Medical Education Division
 Our Products
On-Line Store
Google
 
Web www.brooksidepress.org

Operational Medicine 2001
Bupivacaine (Marcaine, Sensorcaine)

Home  ·  Military Medicine  ·  Sick Call  ·  Basic Exams  ·  Medical Procedures  ·  Lab and X-ray  ·  The Pharmacy  ·  The Library  ·  Equipment  ·  Patient Transport  ·  Medical Force Protection  ·  Operational Safety  ·  Operational Settings  ·  Special Operations  ·  Humanitarian Missions  ·  Instructions/Orders  ·  Other Agencies  ·  Video Gallery  ·  Phone Consultation  ·  Forms  ·  Web Links  ·  Acknowledgements  ·  Help  ·  Feedback
 
 

Category:

  • Local anesthetic

Description:

  • Local anesthetic

Indications:

  • Local or regional anesthesia, analgesia for surgery, oral surgical procedures

  • Diagnostic and therapeutic procedures, obstetrical procedures

Contraindications:

  • Obstetrical paracervical block anesthesia

Precautions:

  • Pregnancy category C

  • IV regional anesthesia, obstetrical anesthesia (75% concentration)

  • Hypotension, heart block, impaired cardiovascular function

  • Use in head and neck area, retrobulbar blocks, elderly, anaphylaxis

Adverse Reactions (Side Effects):

  • CNS: anxiety, disorientation, drowsiness, restlessness, seizures, shivering, tremors,loss of consciousness

  • CV: bradycardia, cardiac arrest, dysrhythmias, fetal bradycardia, hypotension, myocardia depression

  • EENT: blurred vision, miosis, tinnitus

  • GI: nausea, vomiting

  • RESP: respiratory arrest

  • SKIN: allergic reactions, burning, edema, rash, skin discoloration at injection site, tissue necrosis, urticaria  

Dosage:

Dose varies with procedure, depth of anesthesia, vascularity of tissues, duration of anesthesia, and condition of patient

  • Adult:   

    • Caudal block: 

      • INJ 15-30ml of 0.25% or 0.5%

    • Epidural block: 

      • INJ 10-20ml of 0.25% or 0.5%

    • Peripheral nerve block: 

      • INJ 5ml of 0.25% or 0.5% (12.5-25mg)

      • max 2.5 mg/kg or 400mg daily

    • Sympathetic nerve block: 

      • INJ 20-50ml of 0.25%

  • Child:   

    • Caudal block: 

      • INJ 1-3.7 mg/kg

    • Epidural block: 

      • INJ 1.25 mg/kg/dose

 

 

Approved for public release; Distribution is unlimited.

The listing of any non-Federal product in this CD is not an endorsement of the product itself, but simply an acknowledgement of the source. 

Operational Medicine 2001

Health Care in Military Settings

Bureau of Medicine and Surgery
Department of the Navy
2300 E Street NW
Washington, D.C
20372-5300

Operational Medicine
 Health Care in Military Settings
CAPT Michael John Hughey, MC, USNR
NAVMED P-5139
  January 1, 2001

 United States Special Operations Command
7701 Tampa Point Blvd.
MacDill AFB, Florida
33621-5323

*This web version is provided by The Brookside Associates Medical Education Division.  It contains original contents from the official US Navy NAVMED P-5139, but has been reformatted for web access and includes advertising and links that were not present in the original version. This web version has not been approved by the Department of the Navy or the Department of Defense. The presence of any advertising on these pages does not constitute an endorsement of that product or service by either the US Department of Defense or the Brookside Associates. The Brookside Associates is a private organization, not affiliated with the United States Department of Defense.

Contact Us  ·  ·  Other Brookside Products