levobupivacaine(redirected from Chirocaine)
levobupivacaine/le·vo·bu·piv·a·caine/ (le″vo-bu-piv´ah-kān) the S enantiomer of bupivacaine; a local anesthetic used as the hydrochloride salt for local infiltration anesthesia, peripheral nerve block, and epidural anesthesia.
a local anesthetic.
indications It is used for local and regional anesthesia, for pain management, and for continuous epidural analgesia.
contraindications Severe liver disease and known hypersensitivity to this drug contraindicate its use. It is also contraindicated in children less than 12 years of age and in the elderly.
adverse effects Life-threatening effects are convulsions, loss of consciousness, myocardial depression, cardiac arrest, arrhythmias, fetal bradycardia, status asthmaticus, respiratory arrest, and anaphylaxis. Other adverse effects include anxiety, restlessness, drowsiness, disorientation, tremors, shivering, bradycardia, hypotension, hypertension, nausea, vomiting, blurred vision, tinnitus, pupil constriction, rash, urticaria, allergic reactions, edema, burning, skin discoloration at the injection site, and tissue necrosis.