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Journal articles on the topic 'Sub-Arachnoid Block'

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1

Shaikh, Mamoona, Jamil Ahmed, Kauser Shaikh, Shahid Khan, and Ghulam Nabi Mmeon. "Spinal Myoclonus after Sub-Arachnoid Block." Pakistan Journal of Medical and Health Sciences 15, no. 12 (2021): 3353–54. http://dx.doi.org/10.53350/pjmhs2115123353.

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Spinal myoclonus is a rare and less known sequel e after central neuraxial blocks and hereby we present a case of 68 yrs old lady undergoing removal of infected femur implant under sub-arachnoid block (SAB), developing myoclonus after the procedure ended but before regression of block. It was treated successfully with an infusion of lignocaine and magnesium sulphate. The patient was called in for follow-up after one week and had no any complains thereafter. Keywords: Spinal myoclonus, sub-arachnoid block, neuraxial block
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2

Islam, Amirul, Md Rafayet Ullah Siddique, Md Mustafa Kamal, Debabrata Banik, AKM Akhtaruzzaman, and Md Abdul Hye. "Effects of hypertonic saline preloading in sub arachnoid blockade for transurethral resection of prostate - A comparative study." Journal of the Bangladesh Society of Anaesthesiologists 22, no. 2 (2014): 66–71. http://dx.doi.org/10.3329/jbsa.v22i2.18145.

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Background: Hypertonic solution is used to combat hypotension in sub-arachnoid block during trans urethral resection of prostate. Aims and objectives: To compare the effect of 3% sodium chloride solution with that of 0.9% sodium chloride solution, to combat sub-arachnoid block induced hypotension in trans urethral resection of prostate. Methods: A total number of sixty patients ASA grade I & II were selected randomly in two groups , thirty in each group. Group A received 15ml/kg of 0.9% NaCl solution and group B 4ml/kg of 3% NaCl solution as a preload. Sub arachnoid block performed at the
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Asirifi, Samuel Kwame Amoako, Keren-Happuch Twumasiwaa Boateng, and Iddrisu Baba Yabasin. "The Causes of Intraoperative Pain among Elective Caesarean Section Patients under Sub-Arachnoid Block at the Tamale Teaching Hospital." Archives of Current Research International 24, no. 6 (2024): 634–44. http://dx.doi.org/10.9734/acri/2024/v24i6819.

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Background: Intraoperative pain is a possible complication of neuraxial anaesthesia for caesarean delivery. Possible causes of intraoperative pain following caesarean section under spinal anaesthesia have been proposed. The potential consequences include inadequate anaesthesia, nerve injury during needle insertion, manipulation of internal organs during surgery, and psychological factors such as anxiety and fear. This study was conducted to assess the causes of intraoperative pain among patients undergoing elective caesarean section under sub-arachnoid block at the Tamale Teaching Hospital. Me
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Islam, Md Saiful, SK Fariduddin Ahmed, ATM Abdullah, Abdullah Al Maruf, and Iqbal Hossain Chowdhury. "Sub arachnoid block related complications - 5 years experiences." Journal of the Bangladesh Society of Anaesthesiologists 23, no. 2 (2014): 67–71. http://dx.doi.org/10.3329/jbsa.v23i2.18177.

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Sub Arachnoid Block (SAB) is a frequently used popular anaesthetic technique but it is not without complications. The objectives of this retrospective descriptive study was to report and evaluate the complications of SAB in Khulna city,which occurred in a period of 5 years from January 2004 to December 2008. It was a multicentre study. Related data from anesthetic procedure records were collected for above mentioned period. Total 10829 patients were operated under SAB in those centres during the study period. Majority of patients were female (72.22%), mean age was 39 ± 9.78 years, age groups b
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Prabhu, R. Krishna, and A. Radhakrishnan. "Comparison of two different doses dexmedetomidine as an adjuvant to bupivacaine in sub-arachnoid block for abdominal hysterectomies. A randomized double blinded study." Asian Journal of Medical Sciences 8, no. 2 (2017): 59–63. http://dx.doi.org/10.3126/ajms.v8i2.16163.

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Background: Abdominal hysterectomy is often a long duration procedure and warrants intense pain relief in the post-operative period. Dexmedetomidine when added to bupivacaine in subarachnoid block prolongs the duration of surgical anaesthesia, decreases blood loss and prolongs duration of post-operative pain relief. Aims and Objective: To compare two different doses dexmedetomidine as an adjuvant to bupivacaine in sub-arachnoid block in abdominal hysterectomy surgeries. Materials and Methods: 60 patients of age group 30-60 years posted for elective abdominal hysterectomies under American Socie
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Pathak, Meha, and Shilpa M. Doshi. "Study to compare the effect of Dexmedetomidine vs MgSo4 (50%) intrathecally as an adjuvant with bupivacaine (0.5%) for lower limb orthopedic surgery under subarachnoid block." Indian Journal of Clinical Anaesthesia 9, no. 4 (2022): 428–32. http://dx.doi.org/10.18231/j.ijca.2022.087.

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Lower limb surgeries may be performed under local, regional (spinal or epidural) or general anesthesia, but neuraxial blockade is the preferred mode of anesthesia. Sub-arachnoid block or Spinal anaesthesia is the most common central block used in a surgical setting, which is being the most versatile and commonly used regional block. With increasing use of hyperbaric bupivacaine for sub arachnoid block, their limitations like prolongation of onset of sensory and motor blockage effect, short duration of action and early postoperative requirement of an analgesic agent, require an intrathecal adju
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7

Bhowmick, Lipon Kanti, Mohammad Mahabubuzzaman, Md Saiful Islam, and Md Humayun Kabir. "Study of Analgesic Effect of Magnesium Sulphate with Bupivacaine in Ultrasonogram Guided Transversus Abdominis Plane Block for Post-Operative Analgesia in Lower Uterine Cesarean Section." Community Based Medical Journal 10, no. 1 (2022): 9–17. http://dx.doi.org/10.3329/cbmj.v10i1.58639.

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Background: Transversus abdominis plane (TAP) block has proven to be an effective component of postoperative pain management for different abdominal procedures particularly in Lower uterine cesarean section (LUCS) done under Sub arachnoid block. Magnesium sulphate (MgSO4) is a N-methyl-D-aspartate receptor antagonist has the potential to act as an adjuvant in TAP block. For this reason this study was planned to assess the role of Magnesium Sulphate as an adjuvant to bupivacaine in ultrasound-guided transverse abdominis plane (TAP) blocks for postoperative analgesia in patients undergoing LUCS
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8

Prashanth, Jajjari, B. Ajay Kumar Naik, and Santhosh Chinta. "Efficacy of IV Tramadol versus IV Dexmedetomidine in Shivering Following Sub Arachnoid Block." International Journal of Science and Research (IJSR) 11, no. 3 (2022): 502–8. http://dx.doi.org/10.21275/sr22309125333.

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9

Lakshmi, Deepthi Davuluru. "Paravertebral Block versus Sub Arachnoid Block for Inguinal Hernia Repair: A Tertiary Care Experience." International Journal of Pharmaceutical and Clinical Research 15, no. 7 (2023): 910–15. https://doi.org/10.5281/zenodo.11666666.

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<strong>Background:&nbsp;</strong>This study aimed to assess the effectiveness and safety of unilateral paravertebral block (PVB) as the primary anesthetic technique for inguinal hernia repair, as it is currently not widely utilized even by experienced practitioners. The study sought to compare PVB with subarachnoid block (SAB) anesthesia for these procedures, both of which can be employed alongside general, regional, and peripheral nerve block anesthesia to ensure satisfactory anesthetic conditions during surgery.&nbsp;<strong>Methods</strong>: Patients were selected from elective inguinal he
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10

Sugianto, Sugianto, and Abu Bakar. "Hipotensi Berhubungan dengan Kejadian Post Operative Nausea and Vomiting pada Pasien Pasca Anestesi General dan Anestesi Sub Arahnoid Block." Journal of Telenursing (JOTING) 5, no. 2 (2023): 3428–35. http://dx.doi.org/10.31539/joting.v5i2.8084.

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This study aims to identify decreased blood pressure and postoperative nausea and vomiting (PONV) in patients post general anesthesia and sub-arachnoid block (SAB) anesthesia. The research method used is descriptive statistics. The study showed a relationship between hypotension and the incidence of PONV in patients receiving general anesthesia, as indicated by the results of the contingency coefficient test, which had a significant value of 0.018. The study's results also showed a relationship between hypotension and the incidence of PONV in patients receiving SAB anesthesia, as indicated by
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11

Rahman, Mohammad Mizanoor, Md Ashraful Anam, Md Mohim Ibn Sina, Md Aminur Rahman, Mohammad Nasir Uddin, and Mohammad Mahbubur Rahman. "Comparison of Haemodynamic Effects of Levobupivacaine and Bupivacaine in Sub-arachnoid Block for Total Abdominal Hysterectomy." Medicine Today 32, no. 1 (2020): 29–32. http://dx.doi.org/10.3329/medtoday.v32i1.44825.

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Introduction: Altered haemodynamics and arterial hypotension are the most prevalent untoward effects of sub-arachnoid block with bupivacaine. Use of levobupivacaine as pure S (-) - enantiomer of bupivacaine has progressively increased due to its lower cardiotoxicity, neurotoxicity and shorter duration of motor block. This study aimed to compare the haemodynamic status of levobupivacaine and bupivacaine when used with fentanyl in Sub-arachnoid block (SAB) among patients undergone total abdominal hysterectomy.&#x0D; Materials and Methods: This randomized clinical trial enrolled 80 gynaecological
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Sharma, S. P., Anuj Singh, Awanish Karan, Ajay Kumar, D. B. S. Brashier, and Dimple Vishal. "Hoarseness after spinal anesthesia: a case report." International Journal of Otorhinolaryngology and Head and Neck Surgery 6, no. 8 (2020): 1559. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20203217.

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&lt;p class="abstract"&gt;Hoarseness is a common entity encountered post intubation in cases operatively managed under general anaesthesia and during regional anaesthesia mainly in cervical/brachial plexus block as a consequence of involvement of phrenic nerve. Limited reports of hoarseness, associated with spinal anaesthesia (sub arachnoid block) in obstetric and gynecology cases have been documented by various authors. Here we document a case of hoarseness in 24-year-old parturient lasting for 10-14 days, after spinal anaesthesia with bupivacaine (H) for lower segment caesarean section. The
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13

Ajay, Kumar Saini, Mathur Rajni, Mahima, and Das Chetali. "A Prospective Randomized Interventional Controlled Study to Compare the Effect of Intrathecal Tramadol with Placebo for Prevention of Shivering under Subarachnoid Block." International Journal of Pharmaceutical and Clinical Research 15, no. 5 (2023): 1618–23. https://doi.org/10.5281/zenodo.12603105.

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<strong>Introduction:</strong>&nbsp;Peri-anaesthesia shivering is a common complication following subarachnoid block (SAB). Subarachnoid Block is the preferred means of anesthesia for lower abdomen, pelvis, and lower limb surgery.&nbsp;<strong>Aim and Objective:&nbsp;</strong>Comparison of intrathecal tramadol versus placebo for prevention of shivering under subarachnoid block.&nbsp;<strong>Material and Methods:&nbsp;</strong>A prospective, randomised, double-blind, controlled study was created. A total of 108 cases were chosen by the sealed envelope method and divided into two equal groups. G
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14

Santwana, Kumari, Kumar Anuj, and Sinha Anupama. "A Hospital-Based Study to Assess the Clinical Evaluation of Perfusion Index (PI) as a Predictor of Post Spinal Hypotension in Lower Segment Caesarean Section (LSCS)." International Journal of Current Pharmaceutical Review and Research 16, no. 04 (2024): 758–61. https://doi.org/10.5281/zenodo.12804647.

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AbstractAim: The aim of the present study was to assess the clinical evaluation of perfusion index (PI) as a predictor ofpost spinal hypotension in lower segment caesarean section (LSCS).Methods: The present study was conducted in the Department of Obstetrics and Gynecology, JLNMCH,Bhagalpur, Bihar, India for one year. Informed &amp; written consent was obtained from every parturient who camefor caesarean section. A total of 50 subjects were analyzed.Results: Out of 7 parturient had high standard PI (PI&gt;3.5), 6 parturient foster hypotension, though out of 43parturient had low pattern PI (PI
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15

Saba, Ghaffari, and Rahman Khatibur. "A Hospital Based Observational Assessment of the Role of Perfusion Index (PI) as a Predictor of Post Spinal Hypotension in Lower Segment Caesarean Section (LSCS)." International Journal of Current Pharmaceutical Review and Research 16, no. 05 (2024): 263–66. https://doi.org/10.5281/zenodo.12785824.

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AbstractAim: The aim of the present study was to assess the clinical evaluation of perfusion index (PI) as a predictor ofpost spinal hypotension in lower segment caesarean section (LSCS).Methods: The present study was conducted in the Department of Obstetrics and Gynecology, Gauri Devi Instituteof Medical Science &amp; Hospital, Durgapur, West Bengal, India. Informed &amp; written consent was obtained fromevery parturient who came for caesarean section. A total of 50 subjects were analyzed.Results: Out of 7 parturient had high standard PI (PI&gt;3.5), 6 parturient foster hypotension, though ou
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Shahzad, Akhter, Shailesh Kumar, and Kumar Mahesh. "Efficacy of IV Tramadol versus IV Dexmedetomidine in Shivering Following Sub Arachnoid Block." International Journal of Pharmaceutical and Clinical Research 16, no. 7 (2024): 1157–61. https://doi.org/10.5281/zenodo.13199877.

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<strong>Introduction:</strong>&nbsp;Shivering is one of the most common complications of the central neuraxial blockade due to impairment of thermoregulatory control. Many agents have been used to eliminate post &ndash; op shivering such as meperidine, tramadol, ketanserine, clonidine, Propofol, physostigmine, nefopam, dexamethasone, magnesium sulfate, &amp; fentanyl.&nbsp;<strong>Aims:</strong>&nbsp;the aim is to study the efficacy between dexmedetomidine and tramadol in preventing shivering post sub arachnoid block.&nbsp;<strong>Methods and Materials:</strong>&nbsp;A Prospective, randomized
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17

Ashraf, Rashed, Nadeem Parvez Ali, Khalid Nur Md Mahbub, Md Hasan Mahmood, and S. M. Shahriar Jahan. "Comparison of the Efficacy between Femoral Nerve Block and Fascia Iliaca Compartment Block for Postoperative Analgesia in Patients after Knee Surgery." Scholars Journal of Applied Medical Sciences 10, no. 11 (2022): 2046–51. http://dx.doi.org/10.36347/sjams.2022.v10i11.041.

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Background: Moderate to severe pain develop after knee surgery results prolong hospital stay and delay return to normal daily activities. Various analgesic modalities have been used for postoperative analgesia in patients undergoing knee surgery. Both femoral nerve block (FNB) block and fascia iliaca compartment block (FIB) are used routinely for postoperative pain relief in patients undergoing knee surgery. Objectives: To compare the efficacy of postoperative analgesia of FNB &amp; FIB in postoperative period among patients undergoing knee surgery under sub- arachnoid block. Methods: This Ran
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18

Anuradha, Kalyan Jogdand. "Evaluation of Sub-Arachnoid Block using Isobaric Ropivacaine with That of Hyperbaric Bupivacaine in Caesarean Section." International Journal of Pharmaceutical and Clinical Research 15, no. 10 (2023): 1448–54. https://doi.org/10.5281/zenodo.11304303.

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<strong>Introduction:</strong>&nbsp;Caesarean sections with spinal anaesthesia reduce aspiration risk and allow aware patient involvement. Limited pain alleviation, urine retention, and complications are negatives. Bupivacaine is widely used but can cause hypotension. With bupivacaine, dexmedetomidine and magnesium sulphate boost results. For spinal anaesthesia, ropivacaine, a less strong anaesthetic, is sought, with isobaric formulations becoming popular for their reliability.&nbsp;<strong>Aims and Objectives:&nbsp;</strong>This study aims to compare the anaesthetic effects of isobaric ropiva
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Tanisha, Khanna, Mundle Sangeeta, Sivadevapratha, and Kaur Harpreet. "Effect of Intravenous Ondansetron on Sub-Arachnoid Block Induced Hypotension and Bradycardia in Patients Undergoing Caesarean Section." International Journal of Pharmaceutical and Clinical Research 16, no. 3 (2024): 1233–38. https://doi.org/10.5281/zenodo.10972228.

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<strong>Background:</strong>&nbsp;Spinal anesthesia is a safe and effective alternative to general anesthesia when the surgical site is located on the lower extremities, perineum (eg, surgery on the genitalia or anus), or lower body wall (eg, inguinal herniorrhaphy).&nbsp;<strong>Objective:</strong>&nbsp;To compare post spinal (SAB) haemodynamic changes (hypotension and bradycardia) between two groups.&nbsp;<strong>Methods:</strong>&nbsp;This Prospective observational study was conducted in Department of Anaesthesiology and Critical Care in M GM Medical College and LKS Hospital. ASA physical s
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Vikram, Vasuniya, Husain Sana, Jain Aman, Mohd. Khan Vajahat, Dubey Anuj, and Jain Yash. "Comparative Evaluation of Repeat Dose of Ropivacaine V/S Bupivacaine in Sub Arachnoid Block for Patients Having Previous History of Scorpion Bite." International Journal of Pharmaceutical and Clinical Research 16, no. 4 (2024): 163–65. https://doi.org/10.5281/zenodo.11174036.

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In our routine practice, it was observed that there were incidents of failed spinal anaesthesia in patients with history of scorpion bite. The mechanism of action of local anaesthetics via sodium channels may have possible mutations which alter the response to local anaesthetics. Randomly selected 40 patients of either sex or age range 18-60 years, of physical status ASA I/II, were divided into two equal groups of 20 patients each, both the groups were given initial dose of 3.5 ml 0.5% bupivacaine heavy. The onsets of sensory and motor block and peaks of sensory and motor block were observed w
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Baduni, Neha, Aruna Jain, and ManojK Sanwal. "Bupivacaine sparing effect of intrathecal midazolam in sub-arachnoid block for cesarean section." Journal of Obstetric Anaesthesia and Critical Care 3, no. 1 (2013): 27. http://dx.doi.org/10.4103/2249-4472.114288.

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P. George, Thomas, and Koshy Thomas. "Comparison of the Effects of using three Different Types of Needles on Sub Arachnoid Block: A Clinical Study." Indian Journal of Anesthesia and Analgesia 6, no. 3 (2019): 826–34. http://dx.doi.org/10.21088/ijaa.2349.8471.6319.20.

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Ganguly, Deeptangshu, Dharani D. Ranganath, Manohar Herle, Rajasekhar C. H., and Kokila B. Nagaraj. "A prospective study on the use of anesthetic agents in modern surgical practice at a tertiary care hospital, Karnataka, India." International Journal of Basic & Clinical Pharmacology 6, no. 7 (2017): 1612. http://dx.doi.org/10.18203/2319-2003.ijbcp20172718.

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Background: The choice of local anesthetic is based on potency of the agent, onset and duration of anesthesia, and side effects of the drug Objectives of the study were, the study proposes to analysis the pattern, trend, rationality and frequency of use of anesthetic agents in modern surgical procedures.Methods: The study records relevant data obtained from surgical case records of patients from department of General surgery, Obstetrics and Gynecology and Orthopedics during the period December 2014 to May 2015 including first one month of pilot study, at KVGMC, Sullia (D.K), Karnataka.Results:
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Bhuyan, Shyamolima, Aruna Chandak, and Vivek Chakole. "Comparison of efficacy of intrathecal fentanyl as an adjuvant to bupivacaine and ropivacaine in lower limb orthopaedic surgeries for post-operative analgesia." F1000Research 12 (August 7, 2023): 943. http://dx.doi.org/10.12688/f1000research.135208.1.

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Background: Sub-arachnoid block or spinal anaesthesia is a common mode of anaesthesia that is used for lower limb orthopaedic surgeries. Bupivacaine hydrochloride is a long-acting amide anaesthetic used extensively intrathecally. It has the ability to effectively block sensory and motor pathways. However, it has drawbacks, like cardiotoxicity and neurotoxicity. Ropivacaine is a long-acting amide local anaesthetic agent. It has the capacity to block sensory nerves more than motor nerves. Ropivacaine has reduced potential for neurotoxicity and cardiotoxicity. Fentanyl is a synthetic opioid. It c
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Dr., Reem Rachal Roy, and Sanhita Kulkarni Dr. "Anesthetic Management of a Patient with Severe Systolic Dysfunction Posted for Proximal Femur Fracture Fixation- A Case Report." International Journal of Innovative Science and Research Technology 7, no. 11 (2022): 521–22. https://doi.org/10.5281/zenodo.7366171.

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Proximal femur fractures are amongst the most common fractures in elderly people. As elderly patients present with multiple comorbidities including cardiac dysfunction, the anesthesia management in such cases can be quite challenging. We present a case report describing the successful anesthetic management of an elderly patient with severe systolic dysfunction posted for proximal fracture femur fixation. The importance of alternative anesthetic options to Sub-Arachnoid Block, especially Regional Anesthetic techniques, in elderly patients with left ventricular dysfunction, is emphasized.
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Karasala, Varalakshmi, Upendra Kumar, Archana Tripathi, and Mukesh Somvanshi. "Clinical evaluation of perfusion index (PI) as a predictor of post spinal hypotension in lower segment caesarean section (LSCS)." Indian Journal of Clinical Anaesthesia 9, no. 4 (2022): 445–49. http://dx.doi.org/10.18231/j.ijca.2022.090.

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Hypotension is a common complication, subsequently spinal anaesthesia in lower segment caesarean section, which can cause adverse maternal &amp; foetal outcomes. A new decisive research area in obstetric anaesthesia is prevention &amp; early treatment of spinal hypotension to improve maternal &amp; foetal outcomes. A novel parameter, Perfusion index (PI) is tried during sub arachnoid block for predicting hypotension in lower segment caesarean section (LSCS). In this study, 60 parturient belonging to ASA status 1 or 2 with apparent pregnancies scheduled for elective LSCS received spinal anaesth
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Suhadi Suhadi, Ika Kusuma Wardani, and Riska Eddela. "Hubungan Tingkat Kecemasan Pre Anestesi Dengan Kejadian Mual Muntah Pada Durante Operasi Secsio Cessarea Dengan Sub Arachnoid Blok Anestesi Di Blud RSUD Martapura." Jurnal Ilmu Kedokteran dan Kesehatan Indonesia 1, no. 3 (2021): 152–60. http://dx.doi.org/10.55606/jikki.v1i3.2218.

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Background: The level anxiety is felt by many patients who will undergo surgery, hemodynamic instability due to pre-anesthesia anxiety have an impact on anesthetic complications and one of them is nausea and vomiting. Aim : To determine the correlation between pre-anesthesia anxiety level and the incidence of nausea and vomiting during section cesarean with Sub Arachnoid Block (SAB) spinal anesthesia. Methods: The research design was quantitative with a cross sectional approach. There were 97 respondents recruited as the sample through non-random sampling technique. Data were obtained from obs
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Kolarkar, Priti, Gunjan Badwaik, Ajay Watve, et al. "PRE-EMPTIVE ORAL CLONIDINE FOR IMMEDIATE POSTOPERATIVE PAIN IN SURGERIES UNDER SUB-ARACHNOID BLOCK." Journal of Evolution of Medical and Dental Sciences 3, no. 51 (2014): 11913–21. http://dx.doi.org/10.14260/jemds/2014/3572.

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Tewari, Kunal, Om Bahadur Thapa, Deepak Mishra, et al. "A Comparative Study between Landmark Based and Real Time Ultrasound Guided Sub Arachnoid Block." Open Journal of Anesthesiology 14, no. 04 (2024): 118–25. http://dx.doi.org/10.4236/ojanes.2024.144009.

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Firdaus, Faundra Arieza, and Ristiawan Muji Laksono. "Combination of Femoral and Parasacral Sciatic Nerve Block as Multimodal Pain Management in Post Hemiarthroplasty Surgery Patient." Journal of Anaesthesia and Pain 4, no. 1 (2023): 9–13. http://dx.doi.org/10.21776/ub.jap.2023.004.01.03.

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Background: The prevalence of femoral neck fractures is high in geriatric patients with a high mortality rate. Many geriatric patients have comorbidities and find it difficult to tolerate general or neuraxial anesthesia during hip hemiarthroplasty. A more safe technique in lower extremities using peripheral nerve blocks is preferred. The combination of sciatic nerve blocks and psoas compartments can supply adequate anesthesia for hip surgery thus reducing mortality. Femoral nerve blocks decrease the incidence of complications than psoas compartment blocks. Case: A 88-year-old female patient, 7
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Hasanat, Md Aminul, MM Abdul Wadud, Abdul Hye, et al. "Efficacy of Tramadol, Low Dose Ketamine and Ondansetron in the Management of Intra-Operative Shivering After Sub Arachnoid Block." Journal of National Institute of Neurosciences Bangladesh 4, no. 1 (2018): 45–50. http://dx.doi.org/10.3329/jninb.v4i1.38285.

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Background: Shivering is a common problem faced by an anesthesiologist during per-operative period as well as in post-operative period.Objective: The present study was designed to observe the efficacy of tramadol, low dose ketamine and ondansetron in the management of intra-operative shivering after sub arachnoid block.Methodology: This single center, parallel, double blind randomized control trialwas conducted in the Department of Anaesthesia, Analgesia and Intensive Care Medicine at Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh from July 2007 to June 2009 for a period of two
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Sanubari, Ais Asri NM, Made Suandika, and Amin Sutanto. "GAMBARAN KOMPLIKASI PASCA SPINAL ANESTESI DENGAN SUB ARACHNOID BLOCK (SAB) DI RS KHUSUS BEDAH JATIWINANGUN." Journal of Nursing and Health 9, no. 1 (2024): 51–58. https://doi.org/10.52488/jnh.v9i1.350.

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Introduction The incidence of spinal anesthesia is increasing worldwide, according to WHO data showing that around 5% or 15 million surgical procedures are carried out using spinal anesthesia techniques. The aim of this research is to determine the complications that occur after spinal anesthesia with Sub Arachnoid Block (SAB). The research design used is quantitative analytical descriptive with a cross-sectional approach. The research was conducted in July 2023. Samples were taken using a purposive sampling technique of 57 respondents. The instruments used in this study were measuring hypoten
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Ajay, Chaudhri, Prakash Om, Kumar Sinha Anil, and Lal Das Moti. "Comparative Assessment of Post-dural Puncture Headache Using three Different types of Needles on Sub-arachnoid Block- a Randomized Clinical Study." International Journal of Pharmaceutical and Clinical Research 14, no. 2 (2022): 345–50. https://doi.org/10.5281/zenodo.13856982.

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<strong>Objective:&nbsp;</strong>Comparison of post-dural puncture headache using three different types of needles on sub arachnoid block- a clinical study.&nbsp;<strong>Material:</strong>&nbsp;This prospective randomized comparative study in Department of Anaesthesiology, NMCH, Patna, Bihar, India for 1 year. 120 patients ASA I and II grades in the age group of 20 to 50 years and the height between 150 to 168cms, giving informed consent were included.&nbsp; Patients with h/o chronic headache, any contra indication to sub arachnoid block and who did not give consent to participate in the study
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Mohan Bhattrai, Kushal, Thaneswar Pahari, Rozeeta Hirachan, Sandeep Neupane, and Unika KC. "Ultrasound-guided combined femoral-sciatic-obturator nerve block versus sub-arachnoid block in anterior cruciate ligament (ACL) reconstruction: A randomized single-blind study." Journal of Gandaki Medical College-Nepal 18, no. 1 (2025): 8–13. https://doi.org/10.3126/jgmc-n.v18i1.73115.

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Introduction: Ultrasound-guided combined femoral-sciatic-obturator nerve block (peripheral nerve block) is the preferred technique in anterior cruciate ligament reconstruction because it avoids subarachnoid block (SAB) related complications and ensure prolonged postoperative analgesia. The aim of the study was to compare ultrasound-guided peripheral nerve block and SAB for anterior cruciate ligament (ACL) reconstruction. Methods: A randomized, single-blind study was conducted among patients undergoing ACL reconstruction at our center from February through November 2024. Fifty patients undergoi
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Deo, G. P., S. K. Shrestha, I. N. Shrestha, S. Neupane, H. Ojha, and B. S. Regmi. "Failure of subarachnoid block in caesarean section in a tertiary hospital of Nepal." Journal of Chitwan Medical College 6, no. 2 (2017): 14–16. http://dx.doi.org/10.3126/jcmc.v6i2.16679.

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Although subarachnoid block is regarded as the most reliable, easy and safe anaesthetic technique during caesarean section, the possibility of failure has long been recognized. So, other methods of anaesthesia have to be employed at times. This study was performed in all patients of ASA I and II who underwent caesarean section at Chitwan Medical college, Bharatpur, Chitwan, Nepal from BS 1st Baisakh 2069 to 30th Chaitra 2072 (13 April 2012 to 12 April 2016) to find the rate of failure of subarachnoid block in Caesarean Section and need of additional anaesthetic supplementation. The total numbe
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Owais, Muhammad, Salma Jan, Jawad Mabood, Afraseyab Rehman, Shakeeb Ahmad Jan Durrani, and Sohaib Amin. "Efficacy of different doses of dexmedetomidine as an adjuvant to bupivacaine in sub-arachnoid block for patients undergoing lower limb surgeries." International journal of health sciences 7, S1 (2023): 2810–18. http://dx.doi.org/10.53730/ijhs.v7ns1.14585.

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Objective: To determine the difference in efficacy of bupivacaine as adjuvant to 5 µg&amp; 10 µg of dexmedetomidine respectively during intrathecal administration in prolongation of duration of sensory block (as a main primary variable) in lower limb orthopedic surgery. Setting: Department of anesthesia, MTI-HMC, Peshawar. Study design: Randomized controlled trails. Duration of study: From 1st Feb 2021 to 30th July 2021. Subjects &amp; Methods: Each patient enrolled in study after proper consent in written form and counselling was subjected to complete medical history, clinical examination. Sp
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Thakur, Anand, Amit Sharma Bhattarai, and Binita Acharya. "Phenylephrine for Blood Pressure Control under Sub-arachnoid Block in Elective Caesarean Section: Prophylactic vs Therapeutic Approach." Medical Journal of Shree Birendra Hospital 22, no. 2 (2023): 22–28. http://dx.doi.org/10.3126/mjsbh.v22i2.66355.

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Introduction: Hypotension after spinal anaesthesia is common during Caesarean section with incidence of 50 - 80%. There are various methods to prevent maternal side effects like hypotension, nausea and vomiting and fetal outcome by preloading or co-loading with crystalloids, left tilt and vasopressors like phenylephrine. In this study we hypothesized that prophylactic phenylephrine offers better hemodynamic control than therapeutic doses in elective Caesarean section after subarachnoid block. Methods: A comparative, prospective, randomized double blind study was conducted in 104 patients sched
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R, Krishna Prabu, and Gunaseelan S. "SUB-ARACHNOID BLOCK FOR AN ELDERLY PATIENT WITH CHRONIC RENAL FAILURE, RIGHT SIDE LOCULATED PNEUMOTHORAX AND WITH COMPLETE HEART BLOCK ON PACEMAKER." Journal of Evolution of Medical and Dental Sciences 3, no. 20 (2014): 5597–600. http://dx.doi.org/10.14260/jemds/2014/2635.

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Chandru, C., D. S. Sudhakar, S. Sivaprasath, and Kumar K. G. Prem. "Comparative Study of Efficacy of Bupivacaine with or without Clonidine in Ultrasound Guided Ankle Block in Patients Undergoing Foot Surgeries." International Journal of Pharmaceutical and Clinical Research 15, no. 7 (2023): 869–76. https://doi.org/10.5281/zenodo.11666465.

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Lower limb surgical procedures can be performed under General anaesthesia, Sub arachnoid blockade and Peripheral nerve blockade. Peripheral nerve blocks are widely accepted as the gold standard for ambulatory limb surgeries. The advantage of operating under regional anaesthesia can outweigh the hazards of general anaesthesia. The aim of this study is to compare the efficacy of Bupivacaine with or without Clonidine in Ultrasound guided ankle block in patients undergoing foot surgeries.&nbsp;<strong>Study Design:&nbsp;</strong>Many adjuvants have been tried to enhance the analgesic efficacy of l
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Supraptomo, RTH. "Manajemen Anestesi untuk Seksio Sesarea pada Pasien Pre Eklampsia Berat yang Terinfeksi Covid-19." Jurnal Anestesi Obstetri Indonesia 4, no. 1 (2021): 18–25. http://dx.doi.org/10.47507/obstetri.v4i1.59.

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Komplikasi hipertensi tercatat 6–8% pada kehamilan dan menjadi kontributor yang signifikan morbiditas dan mortalitas maternal dan perinatal. Di Amerika Serikat, preeklamsia menjadi satu dari tiga besar penyebab utama kematian ibu hamil. Penanganan yang tidak sesuai dengan standar, sering menjadi penyebab utama yang menyebabkan peningkatan morbiditas dan mortalitas pada ibu hamil. Seorang wanita 30 tahun early warning score (EWS) score 6 dengan preeklampsia pada sekundigravida (G2P1A0) hamil preterm belum dalam persalinan, riwayat seksio sesarea 1x pro seksio sesarea transperitoneal emergensi d
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Sultana, Sakera, Sajib Kabir Bhuiyan, Md Mosharaf Hossain, et al. "Ultrasound guided quadratus lumborum and transversus abdominis plane block for postoperative analgesia in patients undergoing caesarean section under subarachnoid block: A comparative study." Bangladesh Journal of Pain 3, no. 1 (2023): 38–45. http://dx.doi.org/10.62848/bjpain.v3i1.8711.

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Background: Effective postoperative pain management after caesarean section is very vital; because it helps early ambulation, facilitates breastfeeding and creates early mother-baby bonding. To reduce this significant postoperative pain various modalities are in current use. All truncal blocks can reduce postoperative pain and reduce opioid consumption after caesarean section significantly. This study aims to compare the effectiveness of USG guided Quadratus lumborum block and Transversus abdominis plane block in postoperative pain management in patients undergoing caesarean section.Methods: T
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Cherian, Vinod, Sunilkumar T.S., Shamsad Beegum T.S., and Satheedevi P. "A Comparative Study on Intrathecal Hyperbaric and Hypobaric Bupivacaine in Unilateral Lower Limb Surgeries under Lumbar Sub-Arachnoid Block Held at Central Region of Kerala." Journal of Evidence Based Medicine and Healthcare 8, no. 40 (2021): 3454–58. http://dx.doi.org/10.18410/jebmh/2021/626.

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BACKGROUND This study compared the characteristics of hyperbaric and hypobaric bupivacaine in patients undergoing unilateral lower limb surgeries under lumbar subarachnoid block with regard to their onset and level of sensory and motor blockades, haemodynamic stability, and recovery profile in terms of analgesic duration and motor recovery. METHODS This is a comparative study. Two groups, each of 36 patients who satisfied American society of Anaesthesiologist (ASA) I &amp; II aged 18 – 65 years, were observed intra operatively and during immediate post-operative period. Group 1 received 2.4 ml
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Rahman, Md Siddiqur, UH Shahera Khatun, Md Mahbubul Hasan, Md Tanveer Alam, Mohammed Mohiuddin Shoman, and Rebeka Sultana. "Role of Ephedrine and Epinephrine in the Management of Hypotension after Sub-Arachnoid Block (SAB) in Caesarean Section." Journal of the Bangladesh Society of Anaesthesiologists 30, no. 2 (2017): 53–65. http://dx.doi.org/10.3329/jbsa.v30i2.66228.

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Introduction: Caesarean section is a common operation in obstetrics and usually performed by subarachnoidblock (spinal anaesthesia). The principal advantages of spinal anaesthesia for caesarean deliveryare its simplicity, speed, reliability, &amp; minimal foetal exposure to depressant drugs. The parturient remainsawake, &amp; the hazards of aspiration are minimized.1Hypotension remains the most common complication associated with spinal anaesthesia for caesareandelivery. It can have detrimental effect on both mother &amp; neonate ; these effects include impaired foetaloxygenation with asphyxia
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Islam, SM Rafiqul, Hasina Begum, Md Mustafa Kamal, Md Shah Alam Bhuiyan, and UH Shahera Khatun. "Effects of ketamine hydrochloride (preservative free) and fentanyl citrate added to low dose hyperbaric bupivacaine for sub-arachnoid block in lower uterine caesarian section – a comperative study." Journal of the Bangladesh Society of Anaesthesiologists 24, no. 2 (2014): 53–59. http://dx.doi.org/10.3329/jbsa.v24i2.19802.

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Background Caesarian section is one of the most common operations Now a days for delivery of baby sub-arachnoid block is the better choice. World wide Commonly used bupivacaine with fentanile. Objective The present study was designed to observe the effects of intrathecal ketamine hydrochloride with bupivacaine+complne bupivacaine with fentanyl to observe quality of block eioth duration block during caesarian section. Methods Ninety ASA 1 parturients scheduled for elective caesarian section were randomly selected. There are thirty patients in each group. The base line haemodynamic parameters, h
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Ns. Ainnur Rahmanti and Rani Pratiwi. "PENERAPAN PEMBERIAN TERAPI MUSIK RELIGI “DEMI MASA” UNTUK PENURUNAN TINGKAT KECEMASAN PASIEN PRE OPERASI DENGAN REGIONAL ANASTESI SUB ARACHNOID BLOK DI RUMAH SAKIT K.R.M.T WONGSONEGORO SEMARANG." Jurnal Ilmu Kedokteran dan Kesehatan Indonesia 1, no. 3 (2021): 1–11. http://dx.doi.org/10.55606/jikki.v1i3.77.

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Anxiety is a normal adaptive response to stress due to surgery. Anxiety caused by fear of pain, fear of physical changes and not functioning normally after surgery, one of the ways to overcome it is with relaxation and distraction techniques, namely with religious music therapy. The purpose of this case study was to describe the application of religious music therapy "Demi Masa" to decrease the anxiety level of preoperative patients with regional sub arachnoid anesthesia blocks in hospitals in the surgical room of RSUD K.R. Wongsonegoro Semarang. This study belongs to descriptive using a case
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Ns. Ainnur Rahmanti and Rani Pratiwi. "PENERAPAN PEMBERIAN TERAPI MUSIK RELIGI “DEMI MASA” UNTUK PENURUNAN TINGKAT KECEMASAN PASIEN PRE OPERASI DENGAN REGIONAL ANASTESI SUB ARACHNOID BLOK DI RUMAH SAKIT K.R.M.T WONGSONEGORO SEMARANG." Jurnal Rumpun Ilmu Kesehatan 1, no. 3 (2021): 1–11. http://dx.doi.org/10.55606/jrik.v1i3.36.

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Anxiety is a normal adaptive response to stress due to surgery. Anxiety caused by fear of pain, fear of physical changes and not functioning normally after surgery, one of the ways to overcome it is with relaxation and distraction techniques, namely with religious music therapy. The purpose of this case study was to describe the application of religious music therapy "Demi Masa" to decrease the anxiety level of preoperative patients with regional sub arachnoid anesthesia blocks in hospitals in the surgical room of RSUD K.R. Wongsonegoro Semarang. This study belongs to descriptive using a case
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Handa, Takeshi, Tin Suki​, and Manish Lodha. "Efficacy of Hyperbaric Bupivacaine a nd Clonidine Combination Used as Unilateral Versus Bilateral Spinal Anesthesia During Unilateral Inguinal Hernia Surgery." Advances in Clinical Medical Research 1, no. 1 (2020): 05–07. http://dx.doi.org/10.48112/acmr.v1i1.5.

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The lump in the groin of patients with Inguinal hernias goes away with the application of slight pressure or by making the patient lie down. This study compared the efficacy of hyperbaric bupivacaine with clonidine in unilateral versus bilateral spinal anaesthesia during unilateral inguinal hernia surgery. The study was conducted in Chitwan Medical College from September 2019 to February 2020 including 50 patients aged 25-60, ASA grade of I -II and undertaking elective hernioplasty. Patients were randomized into the following groups: Group A received unilateral Inj. Bupivacaine 0.5% heavy 12.5
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K, Srilakshmi, and Venkata Ramana P. "OBSERVATIONAL STUDY ON SUB ARACHNOID BLOCK IN PRE SUBDUED CHILDREN IS A CHEAP, EFFECTIVE, SAFE ALTERNATIVE TO GENERAL ANAESTHESIA." Journal of Evolution of Medical and Dental Sciences 3, no. 37 (2014): 9575–79. http://dx.doi.org/10.14260/jemds/2014/3238.

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Devalla, Aditya Rameshbabu, Sanjot S. Ninave, and Amol P. Singam. "To Compare the Incidence of Post-Dural Puncture Headache Using 25G Quincke and 25G Whitacre Spinal Needles in Patients Undergoing Lower Segment Caesarean Section." Journal of Evolution of Medical and Dental Sciences 10, no. 14 (2021): 1014–19. http://dx.doi.org/10.14260/jemds/2021/217.

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BACKGROUND Spinal anaesthesia is the first preference of anaesthesia in obstetric surgery. Post dural puncture headache (PDPH) is more common after C-section in young parturients. In the present world which is developing and fast-paced, brisk recovery along with minimal side effects &amp; importantly early ambulation are now the need of the hour. This headache is more worrying to the mother who is required to tend to the newborn baby. This study compared the incidence of PDPH subsequent to subarachnoid blockade for lower segment Caesarean section (LSCS) 25G Whitacre &amp; 25G Quincke needles.
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50

Shrestha, A., and B. Pradhan. "Use of intrathecal morphine for analgesia in a surgical camp set up in Nepal." Journal of Institute of Medicine Nepal 27, no. 3 (2005): 34–37. http://dx.doi.org/10.59779/jiomnepal.202.

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Background: Pain management is often inadequately addressed, especially in a mobile surgical camp set up. We try to look at an easier and effective method, i.e. intrathecal morphine for pain relief and it’s practicability in a camp set up.Method: 89 patients under going vaginal hysterectomy under spinal anesthesia were studied. They were randomly allocated to those receiving bupivacaine and intrathecal morphine (n=61) and another group receiving bupivacaine only (n=28). Their need for post operative analgesia and untoward effects like nausea/ vomiting, pruritis and respiratory depression were
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