Neonatal Spinal Anesthesia: Effects of the Addition of Clonidine
Overview
- Phase
- Phase 4
- Intervention
- clonidine
- Conditions
- Spinal Anesthesia
- Sponsor
- University Hospital, Montpellier
- Enrollment
- 120
- Locations
- 1
- Primary Endpoint
- number of "rescue" general anesthesia
- Last Updated
- 16 years ago
Overview
Brief Summary
This prospective, double blinded study investigates spinal anesthesia with or without clonidine added to bupivacaine in newborns. This study is based on duration measurement of spinal anesthesia and cardio respiratory recording during 24h for apnea detection.
Detailed Description
Ex premies and term neonates are two subgroups investigated separately. The overall objective is to validate lengthening of spinal anesthesia in newborns in order to avoid "rescue" general anesthesia that occur in 20-40 % of patients with plain bupivacaine.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Newborns less than 60 weeks old post-conceptional, former premature or not
- •Newborns requiring inguinal hernia or lower limbs surgery,
- •infants needing no more critical care assistance
- •Informed consent of parents
Exclusion Criteria
- •Spinal malformation,
- •Coagulopathy,
- •critical hemodynamics,
- •uncontrolled neurologic or metabolic pathology.
- •infection at injection point.
Arms & Interventions
prematurely born, bupivacaine, placebo
Intervention: clonidine
prematurely born, bupivacaine, clonidine
Intervention: clonidine
term neonate, bupivacaine, placebo
Intervention: clonidine
term neonate, bupivacaine, clonidine
Intervention: clonidine
Outcomes
Primary Outcomes
number of "rescue" general anesthesia
Time Frame: end of surgery
Secondary Outcomes
- duration of spinal anesthesia(during 24h)
- apnea and desaturation occurrence(during 24h)