Title: Clinical Assessment of 0.5% Levobupivacaine with 0.5% Bupivacaine Administration in the Management of Spinal Anaesthesia
Author: Dr Rajeev Kumar
DOI: https://dx.doi.org/10.18535/jmscr/v5i7.159
Abstract
Spinal anaesthesia is frequently used for both optional and emergency caesarean section. Anesthesia‑related mortality is decreased when general anesthesia is avoided. The study has planned with the aim to assess the clinical efficacy of Levobupivacaine compared with racemic Bupivacaine in spinal anesthesia for lower abdominal, pelvic and lower limb surgeries.
The total 50 enrolled patients were divided in 2 groups. Group A included the 50 patients received 3ml of 0.5% Levobupivacaine (15mg) 5mg/ml. Group B patients received 3ml of 0.5% Bupivacaine (15mg) 5mg/ml.
From the present study we conclude that, the time for onset of sensory and motor block showed nostatistical significance in both groups. The duration of motor block was shorter, resulting in early ambulation in Levobupivacaine group. Haemodynamic parameters were stable in the Levobupivacaine group when compared with the Bupivacaine group. Fewer episodes of hypotension and bradycardia and other side effects were observed in Levobupavaine group.
Keywords: Spinal anaesthesia, Levobupivacaine, Bupivacaine, comparative study etc.
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