<?xml version="1.0" encoding="UTF-8"?><xml><records><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Neethi T P</style></author><author><style face="normal" font="default" size="100%">Prashanth Kumar C</style></author><author><style face="normal" font="default" size="100%">Chaitra Uppangala</style></author><author><style face="normal" font="default" size="100%">Barbara Coelho</style></author><author><style face="normal" font="default" size="100%">Nayanatara Arun Kumar</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Comparative Evaluation of Dexmedetomidine versus Fentanyl Added to Hyperbaric Levobupivacaine for Subarachnoid Block: Effects on Sensory-Motor Blockade and Analgesic Duration</style></title><secondary-title><style face="normal" font="default" size="100%">Pharmacognosy Journal</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">abdominal hysterectomy</style></keyword><keyword><style  face="normal" font="default" size="100%">Dexmedetomidine</style></keyword><keyword><style  face="normal" font="default" size="100%">Fentanyl</style></keyword><keyword><style  face="normal" font="default" size="100%">levobupivacaine</style></keyword><keyword><style  face="normal" font="default" size="100%">spinal anesthesia</style></keyword><keyword><style  face="normal" font="default" size="100%">subarachnoid block</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2025</style></year><pub-dates><date><style  face="normal" font="default" size="100%">September 2025</style></date></pub-dates></dates><volume><style face="normal" font="default" size="100%">17</style></volume><pages><style face="normal" font="default" size="100%">638-641</style></pages><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p class=&quot;rtejustify&quot;&gt;&lt;strong&gt;Introduction :&lt;/strong&gt; Adjuvants to local anesthetics enhance the quality and duration of spinal anesthesia while reducing postoperative analgesic requirements. Opioids like fentanyl are effective but associated with significant side effects, whereas dexmedetomidine, an α2-adrenergic agonist, has shown promise as a non-opioid alternative. &lt;strong&gt;Objective : &lt;/strong&gt;To compare the effects of intrathecal dexmedetomidine and fentanyl, when added to levobupivacaine, on sensory and motor block characteristics, duration of analgesia, and complications in patients undergoing elective total abdominal hysterectomy. &lt;strong&gt;Methods: &lt;/strong&gt;In this prospective, double-blind, randomized controlled trial, 60 ASA I–II female patients aged 18–65 years were allocated into two groups (n = 30 each). Group D received 15 mg 0.5% hyperbaric levobupivacaine with 5 μg dexmedetomidine, and Group F received 15 mg 0.5% hyperbaric levobupivacaine with 25 μg fentanyl intrathecally. Block onset, duration of sensory and motor blockade, time to first rescue analgesia, hemodynamic changes, and side effects were recorded. &lt;strong&gt;Results: &lt;/strong&gt;Demographic variables were comparable between groups. The onset of sensory and motor block was significantly faster with fentanyl, while dexmedetomidine prolonged the duration of sensory block (458.83 vs 358.07 min, &lt;em&gt;p &lt;/em&gt;&amp;lt; 0.001), motor block (287.33 vs 217.33 min&lt;em&gt;, p&lt;/em&gt; &amp;lt; 0.001), and time to rescue analgesia (95.5 vs 55.5 min,&lt;em&gt; p &lt;/em&gt;&amp;lt; 0.001). Hypotension was the most common complication in both groups, without significant difference between two groups. Pruritus was observed only in the fentanyl group, while bradycardia was rare and not significant in the dexmedetomidine group. &lt;strong&gt;Conclusion: I&lt;/strong&gt;ntrathecal dexmedetomidine, as an adjuvant to levobupivacaine, provides prolonged sensory and motor block and superior postoperative analgesia compared to fentanyl, with fewer side effects. It may be considered a preferable adjuvant for spinal anesthesia in total abdominal hysterectomy&lt;/p&gt;
</style></abstract><issue><style face="normal" font="default" size="100%">5</style></issue><work-type><style face="normal" font="default" size="100%">Original Article</style></work-type><section><style face="normal" font="default" size="100%">638</style></section><auth-address><style face="normal" font="default" size="100%">&lt;p class=&quot;rtejustify&quot;&gt;&lt;strong&gt;Neethi T P&lt;sup&gt;1&lt;/sup&gt;, Prashanth Kumar C&lt;sup&gt;2&lt;/sup&gt;, Chaitra Uppangala&lt;sup&gt;3*&lt;/sup&gt;, Barbara Coelho&lt;sup&gt;2&lt;/sup&gt;, Nayanatara Arun Kumar&lt;sup&gt;3&lt;/sup&gt;&lt;/strong&gt;&lt;/p&gt;

&lt;p class=&quot;rtejustify&quot;&gt;&lt;sup&gt;1&lt;/sup&gt;Department of Anesthesiology, P K DAS Institute of Medical Sciences Palakkad, Kerala,INDIA.&lt;/p&gt;

&lt;p class=&quot;rtejustify&quot;&gt;&lt;sup&gt;2&lt;/sup&gt;Department of Anesthesiology, Srinivas Institute of Medical Sciences and Research Centre, Mangalore, INDIA.&lt;/p&gt;

&lt;p class=&quot;rtejustify&quot;&gt;&lt;sup&gt;3&lt;/sup&gt;Department of Physiology, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Manipal, India.&lt;/p&gt;
</style></auth-address></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Erwin Mulyawan</style></author><author><style face="normal" font="default" size="100%">Clarissa Jasmine Aurelia</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">The Effect of Glycopyrrolate to Support Fentanyl on Reducing Airway Irritation during Inhalation Induction with Desflurane and Nitrous Oxide in Adult Patients</style></title><secondary-title><style face="normal" font="default" size="100%">Pharmacognosy Journal</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Airway Irritation</style></keyword><keyword><style  face="normal" font="default" size="100%">Desflurane</style></keyword><keyword><style  face="normal" font="default" size="100%">Fentanyl</style></keyword><keyword><style  face="normal" font="default" size="100%">Glycopyrrolate</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2024</style></year><pub-dates><date><style  face="normal" font="default" size="100%">February 2024</style></date></pub-dates></dates><volume><style face="normal" font="default" size="100%">16</style></volume><pages><style face="normal" font="default" size="100%">42-45</style></pages><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p class=&quot;rtejustify&quot;&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Inhalational induction of anesthesia is occasionally used in adults. Desflurane is not used for the induction of anesthesia despite its favorable pharmacokinetic characteristics as it causes airway irritation. This study aims to identify a reduction of airway irritation with pretreatment using fentanyl and glycopyrrolate. &lt;strong&gt;Methods: &lt;/strong&gt;A total of 80 adults were randomized into two groups to receive fentanyl and glycopyrrolate (FG group) or fentanyl only (FS group) prior to desflurane administration. Time between desflurane administration and loss of consciousness was recorded as well as expired desflurane concentration. Signs of airway irritation including coughing, apnea, laryngospasm, and excitatory movements at time of induction was also recorded. Unpaired t test, Fisher’s Exact test, and Chi-square test were used to analyze parametric data and all non-parametric data was analyzed using the Mann– Whitney test.&lt;strong&gt; Results: &lt;/strong&gt;This study found time to loss of consciousness was 4 minutes. Incidence of airway irritation in Group FS vs FG including cough, apnea, excitatory movements, and laryngospasm was (20% vs 2.5%), (0% vs 0%), (5% vs 5%), and (7.5% vs 0%) respectively. Total airway irritation was 32.5% in FS compared to 7.5% in FG, with P value 0.0103.&lt;strong&gt; Conclusion:&lt;/strong&gt; Use of fentanyl and glycopyrrolate decreases airway irritation incidence caused by desflurane in comparison to use of fentanyl alone. This opens the possibility to commonly use desflurane as inhalation induction of anesthesia as its favorable pharmacokinetics may be utilized whilst limiting the adverse effects it causes.&lt;/p&gt;
</style></abstract><issue><style face="normal" font="default" size="100%">1</style></issue><work-type><style face="normal" font="default" size="100%">Original Article</style></work-type><section><style face="normal" font="default" size="100%">42</style></section><auth-address><style face="normal" font="default" size="100%">&lt;p class=&quot;rtejustify&quot;&gt;&lt;strong&gt;Erwin Mulyawan&lt;sup&gt;1&lt;/sup&gt;*, Clarissa Jasmine Aurelia&lt;sup&gt;2&lt;/sup&gt;&lt;/strong&gt;&lt;/p&gt;

&lt;p class=&quot;rtejustify&quot;&gt;&lt;sup&gt;1&lt;/sup&gt;Department of Anesthesiology, Faculty of Medicine, Pelita Harapan University, Tangerang, Banten, 15810, INDONESIA.&lt;/p&gt;

&lt;p class=&quot;rtejustify&quot;&gt;&lt;sup&gt;2&lt;/sup&gt;Faculty of Medicine, Pelita Harapan University, Tangerang, Banten, 15810, INDONESIA.&lt;/p&gt;
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