Pharmacological Actions

Bupivacaine (marcaine, sensorcaine), is an amide local anesthetic. Levobupivacaine (chirocaine), the S-enantiomer of bupivacaine, also is available. Bupivacaine's long duration of action plus its tendency to provide more sensory than motor block has made it a popular drug for providing prolonged analgesia during labor or the postoperative period. By taking advantage of indwelling catheters and continuous infusions, bupivacaine can be used to provide several days of effective analgesia.

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