Indian Journal of Anesthesia and Analgesia Editor-in-Chief K.K. Mubarak Professor & Head, Dept. of Anaesthesiology Govt. Medical College, Kozhikode 673008, Kerala Associate Editors Lalit Gupta, Sandeep Sahu, SMH-Curie Cancer Center, Delhi Sanjay Gandhi Postgradaute Institute of Medical Mridu Paban Nath, Sciences, Lucknow Gauhati Medical College, Guwahati National Editorial Board Gaurav S. Tomar Satish G. Deshpande All India Institute of Medical Sciences, New Delhi Government Medical College, Latur Manjula Sudeep Sarkar Swarnalingam Thangavelu Seth G S MC and K E M Hospital, Mumbai Tagore Medical College & Hospital, Chennai Mukesh Somvanshi Swati Bisht Govt. Medical College & AG Hospitals, Kota Vydehi Institute of Medical Sciences, And Naresh Ganpatrao Tirpude Research Centre, Bangalore Govt. Medical College, Nagpur Uma Hariharan Pallavi Ahluwalia, Dr Ram Manohar Lohia Hospital & PGIMER, Teerthanker Mahaveer Medical College & New Delhi Research Centre, Moradabad, Uttar Pradesh Vikas Chauhan Pramod Kumar All India Institute of Medical Sciences, New Delhi PDU Medical College, Rajkot Saramma P Abraham MOSC Medical College, Kolencherry International Editorial Board Amarjeet D. Patil, Manchester University Hospitals NHS Foundation Trust, Manchester, United Kingdom Managing Editor Publication Editor A Lal Manoj Kumar Singh Aims and Scope The Indian Journal of Anesthesia and Analgesia (IJAA) is of cial peer-reviewed scienti c journal addresses all aspects of anesthesia practice, including anesthetic administration, pharmacokinetics, preoperative and postoperative considerations, coexisting disease and other complicating factors, cost issues, and similar concerns anesthesiologists contend with daily. The Journal seeks a balance between outstanding basic scienti c reports and de nitive clinical and management investigations. The Journal welcomes manuscripts re ecting rigorous analysis, even if unusual in style and focus. Readership: Anesthesiologists, Critical Care Physicians and Surgeons. Of ce of Publication: Red Flower Publication Pvt. Ltd., 48/41-42, DSIDC, Pocket-II Mayur Vihar Phase-I, Delhi – 110 091(India), Phone: 91-11-22754205, 45796900, Fax: 91-11-22754205 E-mail: [email protected], Website: www.rfppl.co.in IJAA / Volume 6 Number 2 / March - April 2019 (Part - II) 526 Indian Journal of Anesthesia and Analgesia Copyright Information Subscription Information For Authors The Indian Journal of Anesthesia and Analgesia is published four times a year. 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Journal Website http://rfppl.co.in/about_journal.php?jid=24 IJAA / Volume 6 Number 2 / March - April 2019 (Part - II) 527 INDIAN JOURNAL OF ANESTHESIA AND ANALGESIA March - April 2019 (Part - II) Volume 6 Number 2 Contents Original Research Articles Comparative Clinical Study of Clonidine and Fentanyl as Adjuvant to Intrathecal Ropivacaine for Lower Limb Orthopaedic Surgeries 529 Ajeet Jyotipurkar, Tripti Vatsalya Comparison Intraarticular Ropivacaine and Ropivacaine Plus Dexmedetomidine for Post Operative Analgesia in Arthroscopic Knee Surgery 535 Chirag Patel, Anup Chandnani, Amit Sharma To Compare the Efficacy of Midazolam and Triclofos as Oral Premedicant in Paediatric Patients 543 Anubhav Sardana, Pooja A Shah, Malini Mehta Comparative Study of LMA Supreme versus I-gel in Patients Undergoing Laparoscopic Surgeries with Positive Pressure Ventilation 547 Arulmani A, Suresh Kumar K, Balasubramanian S, Suneeth P. Lazarus, Sanmugapiriya K, Rajprasath R Intrathecal Hyperbaric Bupivacaine and Isobaric Levobupivacaine for Spinal Anaesthesia: Block Characteristics and Clinical Effects 555 Chandana M H, Gajendra Singh Evaluation of 25 Gauge Quincke and Whitacre Needles on Technical Problems and Post Dural Puncture Headache: A Prospective, Observational Study 563 K. Brinda, Aloka Samantaray, Mangu Hanumantha Rao Comparison of Post Dural Puncture Headache with 23G, 25G and 27G quincke needle in Caesarean section 571 Kanvee M Vania, Dipti N Desai, Hetal Kanabar Awake Fiberoptic Intubation with Two Different Techniques of Local Anaesthetic Administration (Transtracheal Injection Versus Ultrasonic Nebulization) in Patients Undergoing Maxillofacial Surgery 577 Karuna Sharma, Anil Kumar Bhiwal, Chintan Mukesh Kumar Patel Identification of Epidural Space Using Modified Drip Method and Loss of Resistance Syringe Technique: A Comparative Study 585 Kinjal Sanghvi, Asmita Chaudhry, Sachin Patel, Devendra Makwana Combined Psoas Compartment Block and Sciatic Nerve Block for Elective Lower Limb Surgeries 589 Lakshmisree M.S., Chitra Devi S. Aero-Digestive Foreign Bodies in Tertiary Care Hospital of Southern Rajasthan: One Year Prospective Study 597 Lalit Kumar Raiger, Ravindra Gehlot, Anisha Banu IJAA / Volume 6 Number 2 / March - April 2019 (Part - II) 528 Indian Journal of Anesthesia and Analgesia Comparison of Analgesic Effect of Intrathecal Fentanyl & Clonidine with Hyperbaric Bupivacaine in Lower Limb Surgeries 605 Milan Vinaykant Mehta, Palak Anilkumar Chudasama Comparative Evaluation of Butorphanol Versus Nalbuphine for Postoperative Epidural Analgesia in Lower Limb Orthopaedic Surgeries 611 Mukesh Kumar, Amit Kumar Lal, Haramritpal Kaur, Gurpreet Singh, Naresh Baghla, Harmanpreet Kaur Jhand Effect of Dexmedetomidine in Attenuating Hemodynamic Responses During Extubation 619 Olvyna D'souza, Suman Sahu Comparison of Tramadol & Dexamethasone as Adjuvants to Local Anaesthetic in Supraclavicular Brachial Plexus Block 627 Ruchik Solanki, Priya Kishnani, Jayshri Desai Efficacy of Clonidine as an Adjuvant to Ropivacaine in Ultrasound guided Supraclavicular Brachial Plexus Block: A Prospective Study 632 Sarvesh. B, Prajwal Patel HS, Shivaramu BT Comparison of the Ropivacaine and Ropivacaine with Fentanyl in Femoral Nerve Block Prior to Spinal Anaesthesia for Positioning in Orthopedic Lower Limb Surgeries 639 K. Senthil kumar, Rajasekar Janaki Comparision of Fentanyl and Dexmedetomidine as Adjuvants to Ropivacaine for Potentiation of Post Operative Analgesia in Femoral Nerve Block for Knee Surgeries 646 Shagun Shory, Priya P. Kishnani, Chaitri Shah, Vibhav Gandhi Comparative Study of Clinical Effects of Intrathecal Hyperbaric Bupivacaine with Fentanyl versus Hyperbaric