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Journal articles on the topic 'Bromage Score'

Author: Grafiati

Published: 5 June 2025

Last updated: 2 August 2025

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1

Karnina, Resiana, Nandya Satyaning Rahayu, and Muhammad Faruk. "Factors influencing Bromage score in post-spinal anesthesia patients." Bali Medical Journal 11, no. 3 (2022): 1146–50. https://doi.org/10.15562/bmj.v11i3.3435.

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Introduction: Bromage score is used in assessing patients post-spinal anesthesia while the patient is in the recovery room. Patients can be transferred to the treatment room from the recovery room if they have achieved a Bromage score of <2. Post-anesthesia recovery is significant to pay attention to because if there are obstacles in post-anesthesia recovery, it will cause some complications that the patient needs a long time in the treatment room. Several factors may be related to Bromage score, American Society of Anesthesiology (ASA) physical status, age, gender, the dose of local anesth

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Sharon, Dinda Hapsari Cahya Mawar, Tri Anjaswarni, Tri Nataliswati, and Rudi Hamarno. "ANALISIS WAKTU PENCAPAIAN BROMAGE SCORE SETELAH EDUKASI MOBILISASI DINI." Quality : Jurnal Kesehatan 18, no. 2 (2024): 143–52. https://doi.org/10.36082/qjk.v18i2.1820.

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Bromage Score adalah metode yang digunakan untuk mengetahui waktu pemulihan setelah anestesi spinal sebagai indikator dalam membuat keputusan pemindahan pasien dari kamar operasi ke ruang perawatan. Bromage Score sering dikaitkan dengan mobilisasi dini karena dapat meningkatkan sistem sirkulasi darah dan merangsang sistem persyarafan. Saat ini belum ada penelitian yang mengukur pencapaian Bromage Score dalam bentuk intervensi atau perlakukan dengan menggunakan kelompok kontrol. Tujuan penelitian ini menganalisis pengaruh dari edukasi mobilisasi dini terhadap waktu pencapaian bromage score. Met

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Aprin Rusmawati, Tri Wijiastutik, Windy Ari Wijaya, and Alfian Fawzi. "Time Difference Test for Achieving Bromage Score 0 Post-Caesarea Sectio Using Method Eracs and Non Eracs to Women Abandoned at Simpang Lima Gumul (SLG) Kediri Hospital." Journal Of Nursing Practice 8, no. 1 (2024): 84–93. http://dx.doi.org/10.30994/jnp.v8i1.655.

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Background: The assessment criteria used in determining the readiness of a patient under spinal anesthesia to be discharged from the recovery room is the Bromage score. Delays in moving patients can cause additional treatment costs recovery room, hypothermia, and anxiety in patients. Purpose: This research aims to determine differences in achievement time. Bromage scored 0 post-cesarean sections with the ERACS method and not ERACS for mothers giving birth at RSUD SLG Kediri. Method: This research uses a design true experiment with a type posttest-only control group. With purposive sampling A s

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Sulistyawan, Vidya, Isngadi Isngadi, and Ristiawan Muji Laksono. "Perbandingan Outcome Teknik Spinal Anestesi Dosis Rendah Dibandingkan Dosis Biasa pada Sectio Caesarea Darurat di Rumah Sakit dr. Saiful Anwar." Journal of Anaesthesia and Pain 1, no. 2 (2020): 37–44. http://dx.doi.org/10.21776/ub.jap.2020.001.02.02.

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Latar belakang: Sectio caesarea (SC) adalah operasi darurat terbanyak pada obstetrik. Spinal anestesia direkomendasikan untuk section cesarean. Akan tetapi, ffek samping spinal anestesia tersering (hipotensi) dapat menimbulkan efek samping fetomaternal. Spinal anestesia dosis rendah diduga dapat mengurangi efek samping spinal anestesia. Tujuan penelitian ini adalah mengetahui perbandingan outcome spinal anestesia dosis rendah dibanding dosis biasa pada operasi section cesarean darurat. Metode: Penelitian ini merupakan studi retrospektif pada 119 pasien yang menjalani SC dengan spinal anestesia

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Dwi Handoyo and Siti Sarifah. "Edukasi dan Penerapan Bromage Score dalam Penilaian Mobilitas Pasien Pasca Spinal Anestesi di Rumah Sakit." Jurnal Pengabdian Masyarakat Nusantara 3, no. 4 (2021): 67–72. https://doi.org/10.57214/pengabmas.v3i4.755.

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Spinal anesthesia is a widely used anesthetic technique, particularly in surgeries involving the lower body, due to its effectiveness and safety profile. A critical component of post-spinal anesthesia recovery is the assessment of patient mobility, which can be quantitatively measured using the Bromage Score. The Bromage Score evaluates the degree of motor block, which is essential for determining when a patient can safely begin mobilizing after anesthesia. The education and implementation of the Bromage Score in hospitals are designed to enhance healthcare professionals' understanding of its

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Waskitojati Pamungkas, Akbar, Muhammad Hafiduddin, and Happy Nurhayati. "Hubungan Status Fisik (Asa) Dengan Waktu Pencapaian Bromage Score 2 Pada Pasien Spinal Anestesi Di Ruang Pemulihan." Profesi (Profesional Islam) : Media Publikasi Penelitian 21, no. 2 (2024): 88–94. http://dx.doi.org/10.26576/profesi.v21i2.213.

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AbstrakSpinal anestesi merupakan blok regional dengan menyuntikkan obat anestesike dalam ruang subarachnoid. Anestesi dapat berdampak pada sistem syarafpusat. Efek pada sistem syaraf pusat lainnya termasuk mengantuk, kepalaterasa ringan, gangguan visual dan pendengaran, dan kecemasan. Faktor-faktor yang mempengaruhi pemulihan motorik ekstermitas inferior pasienpasca anestesi spinal, adalah jenis dan dosis obat anestesi, penyebaran obat,efek vasokontriksi, lengkung tulang belakang, umur, jenis kelamin, obesitas,posisi operasi serta status fisik America Society of Anesthesiologist (ASA).Peneliti

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Yusnaini, Rika, Muhammad Azral, Anna Millizia, and Khairunnisa Z. "Gambaran Hemodinamik, Bromage Score, Kejadian Menggigil dan PONV Pada Pasien Pasca Anestesi Regional di Ruang Pemulihan RSUD Dr Fauziah Kabupaten Bireuen." GALENICAL : Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh 2, no. 4 (2023): 123. http://dx.doi.org/10.29103/jkkmm.v2i4.15364.

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Pasca anestesi dan operasi adalah periode yang rentan terhadap komplikasi yang timbul pasca operasi. Selama periode ini, tubuh pasien sedang memulihkan diri dari dampak sedasi, yang mengurangi metabolisme tubuh. Selama periode ini, pasien berada di ruang pemulihan dan fungsi hemodinamik diobservasi sebelum dipindahkan ke ruang rawat inap. Tujuan penelitian ini adalah untuk mengetahui gambaran karakteristik pasien, hemodinamik, bromage score, menggigil dan PONV pada pasien pasca anestesi regional di ruang pemulihan RS Dr Fauziah Bireun. Desain yang digunakan pada penelitian ini adalah deskripti

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Artika, Regita Cahya, Raden Sugeng Riyadi, and Ratih Kusuma Dewi. "Correlation of ASA Physical Status With The Achievement of Bromage Score In Post Subarachnoid Block Anesthesia Patients." Journal Keperawatan 4, no. 1 (2025): 35–43. https://doi.org/10.58774/jourkep.v4i1.77.

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Background: After surgery with subarachnoid block anesthesia, patients need to be closely observed, one of which is by monitoring the motor function of the lower extremities using the Bromage Score parameter. The length of motor recovery time is an important indicator because recovery that is too long can increase the risk of complications, such as paresthesia, which ultimately leads to an extension of the patient's treatment period. The time to achieve a normal Bromage Score is influenced by various factors, one of which is the patient's physical status which is classified through the America

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Rahmat Danus, Wilis Sukmaningtyas, and Adiratna Sekar Siwi. "Hubungan Status Fisik Asa (American Socety Of Anesthesiologist) Dengan Waktu Pencapaian Bromage Score 2 Pada Pasien Pasca Anestesi Spinal Di RS Khusus Bedah Jatiwinangun Purwokerto." Borneo Nursing Journal (BNJ) 7, no. 2 (2025): 71–79. https://doi.org/10.61878/bnj.v7i2.106.

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Spinal Anestesi Spinal anestesi merupakan blok regional dengan menyuntikkan obat anestesi ke dalam ruang subarachnoid. Anestesi dapat berdampak pada sistem syaraf pusat. Efek pada sistem syaraf pusat lainnya termasuk mengantuk, kepala terasa ringan, gangguan visual dan pendengaran, dan kecemasan. Faktor- faktor yang mempengaruhi pemulihan motorik ekstermitas inferior pasien pasca anestesi spinal, adalah jenis dan dosis obat anestesi, penyebaran obat, efek vasokontriksi, lengkung tulang belakang, umur, jenis kelamin, obesitas, posisi operasi serta status fisik America Society of Anesthesiologis

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Aliyafih, Muhammad, Sindu Sintara, Merisdawati Merisdawati, Mokhtar Jamil, and M. Rodli. "HUBUNGAN STATUS FISIK AMERICAN SOCIETY OF ANESTHESIOLOGIST TERHADAP WAKTU PENCAPAIAN BROMAGE SCORE 2 DI RUANG PEMULIHAN PADA PASIEN SECTIO CAESAREA DENGAN SPINAL ANESTESI." Jurnal Kesehatan Hesti Wira Sakti 11, no. 2 (2023): 252–57. http://dx.doi.org/10.47794/jkhws.v11i2.579.

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ABSTRAK  Pendahuluan: Spinal anestesi pada operasi sectio caesarea sebelumnya dilakukan evaluasi pra anestesi dengan penilaian ASA (American Society of Anesthesiologist) untuk memastikan pelaksanaan perawatan anestesi yang aman pada pasien. Tujuan penelitian untuk mengetahui hubungan status fisik ASA dengan waktu pencapaian Bromage score 2 di ruang pemulihan pada pasien sectio caesarea dengan spinal anestesi di RS Intan Medika Lamongan. Metode: Penelitian Observational-analytic menggunakan metode Cross-sectional dengan total sampel 73 responden. Pengumpulan data dilakukan dengan observas

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Dwi Handoyo, Tri Budi Santoso, and Agil Almas. "Efektivitas Latihan ROM Pasif Ekstremitas Bawah terhadap Percepatan Bromage Score pada Pasien Post Spinal Anestesi." Detector: Jurnal Inovasi Riset Ilmu Kesehatan 2, no. 2 (2024): 80–92. https://doi.org/10.55606/detector.v3i1.4766.

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Background: Spinal (subaracnoid) anesthesia is a regional anesthesia with the injection of local anesthetic drugs into the subarachnoid space. Spinal anesthesia can be given for procedures involving the lower limbs, pelvis, and perineum. Patients with spinal anesthesia are evaluated to determine whether or not the patient can be transferred to the ward. The indicator currently used is the Bromage Score, which is an indicator of the achievement of lower limb movement ability. The Bromage Score is an instrument for assessing the strength of the lower extremity muscles in patients after spinal an

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Rismawati, Tophan Heri Wibowo, and Arlyana Hikmanti. "ANALISIS FAKTOR-FAKTOR YANG BERPENGARUH TERHADAP PEMULIHAN BROMAGE SCORE PASIEN PASCA ANESTESI SPINAL DI RUMAH SAKIT KHUSUS BEDAH JATIWINANGUN." Jurnal Cakrawala Ilmiah 2, no. 12 (2023): 4485–96. http://dx.doi.org/10.53625/jcijurnalcakrawalailmiah.v2i12.6384.

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Suatu blok neuraksial yang disebut anestesi spinal terjadi ketika obat anestesi lokal atau ajuvan dimasukkan ke rongga subarachnoid. Hal ini dapat menghilangkan sensasi dan memblokir fungsi motorik. Setelah anestesi spinal diruang pemulihan, motorik pasien dinilai dengan bromage score. Ada faktor-faktor yang memengaruhi waktu pemulihan, kecemasan dan gangguan neurologis seperti paratesi muncul sebagai akibat pemulihan yang lama. Tujuan dari penelitian ini adalah untuk mengetahui faktor-faktor yang berpengaruh terhadap pemulihan bromage score pasien pasca anestesi spinal di Rumah Sakit Khusus B

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Arlena, Norma, Dwi Novitasari, and Asmat Burhan. "Differences in the Time to Achieve Bromage Score (2) in Post-Spinal Anesthesia Caesarean Section Patients between the Use of Conventional Methods and Eracs." Indonesian Journal of Global Health Research 7, no. 1 (2024): 389–98. http://dx.doi.org/10.37287/ijghr.v7i1.4436.

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Pregnancy, labor, and delivery lead to significant physiological changes, and having accurate knowledge of these changes is crucial for an effective spinal anesthetic technique during a caesarean section. Optimizing the mother's health before, during, and after a caesarean section is the goal of the ERACS care method, which is a specialized approach to surgical procedures. Issues with lower limb mobility, anxiety, and dependence on others are some mental health problems that may arise from prolonged recovery periods. Spinal anesthesia patients are evaluated using the Bromage scale to determine

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Craig, Douglas, and Franco Carli. "Bromage motor blockade score – a score that has lasted more than a lifetime." Canadian Journal of Anesthesia/Journal canadien d'anesthésie 65, no. 7 (2018): 837–38. http://dx.doi.org/10.1007/s12630-018-1101-7.

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Fitria, Wayan Eka, Siti Fatonah, and Purwati Purwati. "FAKTOR YANG BERHUBUNGAN DENGAN BROMAGE SCORE PADA PASIEN SPINAL ANASTESI DI RUANG PEMULIHAN." Jurnal Ilmiah Keperawatan Sai Betik 14, no. 2 (2019): 182. http://dx.doi.org/10.26630/jkep.v14i2.1304.

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<p><em>Bromage score</em> satu indikator respon motorik pasca spinal anastesi. spinal anastesi adalah metode anestesi dengan cara menyuntikkan obat analgetik lokal kedalam ruang subarachnoid di daerah lumbal. Penilaian status fisik (ASA) didapat rata-rata waktupencapaianskalaBromage 2 padapasien ASA I adalah 184,75menitdanrespondenpasien ASA II 207 menit. Di salah satu rumah sakit di Bandar Lampung pasien pasca operasi dengan spinal anastesi respon motorik terbesar adalah &lt; 4 jam (62,5) responden. Rancangan penelitian<em>survey analitik</em>dengan pendekata

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Mandee, Sahatsa, Arunotai Siriussawakul, Suwannee Suraseranivongse, Jongrak Khanwilai, and Pongsak Nitigarun. "Time duration to safety sitting in parturient receiving spinal anesthesia for cesarean section with 0.5% Bupivacaine and morphine." Asian Biomedicine 4, no. 3 (2010): 485–89. http://dx.doi.org/10.2478/abm-2010-0061.

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Abstract Background: Spinal anesthesia has been used for cesarean section for a long time. However, the proportion of post-cesarean paturients who were able to sit at the fourth hour still remains unclear. Objective: Investigate the proportion of post-cesarean paturients that were able to sit at the fourth hour following spinal anesthesia with 0.5% hyperbaric bupivacaine and morphine. Furthermore, investigate the optimum time to encourage ambulation, and the risk factors delaying time duration to sit. Methods: A prospective observational study was conducted in 240 patients with American Societ

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Muppidi, Dilip Kumar, Alugolu Mrunalini, M. Gouthami, and Anand Vijaya Bhasker Polugari. "A Comparative Evaluation of Epidural Anesthesia with Ropivacaine Combined with Dexmedetomidine versus Plain Ropivacaine for Lower Limb Surgeries." International Journal of Toxicological and Pharmacological Research 14, no. 5 (2024): 62–67. https://doi.org/10.5281/zenodo.12786673.

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<strong>Background: </strong>Epidural administration of ropivacaine offers effective analgesia, minimal motor blockade, and cardiac stability. The incorporation of adjuncts such as dexmedetomidine extends the duration of analgesia, prolongs motor blockade, and ensures sufficient sedation. Our research directly compares the effects of ropivacaine alone versus ropivacaine combined with dexmedetomidine on block characteristics, postoperative pain relief, and sedation levels. <strong>Methods: </strong>A total of 60 cases were identified and included in the study during the duration

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Sajid Farooq, Muhammad Farhan Ali Rizvi, Syed Muhammad Arslan Yousuf, Rabia Dilshad, Gohar Bashir, and Anam Dilshad. "Comparing intrathecal dexmedetomidine and fentanyl as adjuvants to hyperbaric bupivacaine in elective casarian section, a study." Professional Medical Journal 29, no. 02 (2022): 218–26. http://dx.doi.org/10.29309/tpmj/2022.29.02.6414.

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Objective: The design of present study was to explore and compare different aspects of fentanyl and DEX when used as adjuvants to hyperbaric bupivacaine in neurexial anesthesia in cases of cesarean sections. Study Design: Randomized Single Blinded study. Setting: Department of Anesthesia, QAMC, Bahawalpur. Period: January, 2019 to December, 2019. Material & Methods: They were divided in three groups, each group consists of 35 patients having the name of group BN, group BF and group BD. Patients in group BN was given the injection bupivacaine alone, group BF, administered injection bupivaca

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Zhong, Huanhui, Yongdong Wang, Yiqun Wang, and Heng Li. "Effects of 0.15% Ropivacaine Alone and Combination with Sufentanil on Epidural Labor Analgesia and Adverse Reactions." Tobacco Regulatory Science 7, no. 5 (2021): 1746–52. http://dx.doi.org/10.18001/trs.7.5.99.

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To compare the effects of 0.15% ropivacaine alone and combination with sufentanil on epidural labor analgesia and adverse reactions. Methods: A total of 297 eligible primiparae were randomly divided into group A (n=149, 0.15% ropivacaine + sufentanil) and group B (n=148, 0.15% ropivacaine). Visual analogue scale (VAS) scores before analgesia and 20 min after epidural medication, and maximum VAS score during labor were observed. The times of patient-controlled analgesia (PCA) pump pressing and remedial analgesia, dosage of analgesic drugs, modified Bromage score, satisfaction degree, duration o

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Pathak, Nidhi, Tanmay Tiwari, Sweta Singh, Yogesh Kumar Manik, Vipin Kumar Dhama, and Subhash Dahiya. "A clinical comparative study of ropivacaine versus ropivacaine with fentanyl by continuous epidural infusion for post-operative analgesia and ambulation in patients undergoing major gynecological surgery." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no. 4 (2018): 1561. http://dx.doi.org/10.18203/2320-1770.ijrcog20181356.

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Background: To compare the effect of continuous epidural infusion of ropivacaine versus ropivacaine-fentanyl for post-operative analgesia and ambulation in patients undergoing major gynaecological surgeries.Methods: A total of 60 patients of age 20 to 50 yrs of body mass index (BMI) within normal range (18.5to24.9 kg/m2) posted for major gynecological surgeries were divided into two equal groups (Group R and RF) in a prospective, randomized, double-blind fashion. In Group RF (n=30) 0.1% Ropivacaine with 2µg/ml Fentanyl and in Group R (n =30) 0.1% ropivacaine were used. General anaesthesia was

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Yadav, Rajesh, Niraj Kumar Keyal, and Rupesh Mahato. "A Comparative Study of Bupivacaine and Bupivacaine with Fentanyl for Subarachnoid Block." Med Phoenix 8, no. 2 (2023): 29–33. http://dx.doi.org/10.3126/medphoenix.v8i2.61822.

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Introduction: Subarachnoid block (SAB) is the anesthesia of choice for lower abdominal and lower limb surgeries. The objective of the study was to evaluate and compare the onset, duration, recovery of neural blockade, hemodynamic changes and side effects of bupivacaine alone with fentanyl added to bupivacaine.Materials and methods: This cross sectional comparative study was conducted in Department of Anaesthesia at National Medical College in 82 patients from April 2023 to September 2023 . Patients of either sex as per American Society of Anaesesiologists, Physical Status I-II between age 20-

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Manish, Kumar Dwiwedi, Modi Sahaj, Sinha Divas, and Shrivastava Sweyta. "A Prospective Comparative Evaluation of Two Epidural Solutions Bupivacaine, Fentanyl and Adrenaline verses Bupivacaine and Fentanyl for Post Operative Analgesia in Upper and Lower Abdominal Surgeries." International Journal of Pharmaceutical and Clinical Research 16, no. 8 (2024): 1251–61. https://doi.org/10.5281/zenodo.13623414.

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<strong>Objective: </strong>To study efficacy of epidural infusion of two solutions (bupivacaine +fentanyl +adrenaline and bupivacaine +fentanyl) for post operative analgesia in upper and lower abdominal surgeries. <strong>Methods: </strong>The study was conducted on adult patients of both sexes in age group of 18 – 60 years belonging to ASA I and II physical status undergoing elective abdominal surgery under epidural and general anesthesia. Two groups: Group BFA: 0.1% bupivacaine +2mcg/ml fentanyl + 2mcg/ml adrenaline Group BF: 0.1% bupivacaine + 2mcg/ml fentanyl. <s

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Ashiq, Kalam, Priyadarshini M.S. Harini, N. Pooja, and M. Shivashankar. "A Comparative Study of Block Characteristics and Side Effects of Intrathecal versus Intravenous Fentanyl for Supplementation of Subarachnoid Block in Patients Undergoing Total Abdominal Hysterectomy." International Journal of Pharmaceutical and Clinical Research 16, no. 11 (2024): 1182–88. https://doi.org/10.5281/zenodo.14251691.

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<strong>Introduction: </strong>Although there are studies comparing various opioids and various dosages of fentanyl, studies comparing the two routes of administration, especially for total abdominal hysterectomy are very few. <strong>Methods: </strong>Inj. fentanyl 25µg (0.25ml) intrathecally and Inj. fentanyl 1µg/kg intravenously were compared.15 mg of 0.5% hyperbaric bupivacaine was used for spinal anaesthesia in both groups. Onset of sensory blockade, maximum level of sensory blockade attained, and the time taken for the same were noted. Time taken for onset of m

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Syahira, Zazza, Refni Riyanto, Susiyadi Susiyadi, and Muhammad Saifulhaq Maududi. "Comparison Of Variations Of Low Dosage Spinal Anesthesia On Mobilization Speed After Caesarea Sectio Eracs Method At Hermina General Hospital Purwokerto." Herb-Medicine Journal: Terbitan Berkala Ilmiah Herbal, Kedokteran dan Kesehatan 6, no. 2 (2024): 11. http://dx.doi.org/10.30595/hmj.v6i2.19276.

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Enhanced Recovery After Caesarian Surgery (ERACS) is the development of sectio caesarean delivery techniques that offer preoperative, intraoperative, and postoperative care to hasten patient recovery. The ERACS technique is related to using low-dose spinal anesthesia, which is using a bupivacaine dose of 3.75–12 mg. The use of low doses in sectio caesarean can help the speed of patient mobilization, which can be measured by achieving a Bromage score. The study aims to compare the effectiveness of giving low-dose spinal anesthesia type bupivacaine 6 mg compared to bupivacaine 7.5 mg on the post

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Anwari, Eni Fathatun Nisa, Made Suandika, and Wasis Eko Kurniawan. "GAMBARAN BROMAGE SCORE PADA PASIEN POST OPERASI DENGAN ANESTESI SPINAL DI RUMAH SAKIT KHUSUS BEDAH JATIWINANGUN PURWOKERTO." Journal of Nursing and Health 9, no. 1 (2024): 59–66. https://doi.org/10.52488/jnh.v9i1.300.

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Pembedahan diketahui sebagai suatu tindakan medis yang memerlukan intervensi untuk melakukan diagnosis terhadap penyakit, cedera, atau kelainan (deformitas) pada tubuh. Sub Arachnoid Block atau anestesispinal merupakan suatu teknik pembiusan dibagian perut bagian bawah. Setelah operasi selesai, pasien akan dialihkan ke ruang pemulihan (Recovery room) serta di nilai menggunakan penilaian bromagescore. Bromagescore digunakan untuk penilaian respon motorik post anestesispinal dan penilaian tersebut membutuhkan perawatan yang lama diruang pemulihan. Metode penelitian ini menerapkan pendekatan cros

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Panse, Neha Amey, Noopur Dasmit Singh, Payoja Narendra Khadpekar, and Varun Raj Dubey. "Comparison of efficacy of intrathecal hyperbaric ropivacaine and hyperbaric bupivacaine in terms of enhanced recovery after surgery (ERAS) for ACL reconstructions." Indian Journal of Clinical Anaesthesia 11, no. 2 (2024): 147–51. http://dx.doi.org/10.18231/j.ijca.2024.031.

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: Bupivacaine is the drug of choice in spinal anaesthesia (SA), while Ropivacaine with its comparatively shorter duration of motor block allows early mobilization post ACL reconstruction surgery which is a crucial factor in Early Recovery after Surgery. : In this randomized double-blind comparative study of a total of 60 patients irrespective of gender undergoing ACL reconstruction surgery were studied. After Administration of SA to group R (2.5ml of 0.75% Heavy Ropivacaine) & group B (2.5ml of 0.5% Bupivacaine) both were compared for their post-operative effects with Bromage score, Aldret

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Gautam, Shailendra Nath, S. Acharya, G. R. Bajracharya, and S. Hyoju. "Efficacy and Safety of Spinal Anaesthesia in Paediatric Age Group between 3 to 14 Years for Infraumblicus Surgery." Nepal Medical College Journal 21, no. 2 (2019): 147–52. http://dx.doi.org/10.3126/nmcj.v21i2.25115.

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Spinal anaesthesia (SA) in paediatric patients was first introduced by August Bier in 1899. But this technique did not gain wide spread popularity in paediatric age group because of the introduction of various muscle relaxants and inhalational agents for general anaesthesia. SA in paediatric population has been gradually reintroduced as an alternate to general anaesthesia. The study was performed at the Nepal Medical College Teaching Hospital to evaluate the efficacy and safety of SA in paediatric age groups, compare the change in vital parameters such as heart rate, blood pressure and oxygen

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Rahman, Mohammad Ashrafur, Md Nazmul Islam, Zikrul Bashir, Nazmul Ahsan Siddiqi Rubel, Md Tajul Islam, and Paresh Chandra Sarker. "Outcome of Low-Dose 0.5% Levobupivacaine (Plain) And Low-Dose 0.5% Bupivacaine (Heavy) Combined with Fentanyl in Spinal Anaesthesia For Transurethral Resection of Prostate: A Comparative Study." Sir Salimullah Medical College Journal 30, no. 2 (2022): 115–22. http://dx.doi.org/10.3329/ssmcj.v30i2.61926.

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Background: Spinal anaesthesia is widely used for transurethral resections of prostate (TURP) because it allows early recognition of symptoms caused by over hydration, TURP syndrome, and bladder perforation. Patients undergoing TURP surgery have coexisting pulmonary or cardiac disease. Objective: To evaluate the outcome of the two anaesthetic agents – levobupivacaine and bupivacaine in TURP surgery when they are combined with fentanyl. Method: Total eighty patients were selected by inclusion and exclusion criteria, and then the selected patients were randomly divided into 2 groups (40 in each)

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Sah, Sanjay Kumar, Navin Kumar Sah, Anil Kumar Sah, Nirdhan Yadav, and Surendra Marasini. "Pattern of Serum Cortisol Levels in Different Thyroid Disorders." Med Phoenix 9, no. 1 (2024): 29–32. http://dx.doi.org/10.3126/medphoenix.v9i1.67182.

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Introduction: Thyroid disorders are now common endocrinological issues with an ample number of cases with the most abundant cases of hypothyroidism. Serum cortisol levels have been found to be deranged in cases of thyroid disorders. The thyroid disorders have impact on adrenals glands that produces cortisol. In hypothyroidism, high cortisol results in increase cortisol half-life and also decrease of metabolic clearance. However, control mechanisms often allow normal cortisol values. This study was carried out with an aim to evaluate the serum cortisol in different thyroid disorders and to corr

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Alhajahjeh, Abdulrahman Ahmad, Aiman Suleiman, Hamza M. Almustafa, Tala M. Mesmar, Anas Hamdan, and Mahmoud M. Almustafa. "Block Quality Of Dexmedetomidine-Based Spinal Anaesthesia In Orthopaedic Surgeries: A Meta-Analysis Of Clinical Trials." Anaesthesia, Pain & Intensive Care 27, no. 1 (2023): 43–52. http://dx.doi.org/10.35975/apic.v27i1.1876.

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Background: Dexmedetomidine is used as an adjuvant to local anesthetic agents in spinal anesthesia and is believed to increase quality of sensory and motor blocks. Our aim was to assess the effects of dexmedetomidine as an adjunct on block quality of spinal anesthesia in orthopedic procedures. Methodology: A systematic review of randomized control trials was conducted to assess the effect of intrathecal dexmedetomidine added to local anesthetic agents on the block quality of spinal anesthesia in orthopedic surgeries. PubMed, Google scholar, and Medline databases were searched for randomi

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Al-Metwalli, Roshdi R., Hany A. Mowafi, Haitham A. Abouzaid, Mohammend Al-Maghrabi, Talal Al-Brahim, and Wesam F. Mousa. "Isometric Force Dynamometer Is Superior to Bromage Score in Prediction of Patients’ Ambulation After Spinal Anesthesia in Ambulatory Surgeries." Survey of Anesthesiology 57, no. 4 (2013): 164. http://dx.doi.org/10.1097/01.sa.0000431131.15116.6c.

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Al-Metwalli, Roshdi R., Hany A. Mowafi, Haitham A. Abouzaid, Mohammed Al-Maghrabi, Talal Al-Brahim, and Wesam F. Mousa. "Isometric Force Dynamometer Is Superior to Bromage Score in Prediction of Patients’ Ambulation After Spinal Anesthesia in Ambulatory Surgeries." Anesthesia & Analgesia 116, no. 2 (2013): 312–16. http://dx.doi.org/10.1213/ane.0b013e318275e8c7.

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Divya, S., Dilip Kumar Govindan, K. Soundarya Priyadharsini, and T. Krishna Prasad. "Ropivacaine with Fentanyl versus Bupivacaine with Fentanyl for Caudal Epidural in Pediatric Infraumbilical Surgeries – A Prospective Randomized Double-blinded Trial." CHRISMED Journal of Health and Research 10, no. 4 (2023): 355–59. http://dx.doi.org/10.4103/cjhr.cjhr_118_23.

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Abstract Background: Caudal epidural block is widely used in the pediatric age group. This study aims to determine that ropivacaine with fentanyl provides a shorter duration of motor blockade than the comparable sensory blockade, which can be used as an effective alternative to bupivacaine in caudal epidural anesthesia. Objective: The objective of this study was to assess the efficacy of ropivacaine versus bupivacaine when combined with fentanyl in single-shot caudal epidural anesthesia in pediatric infraumbilical surgeries in terms of time taken for motor regression. Subjects and Methods: Thi

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Nuryawan, Iwan, Bambang Suryono, and Sri Rahardjo. "Manajemen Anestesi pada Seksio Sesarea Pasien dengan HIV (Human Immunodeficiency Virus)." Jurnal Anestesi Obstetri Indonesia 2, no. 1 (2020): 24–34. http://dx.doi.org/10.47507/obstetri.v2i1.31.

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Infeksi Human Immunodeficiency Virus (HIV) dan Acquired Immunodeficiency Syndrome (AIDS) adalah masalah utama dari kesehatan global. Menurut United Nations Programme on HIV/AIDS (UNAIDS), salah satu bagian dari WHO yang mengurus tentang AIDS menyebutkan, bahwa perkiraan jumlah penderita yang terinfeksi HIV/AIDS di seluruh dunia sampai dengan akhir tahun 2010 mencapai 34 juta. Kasus HIV pada anak paling sering ditemukan akibat transmisi dari ibu yang HIV positif ke anaknya. Pada laporan kasus ini dilaporkan penanganan anestesi pada penderita pasien wanita berusia 25 tahun berat badan 50 kg prim

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Arjumand, Sabeen, Fareeha ., Hajra Tariq, Wajiha Zahid, Zoobia Irum, and Shahnaz Fatima. "Immediate Postoperative Complications and Recovery Profile Following Spinal Anaesthesia: A Comparison Between Pethidine and Bupivacaine." Pakistan Journal of Medical and Health Sciences 16, no. 10 (2022): 978–81. http://dx.doi.org/10.53350/pjmhs221610978.

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Background: Spinal anaesthesia is a less expensive option to general anaesthesia for surgical procedures below the umbilicus in resource-constrained settings with a shortage of medical gases and specialized an anesthetists. The patient’s airway is not harmed by spinal anaesthesia, and both the patient and the doctor benefits from a host of additional benefits. Following the discontinuation of hyperbaric lidocaine for intrathecal injection because it can results in radiculopathy, bupivacaine is frequently used for spinal anaesthesia. For spinal, doctors employ pethidine, a lipophilic opioid wit

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Ayushi, Pavankumar Singhal, Mehta Sanket, and Patel Alpa. "Comparison of Intrathecal Dexmedetomidine and Fentanyl as an adjuvant to Levobupivacaine for postoperative Analgesia in Knee surgeries of Gujarat Population: Retrospective Study." International Journal of Pharmaceutical and Clinical Research 16, no. 8 (2024): 1206–12. https://doi.org/10.5281/zenodo.13621610.

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<strong>Background:</strong> Anesthesia for knee surgeries can be administered by various modes. Spinal anesthesia is most commonly used technique because of its quick onset, excellent blockage, low infection risk and affordability. Most widely used drug is hyperbaric Bupivacaine (0.5%). <strong>Method:</strong> Out of fifty (50) patients, 25(Group F) were administered isobaric levobupivacaine (0.5%, 2.8ml) and fentanyl (25mcg, 0.5ml), total volume: 3.3 ml. 25(Group D) were administrated isobaric levobupicaine (0.5%, 2.8 ml) and Dexmedetomidine (10mcg, diluted in normal saline),

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Pratama, Mhd Rizki, Mhd Ihsan, Tasrif Hamdi, and Putri Chairani Eyanoer. "Comparison of The Effectiveness Between Fentanyl and Ketamine as Adjuvant Epidural Analgesia with Ropivacaine In Post Operation of The Lower Extremity." JAI (Jurnal Anestesiologi Indonesia) 17, no. 1 (2024): 1–10. https://doi.org/10.14710/jai.v0i0.64228.

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Background: One typical side effect that frequently follows surgery is pain. Lower limb surgery procedures can cause tissue and nerve damage. When compared to systemic opioids, epidural analgesia provides better postoperative analgesia. Adjuvants extend and intensify sensory blockage, which increases the effectiveness of local anesthesia. They also cause the dose of local anesthetic drugs to be reduced.Objective: To determine the comparative effectiveness of adjuvant fentanyl compared with ketamine and ropivacaine as adjuvant epidural analgesia in post-lower extremity surgery patients.Methods:

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Sarkar, Chayan, Sudha Jain, Sucheta Tidke, and Moumita Debnath. "A COMPARATIVE STUDY OF LOW DOSE INTRATHECAL DEXMEDETOMIDINE AND CLONIDINE AS ADJUVANT TO BUPIVACAINE ON CHARACTERISTICS OF SPINAL BLOCK." International Journal of Advanced Research 10, no. 02 (2022): 448–51. http://dx.doi.org/10.21474/ijar01/14223.

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Background: To evaluate the effect of low dose intrathecal dexmedetomidine and clonidine as adjuvant to bupivacaine on characteristics of spinal block . A total of 60 patients , scheduled for lower abdominal , lower limb and gynaecological procedures were selected to participate in this prospective , randomised double blind study . After injecting the drug time were noted (T0) and the patient were turned to supine position . Following observation were recorded :Onset of time of sensory block(T1) ,Level of sensory block(LMAX), Time to achieve maximum sensory block level(T3), Onset of motor bloc

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Bui Thi Thuy, Nga, and Minh Nguyen Van. "EFFICACY OF CAUDAL BLOCK WITH LEVOBUPIVACAINE FOR POSTOPERATIVE ANALGESIA AFTER THE SUBUMBILICAL SURGERY IN CHILDREN." Volume 8 Issue 5 8, no. 5 (2018): 58–64. http://dx.doi.org/10.34071/jmp.2018.5.8.

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Objectives: To evaluate the efficacy of postoperative analgesia, side effects and complications of caudal block with levobupivacaine 0.25% 1mL/kg for subumbilical surgery. Materials and methods: In a comparative cross-sectional descriptive study, sixty ASA I–II children less than 6 years old scheduled for elective subumbilical surgery were randomized to divide into 2 groups: group 1 (control group) were only used general anethesia with laryngeal mask, group 2 (levo group) were anesthetized under general anaesthesia with laryngeal mask and caudal block with levobupivacaine 0.25% 1mL/kg to relie

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Rahul, Rajan, and Narayan Bashishth. "Effectiveness of 0.125% Bupivacaine Versus 0.125% Ropivacaine in Epidural Labour Analgesia." International Journal of Pharmaceutical and Clinical Research 15, no. 12 (2023): 1578–84. https://doi.org/10.5281/zenodo.11205107.

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<strong>Introduction:</strong> Epidural labour analgesia is the most effective and admired method of pain relief. Bupivacaine and ropivacaine are the most extensively used local analgesics (LA). All current labour epidurals are administered with low strength LA as these minimal doses confines motor blockade with negligible adverse-effects. So to uncover better option, the current study was planned to compare the effectiveness of ‘0.125% bupivacaine’ and ‘0.125% ropivacaine’ for epidural labour analgesia. <strong>Material and Methods: </strong>The present

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Jawad Hameed, Shakeel Ahmed, Maqsood Ahmed Siddiqui, Amjad Nadeem, Aslam Pervaiz, and Syed Ali Abbas Rahat. "Role of Dexmedetomidine as synergistic agent to prolong subarchnoid block duration." Medical Journal of South Punjab 5, no. 01 (2024): 113–18. http://dx.doi.org/10.61581/mjsp.vol05/01/18.

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Objective: to evaluate the impact of dexmedetomidine when administered intravenously in infusion or bolus on subarachnoid anesthesia in combination with hyperbaric bupivacaine. Methodology: A randomized controlled trial was conducted at the department of Anesthesia, Lady Reading Hospital Peshawar, Pakistan, from January 2023 to June 2023. T10 level was pointed for assessment of snsory blockade, and periodically motor blockade was assessed until the achievement of modified Bromage score 3. Sedation levels were assessed using the Ramsay score, while adverse effects such as nausea, bradycardia an

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Senapati, Laxman K., and Priyadarsini Samanta. "EFFECT OF INTRAVENOUS VERSUS INTRATHECAL DEXMEDETOMIDINE ON CHARACTERISTICS OF HYPERBARIC BUPIVACAINE SPINAL ANESTHESIA IN LOWER LIMB SURGERY." Asian Journal of Pharmaceutical and Clinical Research 11, no. 7 (2018): 427. http://dx.doi.org/10.22159/ajpcr.2018.v11i7.26096.

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Objectives: Dexmedetomidine was shown to prolong the duration of spinal anesthesia and enhance post-operative analgesia. The aim of the study was to compare the effect of intravenous (IV) versus intrathecal (IT) administration of dexmedetomidine on bupivacaine spinal anesthesia in patients undergoing lower limb surgery.Methods: A prospective randomized controlled study was conducted during the year 2014–15. 60 American Society of Anesthesiologists physical status I–II aged 18–60 years scheduled for lower limb surgery under spinal anesthesia were assigned randomly to two groups: (1) IT group (I

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G., Gnaneshwari, Adithi Devi E., and Sairaj V. "Efficacy of Labour Analgesia with Standard Epidural versus Dural Puncture Epidural Techniques in Parturients – A Randomized Control Trial." International Journal of Pharmaceutical and Clinical Research 16, no. 12 (2024): 325–30. https://doi.org/10.5281/zenodo.14592893.

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<strong>Introduction:</strong> Neuraxial analgesia has a minimal risk of side effects and is very effective, making it the gold standard of labor analgesia. If the dural puncture epidural method (DPE) can validate midline implantation and increase intrathecal translocation of epidural medicines, it might enhance the quality of analgesia. The current research set out to evaluate the relative merits of standard epidural and dural puncture epidural approach for labor analgesia. <strong>Material and Methods:</strong> Sixty-four full term primi or multiparous parturients were randoml

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Gori, Fabio, Francesco Corradetti, Vittorio Cerotto, and Vito Aldo Peduto. "Influence of Positioning on Plain Levobupivacaine Spinal Anesthesia in Cesarean Section." Anesthesiology Research and Practice 2010 (2010): 1–4. http://dx.doi.org/10.1155/2010/212696.

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Background. The behaviour of isobaric levobupivacaine in relation to gravity when used in obstetric spinal anesthesia is unclear.Methods. 46 women with ASA physical status 1 undergoing cesarean section were randomly allocated to 2 groups. Spinal anesthesia with 12.5 mg levobupivacaine was performed in the sitting position in all women. Those in the first group were placed in the supine position immediately after the injection, while those in the second group were asked to remain seated for 2 minutes before assuming the supine position. The sensory block level, the onset of sensory and motor bl

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Sane, Shahryar, Shahram Shokouhi, Parang Golabi, Mona Rezaeian, and Behzad Kazemi Haki. "The Effect of Dexmedetomidine in Combination with Bupivacaine on Sensory and Motor Block Time and Pain Score in Supraclavicular Block." Pain Research and Management 2021 (April 10, 2021): 1–8. http://dx.doi.org/10.1155/2021/8858312.

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Background. Brachial plexus block is frequently recommended for upper limb surgeries. Many drugs have been used as adjuvants to prolong the duration of the block. This study aimed to assess the effect of dexmedetomidine with bupivacaine combination and only bupivacaine on sensory and motor block duration time, pain score, and hemodynamic variations in the supraclavicular block in upper extremity orthopedic surgery. Methods. This prospective, double-blind clinical trial study was conducted on 60 patients, 20 to 60 years old. Patients were candidates for upper extremity orthopedic surgeries. The

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Ankita, Singh. "Prospective Randomized, Double-Blind Comparative Assessment of the Continuous Epidural Infusion of 0.125% Ropivacaine with 1µg/Ml Fentanyl Versus 0.125% Bupivacaine With 1µg/Ml Fentanyl for Postoperative Analgesia in Major Abdominal Surgery." International Journal of Toxicological and Pharmacological Research 12, no. 3 (2022): 113–20. https://doi.org/10.5281/zenodo.12512730.

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<strong>Aim:</strong> The present study was carried out to compare the efficacy of continuous epidural infusion of two amide local anesthetics, ropivacaine and bupivacaine with fentanyl for postoperative analgesia in major abdominal surgeries. <strong>Material and Methods: </strong>A total of 80 patients scheduled for major abdominal surgery were randomized into two Groups B and R with forty patients in each group. All patients were administered general anesthesia after placing epidural catheter. Patients received continuous epidural infusion of either 0.25% bupivacaine with 1 u

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Amit, Kumar Sharma. "Assessment of the Continuous Epidural Infusion of 0.125% Ropivacaine with 1µg/Ml Fentanyl versus 0.125% Bupivacaine with 1µg/Ml Fentanyl for Postoperative Analgesia in Major Abdominal Surgery: A Retrospective Study." International Journal of Toxicological and Pharmacological Research 13, no. 4 (2023): 160–66. https://doi.org/10.5281/zenodo.11217209.

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<strong>Aim:</strong> The present study was carried out to compare the efficacy of continuous epidural infusion of two amide local anesthetics, ropivacaine and bupivacaine with fentanyl for postoperative analgesia in major abdominal surgeries. <strong>Material and Methods: </strong>A randomized, prospective, study was carried out in Department of Anesthesiology, Lord Buddha Koshi Medical College and Hospital, Saharsa, Bihar, India for one year .A total of 80 patients scheduled for major abdominal surgery were randomized into two Groups B and R with forty patients in each group.

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Li, Wei, Yingming Fan, and Wanghao Chen. "Effects of Combined Spinal Epidural Anesthesia in Orthopaedic Surgery of Elderly Patients." Computational and Mathematical Methods in Medicine 2022 (October 13, 2022): 1–5. http://dx.doi.org/10.1155/2022/3523172.

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Objective. Combined spinal epidural anesthesia (CSEA) is applied to lower limb orthopaedic surgery in the elderly. This study is aimed at exploring the effect of CSEA in orthopaedic surgery of elderly patients. Methods. A total of 40 elderly patients with femoral fracture needing hip replacement or femoral head replacement in our hospital from June 2021 to June 2022 were selected as the research objects. The subjects were divided into observation group ( n = 20 ) and control group ( n = 20 ) by random number table method. The control group was given epidural anesthesia, while the observation g

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Nejmark, Mihail I., and O. S. Ivanova. "Neuroaxial methods analgesia of labour." Regional Anesthesia and Acute Pain Management 14, no. 1 (2020): 19–25. http://dx.doi.org/10.17816/1993-6508-2020-14-1-19-25.

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The aim of study is a comparative evaluation of the efficacy and safrty of ultra-low-dose spinal analgesia, epidural and paravertebral analgesia to labor pain relief. Material and methods. Four groups of 40 women tookpart in the study: one group is 40 patients, the labor pain was relieved by epidural analgesia. The second group consisted of 40 women in labor, anesthesia was carried out with ultra-low-dose spinal analgesia, 3rd group is 40 women who were anesthetized with paravertebral analgesia. The control group is 40 patients without anesthesia. The parameters of central hemodynamics w

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Gowda K, Sunil. "Abstract No.: ABS2482: A comparative study to evaluate the effect of melatonin on blood loss after elective Caesarean section: a randomised double blind study." Indian Journal of Anaesthesia 66, Suppl 1 (2022): S17—S18. http://dx.doi.org/10.4103/0019-5049.340748.

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Background & Aims: Postpartum hemorrhage (PPH) being a cause for one-third of obstetric deaths, its prevention helps decreasing blood loss at caesarean section. Melatonin acts on MT1 and MT2 receptors in the myometrium, and similarities between melatonin and oxytocin signaling could lead to increased contractility. Methods: After obtaining informed-written-consent, patients were randomly allocated to 2 groups, of 30 each to receive either melatonin 3mg (group M3), or placebo (group P) orally, 1h before spinal-anaesthesia. Patient was preloaded with 10ml/kg ringer-lactate solution. In opera

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