Prospective randomized trial compares hemodynamic stability and recovery in orthopedic surgeries using two anesthetic agents, suggesting tailored drug choice.
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.
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Verma et al. (2026) studied this question.
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