Comparative Study of Ropivacaine vs. Bupivacaine in Spinal Anesthesia for Lower Limb Surgeries

Abstract

Introduction: The study evaluates the effectiveness of fentanyl, ropivacaine, and bupivacaine in spinal anesthesia for lower limb surgeries, aiming to optimize practices, improve patient satisfaction, and reduce complications. Aims:The study evaluates the effectiveness of hyperbaric bupivacaine with fentanyl and ropivacaine with fentanyl in spinal anesthesia for lower limb surgeries, assessing sensory and motor blockade levels and side effects. Methodology: A randomized clinical study at Krishna Institute of Medical Sciences involved 60 adult patients undergoing lower limb surgeries over 18 months, divided into two groups: 30 with bupivacaine and fentanyl, 30 with ropivacaine.Results:The study compared Bupivacaine and ropivacaine for treating various conditions, finding no significant difference in patient-specific factors or rescue medication use, suggesting random variation in anesthetic use.Discussion:The study found no significant age difference between Bupivacaine and Ropivacaine groups in anesthesia, with similar mean heights, weight, and surgery durations. Both anesthetics maintained stable blood pressure levels during surgery.Conclusion:The study compares Bupivacaine and Ropivacaine in pain relief effectiveness, finding similar results in SPO2, MAP, and hemodynamic stability, with no significant differences in rescue medication need.