A Study on Evaluation of Safety and Efficacy of Clonidine as an Adjunct to Bupivacaine in Caudal Block in Paediatric Patients
Journal Title: National Journal of Medical Research - Year 2018, Vol 8, Issue 2
Abstract
"Introduction: The use of clonidine, as additives to bupivacaine provides pain relief for longer duration than bupivacaine alone. This study was planned to evaluate the safety and efficacy of clonidine as an adjunct to bupivacaine in caudal block in paediatric patients. Methodology: This was randomized controlled trial where study was done in three groups. In Group : A: was Inj. Bupivacaine 0.25% {0.75ml/kg}, Group : B: Inj. Bupivacaine 0.25% {0.75ml/kg}+ inj. clonidine 1µg/kg and Group : C: Inj. Bupivacaine 0.25% {0.75ml/kg}+inj. clonidine 2µg/kg was given. Results: There was a statistically significant prolongation in the duration of analgesia in Group B (p < 0.05) and Group C (p <0.05) when compared with Group A. None of the patients had hypotension, bradycardia, respiratory depression or urinary retention in all the three groups. Conclusions: clonidine (1-2 µg/kg) is safe and effective adjuvant in caudal block for pediatric lower limb and lower abdominal surgery. "
Authors and Affiliations
Bhavna H. Sojitra, Divyang V Shah, Divya V Mulchandani, Pragna Vachhrajani
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"Compartive Study of Ropivacaine versus Ropivacaine with Clonidine for Caudal Analgesia in Paediatric Age Group Among Lower Abdominal and Lower Limb Surgery"
"Introduction: Clonidine, an a2 adrenergic agonist, prolongs analgesia without significant respiratory depression. The analgesic action of epidurally-administered clonidine is due to stimulation of descending noradrenerg...