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Scholars Journal of Applied Medical Sciences | Volume-2 | Issue-04
Adjuvants to Spinal Anaesthesia –What is Better, Comparison Between Intrathecal Clonidine with Intratheal Buprenorphine
Sandhya Gujar, Pradnya Jagtap, Swapnil, Tejas, Kruti
Published: July 30, 2014 |
223
143
DOI: 10.36347/sjams.2014.v02i04.023
Pages: 1274-1277
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Abstract
Post operative pain continue to be inadequate and not effectively managed because of fear of opoids causing
development of respiratory depression and or addiction .Even though opoids are main stay in postoperative pain
management. When opoids are used patient gets excellent post operative pain relief. Different drugs are used for post
operative pain management. Here we have compared analgesic efficiency of buprenorphine and clonidine intrathecally
for duration of anaesthesia and post operative pain relief and no. of rescue anaegesic and untoward effects. VAS score
was used for assessment of pain relief in both groups. It was concluded from our study buprenorphine group has longer
duration of postoperative analgesia more than 12 hours in 90% of patients and risk of respiratory depression was also not
statistically significant. Hence we recommend that using intrathecal buprenorphine gives adequate duration of
anaesthesia for prolonged surgeries and also gives excellent post operative pain relief which is important in clinical
recovery of patients.