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This study aims to compare the efficacy of levobupivacaine versus bupivacaine in spinal anesthesia for infraumbilical surgeries.

A comparative evaluation of subarachnoid block with 0.5% hyperbaric levobupivacaine with fentanyl versus 0.5% hyperbaric bupivacaine with fentanyl in patients undergoing infraumbilical surgeries in a tertiary care hospital

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This study aims to compare the efficacy of levobupivacaine versus bupivacaine in spinal anesthesia for infraumbilical surgeries.
Conducted a hospital-based prospective-comparative study with 100 adult patients aged 20–60 years.
Divided patients into two groups: Group A received levobupivacaine and Group B received bupivacaine with fentanyl.
Compared onset, duration of sensory and motor block, hemodynamics, and side effects.
Onset of anesthesia was significantly quicker in the bupivacaine group (P < 0.05).
Duration of sensory and motor block was significantly longer in the bupivacaine group (P < 0.05).
Incidence of hypotension was 34% in the bupivacaine group compared to 12% in the levobupivacaine group.

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Randomized trial compares anesthetic efficacy and safety in infraumbilical surgeries, suggesting levobupivacaine as a safer alternative.

Pratik et al. (2026) studied this question.

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