AN INVESTIGATION INTO THE USE OF ISOBARIC LEVOBUPIVACAINE AND ROPIVACAINE FOR SPINAL ANAESTHESIA DURING ELECTIVE LOWER LIMB ORTHOPAEDIC PROCEDURES.

Authors

  • Mrituanjay Kumar  Assistant Professor, Department of Anaesthesia, SNNMCH, Dhanbad, Jharkhand, India
  • Piyush Kumar Sengar Assistant Professor, Department of Anaesthesia, SNNMCH, Dhanbad, Jharkhand, India

DOI:

https://doi.org/10.51168/sjhrafrica.v5i3.1147

Keywords:

Levobupivacaine, Ropivacaine, Spinal Anaesthesia, Lower Limb Orthopaedic Surgery

Abstract

Objectives:

The investigation aimed to contrast the anaesthetic activity of isobaric ropivacaine and levobupivacaine in lower limb orthopaedic surgeries, examining their respective onset, duration of loss of motor and sensory functioning, as well as overall safety profile.

Methods:

A randomized, double-blind investigation spanning for over a year was conducted at Shahid Nirmal Mahato Medical College in Dhanbad, Jharkhand, India to contrast the effectiveness of ropivacaine and levobupivacaine in orthopaedic surgeries of lower extremities among 120 ASA Class I and II adult patients. Employing a shuffled sealed envelope method, participants were categorized into two cohorts (Group R and Group L), and various parameters, such as sensory blockade, motor blockade, changes in the hemodynamic profile, in addition to safety, were assessed.

Results:

The investigation, involving 120 patients, categorized into Group R (Ropivacaine) and Group L (Levobupivacaine) revealed no statistically significant variations in the average time taken for surgery (81.23 min vs. 73.48 min). A similar observation was noted with the average time of commencement of sensory analgesic effect after 10 minutes (6.89 min vs. 9.24 min). The analysis of the loss of sensory and motor functioning, particularly in context with the average duration needed for maximum level of blocking sensory functioning (12.45 min vs. 16.39 min) were comparable in both cohorts. Furthermore, both groups exhibited stable hemodynamics, and neither reported common complications, emphasizing the safety profile of ropivacaine and levobupivacaine in surgical procedures of the lower extremity.

Conclusion:

The study demonstrates comparable efficacy and safety profiles between isobaric ropivacaine and levobupivacaine in lower limb orthopaedic surgeries, highlighting their interchangeability for anaesthesia management in such procedures.

Recommendation:

The study recommends further research exploring specific patient populations or surgical contexts to refine anaesthetic choices for enhanced clinical outcomes.

Published

2024-04-01

How to Cite

Kumar, M. ., & Sengar, P. K. . (2024). AN INVESTIGATION INTO THE USE OF ISOBARIC LEVOBUPIVACAINE AND ROPIVACAINE FOR SPINAL ANAESTHESIA DURING ELECTIVE LOWER LIMB ORTHOPAEDIC PROCEDURES. Student’s Journal of Health Research Africa, 5(3). https://doi.org/10.51168/sjhrafrica.v5i3.1147

Issue

Section

Section of Anesthesia and Surgery Research