BACKGROUND Some investigators found a greater incidence of hypotension in patients receiving intrathecal hyperbaric solution than in patients receiving plain solution for cesarean section. OBJECTIVE Compare the effects of intrathecal hyperbaric bupivacaine 10 mg with intrathecal bupivacaine 11 mg and intrathecal levobupivacaine 11 mg, all with 10 microg of fentanyl, for cesarean section. MA...

Background: Dexmedetomidine produces manageable hypotension and bradycardia, but the striking feature of this drug is lack opioid-related side effects such as respiratory depression, pruritus, nausea vomiting. Addition dexmedetomidine to local anaesthetic drugs during peripheral nerve blocks may also prove beneficial for surgical patients. Hence, present study was performed compare effectivenes...

Academia Anesthesiologica International, Vol (1), Issue (1) Page 28 Comparative Evaluation of Newer Local Anesthetics (Levobupivacaine and Ropivacaine) With Bupivacaine, in Lumbar Epidural Anesthesia for Hip Surgeries: A Randomized Controlled Trial Subhro Mitra1, Geeta Bhandari2, Rahul Chauhan3 1Assistant Professor, Department of Anesthesiology, GMC Haldwani. 2Professor & HOD, Department of Ane...

BACKGROUND Local anaesthetics (LA) injected intraperitoneally have been found to decrease postoperative pain. This double-blind randomized study was performed comparing continuous infusion or patient-controlled intraperitoneal (i.p.) bolus injection of LA. The primary endpoint was supplemental opioid consumption during the first 24 postoperative hours. METHODS Two multi-hole catheters were pl...

OBJECTIVE The aim of this prospective, randomized, double-blind study was to investigate the postoperative analgesic effects of levobupivacaine or tramadol infiltration administered prior to surgery in septorhinoplasty (SRP) or endoscopic sinus surgery (ESS). MATERIAL AND METHODS Sixty ASA class I-III adult patients electively undergoing SRP or ESC were included the study. Induction of anesth...

BACKGROUND Tramadol has been administered peripherally to prolong analgesia after brachial plexus and neuraxial blocks. Our aim was to evaluate the systemic and perineural effects of tramadol as an analgesic adjunct to psoas compartment block (PCB) with levobupivacaine. METHODS In a randomized, prospective, double-blinded trial, 60 patients (ASA I-III), aged 49-88 yr, undergoing primary total...

BACKGROUND AND METHODS Until recently, bupivacaine had been the anesthetic of choice for loco-regional blocks due to the quality and duration of the anesthesia. But its cardiovascular toxicity is a source of concern for anesthesiologists who seek new pharmacological options with a smaller degree of this problem. Its levorotatory isomer, levobupivacaine, that would be less cardiotoxic due a smal...

The transversus abdominis plane (TAP) block is a novel approach for blocking the abdominal wall neural afferents via the bilateral lumbar triangles of Petit. It was described for the first time in 2007 by McDonnell et al. We applied the technique after the original methodology of the authors. We evaluated its analgesic efficacy first 24 postoperative hours of patients, undergoing to surgical an...