Assessment of Postoperative Pain Relief Following Use of Spinal Anesthesia and General Anesthesia for Patients Undergoing Laparoscopic Cholecystectomy: A Comparative Study
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 2
Abstract
Background: General anaesthesia (GA) is the anaesthetic technique of choice for laparoscopic cholecystectomy (LC). Regional anaesthesia too (spinal/epidural/combined spinal epidural) has been reported as a sole technique for performing LC as an alternative to GA. Hence; we planned the present study to assess postoperative pain relief following use of spinal anesthesia and general anesthesia for patients undergoing laparoscopic cholecystectomy. Materials & Methods: The present study it included assessment of postoperative pain relief following use of spinal anesthesia and general anesthesia for patients undergoing laparoscopic cholecystectomy. A total of 50 patients were included in the present study and were broadly divided into two study groups with 25 patients in each group; Group A included subjects that underwent LC under general anesthesia, while Group B included subjects that underwent LC under spinal anesthesia. Visual analogue scale (VAS) was used at the end of the surgery for assessing the postoperative pain at the end of the surgery and at seven hours post-surgery. Severity of VAS was defined as: No pain-less than 2 score, Mild- less than 3 to 6 score, and sever-7 and above score. Results: While comparing the mean VAS at the end of the surgery in between the two study groups, significant results were obtained. While comparing the mean VAS 7 hours postoperatively, significant results were obtained. Postoperative pain score in the Group B patients was comparatively less in comparison to the subjects of Group A. Conclusion: In controlling postoperative pain, single shot of spinal is more effective in comparison to general anesthesia.
Authors and Affiliations
Neelam Gupta, Subrata Dutta
To Study Clinical, Hematological and Neuroimaging Profile in Patients of Infantile Tremor Syndrome in a Rural Based Tertiary Care Centre
Background: Vitamin B12 or cobalamin deficiency is a rare and treatable cause of failure to thrive and delayed development in infants. It is especially more common in infants of vegan mothers. There is a report that ever...
Assessment of Efficacy of Drug and Nondrug Treatments in Hypertensive Patients: A Comparative Study
Background: A number of studies have reported that use of antihypertensive drugs in hypertensive patients gradually decreases the morbidity and mortality rates. But, it is quite inappropriate to prescribe anti-hypertensi...
Small Bowel GIST: Clinical Presentation as Intussusception and Obscure Bleeding: Case Reports
Intussusception and obscured GI bleeding are rare presentations of small intestinal GIST. Here, we report two cases one 14 year old male and another 58 year old female who had jejunal GIST found on exploratory laparotomy...
A Comparative Study of Wound Closure with Disposable Skin Stapler Versus Conventional Sutures
Context: A variety of techniques and materials are available these days for wound apposition. The surgeon’s preference of a particular technique and material for wound closure depends largely on the biomechanical propert...
An Epidemiological Study of Prevalence of Hypopoliferative Anemia And Associated Risk Factors in Tertiary Care Population: A Hospital Based Pilot Study
Background: Hypo-proliferative anemia is an anemia where the bone marrow's response, the production of reticulocytes, is absolutely low, or low for the degree of anemia. The aim of this study to evaluated the prevalence...