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BLT-25 Kit

BUPIVACAINE HYDROCHLORIDE, LIDOCAINE HYDROCHLORIDE, TRIAMCINOLONE ACETONIDE, POVIDINE IODINE

Manufacturer: Asclemed USA, Inc.

Score: 146.0

Quick Summary

The BLT-25 Kit is used for various medical procedures, including local or regional anesthesia, analgesia for surgery, and treatment of certain conditions. It contains bupivacaine hydrochloride, lidocaine hydrochloride, triamcinolone acetonide, and povidine iodine. Key clinical findings and indications include production of local or regional anesthesia, treatment of pain, and management of inflammatory conditions. Important safety information and contraindications include risk of cardiac arrest, allergic reactions, and interactions with other medications. Main dosing recommendations vary depending on the specific procedure and patient population, and special population considerations include use during pregnancy, nursing, pediatric, and geriatric populations.

Key Clinical Findings and Indications

  • Production of local or regional anesthesia
  • Treatment of pain
  • Management of inflammatory conditions
  • Use in surgical procedures
  • Use in diagnostic and therapeutic procedures

Important Safety Information

Warning

Risk of cardiac arrest and serious neurologic adverse reactions

Contraindications

  • Obstetrical paracervical block anesthesia
  • Hypersensitivity to bupivacaine or other local anesthetics
  • Intravenous regional anesthesia

Adverse Reactions

  • Cardiac arrest
  • Allergic reactions
  • Neurologic adverse reactions
  • Respiratory depression

Dosing Recommendations

General Guidance

Dose adjustments may be necessary for patients with hepatic or renal impairment

Local anesthesia

Adult Dose

0.25% to 0.75% solution, 1 to 20 mL

Pediatric Dose

Not recommended for pediatric patients under 12 years

Regional anesthesia

Adult Dose

0.5% to 0.75% solution, 5 to 20 mL

Pediatric Dose

Not recommended for pediatric patients under 12 years

Special Population Considerations

Pregnancy

  • Use during pregnancy only if potential benefits justify potential risks
  • Risk of fetal bradycardia and death

Nursing Mothers

  • Caution advised due to potential for excretion in human milk

Pediatric Use

  • Not recommended for pediatric patients under 12 years
  • Risk of high systemic levels and seizures

Geriatric Use

  • Use with caution due to increased risk of hypotension
  • Monitor renal function and adjust dose as necessary