A STUDY TO COMPARE CLINICAL AND ANAESTHETIC PROPERTIES OF ISOBARIC RACEMIC BUPIVACAINE AND ISOBARIC LEVOBUPIVACAINE DURING SPINAL ANAESTHESIA IN LOWER LIMB SURGERY

DR ALAKA PUROHIT; DR SEEMA REGAR; DR MANOHAR LAL KANWARIA; DR ZARA WANI

Volume : VII, Issue : VIII, August - 2018

A STUDY TO COMPARE CLINICAL AND ANAESTHETIC PROPERTIES OF ISOBARIC RACEMIC BUPIVACAINE AND ISOBARIC LEVOBUPIVACAINE DURING SPINAL ANAESTHESIA IN LOWER LIMB SURGERY

Dr Alaka Purohit, Dr Seema Regar, Dr Manohar Lal Kanwaria, Dr Zara Wani

Abstract :

Aim : To compare clinical and anaesthetic features of racemic bupivacaine and levobupivacainewhen intrathecally administered in 130 patients undergoing lower limb orthopaedic surgical procedures.

Materials and Methods:Its a prospective, double blind study,in which 130 patients were randomly divided into two groups: Group–I receiving isobaric Levobupivacaine 0.5% while Group–II receiving isobaric bupivacaine 0.5% (3 ml) intrathecaly at L3 –L4 level through 25 g spinal needle , 65 patients in each group. Sensory and motor blockades were evaluated by the pinprick test and a modified Bromage score, respectively. Vital parameters, postoperative VAS and rescue analgesia were recorded as well.

Results:No significant difference was observed in duration of sensory block, onset and duration of motor block ,the mean durations of 2 segment regression, total duration of analgesia, and meanVAS score .Hypotension was significantly observed in group B as compared to group A. There was no significant difference in number of patients experiencing episodes of adycardia and respiratory distress.

Conclusions: Intrathecal isobaric levobupivacaine shows good results with hypotensive patient.