Faculty Advisor(s)
Elisha Coppens
Document Type
Capstone
Publication Date
2022
Rights
© 2022 Novisi Abba
Abstract
Pain is undoubtedly one of the most undesirable outcomes associated with cesarean section in parturients. The most effective post-cesarean section pain relief option should prioritize maternal, fetal, and neonatal safety, with minimal to no medication transfer to the fetus and neonate. In obstetric anesthesia, neuraxial approaches, with the inclusion of adjuncts like clonidine for pain management may provide some additional benefits. Consequently, obstetric anesthesia practitioners have increasingly used intrathecal clonidine to alleviate post-cesarean section pain. This manuscript examines whether intrathecal clonidine, when combined with hyperbaric bupivacaine and/or opioids (fentanyl and/or preservative-free morphine), has a sustained analgesic effect in parturients following cesarean delivery under spinal anesthesia. A literature review of relevant articles was conducted. Results of the literature review suggested that the addition of intrathecal clonidine to bupivacaine reduced the 24-hour morphine consumption and prolonged the subarachnoid block duration in cesarean section patients.
Recommended Citation
Abba, Novisi, "The Effect Of Clonidine On Hyperbaric Bupivacaine And Opioid In Cesarean Section Women Under Spinal Anesthesia" (2022). Nurse Anesthesia Student Capstones. 48.
https://dune.une.edu/na_capstones/48
Comments
MSNA Capstone