Comparison of intrathecal levobupivacaine with fentanyl and bupivacaine with fentanyl in cesarean section

Nitin Goyal; Shalendra Singh; Prashantha Kumar H M; Aruna Jain; Ranju Singh

Volume : VIII, Issue : IV, April - 2019

Comparison of intrathecal levobupivacaine with fentanyl and bupivacaine with fentanyl in cesarean section

Nitin Goyal, Shalendra Singh, Prashantha Kumar H M, Aruna Jain, Ranju Singh

Abstract :

Backgrounds: Levobupivacaine may be preferred over bupivacaine for spinal anaesthesia (SA) in caessarian section (CS) of being less haemodynamic changes and shorter duration of motor block. Hence the present study was designed with primary objective of comp� the clinical effects of two drugs. Methods: Group B (n=50) and group L (n=50) received 1.8 ml of 0.5% bupivacaine and levobupivacaine with 25 �g fentanyl (0.5 ml) intrathecally respectively. Motor block and sensory block were assessed with Bromage scale and pinprick method. Results: Duration of motor block was found to be significantly shorter in group L (153.6�36 min) as compared to group B (189.9�22.6 min). Group L had longer onset, equal level and shorter duration of sensory block as compared to group B. The duration of effective analgesia was shorter in group L than in group B. Quality of surgical anaesthesia, Apgar score and side effects were similar in both the groups. Conclusion: Levobupivacaine allowing early mobilization with lesser incidence of hypotension.