A Comparison of the Effectiveness of Post-operative Analgesia for Single Dose Epidural 0.125% Levobupivacaine and 0.2% Ropivacaine in Patients Posted for Elective Lower Limb Surgeries
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2017, Vol 4, Issue 4
Abstract
Central neuraxial blockade in the form of epidural is very popular for lower abdominal and lower limb surgeries as these techniques avoids the disadvantages associated with general anaesthesia like airway manipulation, poly pharmacy and other untoward effects like postoperative nausea,vomiting, need for supplemental intravenous analgesic. Despite of many different local anaesthetics we are still looking for the ideal one. Levobupivacaine and ropivacaineare getting more popularity due to their prolonged duration of action and less cardio/neurotoxicity. This randomized prospective studyon sixty patients aged between 2060 years of either sex belonging to ASA class I and class II posted for elective lower limb orthopaedic surgeriescomparedsingle dose epidural 0.125% levobupivacaine and single dose epidural 0.2% ropivacaine for postoperative analgesia and showed that levobupivacaine produces higher postoperative analgesia as compared to ropivacaine.
Authors and Affiliations
Olvyna D’Souza
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