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 99
- Downloads 0
A Randomized Prospective Double Blind Comparative Study of Caudal Ropivacaine 0.2% versus Caudal Bupivacaine 0.125% for Postoperative Analgesia in Pediatric Surgeries
Introduction: Pain relief is important for reduction of postoperative morbidity necessitating continuing search for safe and efficient method in pediatric patients due to difficulty in pain assessment and concern of pote...
A Comparative Study of the Effects of Intrathecal Levobupivacaine Vs Ropivacaine for Inguinal Hernioplasty
To compare the onset and duration of sensory and motor block, haemodynamic responses, side effects associated with administration of intrathecal isobaric levobupivacaine (0.5%) and isobaric ropivacaine(0.75%) for inguina...
The Antacid and Analgesic Efficacy of Intramuscular Tramadol in Patients Undergoing General Anaesthesia
Pulmonary aspiration during induction of general anaesthesia is an important cause of anaesthetic mortality and morbidity. Many agents have been tried to reduce this risk. Aim: To assess and compare the antacid and analg...
Efficacy of Epidural Clonidine as an Adjuvant to Local Anesthetic in Lower Abdominal Surgeries: A Randomized Control Clinical Trail
Management of both intraoperative anaesthesia and post operative pain by neuraxial block demands addition of additives which gives good and prolonged postoperative analgesia with minimal side effects. Among various cho...
A Comparative Study of Epidural Dexmedetomidine and Clonidine as Adjuvant to 0.2% Isobaric Ropivacaine for Post Operative Analgesia in Lower Limb Orthopaedic Surgeries
Background: Various adjuvants are being used with local anesthetics for prolongation of analgesia like opioids, but the onset and duration of analgesia is improved when a local anesthetic is combined with alpha2 adrenerg...