Introduction:
Spinal anaesthesia is the most common neuraxial block used in a surgical setting. The main advantage is the high success rate, safety record, rapid onset, predictable duration, minimal side effects and reliable offset. The study aimed to compare Levobupivacaine and Levobupivacaine with Butorphanol in terms of onset of sensory and motor blockade, duration of sensory and motor block, two segment regression time, hemodynamic changes, time for first rescue analgesia and complications in infraumbilical surgeries.
Materials and methods: 60 patients of ASA class 1 and 2 of age 19 to 65 years were selected for the study and divided into two groups with 30 patients each.
Group A - 15 mg (3 ml) of 0.5% Levobupivacaine + 0.1 ml Normal saline.
Group B- 15 mg (3 ml) of 0.5% Levobupivacaine + 100 g (0.1 ml) of Butorphanol.
All groups received drugs at L2-L3 intervertebral space.
Result: On comparing both groups, the sensory and motor blockade duration was more in group B. The two-segment regression time was more in group B, and the time for the first rescue analgesia was also more in group B. Hemodynamic stability was achieved in group B with minimal change in the parameters and fewer complications.
Conclusion: we concluded that adding injection Butorphanol with Levobupivacaine gives hemodynamic stability compared to Levobupivacaine alone intrathecally and provides a longer duration of sensory and motor blockade and superior analgesia than intrathecal levobupivacaine alone.
Key words: spinal anesthesia, analgesia, intrathecal, Levobupivacaine, Butorphanol
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