DOI: 10.36347/sjams.2017.v05i07.068

Pages: 2873-2884

Spinal anaesthesia is a popular and commonly used technique for lower abdominal surgeries. The aim of our study to evaluate the efficacy and adverse effects of levobupivacaine in combination with fentanyl during lower abdominal surgeries under spinal anaesthesia. After taking due consent from 50 patients of either sex, aged between 18 - 60 years, American Society of Anaesthesiologists (ASA) physical status Grade I and II, we have designed a prospective double blinded randomised study which is to be performed in Teerthanker Mahaveer medical college and Research Center, undergoing elective lower abdominal surgeries (viz. urological and general surgical procedures) under spinal anaesthesia. In this study, intrathecal administration of injection levobupivacaine 0.5% (2.5 ml) + fentanyl 25 µg (0.5 ml) was given. Post-Hoc Bonferroni test was used to compare SBP, DBP, PR and HR between diffrent time intervals. The above mentioned parameters result were statically significant. Duration of surgery, Sensory block (Time to achieve height of T10, Maximum height of block and time to two segment regression), Motor block (Time to modified Bromage score and Time to complete block) were found to be statistically insignificant. Levobupivacaine when combined with Fentanyl provided better surgical anaesthesia and hemodynamic stability for lower abdominal surgeries