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Canadian Journal of Anesthesia, Vol 22, 76-78, Copyright © 1975 by Canadian Anesthesiologists' Society

Chloroprocaine-Bupivacaine Sequence for Obstetric Extradural Analgesia

EVELYN A. VILLA 1 and GERTIE F. MARX 1

1 Department of Anesthesiology, Albert Einstein College of Medicine, Bronx, New York 10461

Mail correspondence to: Gertie F. Marx, M.D., Department of Anesthesiology, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, New York 10461, U.S.A.

Two case reports, one a vaginal delivery, the other a Caesaream Section, have been presented to demonstrate the rationals of employing a chloroprocaine-bupi-vacaine sequence for extradural analgesia in obstetrics. Use of chloroprocaine for initiation and bupivacine for maintenance of the block offers at least three advantages:

(1) onset of pain relief is prompt while duration is prolonged;

(2) more than one "test" dose of chloroprocaine may be employed with safety in rapid succession;

(3) two drugs with different matabolic patterns are used, each in reduced amount.






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Copyright © 1975 by the Canadian Anesthesiologists' Society.