A CLINICAL COMPARATIVE STUDY BETWEEN GENERAL ANAESTHESIA AND SPINAL ANAESTHESIA FOR LAPAROSCOPIC CHOLECYSTECTOMY IN ELECTIVE SUEGERIES.
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Keywords
Anaesthesia, General, Spinal, Laparoscopic
Abstract
Background and Objectives: Laparoscopic cholecystectomy(LC) is conventionally performed under general anaesthesia(GA), but there are studies which have found spinal anaesthesia(SA) as a safe alternative[2]. The objective of this study was to compare the ease of performing Laparoscopic Cholecystectomy under General Anaesthesia and Spinal Anaesthesia.
Material and Methods: The study was conducted in 60 patients who were candidate of elective surgeries for laparoscopic cholecystectomy(LC) with low tension pneumoperitonium with CO2 and divided into two random groups (30 in each group) of general anaesthesia(GA) and spinal anaesthesia(SA) In General Anaesthesia (n=30), Propofol, Fentanyl, Atracurium, Sevoflurane and Tracheal intubation were done. In Spinal Anaesthesia (n=30), Hyperbaric Bupivacaine 15 mg and fentanyl 20 µg to achieve a sensorial level of T3 were used[1]. Intraoperative hemodynamic parameters, postoperative pain, complications, recovery, patient satisfaction, and cost were compared between the two groups[1].
Results and Observation: Induction of anaesthesia were done between two randomly divided patients (n=30 for GA and n=30 for SA) and there were no conversion from spinal to general anaesthesia[3]. Pain was significantly lower at 2, 4, and 6 hours after the procedure for spinal anaesthesia group as compared to those who received general anaesthesia. The cost of the spinal anaesthesia was significantly lower than that of the general anaesthesia. All patients were discharged after 24 hours[1].
Conclusion: Laparoscopic cholecystectomy done under spinal anesthesia is safe and feasible and does not require any change in technique and, at the same time, has a number of advantages, as compared to general anesthesia, and should be the anesthesia of choice.
References
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Dr Dipjyoti Shyam
Assistant Professor, Department of Anaesthesiology & Critical Care, Diphu Medical College & Hospital, Diphu 782460, Assam, India.
Dr Mridupaban Nath
Associate Professor, Department of Anaesthesiology & Critical Care, Diphu Medical College & Hospital, Diphu 782460, Assam, India.
Dr Anupananda Choudhury
Professor & Head of the Department, Department of Anaesthesiology & Critical Care, Diphu Medical College & Hospital, Diphu 782460, Assam, India.