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1

Chandra, Richa, Mahesh Kashyap, and Nivedita . "Comparison of Intrathecal Adjuvants with Levobupivacaine in Lower Limb Surgeries." Indian Journal of Anaesthesia and Analgesia 4, no. 1 (2017): 39–43. http://dx.doi.org/10.21088/ijaa.2349.8471.4117.6.

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Singh, Rajpal, Shobha Chamania, Appikonda Naga Jaswanth, and Saumya Singh. "Choithram’s Modified Hanging Limb Preparation for Limb Surgeries." Journal of Surgical Specialties and Rural Practice 5, no. 1 (2024): 27–28. http://dx.doi.org/10.4103/jssrp.jssrp_5_24.

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Abstract In an extensive lower limb burn surgery, where we need to operate circumferentially, we need to have a hanging limb preparation to have exposure to all sides of the leg. Here, we describe a modified method of limb holding described by authors from a paper published by Farroha et al. in EJPS, 2013. In our setup, we hang the lower limb using sharp towel clips, fixed to the patient’s great toe at distal phalanx (DP). These towel clips are elevated by a sterile bandage to the hook of intravenous stand, which is stabilized using weights on the other end. We are using this method for lower
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Gupta, Shobhana C., and Ravikumar M. Parmar. "Evaluation of Spinal Anaesthesia in Paediatric Patient undergoing Lower Abdominal and Lower Limb Surgeries." Indian Journal of Anesthesia and Analgesia 5, no. 3 (2018): 409–14. http://dx.doi.org/10.21088/ijaa.2349.8471.5318.9.

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Reddy, GPratapa, and G. Sarada. "Anesthetic profile of patients undergoing lower limb surgeries." MRIMS Journal of Health Sciences 4, no. 1 (2016): 60. http://dx.doi.org/10.4103/2321-7006.303070.

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Singh, Manpreet, Arvind Kumar Arya, Rajesh Singh Rautela, and Rajesh Bhardwaj. "Femorosciatic nerve block for lower limb orthopedic surgeries." Journal of Clinical Orthopaedics and Trauma 1, no. 1 (2010): 37–40. http://dx.doi.org/10.1016/s0976-5662(11)60008-8.

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Khatoon, Takallum, Arvind Kumar, and K. H. Raghwendra. "Comparative Study of Epidural Anaesthesia Versus Combined Spinal Epidural Block for Surgical Procedures Involving the Lower Abdomen or Lower Limb." International Journal of Medical and Biomedical Studies 8, no. 3 (2024): 238–43. https://doi.org/10.32553/ijmbs.v8i3.2915.

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Background: Effective anesthesia techniques are essential for managing pain and facilitating recovery in surgical procedures involving the lower abdomen and lower limbs. Epidural anesthesia and combined spinal-epidural (CSE) block are commonly used methods, each with distinct advantages and limitations. This study compared the efficacy, safety, and patient satisfaction of epidural anesthesia versus CSE block in lower abdomen and lower limb surgeries. Methods: A trial was conducted with 100 participants undergoing elective lower abdomen or lower limb surgeries. Participants were assigned random
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Asma, Shafique, Ashraf Ambreen, Parashar Mani, Dev Jagar Keshav, and Kumar Lal Sanjay. "A Comparative Study on Efficacy of Intrathecal Bupivacaine Heavy with Fentanyl and Intrathecal Levobupivacaine Heavy with Fentanyl for Lower Limb and Lower Abdominal Surgeries." International Journal of Pharmaceutical and Clinical Research 16, no. 12 (2024): 532–40. https://doi.org/10.5281/zenodo.14593469.

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<strong>Introduction:&nbsp;</strong>A study comparing the anaesthetic effect of hyperbaric bupivacaine with fentanyl and hyperbaric levobupivacaine with fentanyl for lower limb and lower abdominal surgeries was conducted.&nbsp;<strong>Methods:&nbsp;</strong>A study involving 100 patients underwent lower limb and abdominal surgeries, divided into two groups (A and B) and administered hyperbaric bupivacaine with fentanyl or levobupivacaine with fentanyl.&nbsp;<strong>Results:</strong>&nbsp;Statistical analysis showed no significant differences in hemodynamic parameters or side effects between th
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8

Kanagarajan, Manisha, and J. Gomathy. "Intrathecal Nalbuphine versus Intrathecal Dexmedetomidine for Postoperative Analgesia of Lower Abdominal and Lower Limb Surgeries." Indian Journal of Anesthesia and Analgesia 4, no. 3 (part-2) (2017): 851–56. http://dx.doi.org/10.21088/ijaa.2349.8471.4317.50.

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MASOODI, A., and D. DZIUBA. "REGIONAL ANESTHESIA FOR LOWER LIMBS PERIPHERAL VASCULAR DISEASE RECONSTRUCTIVE SURGERIES." Pain anesthesia and intensive care, no. 1(110) (March 27, 2025): 51–59. https://doi.org/10.25284/2519-2078.1(110).2025.325992.

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Background: Modern medical literature highlights advanced methods of regional anesthesia that are suitable for patients with high surgical risk undergoing lower limb surgeries. Many studies have been conducted in trauma surgery, but there is a lack of data regarding patients with peripheral artery disease of the lower limbs. Methods and materials: Sixty patients, aged 64.85±7.32 years, classified ASA III-IV, who required reconstructive surgery for peripheral artery disease of the lower limbs, were included in the study. The SA group (30 patients) received hyperbaric 0.5% bupivacaine (3 ml), wh
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Thangarasu, Satva, and Ashish Bangari. "PRE-EMPTIVE ANALGESIA WITH PREGABALIN IN ELECTIVE LOWER LIMB ORTHOPAEDIC SURGERIES: A RANDOMIZED CONTROLLED TRIAL." International Journal of Advanced Research 13, no. 05 (2025): 146–51. https://doi.org/10.21474/ijar01/20887.

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Background: Postoperative pain in orthopaedic surgeries, particularly lower limb procedures, is severe and can delay rehabilitation. Pre-emptive analgesia aims to prevent central sensitization by administering analgesics before surgical injury. Objective: To evaluate the efficacy of pre-emptive pregabalin in reducing postoperative pain and opioid consumption in elective lower limb orthopaedic surgeries. Methods: A randomized, double-blind, placebo-controlled trial enrolled 60 patients undergoing elective lower limb orthopaedic surgeries. Patients received pregabalin (150 mg) or placebo one hou
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Saroj, Kumar, Kumar Nirala Deepak, Kumari Ankita, and Prasad Sudama. "Comparison of the Effects of Epidural Levobupivacaine 0.5%, 20 Ml and Ropivacaine 0.75%, 20 Ml in Lower Limb Surgeries." International Journal of Pharmaceutical and Clinical Research 16, no. 6 (2024): 2380–83. https://doi.org/10.5281/zenodo.13621737.

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<strong>Background:</strong>&nbsp;Epidural anesthesia is a widely used technique for lower limb surgeries, providing effective pain control and facilitating faster recovery. Levobupivacaine and Ropivacaine are two commonly used local anesthetics for this purpose, each with distinct pharmacological profiles. While both agents offer benefits in terms of efficacy and safety, their comparative performance in clinical practice warrants further investigation.&nbsp;<strong>Aim:</strong>&nbsp;To compare the effects of epidural Levobupivacaine 0.5% and Ropivacaine 0.75% in patients undergoing lower lim
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12

Nupoor, Neha, Anand T. Talikoti, Ramesh Kumar PB, and Dinesh K. "Epidural Bupivacaine with Dexmedetomidine or Fentanyl for Lower Abdominal and Lower Limb Surgeries - A Randomized Prospective Study." JOURNAL OF CLINICAL AND BIOMEDICAL SCIENCES 06, no. 1 (2016): 14–19. http://dx.doi.org/10.58739/jcbs/v06i1.2.

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Background: Epidural anaesthesia with catheter insertion offers a useful anaesthetic technique for lower abdominal and lower limb surgeries. Further it can also be used to offer effective post operative analgesia. Adjuvants added to local anaesthetics improve the quality of epidural block and prolong block-ade. Objectives: To assess and compare the effects of dexmedetomidine and fentanyl as adjuvants to epi-dural bupivacaine in lower limb and lower abdominal surgeries Materials and Methods: This randomized prospective study was conducted in a referral teaching hospital in Kolar, Karnataka. Six
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13

Pandharpurkar, Sandeep Prithviraj. "Ropivacaine versus Dexmedetomidine and Ropivacaine by Epidural Anaesthesia in Lower Limb Surgeries." Indian Journal of Anesthesia and Analgesia 5, no. 1 (2018): 77–81. http://dx.doi.org/10.21088/ijaa.2349.8471.5118.11.

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Dr., Pujari Harika, and Sharada Dr. "A Comparative Study of Intrathecal Plain Bupivacaine Versus Bupivacaine with Midazolam for Subarachnoid Block in Lower Abdominal and Lower Limb Surgeries." International Journal of Innovative Science and Research Technology 8, no. 1 (2023): 2476–79. https://doi.org/10.5281/zenodo.7677980.

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A comparative study of intrathecal plain bupivacaine versus bupivacaine added with midazolam for subarachnoid block in lower limb surgeries and lower abdominal surgeries .  Methodology Patients were randomized as 30 patients each into two groups. Group &lsquo;B&rsquo; - received 3.5 ml of 0.5% hyperbaric bupivacaine + 0.4 ml of 0.9% saline intrathecally. Group &lsquo;BM&rsquo; - received 3.5 ml of 0.5%hyperbaric bupivacaine + 0.4 ml preservative free midazolam(5mg/ml) intrathecally.  Results The sensory blockade onset in group- BM was 165.76 sec and in group-B was 189.30 sec. The results wer
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15

Yahya, Mohammed, Vikas Joshi, and Abdul Azim Makandar. "Levobupivacaine vs Ropivacaine in Spinal Anesthesia for Lower Abdominal and Lower Limb Surgeries: A Comparative Study." Indian Journal of Anesthesia and Analgesia 7, no. 6 (2020): 1411–15. http://dx.doi.org/10.21088/ijaa.2349.8471.7620.78.

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Background: Till recently Bupivacaine 0.5% Heavy was the only drug used for spinal anesthesia after the discontinuation of Lidocaine’s intrathecal use. The last few years, its pure S (-) enantiomers, ropivacaine and levobupivacaine, have been introduced into clinical practice because of their lower cardiac and central nervous system toxic effects. This study was performed to compare the anesthetic efficacy and safety of the ropivacaine and levobupivacaine, in patients undergoing lower abdominal and lower limb surgery. Methods: 60 patients of ASA physical status I–II between the ages of 20–60 y
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16

Cai, Haisheng. "CORE STABILITY TRAINING EFFECTS ON LOWER LIMB REHABILITATION OF JUDOKAS." Revista Brasileira de Medicina do Esporte 28, no. 6 (2022): 647–50. http://dx.doi.org/10.1590/1517-8692202228062022_0081.

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ABSTRACT Introduction Judo is a sport that presents a high incidence of sports injuries. Judo athletes want to master their skills to the maximum. Good physical conditioning is necessary to decrease the incidence of surgeries and achieve better results. Core stability exercises can discretely reduce the likelihood of lower limb injuries in judo athletes. Objective This paper examines the rehabilitation of core stability training effects on lower limb injuries in judokas by case studies. Methods A Chinese judo team member with a lower limb injury underwent core stability training. Isokinetic st
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17

Thakur, Kunwar Singh, Utsav Sharma, Preeti Goyal, and Bhanu Choudhary. "The Study Isobaric 0.75% Ropivacaine 3.5ml (26.25mg) Intrathecally for Lower Limb Surgeries to Evaluate Perioperative Hemodynamic Stability." Academia Anesthesiologica International 5, no. 1 (2020): 168–70. http://dx.doi.org/10.21276/aan.2020.5.1.35.

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Background: The purpose of the study is Isobaric 0.75% Ropivacaine 3.5ml (26.25mg) Intrathecally for Lower Limb Surgeries to Evaluate Perioperative Hemodynamic. Fifty patients admitted to our hospital undergoing lower extremity surgeries under spinal anesthesia. Subjects and Methods: Pre-anesthetic assessment was done prior to the day of surgery which included past history of chronic illness and medication, drug therapy (especially corticosteroids, anti hypertensive, anti coagulant, anti diabetic, anti convulsant medications), drug sensitivity and past anesthetic experience along with routine
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18

Sirga, Sudeep. "Comparative study between epidural bupivacaine with fentanyl versus ropivacaine with fentanyl combination for post operative analgesia in lower abdominal and lower limb surgeries." MedPulse International Journal of Anesthesiology 19, no. 3 (2021): 111–15. http://dx.doi.org/10.26611/101519313.

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Background: Adequate analgesia aids to restore normal functions including ventilation, coughing and mobility, thereby facilitating early rehabilitation and shortened hospital stay. Present study was aimed to compare epidural Bupivacaine with fentanyl versus ropivacaine with fentanyl combination for post operative analgesia in lower abdominal and lower limb surgeries at a tertiary hospital. Material and Methods: Present study was comparative, interventional study, conducted in patients aged 18–65 years, either gender, American Society of Anesthesiologists (ASA) physical status I–II, posted for
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Jitendra, Prasad Singh, and Kumar Amit. "Plain versus Hyperbaric Solutions of 0.75% Ropivacaine in Spinal Anaesthesia in Elective Lower Abdominal and Lower Limb Surgeries: A Randomized Comparative Clinical Study." International Journal of Pharmaceutical and Clinical Research 15, no. 1 (2023): 564–69. https://doi.org/10.5281/zenodo.13137466.

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<strong>Aim:&nbsp;</strong>This study was designed to compare the clinical efficacy of plain and hyperbaric solutions of 0.75% ropivacaine in spinal anaesthesia in elective lower abdominal and lower limb surgeries.<strong>&nbsp;Methods:&nbsp;</strong>The present study was conducted in the Department of Anesthesiology, Jawaharlal Nehru Medical College &amp; Hospital, Bhagalpur, Bihar, India for one year and Fifty ASA grade I&ndash;II patients who were to undergo elective lower abdominal and lower limb surgeries under spinal anaesthesia&nbsp; gave written informed consent to take part in the stu
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Kashyap, Mahesh, and Richa Chandra. "How Efficacious Intrathecal Dexmedetomidine with Levobupivacaine in Lower Limb Surgeries: A Comparative Study." Indian Journal of Anesthesia and Analgesia 5, no. 4 (2018): 566–73. http://dx.doi.org/10.21088/ijaa.2349.8471.5418.10.

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M.S., Lakshmisree, and Chitra Devi S. "Combined Psoas Compartment Block and Sciatic Nerve Block for Elective Lower Limb Surgeries." Indian Journal of Anesthesia and Analgesia 6, no. 2 (2019): 589–96. http://dx.doi.org/10.21088/ijaa.2349.8471.6219.34.

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Kanzariya, Tejas. "Abstract No.: ABS0617: Anaesthesia management of high risk cardiac patients for lower limb vascular surgeries." Indian Journal of Anaesthesia 66, Suppl 1 (2022): S49. http://dx.doi.org/10.4103/0019-5049.340690.

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Background and Aims: Managing Cardiac patients for noncardiac surgery is a daunting task. Haemodynamic disturbances during neuraxial blocks or general anesthesia may worsen the cardiac pathology. Peripheral nerve blocks can prove to be a better alternative in lower limb vascular surgeries. Methods: We included 25 high risk cardiac patients posted for lower limb vascular surgeries. Both lumbar plexus and sacral plexus blocks were performed. Haemodynamic monitoring and perioperative new cardiac events were recorded. Any additional supplementation of drugs was also noted. Results: Out of 25 patie
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Surendra, Meena, Lall Tarun, Singh Gurjar Veerendra, and Kumar Malav Kamlesh. "A Comparative Study of Ropivacaine versus Ropivacaine Plus Dexmedetomidine under Epidural Anaesthesia in Lower Limb Surgeries." International Journal of Pharmaceutical and Clinical Research 15, no. 5 (2023): 1919–25. https://doi.org/10.5281/zenodo.12606480.

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<strong>Background:</strong>&nbsp;We designed a prospective study to examine the effectiveness of ropivacaine versus ropivacaine plus dexmedetomidine under epidural anaesthesia in lower limb surgeries because there are few studies that have examined the efficacy of dexmedetomidine as an adjuvant to ropivacaine in epidural anaesthesia.&nbsp;<strong>Methods:</strong>&nbsp;A prospective, randomised, double-blind, hospital-based study titled &ldquo;A Comparative Study Of Ropivacaine Versus Ropivacaine Plus Dexmedetomidine Under Epidural Anaesthesia In Lower Limb Surgeries: Study at SMS Medical Col
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N Kadur, Siddesh, Ravi Kumar M, and Abhishek M Patil. "A Comparative Study of Intrathecal Levobupivacaine and Levobupivacaine with Midazolam in Lower Abdominal and Lower limb Surgeries." Indian Journal of Anesthesia and Analgesia 6, no. 4 (Part 2) (2019): 1468–76. http://dx.doi.org/10.21088/ijaa.2349.8471.6419.56.

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Sundar, Dr Shiv, and Dr Mundwadkar. "Study -“Comparative Study of Combined Spinal Epidural Versus Epidural Anaesthesia in Lower Limb Surgeries And Lower Abdominal Surgeries ”." IOSR Journal of Dental and Medical Sciences 16, no. 03 (2017): 96–128. http://dx.doi.org/10.9790/0853-16030596128.

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Wani, Sadia Ali, Qazi Nahida, Sadaf Ali Wani, Shafia Kakroo, and Sabahat Farooq. "Combined femoral and sciatic nerve blocks for lower limb surgeries." Indian Journal of Clinical Anaesthesia 8, no. 1 (2021): 74–78. http://dx.doi.org/10.18231/j.ijca.2021.014.

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The peripheral nerve blocks can be used to interrupt the nerve pathways at multiple locations without undue sedation or loss of consciousness. Low incidence of pre and postoperative complications, good postoperative analgesia and increased operating room efficiency, all have accounted for the resurgence of interest in these techniques. The main aim of this study was to assess the suitability of this simple and safe technique for various unilateral lower limb surgeries and to assess the hemodynamic stability of the patients after this procedure.This prospective randomized study involved 50 pati
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Attri, JoginderPal, Lipsy Bansal, and Pawan Verma. "Lower limb surgeries under combined femoral and sciatic nerve block." Anesthesia: Essays and Researches 10, no. 3 (2016): 432. http://dx.doi.org/10.4103/0259-1162.177186.

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Prabhu, JPrashanth, Jay Prakash, RameshKumar Kharwar, Shio Priye, Dipali Singh, and Khushboo Saran. "Comparison of epidural levobupivacaine and bupivacaine in lower abdominal and lower limb surgeries." Bali Journal of Anesthesiology 4, no. 3 (2020): 95. http://dx.doi.org/10.4103/bjoa.bjoa_21_20.

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Madhukant and Prasad Sudama. "Comparative Study to Evaluate the Clinical Efficacy and Safety of Isobaric Levobupivacaine vs. Hyperbaric Bupivacaine in lower Limb Orthopaedic Surgeries." International Journal of Pharmaceutical and Clinical Research 16, no. 5 (2024): 2819–22. https://doi.org/10.5281/zenodo.13823069.

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<strong>Background:</strong>&nbsp;Bupivacaine is a widely used local anesthetic in lower limb orthopaedic surgeries due to its long duration of action. However, its racemic mixture is associated with cardiotoxicity and central nervous system toxicity. Levobupivacaine, the S(&minus;)-enantiomer of bupivacaine, was developed to mitigate these risks while maintaining efficacy.&nbsp;<strong>Aim:</strong>&nbsp;This study aims to compare the clinical efficacy and safety of isobaric levobupivacaine versus hyperbaric bupivacaine in patients undergoing lower limb orthopaedic surgeries.&nbsp;<strong>Met
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Archana Singh, Ashish Mathur, Umesh Prasad Yadav, and Preeti Goyal. "A comparative study of efficacy of 0.5% intrathecal isobaric ropivacaine, ropivacaine heavy, and bupivacaine heavy for lower abdomen and lower limb surgeries." Asian Journal of Medical Sciences 15, no. 12 (2024): 28–32. https://doi.org/10.71152/ajms.v15i12.4169.

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Background: Lower abdomen and lower limb surgeries can be performed under spinal anesthesia. Ropivacaine is a local anesthetic, belonging to the amino amide group. It is a pure S-enantiomer and is considered to have a better safety profile than bupivacaine. Aims and Objectives: The aim of the study is to compare the efficacy of intrathecal isobaric ropivacaine (IR) 0.5%, ropivacaine heavy 0.75% and bupivacaine heavy 0.5% for lower abdomen and lower limb surgeries. Materials and Methods: This prospective randomized study was conducted in 120 patients scheduled for lower abdomen and lower limb s
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Archana Singh, Ashish Mathur, Umesh Prasad Yadav, and Preeti Goyal. "A comparative study of efficacy of 0.5% intrathecal isobaric ropivacaine, ropivacaine heavy, and bupivacaine heavy for lower abdomen and lower limb surgeries." Asian Journal of Medical Sciences 15, no. 12 (2024): 28–32. https://doi.org/10.3126/ajms.v15i12.71244.

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Background: Lower abdomen and lower limb surgeries can be performed under spinal anesthesia. Ropivacaine is a local anesthetic, belonging to the amino amide group. It is a pure S-enantiomer and is considered to have a better safety profile than bupivacaine. Aims and Objectives: The aim of the study is to compare the efficacy of intrathecal isobaric ropivacaine (IR) 0.5%, ropivacaine heavy 0.75% and bupivacaine heavy 0.5% for lower abdomen and lower limb surgeries. Materials and Methods: This prospective randomized study was conducted in 120 patients scheduled for lower abdomen and lower limb s
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Gunjan Deka Bipul, Saha. "Comparative Study of Epidural Levobupivacaine 0.5% and Ropivacaine 0.75% on Lower Limb Orthopaedic Surgeries." International Journal of Science and Research (IJSR) 12, no. 3 (2023): 325–28. http://dx.doi.org/10.21275/sr23228135408.

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Lim, Zhixue, Sophia A. Strike, and Mark E. Puhaindran. "Sarcoma of the Lower Limb: Reconstructive Surgeon's Perspective." Indian Journal of Plastic Surgery 52, no. 01 (2019): 055–61. http://dx.doi.org/10.1055/s-0039-1688101.

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AbstractManagement of sarcomas in the lower extremities have evolved from amputations to limb-preserving surgeries with evidence to support that they have equal overall survival, albeit with better functional outcome. The challenge of reconstruction lies in providing a durable, functional, and aesthetically pleasing limb. However, limb-preserving intention should not delay interventions that provide a survival benefit such as chemotherapy and radiotherapy. The advent of radiotherapy and chemotherapy also has implications on wound healing and should be considered during the reconstructive proce
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Saxena, Dheeraj, and Geeta Karki. "Effect of Dexmedetomidine as an Adjuvant to Neuraxial Block with Bupivacaine in Lower Abdominal and Lower Limb Surgeries." Indian Journal of Anesthesia and Analgesia 6, no. 5 (P-2) (2019): 1743–49. http://dx.doi.org/10.21088/ijaa.2349.8471.6519.36.

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Imam, Arshad, and Sabir Hasnat. "Levobupivacaine versus racemic bupivacaine: a comparative study on spinal anaesthesia in lower limb surgeries." International Journal of Research in Medical Sciences 5, no. 10 (2017): 4360. http://dx.doi.org/10.18203/2320-6012.ijrms20174558.

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Background: This study aims to compare the anaesthetic potency of intrathecally administered levobupivacaine with racemic bupivacaine in lower limb surgeries.Methods: 60 adult cases ranging in age from 18 to 60 years with ASA Grade I and II, presenting for elective lower limb surgery were randomly allocated into two groups containing 30 cases each. Cases in Group L received 3ml of 0.5% levobupivacaine and those in Group R received 3ml of 0.5% levobupivacaine.Results: Cases in both groups showed similarity and no statistically significant differences were observed. Cardiovascular parameters wer
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Adharsh, K., S. Daniel Arun, E. Pradeep, K. V. Arun Kumar, Haemanath Pandian, and Mohideen Sheik. "Role of Pregabalin in Pre-Operative and Post-Operative Pain Management of Lower Limb Orthopedic Surgeries." Journal of Orthopaedic Case Reports 14, no. 10 (2024): 263–69. http://dx.doi.org/10.13107/jocr.2024.v14.i10.4884.

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Introduction: Post-operative pain after orthopedic surgery has remained a challenging problem, which prolongs hospital stay and early rehabilitation. Pregabalin comes under the class of gabapentinoids that have been used in postoperative pain in arthroplasty and spine surgeries but studies regarding its role as pre-emptive analgesia in orthopedic limb surgeries are very few. Aims: To compare the efficacy of pre-operative pregabalin with a placebo drug in early post-operative pain management for lower limb orthopedics surgeries. Materials and Methods: A randomized double blinded prospective stu
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Horsch, Axel, Svenja Gleichauf, Burkhard Lehner, et al. "Lower-Limb Amputation in Children and Adolescents—A Rare Encounter with Unique and Special Challenges." Children 9, no. 7 (2022): 1004. http://dx.doi.org/10.3390/children9071004.

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Background/Aim: The pattern of lower-limb amputation, indications, complications, and revision in pediatric cases differs globally. Therefore, we conducted this study to describe the patterns of lower-limb amputation at our institution. Methods: During a set period between 2010 and 2020, adolescent patients undergoing lower-limb amputation within the orthopedic department of Heidelberg University Hospital were retrospectively collected and analyzed. The retrieved dataset included two parts: data on lower-limb amputations and data on subsequent complications and revision surgeries at the same t
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Ankit, Verma, Pandey Neha, and Kumar Amit. "Comparison of Various Intrathecal Clonidine Doses as an Adjuvant to Bupivacaine for Lower Limb Surgeries: A Prospective Observational Study." International Journal of Pharmaceutical and Clinical Research 16, no. 9 (2024): 1692–95. https://doi.org/10.5281/zenodo.14473738.

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<strong>Background:</strong>&nbsp;This prospective observational study evaluated the effect of varying doses of intrathecal clonidine as an adjuvant to bupivacaine in patients undergoing lower limb surgeries.&nbsp;<strong>Methods:</strong>&nbsp;A total of 150 patients were randomly assigned to receive low (30 mcg), moderate (45 mcg), or high (60 mcg) doses of clonidine alongside 15 mg of hyperbaric bupivacaine. The primary outcomes measured included the onset and duration of sensory and motor blockade, duration of postoperative analgesia, and incidence of side effects.&nbsp;<strong>Results:</s
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Kapshitar, A. V., and A. A. Kapshitar. "Sepsis as a cause of fatal cases after the lower limbs amputation at the hip level due to gangrene in patients with a diabetic foot syndrome." Modern medical technologies 41 part 1, no. 2 (2019): 29–35. http://dx.doi.org/10.34287/mmt.2(41).2019.6.

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Purpose of the study. To study frequency of fatal sepsis, the causes and severity of diabetes patients complicated by diabetic foot syndrome of the gangrene limb, after amputation of the lower limb at the hip level. Material and methods. Amputation of the lower limb at the hip level was performed in 180 patients with diabetic foot, gangrene of the limb. 15 (8,3%) died. Results. From the 15 patients who died, 9 died from sepsis. The age was 54–78 years old. On admission, sepsis was diagnosed in 5 and septic shock – in 4 patients. After examination and preparation, emergency surgeries were perfo
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Mortazavi, Mirmohammadtaghi, Mohammadreza Moharrami, Behrooz Nazari, and Hassan Mohammadipour Anvari. "Comparison of the Effects of Fluid Therapy With Normal Saline, Ringer, and Ringer’s Lactate During Anesthesia on the Hemodynamic Status and Events During Orthopedic Lower Limb Orthopedics Surgeries." Crescent Journal of Medical and Biological Sciences 10, no. 4 (2020): 176–81. http://dx.doi.org/10.34172/cjmb.2023.40.

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Objectives: Given that no study has so far carefully examined the effects and benefits of crystalloids on the hemodynamic status and events during the surgery for lower limb orthopedic surgeries, the current study aimed to compare fluid therapy with normal saline (NS), Ringer (R), and Ringer’s lactate (RL) during anesthesia on the hemodynamic status and events during lower limb elective orthopedic surgeries. Materials and Methods: This cross-sectional descriptive study was conducted in 2019 with the participation of 270 patients (three groups each including 90 subjects) who were scheduled for
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Parashar, Preeti, Anisha Singh, Manoj Kumar Sharma, and Dipak L. Raval. "Comparison between isobaric levobupivacaine 0.5% and hyperbaric bupivacaine 0.5% in spinal anesthesia in lower limb surgeries and lower abdominal surgeries in adult patients." International Journal of Research in Medical Sciences 9, no. 2 (2021): 418. http://dx.doi.org/10.18203/2320-6012.ijrms20210417.

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Background: The aim of our study was to compare sensory and motor block characteristics and hemodynamic changes following intrathecal hyperbaric bupivacaine (0.5%) and isobaric levobupivacaine (0.5%) in elective lower limb and lower abdominal surgeries.Methods: 60 patients of either sex, aged 18-60 years, ASA grade I or II scheduled for elective lower abdominal and lower limb surgeries were randomized into two groups, group B (n=30) and group L (n=30) and received either 3 ml of intrathecal hyperbaric bupivacaine or isobaric levobupivacaine intrathecally.Results: The mean time of onset of sens
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R, Pandu Naik, Chandra Shekar N, Pooja J, and Raghuram C G. "INTRATHECAL PETHIDINE AS A SOLE ANESTHETIC AGENT FOR LOWER LIMB SURGERIES." Journal of Evidence Based Medicine and Healthcare 2, no. 39 (2015): 6291–99. http://dx.doi.org/10.18410/jebmh/2015/866.

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Pandya, Parth, Sudha Shah, and Yatin Bharad. "Parasacral ischial plane block for lower limb surgeries: A case series." Indian Journal of Clinical Anaesthesia 11, no. 3 (2024): 426–30. http://dx.doi.org/10.18231/j.ijca.2024.077.

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The para-sacral ischial plane block (PIP block) is a novel fascial plane approach targeting the sacral plexus. This technique simplifies the process as direct visualization of the sacral plexus or sciatic nerve is unnecessary. This retrospective case series includes ten patients with American Society of Anesthesiologists (ASA) physical status II-IV, aged over 18 years, undergoing elective or emergency lower limb surgeries such as debridement and below-knee amputation between May 2023 and November 2023. The block was performed in ≤ 6 minutes for all patients. Onset of subjective analgesia was a
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MS, Darshan, Sri Devi S, and G. M. Sanjeev. "Dexmedetomidine as epidural adjuvant to Ropivacaine in elective lower limb surgeries." MedPulse International Journal of Anesthesology 8, no. 1 (2018): 01–05. http://dx.doi.org/10.26611/1015811.

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Salhotra, Rashmi, Medha Mohta, Deepti Agarwal, and AshokK Sethi. "Intrathecal ropivacaine with or without tramadol for lower limb orthopedic surgeries." Journal of Anaesthesiology Clinical Pharmacology 32, no. 4 (2016): 483. http://dx.doi.org/10.4103/0970-9185.173323.

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Mohamed, Taznim, Indu Susheela, BeenaP Balakrishnan, and Suvarna Kaniyil. "Dexmedetomidine as adjuvant to lower doses of intrathecal bupivacaine for lower limb orthopedic surgeries." Anesthesia: Essays and Researches 11, no. 3 (2017): 681. http://dx.doi.org/10.4103/aer.aer_243_16.

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Ashok Thudukuchi Ramanathan and Kevin lourdes. "Imaging in Fracture surgeries - a tool for quality assessment." International Journal of Research in Pharmaceutical Sciences 11, no. 2 (2020): 1679–83. http://dx.doi.org/10.26452/ijrps.v11i2.2056.

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Radiation in orthopaedic surgeries was considered to be commonly hazardous, but also can be used as tool to improvise the surgical skills, limitations of exposure, risk analysis and making of alternate arrangements whenever required. We aim to analyse the number of times of imaging taken intra-operatively with C-arm for all acute closed lower limb fractures, which are all electively planned for intramedullary nailing fixation. It was a single centre, prospective randomized control double blind study, acute closed single plane fracture of lower limb like tibia shaft fracture, femur shaft fractu
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International, Journal of Medical Science and Innovative Research (IJMSIR). "Comparison of Intrathecal Atropine versus Dexamethasone for Prevention of Nausea and Vomiting in Patients Undergoing Lower Limb Surgeries under Spinal Anaesthesia." International Journal of Medical Science and Innovative Research (IJMSIR) 10, no. 1 (2025): 132–39. https://doi.org/10.5281/zenodo.15259879.

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<strong>Abstract</strong> <strong>Background:</strong> For better pain management during lower limb surgeries, various adjuvants have been used intrathecally along with local anaesthetics. Spinal anesthesia is a widely used technique for lower limb surgeries, but it is often accompanied by side effects such as nausea and vomiting. Various pharmacological interventions have been explored to mitigate these side effects, including intrathecal atropine and dexamethasone. This study aims to compare the efficacy of intrathecal atropine and intrathecal dexamethasone in preventing nausea and vomiting
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Harmandeep, Kaur, Singh Amrinder, and Kumar Sanjeev. "Comparison of Dexmedetomine vs Clonidine When Added to Hyperbaric Ropivacaine (0.5%) for Lower Limb Orthopaedic Surgeries under Subarachnoid Block." International Journal of Pharmaceutical and Clinical Research 16, no. 2 (2024): 1707–11. https://doi.org/10.5281/zenodo.11086525.

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<strong>Background:</strong>&nbsp;The use of adjuvants in spinal anesthesia to improve analgesia has been extensively researched. Dexmedetomidine and clonidine, both alpha-2 adrenergic agonists, are commonly used adjuvants. The aim of the study was to compare the efficacy and safety of dexmedetomidine versus clonidine as adjuvants to hyperbaric ropivacaine in lower limb orthopaedic surgeries conducted under subarachnoid block.&nbsp;<strong>Methods:</strong>&nbsp;The study was conducted in which 80 individuals undergoing lower limb surgeries under subarachnoid block. Patients were equally alloc
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Selvamani, S., M. Sathyasuba, and Dipro Dey. "Comparitive Study of Epidural Fentanyl and Bupivacaine with Epidural Clonidine and Bupivacaine for Postoperative Pain Relief in Lower Abdominal and Lower Limb Surgeries: RCT." Indian Journal of Anesthesia and Analgesia 7, no. 6 (2020): 1323–13330. http://dx.doi.org/10.21088/ijaa.2349.8471.7620.66.

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Postoperative pain and discomfort are the major concerns in all patients undergoing any surgery. Delay of discharge is mainly due postoperative pain. So, postoperative pain relief becomes very important. Epidural anal gesiaisone of many recent evidence-base dregimens for postoperative pain relief after surgeries particularly surgeries of abdomen. The objective of this study is to compare the efficacy, onset and duration of epidural analgesia of Bupivacaine - Clonidinecombination Vs. Bupivacaine-Fentanyl combination for post-operative analgesia in lower abdominal and lower limb surgeries. Mater
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