Correction: Comparison of in vitro and in vivo toxicity of bupivacaine in musculoskeletal applications - Report - MDSpire

Correction: Comparison of in vitro and in vivo toxicity of bupivacaine in musculoskeletal applications

  • By

  • Jasper G. Steverink

  • Susanna Piluso

  • Jos Malda

  • Jorrit-Jan Verlaan

  • May 26, 2026

  • 0 min

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Clinical Report: Correction on Bupivacaine's Toxicity Evaluation

Overview

This report addresses a correction regarding the evaluation of bupivacaine's toxicity in musculoskeletal contexts, specifically highlighting an error in a previously published figure. The correction emphasizes the importance of accurate representation of data in clinical studies.

Background

Bupivacaine is widely used in musculoskeletal applications for pain management; however, its toxicity remains a significant concern. Understanding the safety profile of local anesthetics, particularly in relation to musculoskeletal tissues, is crucial for optimizing patient outcomes and minimizing adverse effects. Recent findings indicate that bupivacaine may exhibit chondrotoxicity, necessitating careful consideration in clinical practice.

Data Highlights

No numerical data or trial data available in the correction article.

Key Findings

  • The correction addresses an error in figure representation related to bupivacaine toxicity.
  • Light microscopy images were updated to accurately reflect LA-induced myotoxicity.
  • Chondrotoxicity concerns have been raised regarding bupivacaine in intra-articular applications.
  • Current guidelines emphasize the need for vigilance in dosing and administration of local anesthetics.
  • Mixing local anesthetics may not provide clinical advantages and can increase toxicity risks.

Clinical Implications

Clinicians should remain aware of the potential for bupivacaine-induced toxicity, particularly in musculoskeletal contexts. Accurate representation of data in studies is essential for guiding clinical decisions and ensuring patient safety.

Conclusion

The correction highlights the importance of maintaining accuracy in clinical research publications. Ongoing vigilance regarding the safety profiles of local anesthetics like bupivacaine is essential for effective pain management.

Related Resources & Content

  1. Steverink JG, Piluso S, Malda J, Verlaan J-J, Frontiers in Pain Research, 2021 -- Evaluation of Bupivacaine's Toxicity in Musculoskeletal Contexts
  2. Knee Surgery, Sports Traumatology, Arthroscopy — Response to Correspondence Regarding Manuscript KSST-D-11-00615R3: "A Randomized Controlled Trial Assessing the Efficacy of Intra-Articular Ropivacaine and Bupivacaine for Pain Management Following Knee Arthroscopy: The DUPRA Trial
  3. Frontiers in Pain Research — Liposomal bupivacaine in lower extremity arthroplasty: a comprehensive review
  4. Obesity Surgery — Reflections on: Comparing Intraperitoneal Dexmedetomidine and Ropivacaine for Managing Postoperative Pain Following Laparoscopic Sleeve Gastrectomy: Insights from a Double-Blind, Randomized, Placebo-Controlled Study
  5. Safety of High-Dose Ropivacaine and Dexmedetomidine for Local Infiltration Anesthesia in Major Knee Surgical Procedures
  6. Local Anesthetic Toxicity - StatPearls - NCBI Bookshelf
  7. bupivacaine hydrochloride injection, USP Warnings and Precautions | Pfizer Medical Information - US
  8. Regional Nerve Blocks in Primary Total Knee Arthroplasty AAHKS Clinical Practice Guideline (003) | AAHKS

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