Users Online: 635 Home Print this page Email this page Small font sizeDefault font sizeIncrease font size  
Home | About us | Editorial board | Search | Ahead of print | Current issue | Archives | Submit article | Instructions | Subscribe | Contacts | Login 


RSACP wishes to inform that it shall be discontinuing the dispatch of print copy of JOACP to it's Life members. The print copy of JOACP will be posted only to those life members who send us a written confirmation for continuation of print copy.
Kindly email your affirmation for print copies to dranjugrewal@gmail.com preferably by 30th June 2019.

 
BRIEF COMMUNICATION
Year : 2011  |  Volume : 27  |  Issue : 1  |  Page : 87-90

Epidural labour analgesia using bupivacaine and clonidine


1 Senior Resident, Department of Anaesthesia, IGMC, Shimla (H.P.), India
2 Associate Professor, Department of Anaesthesia, IGMC, Shimla (H.P.), India
3 Assistant Professor, Department of Anaesthesia, IGMC, Shimla (H.P.), India
4 Associate Professor, Department of Pharmacology, GMC, Amritsar (Pb), India

Correspondence Address:
K Syal
Senior Resident, Department of Anaesthesia, IGMC, Shimla (H.P.)
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


PMID: 21804714

Rights and PermissionsRights and Permissions

Background: To compare the effects of addition of Clonidine (60 μg) to Epidural Bupivacaine (0.125%) for labour analgesia, with regard to duration of analgesia, duration of labour, ambulation, incidence of instrumentation and caesarean section, foetal outcome, patient satisfaction and side effects. Patients & Methods: On demand, epidural labour analgesia was given to 50 nulliparous healthy term parturients (cephalic presentation), divided in two groups randomly. Group I received bupivacaine (0.125%) alone, whereas Group II received bupivacaine (0.125%) along with Clonidine (60 μg). 10 ml of 0.125% bupivacaine was injected as first dose and further doses titrated with patient relief (Numerical Rating Scale <3). Top ups were given whenever Numerical Rating Scale went above 5. Results: There was statistically significant prolongation of duration of analgesia in Group II, with no difference in duration of labour, ambulation, incidence of instrumentation and caesarean section or foetal outcome. Also clonidine gave dose sparing effect to bupivacaine and there was better patient satisfaction without any significant side effects in Group II. Conclusion: Clonidine is a useful adjunct to bupivacaine for epidural labour analgesia and can be considered as alternative to opioids.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed2855    
    Printed146    
    Emailed4    
    PDF Downloaded681    
    Comments [Add]    
    Cited by others 1    

Recommend this journal