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Indian Journal of Anesthesia and Analgesia

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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

Amarjeet D. Patil, 573, Behind Marathi School, Malkaripada Road, Naroda, PostUmberpada, Saphale, Tal/DistPalghar, Maharashtra India401102. , Olvyna D’Souza1 , Amarjeet D. Patil2 , Divya Madan3 , Arjun Joshi3

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Indian Journal of Anesthesia and Analgesia 4(4):p 917-923, October-December 2017. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.4417.1

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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.

 

    

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.4417.1

Keywords

Epidural; Levobupivacaine; Ropivacaine; PotOp Analgesia.

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