Document Detail


Blood levels of bupivacaine after single dose, supplementary dose and during continuous infusion in axillary plexus block.
MedLine Citation:
PMID:  6637355     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The material consisted of 25 patients undergoing orthopaedic or plastic surgery of the upper extremity, including seven cases of replantation surgery. The total doses of bupivacaine, 150-267 mg as a single dose, 280-440 mg as a supplementary dose and 247-629 mg as a continuous infusion, resulted in maximum venous concentrations of 0.68-3.33 micrograms/ml, 1.21-2.44 micrograms/ml and 0.51-1.89 micrograms/ml, respectively. These usually occurred 30-60 min after the injection of bupivacaine and always following the second injection when a supplementary dose was needed. The highest individual value noted occurred 15 min after single injection, possibly as a result of an exceptionally rapid absorption. Despite the high doses and the rather high venous peak concentration of bupivacaine in some of the patients, no toxic side-effects were observed during the block or during the recovery period.
Authors:
M Tuominen; P H Rosenberg; E Kalso
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Acta anaesthesiologica Scandinavica     Volume:  27     ISSN:  0001-5172     ISO Abbreviation:  Acta Anaesthesiol Scand     Publication Date:  1983 Aug 
Date Detail:
Created Date:  1983-12-17     Completed Date:  1983-12-17     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370270     Medline TA:  Acta Anaesthesiol Scand     Country:  DENMARK    
Other Details:
Languages:  eng     Pagination:  303-6     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Bupivacaine / administration & dosage,  blood*
Female
Hand / surgery
Humans
Infusions, Parenteral
Injections
Male
Middle Aged
Nerve Block*
Preanesthetic Medication
Time Factors
Chemical
Reg. No./Substance:
2180-92-9/Bupivacaine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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