Comparison of Levobupivacaine and Bupivacaine in Spinal Anaesthesia in Endourology: A Study of 100 Cases

Introduction: Spinal anaesthesia is a type of neuraxial blockade obtained by blocking the spinal nerves in the sub arachnoid space. The local anesthetic is deposited in the sub arachnoid space act on the spine nerve roots. Spinal anaesthesia is widely used for urological surgeries such as ureteric stone removal, transurethral resection of prostate and transurethral endoscopic surgeries. Many patients undergoing TURP or stone retrieval belong to the elderly age group having co existing pulmonary or cardiac disease. By reducing the dose of local anaesthetic, side effects can be decreased.

Aim & Objectives of the study: To compare the clinical efficacy of Levobupivacaine and Bupivacaine in Spinal anaesthesia based on the, Onset and duration of sensory blockade, Onset and duration of motor blockade, Maximum height of sensory blockade, Haemodynamic parameters, Complications/side effects if any.

Results: the data and statistical analysis suggest that the time to onset of sensory blockade and motor blockade is longer with Levobupivacaine when compared to Bupivacaine. Two segment regression time and recovery of sensory blockade is shorter in Levobupivacaine group. Levobupivacaine could be used as a safer alternative to Bupivacaine in spinal anaesthesia for Tran’s urethral endoscopic procedures.


Rama Devi

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