Comparative Evaluation of Intrathecal Administration of Isobaric Levobupivcaine (0.5%) and Isobaric Ropivacaine (0.75%) in Patients Undergoing Lower Limb Surgeries
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 2
Abstract
Introduction: Bupivacaine available as a recemic mixture of its enantiomers dextro and levo bupivacaine has been the gold standard for intrathecal use in spinal anesthesia. Levo bupivacaine and Ropivacaine are the two recently introduced alternatives to Bupivacaine in clinical practice. The aim of our study is to evaluate the effect of intrathecal administration of isobaric Levobupivacaine and isobaric Ropivacaine in patients undergoing lower limb surgeries. Material and methods: Sixty patients were grouped equally in group I and II, who received intrathecal 3 milliliter (0.5%) isobaric Levo Bupivacaine (15 milligram), and 3ml (0.75%) isobaric Ropivacaine (22.5mg) respectively. Results: The observations were discussed in terms of vital parameters; onset, duration and recovery from sensory and motor blockade and side effects. It was found that isobaric Ropivacaine 0.75% intrathecally provides shorter duration of motor and sensory block compared to Levo bupivacaine 0.5%. Conclusion: Also there were less episodes of hypotension which indicate that 0.75% isobaric Ropivacaine provides more hemodynamic stability than Bupivacaine 0.5% intrathecally.
Authors and Affiliations
Rajni Thakur, Ranjita Aske, Urmila Keshari
Keywords
Related Articles
- EP ID EP429503
- DOI -
- Views 71
- Downloads 0
Long Term Follow up of Operated Acetabular Fractures in Indian Population
Introduction: The treatment of acetabular fractures is a complex area of Orthopaedics that is being continuously refined. The surgical reconstruction of acute displaced fractures has become the accepted treatment of choi...
Psychiatric Co-morbidity in Patients of Bronchial Asthma
Introduction: Asthma is a chronic inflammatory disorder of the airways where there is a large impact of stress and strong emotions, on the occurrence of acute exacerbations of asthma. This study was done for assessment o...
Effectiveness of Small-volume, Intralesional, Delayed-release Triamcinolone Injections in Cheilitis Granulomatosa: A Pilot Study
Introduction: Orofacial granulomatosis is an uncommon disease, which presents as recurrent or persistent swelling of the soft tissues of oral and maxillofacial region, predominantly lips - termed as Cheilitis Granulomato...
Prevalence of STI/RTI and HIV Infection in Patients Attending at STI/RTI Clinics in District Government Hospital, Anantapur, A.P
Introduction: Prevalence of STDs is increasing in the world specially in the developing countries. Objective of the research were a} To study Prevalence of sexually transmitted infections (STI) and reproductive tract inf...
Prospective Cross Sectional Study of Incidence and Correlation of Dyslipidemia in Predicting Outcome of Patients Diagnosed with Cerebrovascular Accident
Introduction: Lipid abnormality has been described as one of the risk factor for ischemic stroke. However, there are limited studies comparing stroke pattern (infarction and hemorrhage) with lipid profile of patients. St...