A COMPARATIVE STUDY TO EVALUATE THE EFFICACY OF LEVOBUPIVACAINE VERSUS ROPIVACAINE FOR POST OPERATIVE ANALGESIA UNDER SEGMENTAL SPINAL ANAESTHESIA IN LAPAROSCOPIC CHOLECYSTECTOMY.

Laparoscopic Cholecystectomy is normally performed under general anaesthesia, but regional techniques like Segmental spinal have been emerging and found benecial. Now adays laparoscopic surgeries are commonly performed on a day care basis. Although of less intensity, laparoscopic surgeries do have some amount of pain. This post-operative pain, to some extent, limits early post operative recovery and extends hospital stay. Segmental spinal provides excellent post operative analgesia. Materials and methods: Total 60 patients aged between 18 and 60 years of either sex, with American Society of Anaesthesiologist status(ASA) I/II and body mass index >18.5 to <25, scheduled to undergo elective laparoscopic cholecystectomy were enrolled for the study. Patients were randomized into two groups with 30 patients in each group. Segmental spinal was given at T9-10 space using 27 gauge spinal needle, Group L received 1.5ml Levobupivcaine(0.5%) + Inj Fentanyl (25mcg) while Group R received 1.5ml Ropivacaine (0.5%)+ inj Fentanyl(25mcg) intrathecally. Results : The demographic details and the preoperative hemodynamic were comparable in both the groups. Duration of postoperative analgesia observed from the time of spinal injection to rst demand of rescue analgesia in the recovery room was more in group L(154.73 ± 19.74) as compared to group R(121.40 ± 22.22). Intraoperative hemodynamics were comparable and stable in both the groups. Conclusion: In comparison to the Ropivacaine group, the duration of postoperative analgesia was signicantly prolonged in the Levobupivacine group. Both Levobupivacaine and Ropivacaine provide good hemodynamic stability intraoperatively.