Mansoor Ali Savadathi, K. Sushma, V.S. Prameela, Amod Kattani Shyamprasad, S. Premalatha, N.S. Kodandaram and G.L. Ravindra
Page: 311-315 | Received 20 Mar 2024, Published online: 08 May 2024
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Neuraxial anaesthesia is the favored approach for caesarean sections, often employing local anaesthetics such as Bupivacaine, Chloroprocaine and Ropivacaine. However, there's limited data comparing 2‐Chloroprocaine to Bupivacaine specifically in patients undergoing LSCS. An optimal spinal anaesthetic for brief surgeries should offer swift onset and offset while ensuring effective postoperative pain management." Aim of our study is to compare the recovery characteristics of spinal anaesthesia between 1% 2‐Chloroprocaine and 0.5% Bupivacaine heavy in elective LSCS. In this comparative study, 30 pregnant females aged 18‐35 years with ASA #2 status posted for elective LSCS under Subarachnoid block were randomly divided into 2 groups of 15 each. Bupivacaine group was administered with 2ml (10mg) of 0.5% Bupivacaine heavy while Chloroprocaine group was administered with 2.5ml (25mg) of 1% 2 Chloroprocaine , characteristics of sensory, motor block and hemodynamic characteristics were recorded. It was found that there were no significant variation between the groups with respect to age, height, weight, BMI and duration of surgery and hemodynamic parameters. The duration of postoperative analgesia and time of 2 segment regression were significantly faster in Chloroprocaine group (70.58±21.15min) and (45±6.9min) compared to Bupivacaine group (168.41±17.94min) and (128±27.82min). Similarly, Duration of motor blockade was far more in Bupivacaine group (127.45min±16.32min) compared to Chloroprocaine group (59.75min±9.97min). Hypotension and bardycardia occurred more frequently in Bupivacaine group when compared to Chloroprocaine group but these were in acceptable range and not statistically significant. Spinal anaesthesia with 1% 2 Chloroprocaine for LSCS in comparison to 0.5% Bupivacaine Heavy produces adequate sensory and motor block without unnecessary prolonged postoperative stay and serious hemodynamic changes.
Mansoor Ali Savadathi, K. Sushma, V.S. Prameela, Amod Kattani Shyamprasad, S. Premalatha, N.S. Kodandaram and G.L. Ravindra. Comparison of Recovery Characteristics From Spinal Anaesthesia Between 1% 2 Chloroprocaine and 0.5% Bupivacaine Heavy in Elective LSCS.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.6.311.315
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.6.311.315