A Comparative Study of the Effect of 0.5% Hyperbaric Bupivacaine and 0.5% Isobaric Levobupivacaine on Spinal Anaesthesia in Patients Scheduled for Lower Abdominal Surgeries
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2018, Vol 5, Issue 8
Abstract
Introduction: Recent advances in pharmacology introduced newer local anaesthestic drugs which can be used in subarachnoid block with less motor blockade and less effect on bladder had changed the patient care from prolonged hospital stay to day care. Aim: This study is to compare the efficacy of 0.5% hyperbaric Bupivacaine and 0.5% isobaric Levo-bupivacaine on spinal anaesthesia, in patients scheduled for Lower Abdominal Surgeries. Materials and Methods: The study is a randomized control study, including 2 groups of 40 patients each group B and L. group B studied with 3ml of 0.5% hyperbaric bupivacaine, group L studied with 3ml of levo bupivacaine. Results: Levobupivacaine has more delayed onset of both sensory and motor blockade with more time taken to attain maximum sensory level and faster two segment regression and lesser duration of both sensory and motor block when compared with the bupivacine when the hemodynamic parameters were compared with the two groups, the decrease in HR < 20% of the baseline was not significant in both groups. The decrease in SBP <20% of base line 5/40, levo bupivacaine no fall in SBP/DBP. Adverse effects like bradycardia, shivering, vomiting was not seen in the two groups when compared. Conclusion: Levobupivacaine has more hemodynamic stability, delayed onset of action and shorter duration of anesthesia than 0.5% Hyperbaric Bupivacaine with comparable duration of motor blockade.
Authors and Affiliations
V. Shanmugapriya
Keywords
Related Articles
- EP ID EP536555
- DOI 10.21088/ijaa.2349.8471.5818.21
- Views 92
- Downloads 0
Comparision of Nitroglycerine and Clonidine to Attenuate the Pressor Response to Laryngoscopy and Intubation
This study was carried out to compare the effectiveness of I.V. nitroglycerine and clonidine for controlling the pressor response to laryngoscopy and endotracheal intubaltion during general anaesthesia. This study was do...
Effect of Auto-Co-Induction of Propofol on Total Induction Dose and Haemodynamics
Rapid induction with propofol causes fall in arterial pressure and tachycardia.Our study aims at comparing the hemodynamic changes between rapid dose and priming dose, measure propofol requirement and evaluate complicati...
Ultrasound Guided Femoral Nerve Block: an Advanced Technique for Pain Relief in Emergency Department in Fracture Femur
Background: Regional anaesthesia is an established method to provide analgesia for patients in the operating room and during postoperative phase. Ultrasound (USG) guided femoral nerve block offers advantage over intraven...
Myocardial Oxygenation during Preoperative Period
Adequate myocardial oxygenation during the perioperative period is crucial for a good postoperative outcome. This requires the maintenance of myocardial oxygen supply demand ratio, which can be disrupted by various perio...
To Study and Compare Efficacy of Ropivacaine and Bupivacaine for Caudal Analgesia in Paediatric Patients
Aims and objectives: The aim of the study was to compare quality and duration of intra and post operative analgesia and need of rescue analgesia of 0.5 ml/kg of 0.25% Bupivacaine. and 0.5 ml/kg of 0.2% Ropivacaine. Metho...