Abstract

The study's goal is to compare how intrathecal isobaric 0.75% ropivacaine and fentanyl compare to intrathecal isobaric 0.5% levobupivacaine and fentanyl in terms of how long anesthesia lasts during elective infra umbilical surgeries. to evaluate the quality of subarachnoid blockade produced by 0.5% levobupivacaine and fentanyl versus 0.75% ropivacaine and fentanyl. Material and Methods: A prospective comparative clinical study was conducted on eighty patients at Department of Anaesthesia, Andhra Medical College, Visakhapatnam, Andhra Pradesh, India, from June 2022 to November 2022. The study population was randomly divided into 2 groups using a sealed envelope method. Results: There was no statistically significant difference between the mean weights of Group R (58.125 ±5.35 kg) and Group L (57.97 ±4.44 kg; Graph 3; p=.0.8919). The heart rates of the two groups did not differ in a statistically significant way. In Group L (3.280.96mins), sensory block began sooner than in Group R (3.831.43mins). In comparison to Group R (6.132.15mins), Group L had an earlier onset of motor block (5.181.88mins). Comparing Group L (114.3830.24mins) to Group R (101.1324.56mins), a prolonged regression of the sensory block to L1 was observed. In comparison to Group L (267.3857.53mins), the time required for the first rescue analgesia (321.8676.79mins) was longer in Group R. Conclusion: According to the results of the current study, 0.75% ropivacaine produced better, longer-lasting sensory blockade with quicker motor recovery. Therefore, 0.75% ropivacaine is a better drug for encouraging early ambulation and can be used in quick surgeries

Description