Comparison of Hyperbaric Ropivacaine and Hyperbaric Levobupivacaine in Lower Limb Orthopedic Surgery under Subarachnoid Block: A Prospective Randomized Controlled Trial

Key Points

• This research aims to compare the effectiveness and safety of hyperbaric ropivacaine and levobupivacaine for spinal anesthesia during lower limb orthopedic surgeries.
• Conducted a prospective randomized controlled trial
• Evaluated patients undergoing lower limb orthopedic surgery
• Compared the effects of hyperbaric ropivacaine vs hyperbaric levobupivacaine
• Assessed onset, duration, and recovery times
• Monitored hemodynamic stability and adverse effects
• Levobupivacaine showed faster onset and longer duration of sensory and motor block
• Ropivacaine resulted in quicker recovery but shorter analgesia
• Levobupivacaine was associated with better hemodynamic stability
• Higher incidence of adverse effects noted with ropivacaine

Abstract