{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:30:21Z","timestamp":1777944621476,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,1,13]],"date-time":"2025-01-13T00:00:00Z","timestamp":1736726400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Perioperative Practice"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Patient positioning for spinal anaesthesia in patients with femur fracture is extremely painful and various methods have been tried to reduce mobilisation pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To compare the analgesic efficacy of intravenous dexmedetomidine, ketamine and femoral nerve block in patients posted for fractured femur for alleviating the positional pain before spinal anaesthesia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>A total of 75 patients (25 per group) of American Society of Anaesthetists Grade I\u2013III patients of age group 18\u201380\u2009years with fractured femur scheduled for elective surgery. All patients in Group C (n\u2009=\u200925) were given the femoral nerve block, Group D (n\u2009=\u200925) were given intravenous dexmedetomidine 0.5\u00b5g\/kg and Group K (n\u2009=\u200925) were given intravenous ketamine 0.3mg\/kg. The parameters assessed were quantitative relief of pain by a numerical rating scale and patient satisfaction score, quality of patient positioning and time to perform spinal anaesthesia along with hemodynamics and sedation score.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The pain scores and patient satisfaction scores were significantly decreased in all three groups but were much significantly lower in Group K.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Ketamine was found to be superior to the other two groups in terms of reducing positional pain.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17504589231224559","type":"journal-article","created":{"date-parts":[[2025,1,13]],"date-time":"2025-01-13T06:06:23Z","timestamp":1736748383000},"page":"179-185","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of intravenous dexmedetomidine and ketamine with femoral nerve block for positional pain before spinal anaesthesia in patients with fracture femur: A prospective randomised study"],"prefix":"10.1177","volume":"36","author":[{"given":"Jyotsna","family":"Ch V","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology and Intensive Care, Nizam\u2019s Institute of Medical Sciences, Hyderabad, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sapna Annaji","family":"Nikhar","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Intensive Care, Nizam\u2019s Institute of Medical Sciences, Hyderabad, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akhya Kumar","family":"Kar","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Nizam\u2019s Institute of Medical Sciences, Hyderabad, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Padmaja","family":"Durga","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Intensive Care, Nizam\u2019s Institute of Medical Sciences, Hyderabad, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,1,13]]},"reference":[{"key":"e_1_3_2_2_1","first-page":"355","volume-title":"Anesthesia for Orthopedic Surgery","author":"Duc TA","year":"1994","unstructured":"Duc TA 1994 Postoperative pain control. 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