Ain-Shams Journal of Anaesthesiology

ORIGINAL ARTICLE
Year
: 2015  |  Volume : 8  |  Issue : 4  |  Page : 608--612

A comparative study between levobupivacaine and hyperbaric bupivacaine in spinal anesthesia for ambulatory brachytherapy for carcinoma of the cervix


Ismail M Abdelgawad Ahmed, Tarek Abdelsalam, Ahmad Zedan 
 Department of Anesthesia, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Correspondence Address:
Ismail M Abdelgawad Ahmed
Flat 41, 48 Manial Street, 35855 Cairo
Egypt

Objective This study aimed to assess the clinical efficacy of levobupivacaine in spinal anesthesia for day-case brachytherapy for carcinoma of the cervix. Study design A prospective, randomized, double-blind study was conducted at the Anesthesia Department of Al-Azhar University Hospitals over a period of 6 months. Patients and methods Between July 2013 and January 2014, 40 female patients were included in the study after approval of the Local Ethics Committee of Anesthesia and Intensive Care Department of Al-Azhar University. Informed consent was taken from the patients who were randomized into two groups. Bupivacaine group, which included 20 patients who received intrathecal 7.5 mg of 0.5% hyperbaric bupivacaine; and levobupivacaine group, which included 20 patients who received intrathecal 7.5 mg of 0.5% levobupivacaine. About 25 mg fentanyl was added to the local anesthetic solution in both groups through the L3/L4 interspace. The upper level of sensory blockade, two-segment sensory regression, S2 regression, side effects of the local anesthetic used, urination, ambulation, and the duration of hospital stay were assessed. Results There were no significant differences between both groups regarding the level of sensory blockade, the onset of sensory blockade to the T10 dermatome, and side effects of the local anesthetic. The time to two-segment regression, S2 regression, ambulation, and the duration of hospital stay were significantly shorter in the levobupivacaine group (P < 0.05). Conclusion The mixture of 7.5 mg of 0.5% levobupivacaine+25 mg fentanyl given intrathecally was more effective as it provided sensory and surgical blockade with minimal side effects and early home discharge in ambulatory brachytherapy for carcinoma of the cervix compared with 7.5 mg of 0.5% hyperbaric bupivacaine+25 mg fentanyl.


How to cite this article:
Abdelgawad Ahmed IM, Abdelsalam T, Zedan A. A comparative study between levobupivacaine and hyperbaric bupivacaine in spinal anesthesia for ambulatory brachytherapy for carcinoma of the cervix .Ain-Shams J Anaesthesiol 2015;8:608-612


How to cite this URL:
Abdelgawad Ahmed IM, Abdelsalam T, Zedan A. A comparative study between levobupivacaine and hyperbaric bupivacaine in spinal anesthesia for ambulatory brachytherapy for carcinoma of the cervix . Ain-Shams J Anaesthesiol [serial online] 2015 [cited 2021 Dec 1 ];8:608-612
Available from: http://www.asja.eg.net/article.asp?issn=1687-7934;year=2015;volume=8;issue=4;spage=608;epage=612;aulast=Abdelgawad;type=0