Spinal Anesthesia for Cesarean Delivery: Does Ropivacaine Offer Hemodynamic Advantages Over Bupivacaine?

Bupivacaine demonstrated a marginally faster onset of sensory effects and prolonged duration of analgesia, whereas ropivacaine exhibited superior hemodynamic stability, characterized by a reduced incidence of hypotensive episodes. Both anesthetic agents were equally effective in achieving motor blockade and providing optimal surgical conditions. These findings suggest that ropivacaine is a viable alternative to SA for CSs, particularly in patients with hemodynamic vulnerabilities.