North Central London
Joint Formulary
 
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15 Anaesthesia
15-02 Bupivacaine

Bupivacaine
Formulary

Approved for post-operative pain management following limb amputation for peripheral arterial disease to reduce post-operative opioid requirement (0.125% infusion via perineural stump catheter) (JFC September 2019). 

Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Ampules: No restriction stated
    • Heavy: Spinal anaesthesia only
    • Surgical Wound Infiltration:
      • RFH: Restricted to use in donor nephrectomy patients and in plastic surgery (DIEP flap breast reconstruction only)
      • BFH: Not available
  • RNOH:
    • No restriction stated
  • UCLH:
  • WH:
    • Inj 0.25% (25mg/10mL); 0.5% (50mg/10mL) only

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Bupivacaine + Adrenaline
Formulary

Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • No restriction stated
  • RNOH:
    • No restriction stated
  • UCLH:
  • WH:
    • No restriction stated

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Bupivacaine + Fentanyl epidural
Formulary

Provider notes

  • NMUH:
    • A ready-mixed bag of Fentanyl + Bupivicaine is available from Pharmacy
  • RFL:
    • No restriction stated
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary

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Bupivacaine + Glucose Marcain Heavy®
Formulary

Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • No restriction stated
  • RNOH:
    • No restriction stated
  • UCLH:
  • WH:
    • No restriction stated

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