Effect of Combined Thoracic Epidural with General Anaesthesia vs General Anaesthesia alone on Intraoperative Hemodynamics and Postoperative Analgesia Requirement in Abdominal Surgeries
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 1
Abstract
Introduction: The combined use of epidural and general anaesthesia provides better intraoperative hemodynamics and reduces the requirement of general anaesthetics by blocking the noxious stimulus originating from the surgical site at the spinal level. Epidural analgesia with local anaesthetic when combined with opioids has made it even more popular. The aim of this study was to evaluate the effect of combined thoracic epidural with general anaesthesia and general anaesthesia alone in abdominal surgeries on intraoperative hemodynamics and postoperative analgesic profile. Material and Methods: This study was randomised prospective trial that included 40 patients of ASA grade I – III scheduled for abdominal surgeries. They were allocated in two groups. Group I – combined general epidural anaesthesia (CGEA), received thoracic epidural anaesthesia in addition to general anaesthesia. Group II received general anaesthesia only (GA). Perioperative hemodynamics i.e. pulse rate, systolic blood pressure and diastolic blood pressure were compared in two groups, also the duration of first rescue analgesic requirement and VAS at the time of first rescue analgesic was studied. Results: With comparable demographic and baseline attributes there were statistically significant variations in heart rate, diastolic blood pressure, and systolic blood pressure between both the groups. The mean duration of first rescue analgesic was statistically significantly higher in group I when compared with group II. It was also seen that mean of VAS at the time of first rescue analgesic was significantly lower in group I as compared to group II. Conclusion: Thoracic epidural anaesthesia when combined with general anaesthesia not only provides hemodynamic stability but also significantly enhances postoperative analgesia in patients undergoing abdominal surgeries.
Authors and Affiliations
Veenita Sharma, Gurpinderbeer Singh, Amarjit Singh
Keywords
Related Articles
- EP ID EP428915
- DOI -
- Views 76
- Downloads 0
Surgical Ethics - Indian Perspective
In present day scenario relevance of this topic is to make aware our colleagues importance of ethics, when doctor –patient relationship are all time low.The word ethics is derived from the Greek word ethos which means “C...
Prevalence of Obesity in Diabetic Subjects in South Kerala
Introduction: The increasing prevalence of obesity in the population poses as an independent risk factor in developing diabetes. This study aimed to find the prevalence of Obesity in Diabetic patients compared to non dia...
Epidemiological Characteristics and Visual Outcome of Ocular Trauma in Southern Assam in a Tertiary Care Center
Introduction: Ocular trauma is a major cause of preventable monocular blindness and visual impairment in the world. Timely intervention can make huge difference in the final visual outcome of the patient of ocular trauma...
A Study to Assess the Prevalence of Premenstrual Syndrome and Premenstrual Dysphoric Disorder and Various Coping Strategies used by Students in A Womens Medical College from South India
Introduction: During their menstrual cycles, many women of reproductive age experience adverse physical, emotional and cognitive symptoms that often recur, usually during the luteal phase of their cycle. The constellatio...
Patient’s Awareness and Knowledge of the Root Canal Treatment in Kashmiri Population: A Survey-based Original Research
Introduction: Root canal treatment (RCT) is one of the most common endodontic procedures for which patient visits the dentist. Patients’ awareness and knowledge of the endodontic treatment is a very important issue in ev...