Informatics Publishing Limited

Puja Saxena ¹, Richa Saroa ¹, Sanjeev Palta ¹, Esha Sethi Chaudhary ¹

Affiliations
1 Department of Anaesthesia and Intensive Care, Government Medical College and Hospital, Sector – 32, Chandigarh, IN

Abstract

Background and Aims: Although mostly performed under general anesthesia, regional anesthesia has been sparingly employed in patients undergoing laparoscopic cholecystectomy. Recent evidence labels regional anesthetic techniques to be safe and highly acceptable for laparoscopic cholecystectomy. The present study was undertaken to evaluate and compare the effects of general or regional anaesthesia on haemodynamics, blood gases, postoperative pain and recovery scores, rescue analgesic consumption, and side effects in patients undergoing elective laparoscopic cholecystectomy. Methods: 80 patients were randomized in two groups of 40 each to receive either general or spinal anaesthesia for pain, hemodynamic variables, respiratory rate and cumulative rescue analgesic consumption. Intraoperative shoulder pain, oxygen saturation and arterial blood gas parameters were compared in both the groups. Intraoperative consumption of vasopressors was also observed. Modified Aldrete scoring was used to evaluate the recovery characteristics of both the techniques. Patient and surgeon feedback was assessed by the use of preformed questionnaire. At the end of study, data was compiled and analysed with appropriate statistical tests. Results: Spinal anaesthesia provided better postoperative analgesia in patients undergoing laparoscopic cholecystectomy as evident by lower VAS scores and lesser total analgesic consumption. There were more incidences of bradycardia, hypotension, and significant arterial blood gas changes under spinal anaesthesia. Patients in spinal anaesthesia group demonstrated better recovery score as well as lesser incidence of PONV IN PACU. Conclusion: Spinal anesthesia can be used as sole anesthetic technique in patients undergoing elective laparoscopic cholecystectomy especially in patients where general anesthesia carries its own inherent risks.

Keywords

Laparoscopic Cholecystectomy, General Anaesthesia, Spinal Anaesthesia.

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Richa Saroa ¹, Puja Saxena ¹, Satinder Gombar ¹, Swati Jindal ¹, Arjun Dass ²

Affiliations
1 Department of Anesthesia and Critical Care, Government Medical College & Hospital, Chandigarh, IN
2 Department of Ear, Nose and throat (ENT), Government Medical College & Hospital, Chandigarh, IN

Abstract

Intraoral mass in neonates impose unique anaesthetic challenges especially during induction and thus require careful planning to prevent obstruction, hypoxia and subsequent consequences. The success and safety of various techniques to secure the airway is yet not established in neonates with an intraoral mass1. We describe anaesthetic management in a neonate with an intraoral mass scheduled for excision under general anaesthesia.

Keywords

Airway Management, Intra Oral Mass, Neonate.

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