ABSTRACT : As we know neuraxial adjuvants enhance the action of local anesthetics. Our aim is to determine the qualitative and quantitative aspects of epidural block of ropivacaine 0.75% versus ropivacaine 0.75% with dexmedetomidine for elective cesarean section.

METHODS : A randomized double-blind study will be conducted among 50 healthy parturients, scheduled for elective cesarean section, at SCB Medical college,hospital,cuttack.odisha,india. Epidural block will be administered with 18 ml of ropivacaine 0.75% (group R) and ropivacaine 0.75% and dexmedetomidine 100 μg (group RD). Onset time of analgesia, sensory and motor block levels, maternal heart rate and blood pressure, neonatal Apgar scores, postoperative analgesic dose and any adverse events will be recorded.

RESULTS : Fifty patients were enrolled in this study and will be subjected to statistical analysis.. The variables like maternal hemodynamic parameters and block characteristics in the two groups will be compared For all the statistical analysis, the level of significance was P < 0.05

CONCLUSIONS : The study finding will be correlated with literature evidence.Conclusion will be drawn after proper analysis