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Volume 4 Issue 4 (July - August, 2016)

Original Articles

Comparative evaluation of hemodynamic effect of Isobaric levobupivacaine with fentanyl and isobaric ropivacaine and fentanyl: An observational study
Anisur Rehman, Jahangir Nazir Kawoosa

Background: The present study was conducted for comparing the efficacy of Isobaric levobupivacaine and fentanyl with isobaric ropivacaine and fentanyl. Materials & methods: A total of 40 subjects scheduled to undergo Caesarean section were enrolled. Complete demographic and clinical details of all the patients was obtained. Baseline hemodynamic variables were monitored continuously. Patients were randomly divided into two groups. For Group A (n = 20); 10 mg 0.5% (2 ml) Isobaric levobupivacaine + 25 μg (0.5 ml) fentanyl, for Group B (n = 10); 10 mg 0.5% (2 ml) isobaric ropivacaine + 25 μg (0.5 ml) fentanyl, being a total of 2.5 cc, administered intrathecally within 10 s. Subsequently, patients were turned to the supine position. All the surgical C Section procedures were carried out under strict septic conditions. Continuous intraoperative monitoring of all the patients was done. All the results were recorded and analysed using SPSS software. Results: Time to onset of anesthesia was significantly lower among the subjects of group A. However; non-significant results were obtained while comparing the hemodynamic response among the patients of the two study groups. Conclusion: No significant dissimilarity among the haemodynamic parameters between isobaric levobupivacaine and fentanyl with isobaric ropivacaine and fentanyl.

 
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