Clonidine as an Adjunct for the Successful Treatment of Labor Epidural Infusion-Associated Interscapular Pain

Epidural infusion-associated interscapular pain for laboring parturients is a treatment dilemma for obstetric anesthesiologists. We report a case of a parturient who was successfully treated for labor epidural analgesia-associated interscapular pain. Our treatment plan included reducing the volume o...

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Autores principales: Samworth, Alexander G, DeLeon, Alexander M, Patel, Samir, McCrory, Emery, Lopez, Carmen, Farrer, Jason
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Anesthesiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10311943/
https://www.ncbi.nlm.nih.gov/pubmed/37397666
http://dx.doi.org/10.7759/cureus.41179
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author Samworth, Alexander G
DeLeon, Alexander M
Patel, Samir
McCrory, Emery
Lopez, Carmen
Farrer, Jason
author_facet Samworth, Alexander G
DeLeon, Alexander M
Patel, Samir
McCrory, Emery
Lopez, Carmen
Farrer, Jason
author_sort Samworth, Alexander G
collection PubMed
description Epidural infusion-associated interscapular pain for laboring parturients is a treatment dilemma for obstetric anesthesiologists. We report a case of a parturient who was successfully treated for labor epidural analgesia-associated interscapular pain. Our treatment plan included reducing the volume of local anesthetic administered by adding the adjunct of clonidine, increasing the epidural solution concentration of local anesthetic, and reducing the overall infusion rate. We conclude that epidural clonidine should be considered a safe adjunct when treating laboring parturients who report epidural infusion-associated interscapular pain.
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spelling pubmed-103119432023-07-01 Clonidine as an Adjunct for the Successful Treatment of Labor Epidural Infusion-Associated Interscapular Pain Samworth, Alexander G DeLeon, Alexander M Patel, Samir McCrory, Emery Lopez, Carmen Farrer, Jason Cureus Anesthesiology Epidural infusion-associated interscapular pain for laboring parturients is a treatment dilemma for obstetric anesthesiologists. We report a case of a parturient who was successfully treated for labor epidural analgesia-associated interscapular pain. Our treatment plan included reducing the volume of local anesthetic administered by adding the adjunct of clonidine, increasing the epidural solution concentration of local anesthetic, and reducing the overall infusion rate. We conclude that epidural clonidine should be considered a safe adjunct when treating laboring parturients who report epidural infusion-associated interscapular pain. Cureus 2023-06-30 /pmc/articles/PMC10311943/ /pubmed/37397666 http://dx.doi.org/10.7759/cureus.41179 Text en Copyright © 2023, Samworth et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Anesthesiology
Samworth, Alexander G
DeLeon, Alexander M
Patel, Samir
McCrory, Emery
Lopez, Carmen
Farrer, Jason
Clonidine as an Adjunct for the Successful Treatment of Labor Epidural Infusion-Associated Interscapular Pain
title Clonidine as an Adjunct for the Successful Treatment of Labor Epidural Infusion-Associated Interscapular Pain
title_full Clonidine as an Adjunct for the Successful Treatment of Labor Epidural Infusion-Associated Interscapular Pain
title_fullStr Clonidine as an Adjunct for the Successful Treatment of Labor Epidural Infusion-Associated Interscapular Pain
title_full_unstemmed Clonidine as an Adjunct for the Successful Treatment of Labor Epidural Infusion-Associated Interscapular Pain
title_short Clonidine as an Adjunct for the Successful Treatment of Labor Epidural Infusion-Associated Interscapular Pain
title_sort clonidine as an adjunct for the successful treatment of labor epidural infusion-associated interscapular pain
topic Anesthesiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10311943/
https://www.ncbi.nlm.nih.gov/pubmed/37397666
http://dx.doi.org/10.7759/cureus.41179
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