الفهرس | Only 14 pages are availabe for public view |
Abstract We aimed in this study to compare between general and regional anesthesia in laparoscopic cholecystectomy, us regional anesthesia as less invasive than general anesthesia and better control of post operative pain. In both groups; heart rate, blood pressure, and SPO2 was recorded every 10 minute for 30min and every 15 min thereafter. Duration ofsurgery, pnp time and pnp weres also recorded in each patient. A nasogastric tube was inserted to decompress the stomach. After induction of anesthesia, pneumoperitonium was induced by using CO2 insufflation with maximal pressure 13 mmHg in group1 & 11 mmHg in group 2 and was increased upon the surgeon demand. Postoperatively, pain and shoulder pain were assessed by VAS. The time of the 1st analgesic request, the type of analgesia, the dose of analgesia and the total amount of analgesic consumpsion also were recorded. Our results showed that there was insignificant statistical difference between the 2 groups as regard the demographic data ( age, sex, ASA group and BMI) Also there was insignificant statistical difference between the 2 groups as regard the haemodynamic data apart from MAP was statistically significant after 5 min from induction. On the other hand, pnp, pnp time, time of surgery and NG tube were statistically significant. Postoperatively, VAS of the shoulder pain, 1st time of analgesic request, the type of analgesia, the dose of analgesia and the total amount of analgesic consumpsion were statistically significant. Opioid administration was significantly higher in group 2 than group 1 The incidence of some side effects (allergy, chest infection, N&V, headache, laryngospasm, sorethroat and dizziness) were higher in group 1 than in group 2. |