To compare the efficacy of hyperbaric levobupivacaine (0.5%) versus hyperbaric bupivacaine (0.5%) in the subarachnoid block for infraumbilical surgeries
Background: Spinal anesthesia is the neuraxial regional anesthesia technique used in infraumbilical surgeries such as inguinal hernia, hydrocele, hysterectomy, and lower limb surgeries. Levobupivacaine and bupivacaine are local anesthetic agents used for spinal anesthesia. Aims and Objectives: Th...
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Manipal College of Medical Sciences, Pokhara
2024-12-01
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| Series: | Asian Journal of Medical Sciences |
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| Online Access: | https://www.nepjol.info/index.php/AJMS/article/view/71040 |
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| author | Rachna Gupta Jitendra Agrawal Preeti Goyal Shreya Putta Bharat Tarachandani |
| author_facet | Rachna Gupta Jitendra Agrawal Preeti Goyal Shreya Putta Bharat Tarachandani |
| author_sort | Rachna Gupta |
| collection | DOAJ |
| description | Background: Spinal anesthesia is the neuraxial regional anesthesia technique used in infraumbilical surgeries such as inguinal hernia, hydrocele, hysterectomy, and lower limb surgeries. Levobupivacaine and bupivacaine are local anesthetic agents used for spinal anesthesia.
Aims and Objectives: The aim of the study was to compare the efficacy of hyperbaric levobupivacaine (0.5%) versus hyperbaric bupivacaine (0.5%) in subarachnoid blocks for infraumbilical surgeries.
Materials and Methods: A total of 112 patients with American Society of Anesthesiologists grades 1 and 2 scheduled for infraumbilical surgeries were randomly divided into two groups. Group L received 3 mL of hyperbaric levobupivacaine, and group B received 3 mL of hyperbaric bupivacaine intrathecally. The onset of sensory block, onset, and duration of motor block, duration of analgesia and time of first rescue analgesia, hemodynamic parameters, and post-operative side effects, if any, were recorded.
Results: The time of onset of sensory block at T10 for group L was 03.16±00.29 min and for group B was 02.16±00.27 min and the time of onset of motor block was higher in group L (03.29±00.32 min) compared to group B (02.45±00.32 min). Duration of motor block was significantly shorter in group L (209.80±6.44 min) compared to group B (252.41±11.49 min). All these findings were statistically significant.
Conclusion: Levobupivacaine had a delayed onset of sensory and motor block as compared to bupivacaine, but due to its short duration of motor block and better hemodynamic profile, it seems to be a better alternative to bupivacaine. |
| format | Article |
| id | doaj-art-a8c3eae921aa47149ce0402b1aac6f7c |
| institution | Kabale University |
| issn | 2467-9100 2091-0576 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj-art-a8c3eae921aa47149ce0402b1aac6f7c2024-12-05T04:17:54ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762024-12-0115124550https://doi.org/10.3126/ajms.v15i12.71040To compare the efficacy of hyperbaric levobupivacaine (0.5%) versus hyperbaric bupivacaine (0.5%) in the subarachnoid block for infraumbilical surgeriesRachna Gupta 0https://orcid.org/0009-0006-6006-4614Jitendra Agrawal 1https://orcid.org/0009-0001-2470-4761Preeti Goyal 2https://orcid.org/0000-0002-6057-4781Shreya Putta 3https://orcid.org/0009-0003-1385-7011Bharat Tarachandani 4https://orcid.org/0009-0001-6739-9429Postgraduate Resident, Department of Anaesthesiology, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India Professor, Department of Anaesthesiology, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India Professor and Head, Department of Anaesthesiology, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India Postgraduate Resident, Department of Anaesthesiology, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India Postgraduate Resident, Department of Anaesthesiology, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India Background: Spinal anesthesia is the neuraxial regional anesthesia technique used in infraumbilical surgeries such as inguinal hernia, hydrocele, hysterectomy, and lower limb surgeries. Levobupivacaine and bupivacaine are local anesthetic agents used for spinal anesthesia. Aims and Objectives: The aim of the study was to compare the efficacy of hyperbaric levobupivacaine (0.5%) versus hyperbaric bupivacaine (0.5%) in subarachnoid blocks for infraumbilical surgeries. Materials and Methods: A total of 112 patients with American Society of Anesthesiologists grades 1 and 2 scheduled for infraumbilical surgeries were randomly divided into two groups. Group L received 3 mL of hyperbaric levobupivacaine, and group B received 3 mL of hyperbaric bupivacaine intrathecally. The onset of sensory block, onset, and duration of motor block, duration of analgesia and time of first rescue analgesia, hemodynamic parameters, and post-operative side effects, if any, were recorded. Results: The time of onset of sensory block at T10 for group L was 03.16±00.29 min and for group B was 02.16±00.27 min and the time of onset of motor block was higher in group L (03.29±00.32 min) compared to group B (02.45±00.32 min). Duration of motor block was significantly shorter in group L (209.80±6.44 min) compared to group B (252.41±11.49 min). All these findings were statistically significant. Conclusion: Levobupivacaine had a delayed onset of sensory and motor block as compared to bupivacaine, but due to its short duration of motor block and better hemodynamic profile, it seems to be a better alternative to bupivacaine.https://www.nepjol.info/index.php/AJMS/article/view/71040levobupivacaine; bupivacaine; subarachnoid block |
| spellingShingle | Rachna Gupta Jitendra Agrawal Preeti Goyal Shreya Putta Bharat Tarachandani To compare the efficacy of hyperbaric levobupivacaine (0.5%) versus hyperbaric bupivacaine (0.5%) in the subarachnoid block for infraumbilical surgeries Asian Journal of Medical Sciences levobupivacaine; bupivacaine; subarachnoid block |
| title | To compare the efficacy of hyperbaric levobupivacaine (0.5%) versus hyperbaric bupivacaine (0.5%) in the subarachnoid block for infraumbilical surgeries |
| title_full | To compare the efficacy of hyperbaric levobupivacaine (0.5%) versus hyperbaric bupivacaine (0.5%) in the subarachnoid block for infraumbilical surgeries |
| title_fullStr | To compare the efficacy of hyperbaric levobupivacaine (0.5%) versus hyperbaric bupivacaine (0.5%) in the subarachnoid block for infraumbilical surgeries |
| title_full_unstemmed | To compare the efficacy of hyperbaric levobupivacaine (0.5%) versus hyperbaric bupivacaine (0.5%) in the subarachnoid block for infraumbilical surgeries |
| title_short | To compare the efficacy of hyperbaric levobupivacaine (0.5%) versus hyperbaric bupivacaine (0.5%) in the subarachnoid block for infraumbilical surgeries |
| title_sort | to compare the efficacy of hyperbaric levobupivacaine 0 5 versus hyperbaric bupivacaine 0 5 in the subarachnoid block for infraumbilical surgeries |
| topic | levobupivacaine; bupivacaine; subarachnoid block |
| url | https://www.nepjol.info/index.php/AJMS/article/view/71040 |
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