COMPARISON OF THREE DIFFERENT DOSES OF HYPERBARIC ROPIVACAINE IN SPINAL ANESTHESIA FOR CAESAREAN SECTION

Volume : IV, Issue : IV, April - 2015

Dr. Dharmendra Carpenter, Dr. Neha Agrawal, Dr. Reema Meena

Spinal hyperbaric Ropivacaine may produce more predictable and reliable anesthesia than plain ropivacaine for

caesarean section. This double blind, randomised , dose response study compared three different doses of hyperbaric

ropivacaine for spinal anesthesia in caesarean section in terms of clinical efficacy and safety.Ninety six parturients

undergoing elective caesarean section delivery under spinal anesthesia were randomised to receive spinal hyperbaric ropivacaine in doses

of 10mg,12.5 mg and 15mg at L3–L4 interverteal space. The highest level of sensory block, duration of motor and sensory block, rate of

successful anesthesia outcome and rate of hypotension were significantly related to ropivacaine dose. Ropivacaine 12.5 mg is suitable dose for

spinal anesthesia for caesarean delivery with adequate anesthesia and minimal side effects.