    Topics: Adolescent; Adult; Aged; Axilla; Bupivacaine; Clinical Trials as Topic; Dose-Response Relationship,

1988

Other Studies

7 other studies available for bupivacaine and Methemoglobinemia

ArticleYear
Thinking outside of the blue box: a case presentation of neonatal methemoglobinemia.
    Journal of perinatology : official journal of the California Perinatal Association, 2013, Volume: 33, Issue:11

    Topics: Anesthesia, Spinal; Anesthetics, Local; Bupivacaine; Cesarean Section; Female; Humans; Infant, Newbo

2013
Identification of N-Hydroxy-para-aminobenzoic acid in a cyanotic child after benzocaine exposure.
    Clinical toxicology (Philadelphia, Pa.), 2014, Volume: 52, Issue:9

    Topics: 4-Aminobenzoic Acid; Acetaminophen; Administration, Topical; Benzocaine; Bupivacaine; Child; Cyanosi

2014
[Toxic methemoglobinemia].
    Deutsche medizinische Wochenschrift (1946), 2011, Volume: 136, Issue:15

    Topics: Ambulatory Surgical Procedures; Anesthetics, Local; Bupivacaine; Critical Care; Diagnosis, Different

2011
Severe adverse reactions to dental local anaesthetics: systemic reactions.
    Australian dental journal, 2011, Volume: 56, Issue:2

    Topics: Adolescent; Adult; Adverse Drug Reaction Reporting Systems; Aged; Aged, 80 and over; Anesthesia, Den

2011
[Met-Hb formation and local anesthesia using bupivacaine, carticaine and etidocaine (author's transl)].
    Der Anaesthesist, 1981, Volume: 30, Issue:5

    Topics: Anesthesia, Local; Bupivacaine; Carticaine; Etidocaine; Humans; Methemoglobinemia

1981
Acquired methemoglobinemia from multiple oxidants.
    Southern medical journal, 1993, Volume: 86, Issue:10

    Topics: Administration, Topical; Adult; Analgesia, Epidural; Blood Gas Analysis; Bupivacaine; Cytochrome-B(5

1993
Methemoglobinemia after axillary block with bupivacaine and additional injection of lidocaine in the operative field.
    Acta anaesthesiologica Scandinavica, 1999, Volume: 43, Issue:4

    Topics: Acidosis; Alkalies; Anesthetics, Local; Antidotes; Axilla; Bupivacaine; Drug Interactions; Female; H

1999