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Anaesthetic management of nephrectomy in a chronic obstructivepulmonary disea…
Nephrectomies are usually performed under general anaesthesia alone or in combi-nation with regional anaesthesia and rarely under regional anaesthesia alone. We report themanagement of a patient with chronic obstructive pulmonary disease with a history of recurrentspontaneous pneumothorax undergoing nephrectomy under regional anaesthesia alone
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The effect of addition of dexamethasone to levobupivacaine in parturients rec…
Regional analgesia is commonly used for the relief of labour pain, Prolongation of analgesia can be achieved by adjuvant medications. The aim of this randomisedrncontrolled trial was to evaluate the efficacy of intrathecal levobupivacaine with dexamethasone forrnlabour analgesia
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Quality of Labor Epidural Analgesia and Maternal Outcome With Levobupivacaine…
Backgrpund : Quality of labor analgesia plays a vital role in the maternal outcome. Very few literature are available analyzing the quality of epidural labor analgesia. Aim: The aim of this study was to compare the effectiveness of 0.1% levobupivacaine and 0.1% ropivacaine with fentanyl as an adjuvant for epidural labor analgesia in terms of onset, duration, quality of analgesia, and degree …
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Levobupivacaine for labor analgesia
Combined spinal‑epidural analgesia has become the preferred technique for labor analgesia as it combines the benefits of both spinal analgesia and flexibility of epidural catheter. Study was carried out with the primary aim to compare levobupivacaine and ropivacaine with fentanyl in terms of onset and duration of sensory block and to know maternal and fetal outcome
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FETOMATERNAL OUTCOME OF PREGNANCY WITH PREVIOUS CESAREAN SECTION
The current study concludes that women with a prior cesarean are at increased risk for repeat cesarean section. Vigilance with respect to indication at primary cesarean delivery, proper counseling for trial of labor and proper antepartum and intrapartum monitoring of patients, are key to reducing the cesarean section rates. The antepartum, intrapartum and postpartum complications are more in re…
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Implications of diabetes in obstetric anaesthesia
Diabetes during pregnancy can be classified as gestational diabetes mellitus (GDM) or pre-existing diabetes. Many women identified as having diabetes mellitus for the first time in pregnancy are classified as having GDM, although they may actually have pre-existing diabetes. This diagnosis has significant implications for obstetric anaesthesia with regards to maternal and fetal outcomes.
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Pharmacokinetics of levobupivacaine with epinephrine in transversus abdominis…
Transversus abdominis plane block is increasingly used for post-Caesarean section analgesia. Cases of toxicity and the limited pharmacokinetic information during pregnancy motivated this study. The objective of the study was to characterise and compare the pharmacokinetics of levobupivacaine with epinephrine in tranversus abdominis plane block, in post-Caesarean section patients and healthy vol…
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Intrathecal bupivacaine or levobupivacaine: Which should be used for elderly …
To compare two intrathecal anaesthetics, bupivacaine and levobupivacaine, for their effects on motor and sensory blockade and haemodynamics in patients aged 65 years undergoing transurethral resection of the prostate (TUR-P) or transurethral resection of the urinary bladder (TUR-M)
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Levobupivacaine : A Review of its Pharmacology and Use as a Local Anaesthetic
The majority of in vitro, in vivo and human pharmacodynamic studies of nerve block indicate that levobupivacaine has similar potency to bupivacaine. However, levobupivacaine had a lower risk of cardiovascular and CNS toxicity than bupivacaine in animal studies. In human volunteers, levobupivacaine had less of a negative inotropic effect and, at intravenous doses >75mg, produced less prolongatio…
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A Comparison of Spinal Anesthesia with Levobupivacaine and Hyperbaric Bupivac…
Levobupivacaine showed a lower risk of cardiovascular and central nervous system (CNS) toxicity than bupivacaine which is the most popular local anesthetic agent in obstetric practice. The aim of this study was to investigate the clinical efficacy of Levobupivacaine compared with hyperbaric bupivacaine for spinal anesthesia for cesarean section
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