Spinal for Laparoscopic Cholecystectomy
Overview
- Phase
- Not Applicable
- Intervention
- General anesthesia
- Conditions
- Laparoscopic Cholecystectomy
- Sponsor
- Mansoura University
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Patient satisfaction (over a scale from 1 to 4)
- Last Updated
- 9 years ago
Overview
Brief Summary
In this study, the investigators will study spinal anesthesia for laparoscopic cholecystectomy in comparison to general anesthesia (GA) regarding patient satisfaction as a primary variable, intraoperative complications, postoperative analgesic requirements, postoperative nausea and vomiting, patient hospital stay (secondary variables).
Investigators
AlRefaey Kandeel
Dr
Mansoura University
Eligibility Criteria
Inclusion Criteria
- •patients scheduled for laparoscopic cholecystectomy
Exclusion Criteria
- •coagulopathy
- •Patient refusal
- •previous spine surgery
- •Obesity BMI more than 30
Arms & Interventions
General anesthesia group
General anesthesia group: Standard anesthetic technique will be applied.Anesthesia will be induced by propofol 1% (1-2 mg/kg), Fentanyl 1-2 mic/kg, and Atracurium 0.5 mg/kg then according to train of four response. Then maintained using Sevoflurane based anesthesia aiming to maintain Bispectral index 40-60..
Intervention: General anesthesia
Spinal anesthesia group
While in sitting position; intrathecal injection using 25 G spinal needle using 3 mls of Bupivacaine 0.5% with 20 mic Fentanyl, at L 2-3 level the patient head will be lowered till sensory blockade of T6 obtained at least.
Intervention: Bupivacaine with Fentanyl (Spinal Anesthesia)
Outcomes
Primary Outcomes
Patient satisfaction (over a scale from 1 to 4)
Time Frame: 24 hours
Postoperative analgesic consumption (mg morphine)
Time Frame: 24 hours