Effect of Hyperbaric Levobupivacaine and Bupivacaine on Realtime Cardiac index during Spinal Anesthesia for Cesarean Section A Randomized Control Study

This prospective randomized controlled study is designed to compare the effects of 0.5% hyperbaric levobupivacaine and hyperbaric bupivacaine on maternal hemodynamic during spinal anaesthesia for elective caesarean section the primary focus is on real time cardiac index measure using transthoracic echocardiography along with assessment of mean arterial pressure systemic vascular resistance vasopressor requirements and side effects

Spinal anaesthesia though a preferred for caesarean sections is often complicated by maternal hypotension and reduced cardiac output levobupivacaine the s enantiomer of bupivacaine offers a safer pharmacological profile with reduced cardiotoxicity and better hemodynamic stability this study aims to objectively quantify these differences using echocardiographic parameters providing more accurate insights than earlier studies that used indirect monitoring

It is hypothesized that levobupivacaine will better preserve cardiac index and came less hypotension compared to bupivacaine to bupivacaine thereby reducing vasopressor use and improving maternal safety Findings from this trial may help optimize anesthetic drug selection in obstetric practice ensuring safer perioperative management for mothers  and neonates