A Comparative Evaluation of Intrathecal Levobupivacaine with Dexmedetomidine versus Levobupivacaine in Gynecological Surgeries.

Abstract

Pain is the most distressing aspect of any type of surgery. Analgesic multimodalities have been used but are fragile with side effects that limit their usefulness. In this prospective randomized double blind study we have evaluated the anesthetic efficacy and safety of addition of 5 µgm dexmedetomidine to 15mg isobaric levobupivacaine in patients undergoing elective gynecological surgeries regarding time of onset, level of sensory block, intensity of motor block, duration of analgesia, haemodynamic stability and any complications. Eighty ASA I & II female patients, 30-60 yrs age scheduled for elective gynecological surgery under spinal anesthesia were divided into two groups. Patients were randomly allocated to receive either 3 ml isobaric levobupivacaine 5 mg/ml( 15mg) with 5 µgm dexmedetomidine ( group D, n=40) , or 3ml isobaric levobupivacaine 5mg/ml(15mg) with 0.5 ml normal saline(group S, n=40) .Time of onset m Levobupivacaine,Dexmedetomidinel,Regional anesthesia,Anesthetics techniques.