Comparative Study Between Equipotent Doses of Intrathecal Hyperbaric Prilocaine 2% and Hyperbaric Bupivacaine 0.5% for Elective Cesarean Section

Background: Common spinal anesthetics used for elective caesarean sections include fentanyl 25 micrograms and the long-acting local anesthetic bupivacaine.Aim: The purpose of this study is to compare equipotent doses of bupivacaine and hyperbaric prilocaine in order to determine whether one provides a shorter motor block and recovery time. Evaluation of sensory block features, maternal hemodynamics, and neonatal and maternal adverse effects.Subjects and methods: From November 2024 until the end of May 2025, one hundred pregnant women who were admitted to the anesthesia clinics at Al-Azhar University Hospitals in Cairo, Egypt, participated in this controlled, randomized, double-blinded trial.Results: In the prilocaine group, the time it took to administer the initial rescue analgesia was considerably shorter (P