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Scholars Journal of Applied Medical Sciences | Volume-11 | Issue-01
A Comparative Study on Spinal Anesthesia verses General Anesthesia for Laparoscopic Cholecystectomy
Dr. Mohammed Mohiuddin Shoman, Dr. Mohammad Mahbub-Ul Haque, Dr. Md. Tariquzzaman, Dr. Mustaq Ahmmed, Dr. Nargis Sultana, Dr. Bedoura Sharmin
Published: Jan. 23, 2023 | 16 15
DOI: 10.36347/sjams.2023.v11i01.018
Pages: 113-119
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Abstract
Background: The main goal of anesthetic management in patients undergoing surgical procedures of laparoscopy includes the management of pneumoperitoneum. Generally, laparoscopic cholecystectomy is done under general anesthesia, but a large number of patients with major medical problems sometimes cannot tolerate such anesthesia where thoracic spinal anesthesia may be suitable. Aim of the Study: The aim of this study was to compare spinal anesthesia verses general anesthesia for laparoscopic cholecystectomy regarding the efficacy and outcomes. Methods: This prospective comparative study was conducted in the Department of Anaesthesia & ICU, Mugda Medical College & Hospital, Dhaka, Bangladesh during the period from January 2021 to December 2021. A total 60 patients were enrolled in this study as study population. Patients with physical status ASA I and II were selected as the study population and randomly divided to undergo laparoscopic cholecystectomy with low-tension pneumoperitoneum with CO2 under general anesthesia (n=30) or spinal anesthesia (n=30). Propofol, rocuronium, fentanyl, sevoflurane and tracheal intubation were used for general anesthesia. On the other hand, to achieve a sensorial level of T3, hyperbaric bupivacaine (15 mg) and fentanyl (20 µg) were used for the spinal anesthesia. Data regarding intraoperative parameters, postoperative pain, complications and recovery cost were compared between both groups. Results: In this study, in analyzing the perioperative comparison of mean ±SD VAS scores in both the general and spinal anesthesia groups we observed that in group 1 after 4, 8, 12 and 24 hours VAS (Visual analogue score) scores were found as 1.21±1.02, 1.62±1.35, 1.59±1.38 and 1.02±0.54 respectively which were found as 2.24±1.15, 3.29±1.62, 3.61±1.28 and 2.33±1.49 respectively in group 2. Between both the groups, in all the reading of VAS scores (4, 8, 12 and 24 hours) we found significant correlations between the groups where the P values ...........