Comparative study of ropivacaine (0.5%) plain versus levobupivacaine (0.5%) plain in gynecological surgeries

Authors

  • Sunita Jain Department of Anaesthesiology, Amaltas Institute of Medical Sciences, Village Bangar, Dewas Ujjain Highway, District Dewas, Madhya Pradesh, India
  • Hari Prasad Bendwal Department of Anaesthesiology, Amaltas Institute of Medical Sciences, Village Bangar, Dewas Ujjain Highway, District Dewas, Madhya Pradesh, India
  • Pooja Deodhar Department of Obstetrics and Gynaecology, Amaltas Institute of Medical Sciences, Village Bangar, Dewas Ujjain Highway, District Dewas, Madhya Pradesh, India
  • Pawan Bhambani Department of Pathology, Index Medical College Hospital and Research Centre, Indore, Madhya Pradesh, India
  • Rakesh Romday Department of General Medicine, Amaltas Institute of Medical Sciences, Village Bangar, Dewas Ujjain Highway, District Dewas, Madhya Pradesh, India
  • Preeti Jain Department of Obstetrics and Gynaecology, Amaltas Institute of Medical Sciences, Village Bangar, Dewas Ujjain Highway, District Dewas, Madhya Pradesh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20171431

Keywords:

Gynecological surgeries, Levobupivacaine, Regional anesthesia, Ropivacaine

Abstract

Background: Regional anesthesia increasingly used for gynecological surgeries, has advantage of decreased stress response to surgery, decreased cardiorespiratory depression, with improved postoperative analgesia.

Methods: This randomized, prospective, double blind study was conducted at Amaltas Institute of Medical Sciences, Banger Dewas in Department of Anesthesia between June 2016-December 2016. Sixty patients who were posted for gynecological surgeries were enrolled and randomly divided into two groups: Group R received 3.5 ml (17.5 mg) 0.5% ropivacaine plain and Group L received 3.5 ml (17.5 mg) 0.5% levobupivacaine plain. The onset and duration of sensory and motor block and any undesirable side effects were noted.

Results: Demographic parameters were comparable between the two groups (P >0.05). Onset of sensory and motor block was significantly faster in Group L, duration of motor and sensory block was significantly less in Group R. Patients in group R were hemodynamically stable (P = 0.032) compared to group L.

Conclusions: Both ropivacaine and levobupivacaine have the desirable blocking property and can be used in gynecological surgeries. Ropivacaine showed shorter duration of sensory and motor block allowed early mobilization and early recovery of patients.

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Published

2017-03-30

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Original Research Articles