Abstract:
The aim of our study was to compare the onset and duration of sensory and motor block, hemodynamic effects, neonatal outcome and adverse effects of isobaric levobupivacaine and hyperbaric bupivacaine in parturients undergoing elective lower segment cesarean section. Methodology: Clinical records of parturients, who had undergone elective cesarean section and who had received either isobaric levobupivacaine 2 ml or hyperbaric bupivacaine 2 ml, and fulfilled inclusion and exclusion criteria were reviewed retrospectively and sorted out in two groups of 30 each. Variables investigated included demographic profile, ASA grading, block characteristics, hemodynamic parameters, neonatal apgar score and any anesthesia related complications. Results: One hundred and forty medical records were evaluated. Demographic profile, block characteristics and anesthesia related complications were similar in both of the groups and statistically insignificant. There was more drop in systolic blood pressure in bupivacaine group at second (p=0.001) and fourth minute (p=0.006), when compared to levobupivacaine group. Conclusion: Isobaric levobupivacaine is a good alternative to hyperbaric bupivacaine for subarachnoid block due to its better hemodynamic stability in cesarean sections.
Page(s):
26-31
DOI:
DOI not available
Published:
Journal: Anaesthesia, Pain and Intensive Care, Volume: 20, Issue: 1, Year: 2016