Details
Marcaine Indications
Infiltration anesthesia when necessary to achieve long lasting effect, such as to eliminate postoperative pain.
Continuous conduction anesthesia or epidural anesthesia when contraindicated add adrenaline and unwanted use of potent muscle relaxant. Anesthesia in obstetrics.
Contraindications
Hypersensitivity to local anesthetics amide type or to other components of the drug.
Bupivacaine should not be used for intravenous regional anesthesia (blockade billère).
Bupivacaine should not be used for epidural anesthesia in patients with severe hypotension, such as in the case of cardiogenic or hypovolemic shock.
Epidural anesthesia regardless of the local anesthetic has its contraindications, which include diseases of the nervous system in the active stage, such as meningitis, poliomyelitis, intracranial hemorrhage, subacute combined degeneration of the spinal cord due to pernicious anemia and tumors of the brain and spinal cord; tuberculosis of the spine; purulent skin infection at the site or near the area of lyumbarnoyi puncture; blood clotting or current anticoagulant treatment.
Dosage & Administration
Marcaine should enter only doctors who have experience in regional anesthesia or the drug should be carried out under their supervision. It is necessary to use the lowest dose that make it possible to achieve a sufficient degree of anesthesia.
For infiltration anesthesia should be administered 5-30 ml Marcaine 5 mg / ml (25-150 mg bupivacaine hydrochloride).
For intercostal blockade should be administered 2-3 ml Marcaine 5 mg / ml (10-15 mg bupivacaine hydrochloride) one nerve to the total of 10 nerves.
For large nerve blockade (eg epidural, anesthesia and sacral brachial plexus) should be given 15-30 ml Marcaine 5 mg / ml (75-150 mg bupivacaine hydrochloride).
For obstetric anesthesia (eg epidural and caudal anesthesia for vaginal delivery or vacuum extraction) should be administered 6-10 ml Marcaine 5 mg / ml (30-50 mg bupivacaine hydrochloride). These are the initial dose, their introduction if necessary can be repeated every two to three hours.
For epidural blockade (during caesarean section) should be given 15-30 ml Markayinu 5 mg / ml (75-150 mg bupivacaine hydrochloride).
