Efficacy of Combined Epidural-General Anaesthesia [CEGA] in Attenuating Hemodynamic Responses to Pneumoperitoneum in Laparoscopic Cholecystectomies: A Prospective Randomised Study

Autor: Nethra H Nanjundaswamy, Sudheesh Kannan, Vijaykumar H Narayanappa, Saraswathi Nagappa, Sandya Kalappa
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Archives of Anesthesia and Critical Care, Vol 9, Iss Supp. 2 (2023)
Druh dokumentu: article
ISSN: 2423-5849
DOI: 10.18502/aacc.v9i6.14447
Popis: Background: Pnuemoperitonium in laparoscopy is associated with cardiorespiratory changes. Combination of epidural with General anaesthesia (GA) will offer benefit of hemodynamic control and perioperative analgesia. We aimed to study the efficacy of Combined Epidural- General Anaesthesia (CEGA) with pre-emptive activation over general anaesthesia in laparoscopic cholecystectomies. Methods: In this prospective double blind –randomised study, 90 surgical inpatients were studied in two study groups. Group GE-(n=45) received Lumbar Epidural analgesia with ropivacaine 0.2% along with GA and Group G (n=45) received only GA. Heart rate (HR), Mean arterial Pressure (MAP), systolic blood pressure (SBP), diastolic blood pressure (DBP), Capnogram (ETCO2), saturation (spo2), VAS score, Ramsay sedation score, requirement of propofol, muscle relaxants and analgesics were studied. Results: Statistical analysis was carried out with SPSS version 20. Statistical value of p
Databáze: Directory of Open Access Journals