Page last updated: 2024-10-24

bupivacaine and Ventricular Fibrillation

bupivacaine has been researched along with Ventricular Fibrillation in 20 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.

Ventricular Fibrillation: A potentially lethal cardiac arrhythmia that is characterized by uncoordinated extremely rapid firing of electrical impulses (400-600/min) in HEART VENTRICLES. Such asynchronous ventricular quivering or fibrillation prevents any effective cardiac output and results in unconsciousness (SYNCOPE). It is one of the major electrocardiographic patterns seen with CARDIAC ARREST.

Research Excerpts

ExcerptRelevanceReference
"We report a case of bupivacaine-induced Brugada syndrome, in which we investigated the genetic, biophysical and path physiological mechanism involved."7.73Genetic and biophysical basis for bupivacaine-induced ST segment elevation and VT/VF. Anesthesia unmasked Brugada syndrome. ( Antzelevitch, C; Brugada, R; Burashnikov, E; Crijns, HJ; Delhaas, T; Dumaine, R; Hong, K; Oliva, A; Rodriguez, LM; Sicouri, S; Timmermans, C; Vernooy, K, 2006)
"In this animal study pretreatment with bupivacaine attenuated the progression of myocardial acidosis during ventricular fibrillation."7.72The effect of bupivacaine on myocardial tissue hypoxia and acidosis during ventricular fibrillation. ( Feinstein, D; Hoffman, W; Paisanthasan, C; Weinberg, G, 2004)
"Ventricular fibrillation (VF) is a cause of death in bupivacaine-induced cardiovascular toxicity."7.70Lidocaine increases the ventricular fibrillation threshold during bupivacaine-induced cardiotoxicity in pigs. ( Endoh, S; Fujita, Y; Sari, A; Yasukawa, T, 1998)
"Myocardial ischemia sensitizes the cardiotoxic effects of bupivacaine, especially the propensity to ventricular fibrillation."7.69Bupivacaine hastens the ischemia-induced decrease of the electrical ventricular fibrillation threshold. ( Aupetit, JF; Bertrix, L; Faucon, G; Freysz, M; Loufoua, J; Timour, Q, 1995)
"A postoperative cardiac surgical patient developed ventricular fibrillation immediately after accidental pericardial injection of bupivacaine at room temperature."7.68Ventricular fibrillation after accidental injection of bupivacaine into the pericardium. ( De Hert, SG; De Jongh, RF; Even, BJ, 1992)
"Bupivacaine is a commonly used local anesthetic in dental, ophthalmologic, and simple surgical procedures."5.30Bupivacaine-induced seizures and ventricular fibrillation in a 13-year-old girl undergoing wound debridement. ( Newman, RD; Yan, AC, 1998)
" In this case report, we describe an 80-year-old patient with ischemic cardiomyopathy and multiple implantable cardioverter-defibrillator shocks due to refractory ventricular tachycardia and ventricular fibrillation who was unable to continue biweekly stellate ganglion block procedures using bupivacaine 0."3.83Comparative efficacy of stellate ganglion block with bupivacaine vs pulsed radiofrequency in a patient with refractory ventricular arrhythmias. ( Ahadian, F; Hayase, J; Krummen, DE; Narayan, SM; Vampola, S, 2016)
"We report a case of bupivacaine-induced Brugada syndrome, in which we investigated the genetic, biophysical and path physiological mechanism involved."3.73Genetic and biophysical basis for bupivacaine-induced ST segment elevation and VT/VF. Anesthesia unmasked Brugada syndrome. ( Antzelevitch, C; Brugada, R; Burashnikov, E; Crijns, HJ; Delhaas, T; Dumaine, R; Hong, K; Oliva, A; Rodriguez, LM; Sicouri, S; Timmermans, C; Vernooy, K, 2006)
"In this animal study pretreatment with bupivacaine attenuated the progression of myocardial acidosis during ventricular fibrillation."3.72The effect of bupivacaine on myocardial tissue hypoxia and acidosis during ventricular fibrillation. ( Feinstein, D; Hoffman, W; Paisanthasan, C; Weinberg, G, 2004)
"Myocardial ischemia sensitizes the cardiotoxic effects of bupivacaine, especially the propensity to ventricular fibrillation."3.69Bupivacaine hastens the ischemia-induced decrease of the electrical ventricular fibrillation threshold. ( Aupetit, JF; Bertrix, L; Faucon, G; Freysz, M; Loufoua, J; Timour, Q, 1995)
"The impairment of intraventricular conduction by bupivacaine may result in reentrant arrhythmias including ventricular fibrillation."3.68Enhancement by ischemia of the risk of cardiac disorders, especially fibrillation, in regional anesthesia with bupivacaine. ( Bertrix, L; Faucon, G; Freysz, M; Loufoua-Moundanga, J; Omar, S; Timour, Q, 1993)
"A postoperative cardiac surgical patient developed ventricular fibrillation immediately after accidental pericardial injection of bupivacaine at room temperature."3.68Ventricular fibrillation after accidental injection of bupivacaine into the pericardium. ( De Hert, SG; De Jongh, RF; Even, BJ, 1992)
"Bupivacaine was infused with a syringe driver via central venous catheter at a rate of 1 mg·kg(-1)·min(-1) until circulatory arrest."1.38Resuscitation strategies from bupivacaine-induced cardiac arrest. ( Bettschart-Wolfensberger, R; Jurado, OM; Mauch, J; Spielmann, N; Weiss, M, 2012)
"Doses were chosen to avoid convulsions (smaller dose 6."1.30Cardiovascular and central nervous system effects of intravenous levobupivacaine and bupivacaine in sheep. ( Huang, YF; Mather, LE; Pryor, ME; Veering, BT, 1998)
"Bupivacaine is a commonly used local anesthetic in dental, ophthalmologic, and simple surgical procedures."1.30Bupivacaine-induced seizures and ventricular fibrillation in a 13-year-old girl undergoing wound debridement. ( Newman, RD; Yan, AC, 1998)
"Bupivacaine infusion was continued until cardiovascular collapse."1.28Effect of epinephrine on central nervous system and cardiovascular system toxicity of bupivacaine in pigs. ( Bernards, CM; Brown, DL; Carpenter, RL; Kenter, ME; Rupp, SM; Thompson, GE, 1989)
"Ventricular fibrillation was preceded by progressive widening of the QRS complexes recorded over the area perfused by the LAD."1.27Differential depressant and electrophysiologic cardiotoxicity of local anesthetics: an experimental study with special reference to lidocaine and bupivacaine. ( Häggmark, S; Johansson, G; Nath, S; Reiz, S, 1986)

Research

Studies (20)

TimeframeStudies, this research(%)All Research%
pre-19902 (10.00)18.7374
1990's7 (35.00)18.2507
2000's8 (40.00)29.6817
2010's3 (15.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Meng, L1
Tseng, CH1
Shivkumar, K2
Ajijola, O1
Hayase, J1
Vampola, S1
Ahadian, F1
Narayan, SM1
Krummen, DE1
Sánchez Ortega, JL1
González Pérez, P1
Escribano Jiménez, M1
Mauch, J1
Jurado, OM1
Spielmann, N1
Bettschart-Wolfensberger, R1
Weiss, M1
Srinivasa, V1
Gerner, P1
Haderer, A1
Abdi, S1
Jarolim, P1
Wang, GK1
Weinberg, G1
Paisanthasan, C1
Feinstein, D1
Hoffman, W1
Coleman, LS1
Mahajan, A1
Moore, J1
Cesario, DA1
Issa, ZF1
Zipes, DP1
Vernooy, K1
Sicouri, S1
Dumaine, R1
Hong, K1
Oliva, A1
Burashnikov, E1
Timmermans, C1
Delhaas, T1
Crijns, HJ1
Antzelevitch, C1
Rodriguez, LM1
Brugada, R1
Freysz, M2
Timour, Q2
Bertrix, L2
Loufoua, J1
Aupetit, JF1
Faucon, G2
Loufoua-Moundanga, J1
Omar, S1
Huang, YF1
Pryor, ME1
Mather, LE1
Veering, BT1
Fujita, Y1
Endoh, S1
Yasukawa, T1
Sari, A1
Yan, AC1
Newman, RD1
Groban, L1
Deal, DD1
Vernon, JC1
James, RL1
Butterworth, J1
Even, BJ1
De Jongh, RF1
De Hert, SG1
de La Coussaye, JE1
Brugada, J1
Allessie, MA1
Bernards, CM1
Carpenter, RL1
Kenter, ME1
Brown, DL1
Rupp, SM1
Thompson, GE1
Nath, S1
Häggmark, S1
Johansson, G1
Reiz, S1

Clinical Trials (5)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Endocardial-Epicardial Radiofrequency Ablation of Ventricular Tachycardia in Patients With Ischemic Cardiomyopathy[NCT04512911]Early Phase 10 participants (Actual)Interventional2023-01-31Withdrawn (stopped due to IRB approval expired 1/23/2023 and eclipsed the 6 month institutional window where study can be reinitiated via progress report. No enrollment has taken place.)
Pre-Operative Stellate Ganglion to Prevent Post-Operative Atrial Fibrillation[NCT05656170]0 participants (Actual)Interventional2023-10-01Withdrawn (stopped due to Unable to begin study)
Can Stellar Ganglion Blockage be an Alternative Treatment for Refractory Ventricular Arrhythmias?[NCT05712122]10 participants (Actual)Interventional2021-01-01Completed
Prophylactic Cardiac Sympathetic Denervation for Prevention of Ventricular Tachyarrhythmias (PREVENT VT)[NCT01013714]Phase 340 participants (Anticipated)Interventional2021-07-26Recruiting
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]

Reviews

2 reviews available for bupivacaine and Ventricular Fibrillation

ArticleYear
Efficacy of Stellate Ganglion Blockade in Managing Electrical Storm: A Systematic Review.
    JACC. Clinical electrophysiology, 2017, Volume: 3, Issue:9

    Topics: Adult; Aged; Anesthetics, Local; Autonomic Nerve Block; Bupivacaine; Female; Humans; Male; Middle Ag

2017
Efficacy of Stellate Ganglion Blockade in Managing Electrical Storm: A Systematic Review.
    JACC. Clinical electrophysiology, 2017, Volume: 3, Issue:9

    Topics: Adult; Aged; Anesthetics, Local; Autonomic Nerve Block; Bupivacaine; Female; Humans; Male; Middle Ag

2017
Efficacy of Stellate Ganglion Blockade in Managing Electrical Storm: A Systematic Review.
    JACC. Clinical electrophysiology, 2017, Volume: 3, Issue:9

    Topics: Adult; Aged; Anesthetics, Local; Autonomic Nerve Block; Bupivacaine; Female; Humans; Male; Middle Ag

2017
Efficacy of Stellate Ganglion Blockade in Managing Electrical Storm: A Systematic Review.
    JACC. Clinical electrophysiology, 2017, Volume: 3, Issue:9

    Topics: Adult; Aged; Anesthetics, Local; Autonomic Nerve Block; Bupivacaine; Female; Humans; Male; Middle Ag

2017
Efficacy of Stellate Ganglion Blockade in Managing Electrical Storm: A Systematic Review.
    JACC. Clinical electrophysiology, 2017, Volume: 3, Issue:9

    Topics: Adult; Aged; Anesthetics, Local; Autonomic Nerve Block; Bupivacaine; Female; Humans; Male; Middle Ag

2017
Efficacy of Stellate Ganglion Blockade in Managing Electrical Storm: A Systematic Review.
    JACC. Clinical electrophysiology, 2017, Volume: 3, Issue:9

    Topics: Adult; Aged; Anesthetics, Local; Autonomic Nerve Block; Bupivacaine; Female; Humans; Male; Middle Ag

2017
Efficacy of Stellate Ganglion Blockade in Managing Electrical Storm: A Systematic Review.
    JACC. Clinical electrophysiology, 2017, Volume: 3, Issue:9

    Topics: Adult; Aged; Anesthetics, Local; Autonomic Nerve Block; Bupivacaine; Female; Humans; Male; Middle Ag

2017
Efficacy of Stellate Ganglion Blockade in Managing Electrical Storm: A Systematic Review.
    JACC. Clinical electrophysiology, 2017, Volume: 3, Issue:9

    Topics: Adult; Aged; Anesthetics, Local; Autonomic Nerve Block; Bupivacaine; Female; Humans; Male; Middle Ag

2017
Efficacy of Stellate Ganglion Blockade in Managing Electrical Storm: A Systematic Review.
    JACC. Clinical electrophysiology, 2017, Volume: 3, Issue:9

    Topics: Adult; Aged; Anesthetics, Local; Autonomic Nerve Block; Bupivacaine; Female; Humans; Male; Middle Ag

2017
[Brugada syndrome, bupivacaine, lidocaine, and techniques to provide local or regional anesthesia: comments on "Ventricular fibrillation in a patient with a type I Brugada syndrome ECG pattern and hypokalemia"].
    Revista espanola de anestesiologia y reanimacion, 2008, Volume: 55, Issue:8

    Topics: Anesthesia, Conduction; Anesthetics, Local; Brugada Syndrome; Bupivacaine; Female; Humans; Hypokalem

2008

Other Studies

18 other studies available for bupivacaine and Ventricular Fibrillation

ArticleYear
Comparative efficacy of stellate ganglion block with bupivacaine vs pulsed radiofrequency in a patient with refractory ventricular arrhythmias.
    Journal of clinical anesthesia, 2016, Volume: 31

    Topics: Aged, 80 and over; Anesthetics, Local; Autonomic Nerve Block; Bupivacaine; Catheter Ablation; Humans

2016
Resuscitation strategies from bupivacaine-induced cardiac arrest.
    Paediatric anaesthesia, 2012, Volume: 22, Issue:2

    Topics: Anesthetics, Local; Animals; Blood Gas Analysis; Blood Pressure; Bupivacaine; Cardiopulmonary Resusc

2012
The relative toxicity of amitriptyline, bupivacaine, and levobupivacaine administered as rapid infusions in rats.
    Anesthesia and analgesia, 2003, Volume: 97, Issue:1

    Topics: Amitriptyline; Anesthetics, Local; Animals; Antidepressive Agents, Tricyclic; Blood Pressure; Bupiva

2003
The effect of bupivacaine on myocardial tissue hypoxia and acidosis during ventricular fibrillation.
    Anesthesia and analgesia, 2004, Volume: 98, Issue:3

    Topics: Acidosis; Anesthetics, Local; Animals; Blood Gas Analysis; Blood Pressure; Bupivacaine; Carbon Dioxi

2004
Bupivacaine and ventricular fibrillation.
    Anesthesia and analgesia, 2004, Volume: 99, Issue:4

    Topics: Acidosis; Anesthetics, Local; Bupivacaine; Humans; Microcirculation; Myocardium; Ventricular Fibrill

2004
Use of thoracic epidural anesthesia for management of electrical storm: a case report.
    Heart rhythm, 2005, Volume: 2, Issue:12

    Topics: Aged; Anesthesia, Epidural; Anesthetics, Local; Bupivacaine; Catheter Ablation; Humans; Male; Tachyc

2005
Antiarrhythmic effects of targeted cardiac neuromodulation: is it time for clinical application?
    Heart rhythm, 2005, Volume: 2, Issue:12

    Topics: Anesthesia, Epidural; Anesthetics, Local; Bupivacaine; Heart; Humans; Sympathetic Nervous System; Ta

2005
Genetic and biophysical basis for bupivacaine-induced ST segment elevation and VT/VF. Anesthesia unmasked Brugada syndrome.
    Heart rhythm, 2006, Volume: 3, Issue:9

    Topics: Anesthesia, General; Anesthetics, Local; Bupivacaine; Diagnosis, Differential; Electrocardiography;

2006
Bupivacaine hastens the ischemia-induced decrease of the electrical ventricular fibrillation threshold.
    Anesthesia and analgesia, 1995, Volume: 80, Issue:4

    Topics: Action Potentials; Animals; Blood Pressure; Bupivacaine; Cardiac Pacing, Artificial; Female; Heart;

1995
Enhancement by ischemia of the risk of cardiac disorders, especially fibrillation, in regional anesthesia with bupivacaine.
    Acta anaesthesiologica Scandinavica, 1993, Volume: 37, Issue:4

    Topics: Action Potentials; Anesthesia, Conduction; Animals; Blood Pressure; Bupivacaine; Electrocardiography

1993
Cardiovascular and central nervous system effects of intravenous levobupivacaine and bupivacaine in sheep.
    Anesthesia and analgesia, 1998, Volume: 86, Issue:4

    Topics: Anesthetics, Local; Animals; Arrhythmias, Cardiac; Blood Pressure; Brain; Bupivacaine; Cardiac Outpu

1998
Lidocaine increases the ventricular fibrillation threshold during bupivacaine-induced cardiotoxicity in pigs.
    British journal of anaesthesia, 1998, Volume: 80, Issue:2

    Topics: Anesthetics, Combined; Anesthetics, Local; Animals; Anti-Arrhythmia Agents; Bupivacaine; Electrocard

1998
Bupivacaine-induced seizures and ventricular fibrillation in a 13-year-old girl undergoing wound debridement.
    Pediatric emergency care, 1998, Volume: 14, Issue:5

    Topics: Acute Disease; Adolescent; Anesthetics, Local; Anticonvulsants; Bupivacaine; Debridement; Diazepam;

1998
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
Ventricular fibrillation after accidental injection of bupivacaine into the pericardium.
    Anaesthesia, 1992, Volume: 47, Issue:12

    Topics: Accidents; Bupivacaine; Humans; Injections; Male; Middle Aged; Pain, Postoperative; Pericardium; Ven

1992
Electrophysiologic and arrhythmogenic effects of bupivacaine. A study with high-resolution ventricular epicardial mapping in rabbit hearts.
    Anesthesiology, 1992, Volume: 77, Issue:1

    Topics: Animals; Bupivacaine; Electrophysiology; In Vitro Techniques; Rabbits; Tachycardia; Ventricular Fibr

1992
Effect of epinephrine on central nervous system and cardiovascular system toxicity of bupivacaine in pigs.
    Anesthesiology, 1989, Volume: 71, Issue:5

    Topics: Animals; Arrhythmias, Cardiac; Bupivacaine; Cardiovascular System; Central Nervous System; Dose-Resp

1989
Differential depressant and electrophysiologic cardiotoxicity of local anesthetics: an experimental study with special reference to lidocaine and bupivacaine.
    Anesthesia and analgesia, 1986, Volume: 65, Issue:12

    Topics: Animals; Bupivacaine; Electrocardiography; Heart; Hemodynamics; Injections, Intra-Arterial; Lidocain

1986