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Journal articles on the topic 'Spinal Anaesthesia in Infra Umbilical Surgeries'

Author: Grafiati

Published: 3 June 2025

Last updated: 31 July 2025

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1

Varghese, Mariam Joan, Jenifer Joab Fernandez, Buena R, and M. Paul Wilson. "Comparison of 0.5% Hyperbaric Bupivacaine with Midazolam Versus 0.5% Hyperbaric Bupivacaine Alone Intrathecally: Prospective Observational Study." Indian Journal of Anesthesia and Analgesia 143, no. 149 (2023): 173–80. http://dx.doi.org/10.21088/ijaa.2349.8471.10423.4.

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Context: Neuraxial anesthesia is the preferred choice for infraumbilical surgeries due to its advantages. The incorporation of midazolam alongside local anesthetic drugs in spinal anesthesia has demonstrated positive outcomes. This study was undertaken to assess the effectiveness of midazolam in terms of analgesic and anesthetic efficacy, as well as potential adverse effects, in patients undergoing infraumbilical surgeries. Aims: To compare the analgesic and anaesthetic effect of mixture of midazolam - bupivacaine as compared to bupivacaine alone in patients undergoing infra-umbilical surgerie

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S., Megha, and Raghunandana P. "COMPARISON OF 0.5% LEVOBUPIVACAINE- FENTANYLAND 0.5% ROPIVACAINE-FENTANYL IN INFRAUMBILICAL SURGERIES." International Journal of Advanced Research 11, no. 05 (2023): 1442–50. http://dx.doi.org/10.21474/ijar01/17011.

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Spinal anaesthesia is a commonly performed procedure when the surgical site is located on the lower abdomen, perineum or lower extremities. The advantages are an awake and spontaneously breathing patient, minimal drug costs, reduction of poly-pharmacy and rapid patient turnover. Regional anesthesia techniques have seen numerous modifications over the last two decades with the advent of many new and safer local anesthetics. Presently, hyperbaric bupivacaine is the most commonly used drug for administration of spinal anaesthesia. Levobupivacaine and ropivacaine have recently become available in

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3

Maruf, AA, M. Alam, MB Ali, and S. Nazrina. "Spinal anaesthesia in children under sedation." Mediscope 4, no. 1 (2017): 18–24. http://dx.doi.org/10.3329/mediscope.v4i1.34375.

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Spinal anaesthesia in children evolved more than hundred years ago and gaining considerable popularity worldwide. In our setups in Bangladesh, this technique has not gained popularity yet but over the past few years this technique has been practiced in some centers. The objective of the present study was to observe the efficacy and safety of spinal anaesthesia under sedation in children scheduled for infra-umbilical surgical procedures. In this study, 67 children of age ranging from 2 to 10 years of either sex, with American Society of Anaesthesioloists physical status I and II, undergoing inf

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Naresh Satia, Shweta, Sameer Kulkarni, and Jyoti Kale. "Comparison of Phenylephrine, Ephedrine and Mephentermine for Control of Hypotension following Spinal Anaesthesia for Infra-Umbilical Surgeries." International Journal of Science and Research (IJSR) 10, no. 7 (2021): 47–52. https://doi.org/10.21275/sr21625153917.

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M., Rajabhushanam, Sunil Kumar K., Syed Ali Aasim, and Venkatesh S. "A comparative study of low doses of intrathecal ketamine and midazolam with bupivacaine for postoperative analgesia in infraumbilical surgeries." International Journal of Advances in Medicine 6, no. 2 (2019): 197. http://dx.doi.org/10.18203/2349-3933.ijam20190963.

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Background: Infra-umbilical surgeries may be performed under local, regional (spinal or epidural) or general anaesthesia, spinal block is still a first choice, because of its rapid onset, high quality of blockade, lack of catheter related infection, less failure rate and also cost effective but the duration of block and postoperative analgesia is limited. The purpose of study was to compare the efficacy of adding ketamine to 0.5% hyperbaric bupivacaine with midazolam to 0.5% hyperbaric bupivacaine in elective infraumbilical procedures.Methods: A randomized, single blinded, clinical study. 60 s

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Sujeet, Kumar, Kumar Choudhary Rajesh, and Kumari Soniya. "A Hospital Bases Study to Evaluate and Compare the Efficacy and Safety of a Single Dose of Intravenous Paracetamol and Intravenous Tramadol for Post Operative Analgesia in Infra Umbilical Surgery." International Journal of Current Pharmaceutical Review and Research 15, no. 12 (2023): 535–39. https://doi.org/10.5281/zenodo.11521297.

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AbstractAim: The aim of the present study was to evaluate and compare the efficacy and safety of a single dose ofintravenous Paracetamol and intravenous Tramadol for post operative analgesia in infra umbilical surgery.Methods: The present study was conducted in the Department of Anaesthesia, BMIMS for the period of one year.Total 100 patients from both the sexes aged between 18-60 years of ASA grade I and II scheduled for electiveinfra umbilical surgery under spinal anaesthesia were included in the study.Results: Demographic data was comparable with respect to age, weight, ASA physical status,

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Dr. Leena Goel, Dr. Naveen Singh, and Dr. Deepak Agarwal. "Comparative Efficacy of Fentanyl Vs Dexmedetomidine Intrathecally as an Adjuvent to Isobaric Levo-Bupivacaine in Infra-Umbilical Surgery: A Prospective Randomized Study." IAR Journal of Medicine and Surgery Research 4, no. 6 (2023): 14–19. http://dx.doi.org/10.47310/iarjmsr.2023.v04i06.04.

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Background: Fentanyl is a potent, highly lipophilic, synthetic opioid analgesic used as an adjuvant in spinal anaesthesia. Dexmedetomidine is also a potent, lipophilic, selective α2-adrenergic agonist. Compared to Dexmedetomidine, it has an earlier onset of block, better intraoperative analgesia with increased side effects(such as, nausea, vomiting or respiratory depression). Aim: To compare Fentanyl(25 ug) versus Dexmedetomidine(10 ug) as an adjuvant with 0.5% isobaric Levo-Bupivacaine in infra-umbilical surgeries. Material & Methods: A prospective, randomized, controlled study. Departmen

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8

Reelkar, Varsha Vijay, and Avinash B. Pawar. "Unilateral spinal anaesthesia: An alternative and effective approach in infra-umbilical surgeries in geriatric population." MedPulse International Journal of Anesthesiology 9, no. 3 (2019): 182–86. http://dx.doi.org/10.26611/1015936.

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9

Jitendra, Kaithwal, Jain Shalini, Ningawal Basant, and Arora KK. "The Influence of age on sensitivity to Dexmedetomidine sedation during Spinal Anaesthesia in Infra Umbilical Surgeries." International Journal of Medical Anesthesiology 4, no. 4 (2021): 71–75. http://dx.doi.org/10.33545/26643766.2021.v4.i4b.324.

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10

Mohamed, Sherif Abdallah, Ayman Mohamed Hussam, Sarah Ahmed Abdallah, Khaled Abdelfattah Sarhan, and Abdelkhalek Mahmoud Shaban. "Ondansetron Is an Effective Alternative to Decrease the Incidence of Postspinal Hypotension in Healthy Subjects Undergoing Infra-Umbilical Surgeries Compared To Combined Volume Loading and Vasoconstrictors: Randomized Controlled Trial." Open Access Macedonian Journal of Medical Sciences 6, no. 12 (2018): 2363–68. http://dx.doi.org/10.3889/oamjms.2018.491.

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BACKGROUND: One of the important and predicted physiological effects of spinal anaesthesia is hypotension. A range of strategies including mechanical interventions, intravenous fluids and vasoconstrictor drugs have been used to minimise or prevent spinal anaesthesia-induced hypotension. Observational studies suggest that ondansetron reduces the incidence of post-spinal hypotension (PSH) and support the use of combined fluid preloading and vasoconstrictors for this purpose (but with limited doses) to avoid side effects as fluid overload and tachycardia respectively. AIM: As no RCT had eve

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Kamal, Geeta, Raman Piplani, Anju Gupta, and Nidhi Sehgal. "Clonidine as an adjuvant to bupivacaine in spinal anaesthesia for infra-umbilical surgeries in children: a prospective randomized, double-blind trial." Ghana Medical Journal 55, no. 2 (2021): 103–10. http://dx.doi.org/10.4314/gmj.v55i2.2.

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Objective: Spinal anaesthesia (SA) is a well-established technique for infra-umbilical surgeries but is underutilized in children. One important reason is the limited duration of action. Clonidine is a useful adjuvant in this regard but has not been studied in a dose of 1.5 μg/kg.Design: a prospective randomized study Setting: A single centre study conducted at a Super speciality paediatric tertiary care centre.Participants: Sixty children (5-12yrs) scheduled for lower abdominal surgery with duration <90min were included.Interventions: The participants were randomized into two groups

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Kanchan, U. Singh, and Gangadhar S.B. "Predicting Hypotension after Spinal Anaesthesia Induced with 0.5 % Hyperbaric Bupivacaine for Infraumbilical Surgeries using Inferior Vena Cava Collapsibility Index." International Journal of Pharmaceutical and Clinical Research 16, no. 7 (2024): 962–68. https://doi.org/10.5281/zenodo.13186983.

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<strong>Introduction:</strong> The study focuses on predicting post-spinal anaesthesia hypotension in patients undergoing various infraumbilical surgeries by assessing the inferior vena cava collapsibility index as a tool to predict post spinal hypotension. <strong>Aim and Objectives:</strong> Predicting hypotension before and after spinal anaesthesia induced with 0.5% hyperbaric bupivacaine for infraumbilical surgeries using inferior vena cava collapsibility index and to determine the effect of preloading on changes in the incidence of post spinal hypotension as directed by the

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Kumar, Manoj, Ankur Kumar, Dheer Singh, and Surekha Saxena. "Prophylactic use of Midazolam, Ketamine, and Ketamine plus Midazolam for prevention of perioperative shivering during spinal anaesthesia in patients undergoing infraumbilical surgeries: a comparative study." International Journal of Research in Medical Sciences 5, no. 9 (2017): 3985. http://dx.doi.org/10.18203/2320-6012.ijrms20173967.

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Background: Shivering is a common problem faced by an anaesthesiologist during perioperative period. Shivering occurs during both general anaesthesia and regional anaesthesia but it is more troublesome during neuraxial anaesthesia. To evaluate the effectiveness of intravenous Midazolam, Ketamine and combination of Midazolam with Ketamine in control of shivering.Methods: The study was conducted in 90 ASA I and II patients receiving neuraxial anaesthesia with comparable dose of hyperbaric bupivacaine. The patients were allocated in three groups of 30 each to receive Midazolam 75 mcg/kg, ketamine

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14

Parth M, Shah. "Original Article Comparative Study to Evaluate Intravenous Dexmedetomidine as Bolus Versus Infusion with Spinal Anaesthesia for Infra-Umbilical Surgeries." Indian Journal of Anesthesia and Analgesia 7, no. 5 (2020): 1149–54. http://dx.doi.org/10.21088/ijaa.2349.8471.7520.40.

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15

Upasani, Shrikant M. "Evaluation of spinal anaesthesia by bupivacaine heavy (0.5%) and bupivacaine heavy (0.5%) with midazolam in infra-umbilical paediatric surgeries." MedPulse International Journal of Anesthesiology 16, no. 2 (2020): 36–40. http://dx.doi.org/10.26611/10151623.

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Khan, Talib, Ubaid Ahmad Sheikh, Shaqul Qamar Wani, and Zarka Sarwar. "Spinal Anaesthesia for Infra-umbilical Surgeries - A Prospective Randomized Study to evaluate the effectiveness of Dexmedetomidine as an adjuvant to Bupivacaine." JMS SKIMS 21, no. 2 (2019): 95–100. http://dx.doi.org/10.33883/jms.v21i2.356.

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Background: Spinal anesthesia is commonly used anesthetic modality worldwide but with the limitation of relatively short duration of action and complain of post-operative pain. However, the addition of adjuvants have intensified and increased the duration of sensory block with concommitent prolongation of the duration of postoperative analgesia. Study design and settings: This prospective randomized study was conducted in the Department of Anesthesia, Pain and Critical Care at the University Teaching Hospital. Methods: 60 patients irrespective of their age and gender were randomize

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Damani, Khushboo R. "Assessment of efficacy of spinal anaesthesia by bupivacaine heavy (0.5%) and bupivacaine heavy (0.5%) with ketamine in infra-umbilical surgeries in children." MedPulse International Journal of Anesthesiology 15, no. 3 (2020): 145–49. http://dx.doi.org/10.26611/101515314.

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18

Pandey, Vandana, Akash Gajendra, Tripti Vatsalya, Vikas Gupta, and Shikha Mehrotra. "An observational study to compare the effect of intravenous dexmedetomidine versus intravenous magnesium sulphate pretreatment on characteristics of spinal anaesthesia." Panacea Journal of Medical Sciences 13, no. 1 (2023): 25–31. http://dx.doi.org/10.18231/j.pjms.2023.006.

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The study was conducted to assess & compare the effect of pretreatment with intravenous Dexmedetomidine and Magnesium sulphate on characteristics of SAB with hyperbaric bupivacaine. 80 ASA grade I and II patients (age: 18-60 years) scheduled for infraumblical surgery under spinal anesthesia were included & randomly divided into group-D (dexmedetomidine 1μ gm/kg) and group-M (magnesium sulfate 50 mg/kg). patients were given prefixed doses of either intravenous dexmedetomidine or Magnesium sulfate 15 mins before SAB. Incidence of hypotension, highest level & duration of sensory &

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19

Rajeev, G., Khanderao Nandanwankar Niteen, Chole Minakshi, and V. Kulkarni Vaishnavi. "Comparison of Intrathecal 0.5% Hyperbaric Bupivacaine with 0.5% Hyperbaric Ropivacaine in Infraumbilical Surgeries." International Journal of Pharmaceutical and Clinical Research 16, no. 11 (2024): 360–66. https://doi.org/10.5281/zenodo.14250787.

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<strong>Introduction:</strong> A 0.5% hyperbaric bupivacaine has been extensively used for spinal anaesthesia. It provides an intense motor block, of longer duration which is usually not needed for perineal and lower limb surgeries. Ropivacaine is a relatively new amino-amide local anaesthetic that appears to be less potent and gives less intense motor block of shorter duration as compared to bupivacaine. Ropivacaine also has less cardiovascular and central nervous system toxicity than bupivacaine. It is well established that addition of dextrose to local anaesthetic increases the specifi

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M, Dhakshinamoorthy, and Vishnu Priya S. "Comparative study of epidural clonidine versus dexmedetomidine as an adjuvant to bupivacaine for post-operative analgesia in infra umbilical surgeries under combined spinal epidural anaesthesia." MedPulse International Journal of Anesthesiology 9, no. 3 (2019): 176–81. http://dx.doi.org/10.26611/1015935.

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Dagar, S., S. Rathee, S. Satya, A. Yadav, and G. Sangwan. "A Study to Compare the Prophylactic use of Midazolam Versus Tramadol for Anti-shivering effect in Infra-umbilical Surgeries under Spinal Anaesthesia in Post-operative Period." Indian Journal of Health Sciences and Care 10, no. 1 (2023): 14–18. http://dx.doi.org/10.5958/2394-2800.2023.00002.0.

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22

Sonam, Shrivas, Kushwaha Jitendra, Keshari Urmila, and Ahirwal Rajkumar. "A Comparative Evaluation between 4 ml Intrathecal 1% 2 Chloroprocaine and Intrathecal 0.5% Levobupivacaine for Infraumbilical Short Surgical Procedures under Subarachnoid Block: A Clinical Study." International Journal of Pharmaceutical and Clinical Research 15, no. 4 (2023): 1638–48. https://doi.org/10.5281/zenodo.12683163.

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<strong>Aim:</strong> This study aims to assess the anaesthetic effects of intrathecal 1%, 2-chloroprocaine versus intrathecal 0.5%, levo bupivacaine in infraumblical short surgical procedures. <strong>Material and Methodology:</strong> After obtaining approval from the Institutional Ethics Committee and written informed consent from patient, the present prospective randomised double blind study entitled was carried out on 60 patients (ASA grade I and II ) age of 18-45 years of either sex scheduled for infraumblical surgeries. The selected patients were randomly divided into two equa

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Jagtap, Dr Pradnya. "Evaluation of Caudal Epidural Analgesia for Relieving Post-Operative Pain in Paediatric Surgical Patients." SAS Journal of Medicine 10, no. 08 (2024): 727–31. http://dx.doi.org/10.36347/sasjm.2024.v10i08.004.

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Post-operative pain poses major problem in children undergoing surgery. The use of caudal epidural analgesia as an adjuvant to general anaesthesia reduces intraoperative requirement of analgesics and post-operative pain relief. Caudal epidural analgesia in children is safe and effective in hands of experts. Materials & Methods: This study was conducted in children from age group 1month to 12 years undergoing umbilical and infra-umbilical surgeries after taking permission from institutional ethics committee. Out of 150 operated patients, 100 Patients were posted for umbilical and infra-umbi

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Gautam, Binod, and Manan Karki. "Caudal block analgesia for paediatric infra-umbilical surgery: A prospective observational study." Journal of Kathmandu Medical College 8, no. 3 (2020): 122–30. http://dx.doi.org/10.3126/jkmc.v8i3.29713.

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Background: Caudal block is the most common regional anaesthesia technique used in children. It offers excellent perioperative analgesia in infra-umbilical surgeries. However, large-scale studies on caudal block in our paediatric population are not available.Objectives: We aimed to evaluate practice pattern, efficacy and safety of caudal block in paediatric infra-umbilical surgery.Methodology: Children (age less than 14 years) undergoing elective infra-umbilical surgery under general anaesthesia were included in this prospective observational study conducted over two years. Demographic charact

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Sharma, Tejash, Nilam Shah, Jignesh Patel, Akhilesh Chhaya, and Rama Upadhyaya. "Comparison of general anaesthesia v/s caudal epidural in paediatric infra umbilical surgeries." International Journal of Biomedical Research 6, no. 1 (2015): 35. http://dx.doi.org/10.7439/ijbr.v6i1.1537.

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Ni, Xiu, Xiang Zhao, Mengzhu Li, Quan Li, and Zhiqiang Liu. "Thoracic epidural anesthesia for gas-free trans-umbilical single port laparoscopic cholecystectomy: a case report." International Surgery Journal 4, no. 1 (2016): 420. http://dx.doi.org/10.18203/2349-2902.isj20164483.

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Laparoscopic cholecystectomy (LC) is usually performed under general anaesthesia (GA). With the advancement of surgical and anaesthetic technique, there were many LC have been successfully performed under epidural anaesthesia in recent years. Surgeons in our hospital have performed gas-free trans-umbilical single port laparoscopic cholecystectomy since 2015. However, the description of thoracic spinal epidural anesthesia (TEA) for gas-free trans-umbilical single port laparoscopic cholecystectomy has not been reported yet. The goal of anesthetic management in gas-free trans-umbilical single por

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M Kokane, Deepak, Nitin Ingle, and Satish Deshpande. "Comparative Evaluation of Bupivacaine and Bupivacaine with Dextmedetomidine in Subarachnoid Block." Indian Journal of Anesthesia and Analgesia 8, no. 1 (2021): 103–10. http://dx.doi.org/10.21088/ijaa.2349.8471.8121.14.

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ntroduction: Since the introduction of spinal anaesthesia in 1898 by Dr. August Bier, who described the intrathecal administration of cocaine, spinal anaesthesia is preferred over general anaesthesia, particularly in surgical procedures of lower abdomen and lower limbs1 (D C Simon et al 2008). The aim of intrathecal local anaesthetic is to provide adequate sensory and motor block necessary for all below umbilical surgeries. Hyperbaric Bupivacaine is the most commonly used intrathecal local anaesthetic. Various adjuvants have been added to Bupivacaine to shorten the onset of block and prolong t

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Gautam, Binod, Sujata Niroula, Mona Sharma, and Sushila Moktan Lama. "Effects of Intrathecal Dexmedetomidine as an Adjuvant to Hyperbaric Bupivacaine for Spinal Anaesthesia in Adults Undergoing Elective Infra-umbilical Surgery." Journal of Nepal Medical Association 56, no. 208 (2017): 379–87. http://dx.doi.org/10.31729/jnma.3394.

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Introduction: Various adjuvants to local anaesthetic are used to improve quality and duration of spinal anaesthesia. Dexmedetomidine, a novel alpha-2 adrenergic agonist, has been proposed to augment local anaesthetic effects. This study aims to investigate effects of intrathecal Dexmedetomidine on duration of analgesia and duration of sensory block during spinal anaesthesia. Methods: In this randomized double-blind study 38 patients were allocated into each of two groups. Otherwise healthy patients (18 to 75 years) scheduled for inguinal hernia repair or vaginal hysterectomy were include

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M., Keerthana, Bharath Krishna M., Nikila DG., Girimurugan N., and Arun Prasath D. "EFFECT OF ONDANSETRON IN MITIGATION OF POST-OPERATIVE SHIVERING IN COMPARISON TO FORCED AIR WARMER AND DEXAMETHASONE IN PATIENTS UNDERGOING INFRA UMBLICAL SURGERIES UNDER SUBARACHNOID BLOCK - A PROSPECTIVE RANDOMISED STUDY." International Journal of Advanced Research 11, no. 11 (2023): 289–93. http://dx.doi.org/10.21474/ijar01/17827.

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Background: Subarachnoid block in a ubiquitous technique used in the field of anaesthesia to facilitate any number of surgeries below the level of the umbilicus. However, this technique is frequently associated with post anaesthesia shivering caused by the sympathetic blockade and peripheral vasodilatation. Materials and Methods:We compared the efficacy of Ondansetron against dexamethasone and isolated forced air warming in the mitigation of sub arachnoid blockade induced shivering. We enrolled a total of 120 individuals scheduled to undergo elective infra umbilical surgeries and randomly allo

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Uysal, Gülçin Çetin, and Şeniz Bektur. "A case of Transvaginal NOTES (vNOTES) hysterectomy. Multidisciplinary minimal invasive approach for all aspects." Medical Science and Discovery 9, no. 4 (2022): 263–64. http://dx.doi.org/10.36472/msd.v9i4.712.

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Umbilical single-port surgeries developed with advanced technological equipment like flexıble optics and reticulated graspers. Single-port surgeries decreased skin incision and multiple port-site pain concerns. Case: In this study, a 74-years-old, postmenopausal female had P2G2 descensus uteri, subtotal uterine prolapse. Complaints were about vaginal mass disturbing life quality associated with bladder incontinence. vNOTES Hysterectomy performed. Case: vNOTES Hysterectomy was performed and spinal anaesthesia was used as a regional anaesthesia (RA) for the procedure. vNOTES allow for safe surge

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Deshmukh, Ashok, Annasaheb Maske, and Arvindanand Rajgure. "Intrathecal Dexmeditomedine as an Adjuvant with Bupivacaine for Spinal Anesthesia in Infra Umbilical Surgeries." Indian Journal of Anesthesia and Analgesia 4, no. 4 (Part-1) (2017): 957–63. http://dx.doi.org/10.21088/ijaa.2349.8471.4417.7.

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Sahoo, Ayaskant, Padmalatha Seelan, Gurucharan Dasari, and Swathi Penmatsa. "Comparison of effectiveness between two different doses of intravenous dexmedetomidine as adjuvant to subarachnoid block for sub umbilical surgeries." Journal of Medical Science 92, no. 2 (2023): e838. http://dx.doi.org/10.20883/medical.e838.

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Background. Spinal anesthesia was a commonly used technique in anesthetic practice for lower abdominal and lower limb surgeries. To prolong the duration of bupivacaine spinal anesthesia adjuvants like α2 agonists and opioids have been used intrathecally. Clonidine and dexmedetomidine have also been found to prolong the duration of spinal anesthesia when given intravenous. Dexmedetomidine was more suitable adjuvant to spinal anesthesia compared to clonidine as it has more sedative and analgesic effects due to more selective α2A receptor agonist activity. Dexmedetomidine has been shown to prolon

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Anbu, Goutham, and Venkatesh Selvaraj. "Comparison Study of Quadratus Lumborum Block Versus Transversus Abdominis Plane Block for Postoperative Analgesia in Children Undergoing Infra-Umbilical Surgeries under General Anesthesia: A Prospective Randomised Study." Journal of Anesthesiology and Reanimation Specialists' Society 32, no. 1 (2024): 46–52. http://dx.doi.org/10.54875/jarss.2024.56933.

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Objective: Quadratus lumborum block (QL block) is a new addition to the truncal blocks used for postoperative analgesia of both upper and lower abdominal surgeries. We conducted this study to evaluate and compare the effect of the two truncal blocks QL-II block and transverses abdominis plane block on the of duration of effective analgesia in children undergoing infra umblical surgeries under general anesthesia. Methods: A prospective randomised study in patients between 1-7 years of age undergoing infraumbilical surgeries. 33 patients in each group. Group A received ipsilateral ultrasound gui

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Swetha J Gouda and P.V. Margi. "Comparative Study of Caudal Bupivacaine and Bupivacaine with Clonidine in Infra Umbilical Surgeries in Children." Academia Anesthesiologica International 5, no. 1 (2020): 23–29. http://dx.doi.org/10.21276/aan.2020.5.1.5.

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Background: Caudal epidural analgesia is one of the most commonly performed regional blocks in paediatric anaesthesia for intra and post-operative analgesia. Addition of opioids like morphine, fentanyl is associated with side effects like respiratory depression, urinary retention, etc. Clonidine, an α2 agonist is known for its analgesic effects with lesser side effects. Hence, this study was conducted to know the efficacy and safety of addition of clonidine to bupivacaine in a single shot caudal block in children.Subjects and Methods:This study was conducted among 60 children in the age group

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Raghvi, Vijyeta, Kumar H. M. Prashantha, and Saraswathi Devi P. "Prophylactic Evaluation of Tramadol Hydrochloride and Pethidine Hydrochloride for Shivering in Patients undergoing Elective Surgery under Spinal Anaesthesia." International Journal of Pharmaceutical and Clinical Research 16, no. 12 (2024): 01–09. https://doi.org/10.5281/zenodo.14588223.

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<strong>Introduction: </strong>Shivering is one of the most common complications during spinal anesthesia , leading to patient discomfort and increased metabolic demand. This is a result of blocked sympathetic activity with effective vasodilatation, leading to loss of thermoregulation. This study aimed to compare the efficacy of prophylactic pethidine and tramadol in preventing shivering in patients undergoing spinal anesthesia. <strong>Aims and Objective: </strong>To analyze the outcome of prophylactic Tramadol hydrochloride and Pethidine hydrochloride for shivering patients wh

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Kumari, Indira, Swati Dhania, Surendra Kumar Sethi, Santosh Choudhary, Ipra Jain, and Vidhu Yadav. "Evaluation of preemptive pregabalin efficacy on block characteristics and postoperative analgesia in patients undergoing infra-umbilical surgeries under spinal anesthesia: A prospective randomized double-blind placebo controlled study." Indian Anaesthetists Forum 25, no. 2 (2024): 127–32. https://doi.org/10.4103/theiaforum.theiaforum_40_24.

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Background and Aims: Spinal anesthesia is the most common technique used for infraumbilical surgeries. Preemptive analgesics have been reported to improve the quality of spinal anesthesia and enhance postoperative analgesia. The present study aimed to evaluate the efficacy of preemptive oral pregabalin on the quality of spinal anesthesia and postoperative analgesia in patients undergoing infraumbilical surgeries. Materials and Methods: Seventy patients American Society of Anesthesiologists physical status I and II, posted for infra-umbilical surgeries under spinal anesthesia, were randomly all

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Shruthi, H. R., D. Srinivasulu, and M. Reshma. "Comparative Study between Clonidine and Dexmedetomidine as Adjuvant to Bupivacaine for Caudal Block in Children Undergoing Sub Umbilical Surgeries." International Journal of Pharmaceutical and Clinical Research 16, no. 6 (2024): 2047–52. https://doi.org/10.5281/zenodo.12749790.

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<strong>Aims:</strong> Caudal epidural block is one of the most popular, reliable and safe techniques in paediatric anaesthesia that can be used with general anaesthesia for intra and postoperative analgesia in patients undergoing various surgeries. A study was conducted to compare clonidine and dexmedetomidine as an additive to bupivacaine for caudal block in children. <strong>Methods:</strong> Ninety children of ASA grade I and II in the age group of 2-8 years posted for elective infra-umbilical surgeries were included in the study. They were divided into three groups of 30 ea

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Sharma, Tejash H., Kaushik Sharma, Dinesh Chauhan, and Jatin Patel. "Comparison between Ropivacaine 0.25% and Bupivacaine 0.25% in Paediatric Caudal Anaesthesia in Infra Umbilical Surgeries (A Study of 60 Cases)." International Journal of Current Research and Review 12, no. 24 (2020): 111–14. http://dx.doi.org/10.31782/ijcrr.2020.122424.

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Singh, Guriqbal, Vijaylaxmi Singh, and Vandana Trivedi. "Controlled comparison of ropivacaine with dexmedetomidine, clonidine and magnesium sulphate as adjuvant in caudal epidural block in paediatric population for infra-umbilical surgeries." Indian Journal of Clinical Anaesthesia 8, no. 4 (2021): 501–6. http://dx.doi.org/10.18231/j.ijca.2021.109.

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Caudal analgesia and anaesthesia is one of the safest and widely used methods for pain relief in paediatric population. Aim of this study is to compare the efficacy of dexmedetomidine, clonidine, magnesium sulphate as adjuvants to 0.25% ropivacaine in caudal anaesthesia for enhancement of duration of analgesia as well as to determine safety of the blockade in paediatric population. It is prospective, randomised, double-blinded study in which eighty children (2–8 years), belonging to American society of Anesthesiologists physical status I and II scheduled for infra-umbilical surgeries were rand

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Sucheta, Hans, Gupta Aleesha, Menia Nikhil, and Kumar Kalsotra Sanjay. "A Prospective Randomized Study Comparing the Use of Hyperbaric 0.5% Levobupivacaine versus Hyperbaric Bupivacaine 0.5% for Spinal Anaesthesia in Infraumbilical Surgeries." International Journal of Pharmaceutical and Clinical Research 16, no. 4 (2024): 1177–83. https://doi.org/10.5281/zenodo.11181311.

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<strong>Background:</strong> Subarachnoid block is popular and commonly used worldwide. . Among the popular drugs used for subarachnoid block are bupivacaine, its enantiomer levobupivacaine, and ropivacaine. The experience of intrathecal anaesthesia with levobupivacaine is not well documented. Hence, the purpose of this study is to assess the quality and duration of sensory and motor blockade of levobupivacaine and its side effects, if any, compared to intrathecal bupivacaine during infraumbilical surgeries. <strong>Objectives:</strong> A clinical study to compare the effect of

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Agrawal, Subhash Kumar, Priyanka Agrawal, Sudhakar Dwivedi, and Avtar Singh Yadav. "LOWER LIMB ELEVATION AS AN ALTERNATIVE TO PRELOADING FOR PREVENTING HYPOTENSION DURING SPINAL ANAESTHESIA FOR BELOW UMBILICAL SURGERIES." Journal of Evolution of Medical and Dental Sciences 3, no. 12 (2014): 3130–34. http://dx.doi.org/10.14260/jemds/2014/2255.

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Choalla, Nikhila, Nagarjuna Thakur, and Hari Prasad Reddy. "A comparative study of efficacy of fentanyl and dexmedetomidine as adjuvants to bupivacaine in spinal anesthesia for infra umbilical surgeries." MedPulse International Journal of Anesthesology 12, no. 3 (2019): 244–48. http://dx.doi.org/10.26611/10151236.

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Siddik (Dalim), Abu Bakor, Md Afzalur Rahman, Kamrunnahar Kamrunnahar, and Abu Zahed Md Firoz. "Spinal Anesthesia with 0.5% Hyperbaric Bupivacaine with Neostigmine for Prolong Anaesthesia." Scholars Journal of Applied Medical Sciences 10, no. 9 (2022): 1538–41. http://dx.doi.org/10.36347/sjams.2022.v10i09.019.

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Introduction: Pain is perhaps the most feared symptom of disease, which man is always trying to alleviate and conquer since ages. The relief of pain has been the fundamental aspect of the practice of anaesthesiology and remains one of the most important and pressing responsibilities of the anaesthesiologist. Presently, spinal anesthesia is a safe, convenient & economical form of regional anesthesia technique, & has gained widespread popularity in developing world. Objective: To compare the effectiveness spinal anesthesia with 0.5% hyperbaric bupivacaine with neostigmine for prolong ana

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Kapadia, Rupal, Manisha Kapdi, and Ajay Prajapati. "Comparison of analgesic efficacy of caudal dexmedetomidine versus caudal tramadol with bupivacaine 0.25% in pediatric infra-umbilical surgeries." Serbian Journal of Anesthesia and Intensive Therapy 44, no. 7-8 (2022): 99–111. http://dx.doi.org/10.5937/sjait2208099k.

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Introduction: Postoperative analgesia is very important parameter for overall management of pediatric patients. Aims: To compare the analgesic efficacy of caudal dexmedetomidine versus caudal tramadol with bupivacaine 0.25 % in paediatric Infra-umbilical surgeries. Objectives: To study hemodynamic changes. The duration of post-operative analgesia and to compare motor block and post-operative sedation in both groups, as well as the side effects associated with analgesia in both the groups. Methods: The study was carried out in 60 patients of either sex belonging to ASA Grade-I/II between age gr

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Hetal, Chaudhari, Ashokbhai Vaghela Kinjal, Ashokbhai Vaghela Viralkumar, and Gamit Krunal. "A Study of Caudal Epidural Dexmedetomidine with Tramadol as an Adjuvant to Ropivacaine 0.25% for Postoperative Analgesia in Children Undergoing Infraumbilical Surgeries." International Journal of Current Pharmaceutical Review and Research 15, no. 12 (2023): 304–9. https://doi.org/10.5281/zenodo.11383179.

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Abstract:Background and Objectives: Good pain control after surgery is important to prevent negative outcomes ofpostoperative pain. Many different modalities to treat the paediatric postoperative pain. The main objective ofthe current study is to compare the caudal epidural dexmedetomidine with tramadol as an adjuvant toropivacaine 0.25% for postoperative analgesia in children undergoing infraumbilical surgeriesMaterial and Method: The study was conducted in 60 paediatric patients randomly allocated in two groupseach having 30 patients. All patients underwent pre anaesthetic check-up the day b

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NASEER, H., M. IQBAL, A. MATEEN, SE ABBAS, N. FATIMA, and IA FARHAN. "COMPARISON OF THE EFFECT OF DEXMEDETOMIDINE AND TRAMADOL AS AN ADJUNCT WITH BUPIVACAINE ON THE DURATION OF SPINAL ANESTHESIA." Biological and Clinical Sciences Research Journal 2024, no. 1 (2024): 1287. https://doi.org/10.54112/bcsrj.v2024i1.1287.

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Spinal anesthesia is a commonly employed technique for infra-umbilical surgeries, but its duration is often insufficient for prolonged procedures. Adjuvants such as dexmedetomidine and tramadol are used to enhance its efficacy. Objective: This study aimed to compare the effects of dexmedetomidine and tramadol as adjuvants to bupivacaine in spinal anesthesia. Methods: This randomized controlled trial was conducted at the Department of Anesthesia, AIMC, Jinnah Hospital, Lahore, over one year From 2021 to 2022. 68 patients undergoing elective infraumbilical surgeries were randomized into two grou

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Rahman, Rushda. "Abstract No.: ABS1865: Effect of general anaesthesia and subarachnoid block on neutrophil to lymphocyte ratio (NLR) in paediatric patients undergoing infra-umbilical surgeries." Indian Journal of Anaesthesia 66, Suppl 1 (2022): S23. http://dx.doi.org/10.4103/0019-5049.340727.

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Background & Aims: Neutrophil lymphocyte ratio (NLR) is a simple marker, of inflammatory response and physiological stress. Different systems are affected by the surgical stress and the anaesthetic method. The aim of the study was to evaluate the effects of anaesthetic technique on neutrophil to lymphocyte ratio (NLR) Methods: After obtaining the institutional ethics committee approval and parental consent, a prospective randomised double-blinded study was conducted between October 2020 to January 2021, including 42,American Society of Anesthesiologists (ASA) class I and II patients, aged

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Poovathai, Raja, Sathis C. Sundararaju, and Kadirvelu S. Ramalingam. "Comparison of intrathecal tramadol and Magnesium sulphate for the prevention of post-spinal shivering in infra umbilical surgeries: A randomized, double blinded and controlled study." Indian Journal of Clinical Anaesthesia 9, no. 2 (2022): 220–26. http://dx.doi.org/10.18231/j.ijca.2022.044.

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: Post anesthesia shivering is a common complication after spinal anesthesia. Intrathecal Magnesium sulphate (MgSO4) and tramadol are the most effective and safe adjuvants with minimal side effects. The aim of this study was to compare the effect of intrathecal tramadol versus intrathecal MgSO4 with bupivacaine for the prevention of post-spinal anesthesia shivering. : In this prospective randomized, double-blinded controlled study, 105 patients scheduled for infraumbilical surgeries were randomly allocated into three groups. Group C(35) received 3.0ml of hyperbaric bupivacaine 0.5% (15mg)+0.5m

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Ramachandran, Nanna. "Effect of Addition of Clonidine to Intrathecal Bupivacaine on Postoperative Analgesia in Inguinal and Lower Limb Surgeries in Adults." Journal of Evolution of Medical and Dental Sciences 11, no. 2 (2022): 386–90. http://dx.doi.org/10.14260/jemds/2022/74.

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BACKGROUND Subarachnoid block with bupivacaine is a popular technique in infra umbilical surgeries. Various adjuvants like clonidine, morphine, buprenorphine, and fentanyl are added to bupivacaine to prolong its duration of action. Clonidine is an alpha 2 adrenergic agonist with analgesic effect at spinal level. This study evaluated the effects of addition of clonidine 60 µgm to intrathecal bupivacaine on postoperative analgesia in inguinal and lower limb surgeries. The primary objective of the study was to assess the duration of postoperative analgesia. METHODS This prospective, randomized, d

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Avinash, Kumar, and Kumar Santosh. "Randomized Prospective Double-Blind Comparative Assessment of the Effect of 0.0625% Bupivacaine with 2% Fentanyl and 0.125% Bupivacaine with 2% Fentanyl Epidural Infusion on Haemodynamic Parameters in Infraumbilical Surgeries." International Journal of Current Pharmaceutical Review and Research 15, no. 05 (2023): 221–28. https://doi.org/10.5281/zenodo.12619069.

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AbstractAim: The aim of the study was to compare effect of 0.0625% bupivacaine with 2% fentanyland 0.125% bupivacaine with 2% fentanyl epidural infusion on haemodynamic parametersfor 48 hrs in infraumbilical surgeries and VAS as the secondary objective with preservedhemodynamic parameters.Methods: The proposed study was conducted at Department of Anaesthesia, DarbhangaMedical College and Hospital, Darbhanga, Bihar, India for one year. A total of 50 patientswith consenting candidates who satisfy necessary inclusion/exclusion criteria during the 18months period were included. Patients accepted i

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