Pj. Weston et D. Bourchier, THE PHARMACOKINETICS OF BUPIVACAINE FOLLOWING INTERPLEURAL NERVE BLOCK IN INFANTS OF VERY-LOW-BIRTH-WEIGHT, Paediatric anaesthesia, 5(4), 1995, pp. 219-222
Infants of very low birthweight (VLBW) who underwent thoracotomy were
given 2.0 mg . kg(-1) of bupivacaine by the intrapleural route, and se
rial blood levels were taken to determine the pharmacokinetic profile
in this group of babies. It was apparent that the half life was longer
, clearance lower, and volume of distribution greater than in term inf
ants. Although the drug did not reach toxic levels at this dose, cauti
on should be observed when redosing as the accumulation of the drug ma
y be unpredictable.