title: [Comparison of adrenaline and clonidine to extend the analgesic effect of bupivacaine without glucose in spinal anesthesia].
abstract: So as to determine the effects of adrenaline and clonidine on the duration of isobaric bupivacaine spinal anaesthesia, a prospective controlled study was carried out on 20 ASA I or II patients. They were randomly allocated to two groups. The patients of group I were given 4 ml of a mixture including 3 ml of 0.5% bupivacaine, 0.2 mg adrenaline. The patients of group II were given 4 ml of a mixture including 3 ml of 0.5% bupivacaine, 0.15 mg clonidine. The segmental level of sensory loss was tested using forceps. The time course required for maximal spread on the sensory blockade did not differ in the two groups: 4.00 +/- 1.01 min. for group I and 3.60 +/- 0.90 min. for group II. No difference was observed between median highest levels of sensory analgesia. Regression times were 520.70 +/- 79.52 min for group II and 360.40 +/- 51.47 min. for group I. Significant prolongation of motor block was also associated with the addition of vasoconstrictors. It is concluded that addition of 0.15 mg clonidine may be useful to increase duration of isobaric bupivacaine spinal anaesthesia.
authors.affiliation: Département d'anesthésie-réanimation, Centre hospitalier et universitaire Cocody, Abidjan.
authors.forename: D
authors.initials: D
authors.lastname: Mignonsin
authors.forename: A
authors.initials: A
authors.lastname: Diallo
authors.forename: M
authors.initials: M
authors.lastname: Kane
authors.forename: S
authors.initials: S
authors.lastname: Coffi
authors.forename: A
authors.initials: A
authors.lastname: Bondurand
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000698:Analgesia; D000775:Anesthesia, Spinal; D002045:Bupivacaine; D003000:Clonidine / Q000494:pharmacology*; D004837:Epinephrine / Q000494:pharmacology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D013997:Time Factors
chemical_list: D003000:Clonidine; D002045:Bupivacaine; D004837:Epinephrine
vernacular_title: Comparaison de l'adrénaline et de la clonidine pour prolonger l'effet analgésique de la bupivacaïne sans glucose au cours de la rachianesthésie.