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Indian Journal of Anesthesia and Analgesia

Volume  2, Issue 1, Jan-Jun 2015, Pages 15-22
 

Original Article

Prospective Randomized Control Study of Postoperative Epidural Analgesia of Intermittent Dosing of Bupivacaine and Clonidine vs Bupivacaine and Fentanyl

Rachana N.D., Saraswathi

*MBBS, DNB Anaesthesia, **MBBS, MD Anaesthesia, Bangalore Hospital, Bangalore, Karnataka, India. Corresponding Author: Dr. Rachana N.D., #124, BEML Layout, Basaveshwarnagar, Bangalore 560079, Karnataka, India.

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DOI: https://dx.doi.org/10.21088/ijaa.2349.8471.2115.2

Abstract

The aim of the study was to compare the relative potencies and clinical characteristics of epidural Clonidine and Fentanyl with Bupivacaine in lower limb and lower abdominal surgeries using patient-controlled analgesia. In a randomised double-blinded study, 60 ASA I or II patients requiring epidural analgesia for post operative pain relief were allocated to receive either 0.125% Bupivacaine with Clonidine 1µg/kg or 0.125% Bupivacaine with Fentanyl 1µg/kg via a sterile syringe by trained anaesthesiologists. Analgesia was established with 10-15 ml bolus of study solution. There were significant differences in onset time, duration and quality of analgesia, local anaesthetic consumption, between the two groups. We conclude that 0.125% Bupivacaine with Clonidine 1µg/kg group of patients clinically had better quality of analgesia and for a longer duration in comparison with patients receiving 0.125% Bupivacaine with Fentanyl 1µg/kg.


Keywords : Patient-controlled analgesia; Epidural anaesthesia; Post operative pain.  
Corresponding Author : Rachana N.D.