EFFICIENCY OF BUPIVACAINE AND LEVOBUPIVACAINE IN ORTHOPAEDIC AND GYNAECOLOGICAL SURGERIES USING SEQUENTIAL COMBINED SPINAL AND EPIDURAL ANAESTHESIA.

Dr. E. Hari Bhagavan; Dr. Naga Bhargavi

Volume : VIII, Issue : IV, April - 2018

EFFICIENCY OF BUPIVACAINE AND LEVOBUPIVACAINE IN ORTHOPAEDIC AND GYNAECOLOGICAL SURGERIES USING SEQUENTIAL COMBINED SPINAL AND EPIDURAL ANAESTHESIA.

Dr. E. Hari Bhagavan, Dr. Naga Bhargavi

Abstract :

Background: In the present study,bupivacaine is most commonly used for spinal anesthesia.Levobupivacaine is levoenantiomer of bupivacaine and is less cardiotoxic compared to bupivacaine.

Objective:To evaluate the efficiency of sequential spinal and epidural anesthesia with bupivacaine and levobupivacaine in orthopaedic and gynaecological surgeries.

Methodology: 60 ASA grade 1 & 2 patients of both genders and of different age groups undergoing elective orthopaedic and gynaecological surgeries were included in the study.

They were divided into two groups

GroupA– 3ml of 0.5% Isobaric Bupivacaine–30 cases

Group B–3ml of 0.5 % Isobaric Levobupivacaine–30 cases

Results– The time of onset, time taken to reach highest sensory level are significantly prolonged with isobaric levobupivacaine compared to isobaric bupivacaine group.

Conclusion–It can be concluded by the present comparitive and statistically significant results that levobupivacaine is a safer alternative to bupivacaine which is commonly being used in neuraxial blockade.