A COMPARATIVE STUDY OF EFFICACY OF INTRATHECAL BUPIVACAINE AND LEVOBUPIVACAINE FOR CAESAREAN SECTION.

Introduction: Spinal anaesthesia is a balance technique used for cesarean delivery. It provides rapid onset of anesthesia and complete muscle relaxation. Objective: To assess and compare the onset of sensory and motor block, duration of sensory and motor block, neonatal outcome, cardiovascular parameters and adverse drug reactions. Material and Methods: This was a prospective, randomized, double blind study. A total of 60 patients were enrolled and divided into 30 in each group. Group A was given 8.5 mg Isobaric Levobupivacaine with 15 g ?g Fentanyl and Group B was given 8.5 mg Hyperbaric Bupivacaine with 15 ?g Fentanyl. Result: The difference in the onset of sensory block and motor block and duration of sensory and motor block was statistically significant in two groups. Conclusion: The combination of Isobaric Levobupivacaine with Fentanyl can be used as a safe and effective alternative to Hyperbaric Bupivacaine with Fentanyl for spinal anaesthesia in cesarean section as, it provides comparable sensory block characteristics, early motor recovery allowing early mobilization, stable haemodynamics and good foetal well being.