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Comparing effect of different flow of anaesthesia and pneumoperitoneum on intracranial pressure by measuring optic nerve sheath diameter using ultrasound machine during laparoscopic cholecystectomy surgery.

Phase 4
Conditions
Health Condition 1: K806- Calculus of gallbladder and bile duct with cholecystitisHealth Condition 2: K807- Calculus of gallbladder and bile duct without cholecystitisHealth Condition 3: K800- Calculus of gallbladder with acutecholecystitisHealth Condition 4: K801- Calculus of gallbladder with othercholecystitisHealth Condition 5: K802- Calculus of gallbladder without cholecystitisHealth Condition 6: K808- Other cholelithiasis
Registration Number
CTRI/2024/05/067818
Lead Sponsor
Dr Riya Rautela
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

1. Patients of either sex in the age group 18-65

years posted for elective surgery.

2. Belonging to ASA Grade I and II.

3. Patients willing to participate in the study.

Exclusion Criteria

1. Patient unwilling to participate in the study.

2. Pregnant female.

3. Previous eye surgery.

4. Head and neck surgery.

5. Previous orbital trauma or surgical history.

6. Intracranial space covering lesions with high

ICP.

7. Chronic kidney disease.

8. Cirrhosis with ascitis.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To assess the change in ONSD at 30 minutes after pneumoperitoneum among patients undergoing laparoscopic cholecystectomy with varying flow and varying intraabdominal pressure.Timepoint: 30 minutes after creation of pneumoperitoneum.
Secondary Outcome Measures
NameTimeMethod
1.To assess the change in ONSD at post induction, 15 mins after pneumoperitoneum in supine position and 10 mins after desufflation. <br/ ><br>2.To assess the change in ONSD with low flow and normal flow anaesthesia. <br/ ><br>3.Correlation of post operative nausea vomiting and headache with change in ONSD. <br/ ><br>4.To assess the change of hemodynamics like MAP, HR with PP, and flow of anaesthesia. <br/ ><br>5.To assess the change of Peak airway pressure with PP and flow of anaesthesia. <br/ ><br>6.To assess the change of ETCO2 with PP and flow of anaesthesia.Timepoint: Immediately after induction, 15 mins after pneumoperitoneum in supine position and 10 mins after desufflation.
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