Comparison of PERI-Operative and Post-operative Events: Spinal Anesthesia versus General Anesthesia for Open Cholcystectomy | Chapter 2 | Recent Developments in Medicine and Medical Research Vol. 10

 The goal of this study was to look at the perioperative and postoperative events, as well as the feasibility, effectiveness, and safety of open cholecystectomy under spinal anaesthesia (SA) versus general anaesthesia (GA).

Methods and Materials: All ASA I and ASA II patients with diagnosed cholelethiasis who were admitted and consented for elective open chlecystectomy were randomly divided into two groups. The SA group received 3.00 ml to 3.5 ml of 0.5 percent hyperbaric Bupivacane intrathecally during open Cholecystectomy, while the GA group received propofol, Fentanyl Citrate, Atracurium, and Halothane. Anxiety, pain, nausea and vomiting, respiratory problems, and haemodynamic stability are all treated with other medicines. The right oblique incision is used for all open chlolecystectomy procedures. Intraoperative and postoperative events were recorded for two days. The key research areas were. Intraoperative complications (hypertension, bradycardia, nausea/vomiting, difficulty breathing, patient and surgeon satisfaction), PONV, and analgesia requirements

From July 2016 to December 2017, 200 patients with cholelithiasis were admitted for open cholecystectomy, 150 of whom received appropriate spinal anaesthetic and 50 of whom preferred general anaesthesia. INTRA-OPERATIVELY, 18 patients in the SA group had respiratory difficulty, which was relieved by 100% O2 with a ventimask, 39 patients had hypotension, which was treated with injection Mephentermine, only 2 patients received injection Ephidrine, 12 patients had nausea and vomiting, which was treated with antiemetic (Injection Ondensetron), and 22 patients had pain, which was treated with injection tramadol. POST-OPERATIVELY: The pain-free interval and PONV were measured in both groups of patients.

Conclusion: In terms of intraoperative events, post-operative analgesia, PONV, cost effectiveness, and surgeon and patient satisfaction, patients having uncomplicated open cholecystectomy under spinal anaesthetic are safer and more effective than G.A.

Author(S) Details

Charan Singh
Department of Anesthesiology, Malkhan Singh District Hospital, Aligarh, Uttar Pradesh, India.

Ashwini Nigam
Department of Medicine, S.N. Medical College Agra, India.

Ram Bihari
Consultant Surgeon, India.

Aziz Khan
Department of Statistics, Aligarh Muslim University, Aligarh, India.

Deepak Kumar
Medicine Department, S.N. Medical College, Agra, India.

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