A Comparative Evaluation of Hyperbaric Ropivacaine Versus Hyperbaric Bupivacaine for Lower Limb Surgeries
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Abstract
Background: Anesthesiologists frequently utilize various local anesthetics for intrathecal administration, including isobaric or hyperbaric formulations of ropivacaine, levobupivacaine, and bupivacaine solutions. Among these, hyperbaric local anesthetics like ropivacaine, levobupivacaine, and bupivacaine solutions are particularly prevalent. Aim of this study to compare the clinical efficacy and safety of hyperbaric 0.75% ropivacaine and hyperbaric 0.5% bupivacaine under spinal anaesthesia for lower limb surgeries, focusing on sensory and motor block characteristics. Methods: A randomized double-blind, prospective study, total 130 patients aged 18-50 undergoing lower limb surgeries. The study excluded patients with unwillingness, psychiatric diseases, emergency surgeries, drug abuse history, medical complications, coagulation disorders, local infections, spinal deformities, heart block or dysrrhythmia, sensory block not achieved till T10 level, and motor block less than 3(BS-3). Patients in the study were categorized into two groups: one receiving 0.75% ropivacaine and the other receiving 0.5% bupivacaine for spinal anaesthesia. The main objective was to investigate the effects of ropivacaine on spinal anaesthesia outcomes. Results: Total of 130 patients were analyzed, comparing the demographics and clinical parameters between two groups, R and B. The mean age of participants was 40.36±9.76 years, with average weight and height at 66.94±15.53 kg and 164.22±14.79 cm, respectively. Both groups had similar mean surgical durations, 120.74 minutes for group R and 121.01 minutes for group B. While group B exhibited shorter sensory and motor blockade durations, group R showed longer times. Bromage scores were found to be comparable between the two groups. Conclusion: The study compared ropivacaine and bupivacaine in spinal anesthesia duration, finding no significant difference. Bupivacaine had longer sensory blocking and motor blockage time, while ropivacaine had superior hemodynamic stability.
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Copyright (c) 2025 Dr Satyendra Singh Yadav, Dr Pallavee Priyadarshini
This work is licensed under a Creative Commons Attribution 4.0 International License.
Creative Commons License All articles published in Annals of Medicine and Medical Sciences are licensed under a Creative Commons Attribution 4.0 International License.
Dr Pallavee Priyadarshini, Assistant Professor, Department of Anaesthesiology, GSVM Medical College, Kanpur-208002, Uttar Pradesh, India.
Assistant Professor, Department of Anaesthesiology, GSVM Medical College, Kanpur-208002, Uttar Pradesh, India.
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