Anesthetic Management for Laparoscopic Cholecystectomy

Amornyotin, Somchai

doi:10.5772/52742

Cited by 7 publications

(10 citation statements)

References 37 publications

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“…[ 3 ] It is termed as patient friendly surgery because of less postoperative pain, shorter hospitalization and faster functional recovery along with other advantages of laparoscopic procedures. [ 4 ]…”

Section: Introductionmentioning

confidence: 99%

Efficacy of dexmedetomidine and fentanyl on pressor response and pneumoperitoneum in laparoscopic cholecystectomy

et al. 2016

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Background:The advent of laparoscopic surgeries has proved to be beneficial for both patient and surgeon although increased morbidity may result from hemodynamic changes associated with laryngoscopy, intubation, and pneumoperitoneum (PNP).Aim:The present study was prospective, randomized, double-blind conducted to evaluate the efficacy of dexmdetomidine and fentanyl in attenuation of pressor responses to laryngoscopy, intubation, and PNP in laparoscopic cholecystectomy (LC).Materials and Methods:A total of 60 patients of 18–65 years, American Society of Anaesthesiologists Class I/II of either sex for elective LC, were included. The patients were divided into two groups of 30 patients each. Group I received dexmedetomidine and Group II Fentanyl loading 1 μg/kg over 15 min followed by maintenance 0.2 μg/kg/h throughout the PNP.Measurements:Heart rate (HR), systolic blood pressure, diastolic blood pressure, and mean arterial blood pressure (MAP) were recorded preoperatively, 15 min after infusion of study drug, 1 min after induction, 1 min after intubation, throughout the PNP, end of surgery, and until 60 min in postoperative period. Sedation score, visual analog scale score along with modified Alderete score applied in postanesthesia care unit.Results:Control of HR and MAP in Group I was better than in Group II during laryngoscopy, intubation and PNP. There was also smooth extubation, less sedation and better control of pain in Group I than in Group II.Conclusion:The present study demonstrates the benefits of dexmedetomidine over fentanyl in hemodynamic stability and analgesic quality in LC. Thus, it is establishing its utility over for attenuation of pressor response.

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Section: Introductionmentioning

confidence: 99%

Efficacy of dexmedetomidine and fentanyl on pressor response and pneumoperitoneum in laparoscopic cholecystectomy

et al. 2016

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“…Cerebral blood flow has been shown to increase significantly during CO 2 insufflation. Pneumoperitoneum reduces renal cortical and medullary blood flow with an associated reduction in glomerular filtration rate (GFR), urinary output and creatinine clearance [1,2]. The reduction of renal blood flow may be due to a direct pressure effect on renal cortical blood flow and renal vascular compression as well as an increase in antidiuretic hormone (ADH), aldosterone and renin.…”

Section: Effects Of Other Systemsmentioning

confidence: 99%

“…Carbon dioxide (CO 2 ) is commonly used because it does not support combustion, is cleared more rapidly than other gases, and is highly soluble in blood. However, the disadvantage of CO 2 is that the absorption of CO 2 can cause hypercapnia and respiratory acidosis [1,2].…”

Section: Introductionmentioning

confidence: 99%

Anesthetic Consideration For Laparoscopic Surgery Research

Amornyotin¹

2013

IJAR

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“…A 10 -15 mmHg intra-Abdominal pressure (IAP) is used. Carbon dioxide (CO 2 ) is widely used as it is an inert gas, with faster absorption due to high solubility in blood which may cause respiratory acidosis due to hypercapnia [2].…”

Section: Introductionmentioning

confidence: 99%

Comparative Study between General Anesthesia versus General Anesthesia Combined with Thoracic Epidural Analgesia on Cytokine Response in Laparoscopic Cholecystectomy Patients

Elsayed¹,

EI-deen²,

Shams³

et al. 2020

OJAnes

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Background and Objectives: The main benefits of laparoscopic surgery in comparison to open surgery involve the rapid discharge from recovery room, decreased postoperative hospital stays, reduced postoperative discomfort, easier getting back to work and faster return to ordinary daily life as well as cosmetic surgical wounds. The anesthesia type has an essential role in attenuation of the surgical stress and achievement of these advantages. We aimed to determine the outcome of giving general anesthesia in conjunction with thoracic epidural analgesia (TEA) compared to general anesthesia alone on stress response to surgery and anesthesia by investigating cytokine reaction (interleukin 6 and 8 levels), hemodynamic changes (BP, HR, RR, SPO2), and Visual Analogue Scale (VAS) scores postoperatively in patients subjected for laparoscopic cholecystectomy. Methods: This study included 40 patients aged 20-60 years old with American Society of Anesthesiologists physical status (ASA) I and II. They were planned for laparoscopic cholecystectomy at Aswan University Hospital from April 2017 to March 2018. They were randomly allocated into two groups. Group A (n. 20) received general anesthesia only and Group B (n. 20) received general anesthesia in conjunction with thoracic epidural analgesia using fentanyl and bupivacaine in the epidural catheter. Chi-square was applied to differentiate categorical variables, whereas comparison between continuous variables was done by using t-test.

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Anesthetic Management for Laparoscopic Cholecystectomy

Cited by 7 publications

References 37 publications

Efficacy of dexmedetomidine and fentanyl on pressor response and pneumoperitoneum in laparoscopic cholecystectomy

Efficacy of dexmedetomidine and fentanyl on pressor response and pneumoperitoneum in laparoscopic cholecystectomy

Anesthetic Consideration For Laparoscopic Surgery Research

Comparative Study between General Anesthesia versus General Anesthesia Combined with Thoracic Epidural Analgesia on Cytokine Response in Laparoscopic Cholecystectomy Patients

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