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A comparison between levobupivacaineand both bupivacaineandropivacainewith and without fentanyl , in epidural for lower abdominal surgery /

Samar Abbas Abdou Ahmed

A comparison between levobupivacaineand both bupivacaineandropivacainewith and without fentanyl , in epidural for lower abdominal surgery / المقارنة بين الليفوبيوبيفاكين مع البيوبيفاكين والروبيفاكين مع عقار الفنتانيل وبدونه بالحقن خارج الام الجافية فى عمليات الجزء السفلى من البطن Samar Abbas Abdou Ahmed ; Suppervised Mohamed Tawfek ElKhateeb , Mai Wedad Abdallah , Mohammed Hany Gamal_ElDein - Cairo : Samar Abbas Abdou Ahmed , 2005 - 95P : ill ; 25cm

Thesis (PH.D.) - Cairo University - Faculty Of Medicine - Department Of Anaesthesia

Bupivacaine exists as a mixture of two enantiomers , levobupi - vacaine and dexbupivacaineData suggests that levobupivacaine has equal local anesthetic potency , with reduced potential for central nervous system and cardiovascular toxicityThis study compares the clinical efficacy of 05 In hundered persent levobupivacaine with 05 In hundered persent bupivacaine and 05 In hundered persent ropivacaine , with and without fentanyl for epidural anesthesia in lower abdominal surgeryAlso this study compare the cardiac inhibitory effect of the three drugs on isolated rabbit heartSixty patients completed the study and the patients were randomized to receive either of three drugs with and without fentanyl in a double - blind fashion