Both hyperbaric levobupivacaine and ropivacaine provide effective spinal anesthesia for lower limb orthopedic surgeries. Levobupivacaine offers a rapid onset, prolonged duration of sensory and motor block, and better hemodynamic stability, whereas ropivacaine ensures quicker recovery but with shorter analgesia and a higher incidence of adverse effects. The choice of drug should be tailored to surgical requirements and patient profile.
Verma et al. (Wed,) studied this question.