A Prospective Study of Efficacy of Intrathecal Isobaric Levobupivacaine 12.5 Mg and Hyperbaric Bupivacaine 10 Mg for Caesarean Section

Authors

  • A. Christopher Associate Professor, Department of Anaesthesiology, Government Medical College, Ananthapuramu,India
  • Talari Madhu Sudhan Designated Associate Professor, Department of Anaesthesiology, Government Medical College, Ananthapuramu, India
  • Sarab Jagdeesacharulu Designated Associate Professor, Department of Anaesthesiology, Government Medical College, Ananthapuramu, India

Keywords:

Intrathecal anaesthesia, sensory block, motor block, caesarean section.

Abstract

Introduction: Neuraxial anaesthesia in caesarean sections has become an established technique. The various local anaesthetics and opioids have been used, either alone or in combination. Smaller doses of opioids with local anaesthetics supplemented by intrathecal route have been recommended for spinal anaesthesia in parturients undergoing caesarean sections. Spinal anaesthesia is preferred over epidural anaesthesia due to its rapid onset, the greater degree of muscle relaxation and lower dose requirement of local anaesthetics in caesarean cases. It ensures reliable and good quality of block.Materials and Methods: This prospective randomised, double-blinded study was conducted in the Department of Anaesthesia, Government Medical College, Ananthapuramu. Written informed consent from all the parturients, a total of 90 parturients who met the inclusion criteria undergoing elective caesarean sections under spinal anaesthesia, were enrolled for study. Results: All the 90 patients who were enrolled in this double-blinded, randomised comparative study, completed the study. There was no dropout and the study results are shown below. Table1 shows distribution of demographic profile in two study groups. There was no statistically significant difference in age, weight or height distribution among the study groups as ‘p’ value >0.05 and hence the groups were comparable to each other in terms of age, weight and height. Table 2 shows distribution of onset of sensory block, onset of motor block, duration of surgery and duration of analgesia in two study groups. There was statistically significant difference in onset of sensory block and motor block and duration of analgesia and no statistically significant difference in duration of surgery.Conclusion: Thus, in conclusion, levobupivacaine seems to be an effective alternative to intrathecal bupivacaine in infra-umbilical surgeries like elective caesarean section with reduced toxic potential and excellent quality of analgesia.

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Published

2021-12-24

How to Cite

A. Christopher, Talari Madhu Sudhan, & Sarab Jagdeesacharulu. (2021). A Prospective Study of Efficacy of Intrathecal Isobaric Levobupivacaine 12.5 Mg and Hyperbaric Bupivacaine 10 Mg for Caesarean Section. International Journal of Health and Clinical Research, 4(23), 49–52. Retrieved from https://www.ijhcr.com/index.php/ijhcr/article/view/3625