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

Fetus Papyraceus: A Rare Case Report

Introduction: Fetus papyraceus is a rare condition which defines a mummified fetus occurring in multiple gestations where one fetus dies in utero and is incorperated between the uterine wall and the membranes of living f...

Functional Disability and Quality of Life Due to Dementia in Post Stroke Patients

Introduction: Stroke is associated with an excess risk of dementia. The aim of this study to determine Quality of Life and Functional Disability is more affected in which type of poststroke patients in demented patient o...

Malignant Melanoma: A Case Report

Introduction: Primary malignant melanoma of the oral cavity is a rare neoplasm that arise from a benign melanocytic lesion or de novo from melanocytes within otherwise normal skin or mucosa. Melanoma is third most common...

Correlation between Mesiodistal width of Maxillary Anterior Teeth and Interhamular Notch Distance amongst Dakshin Kannada Population

Introduction: Selection of maxillary anterior teeth for edentulous patients is primarily a subjective approach as there is no universally accepted method which can be used reliably in the absence of pre-extraction record...

HbA1C and its Correlation with Lipid Profile in Acute Myocardial Infarction

Introduction: Diabetes mellitus is present in as many as 30% of patients hospitalized with acute coronary syndromes. It has been recognized for some time that diabetics experience a greater mortality during the acute pha...

Download PDF file
  • EP ID EP429503
  • DOI -
  • Views 72
  • Downloads 0

How To Cite

Rajni Thakur, Ranjita Aske, Urmila Keshari (2018). Comparative Evaluation of Intrathecal Administration of Isobaric Levobupivcaine (0.5%) and Isobaric Ropivacaine (0.75%) in Patients Undergoing Lower Limb Surgeries. International Journal of Contemporary Medical Research, 5(2), 6-8. https://europub.co.uk/articles/-A-429503