evaluation of hemodynamic and blood gases changes in children undergoing laparoscopic surgeries

Not Applicable

Completed

• Conditions: ASA grade I AND II requiring abdominal surgeries

• Registration Number: CTRI/2011/09/002013
• Lead Sponsor: lady hardinge medical college

Brief Summary

The aim of the study was to evaluate and compare hemodynamic changes, blood gas and acid-base parameters, duration of hospital stay and any complications which occurred. An attempt was also made to correlate PaCO2 to EtCO2 changes.

in our study, we have not found any significant change in heart rate.

both, systolic and diastolic BP values were higher in laparoscopic group after creation of pneumoperitoneum,

PH values were decreased after creation of pneumoperitoneum

Detailed Description

Not available

Study Timeline

• Study Start: 2009-02-11
• Last Update Posted: 2011-09-19

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

ASA I & II, for abdominal surgery.

Exclusion Criteria

children with any congenital anomaly, difficult intubation, ASA III & IV.

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
heart rate- no significant change,	hemodynamic parameters- baseline and then every 5 minutes till creation of pneumoperitoneum after that every 15 minutes till 1 hour and then every 30 minutes till the end of procedure. | acid- base and blood gases- i)after induction | ii)15 minutes after creation of pneumoperitoneum | iii)post extubation
BP- increased after creation of pneumoperitoneum,	hemodynamic parameters- baseline and then every 5 minutes till creation of pneumoperitoneum after that every 15 minutes till 1 hour and then every 30 minutes till the end of procedure. | acid- base and blood gases- i)after induction | ii)15 minutes after creation of pneumoperitoneum | iii)post extubation
pCO2 values increased after creation of pneumoperitoneum and then came back to baseline level 10-15 minutes after desufflation	hemodynamic parameters- baseline and then every 5 minutes till creation of pneumoperitoneum after that every 15 minutes till 1 hour and then every 30 minutes till the end of procedure. | acid- base and blood gases- i)after induction | ii)15 minutes after creation of pneumoperitoneum | iii)post extubation
EtCO2 values were significantly higher in laparoscopic group.	hemodynamic parameters- baseline and then every 5 minutes till creation of pneumoperitoneum after that every 15 minutes till 1 hour and then every 30 minutes till the end of procedure. | acid- base and blood gases- i)after induction | ii)15 minutes after creation of pneumoperitoneum | iii)post extubation

Secondary Outcome Measures

Name	Time	Method
i)duration of surgery was similar in both the groups	ii)duration of hospital stay was longer in open surgery group

Trial Locations

Locations (1)

department of anesthesia; 🇮🇳 Delhi, DELHI, India

department of anesthesia

🇮🇳Delhi, DELHI, India

meenakshi verma

Principal investigator

9891494998

drmeenakshilhmc@gmail.com