laparoscopic versus open surgery- a comparative evaluation of hemodynamic, blood gases and acid-base changes in children undergoing abdominal operations
Overview
- Phase
- 未知
- Intervention
- Not specified
- Conditions
- Not specified
- Sponsor
- lady hardinge medical college
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- heart rate- no significant change,
- Status
- Completed
- Last Updated
- 14 years ago
Overview
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
Investigators
Eligibility Criteria
Inclusion Criteria
- •ASA I & II, for abdominal surgery.
Exclusion Criteria
- •children with any congenital anomaly, difficult intubation, ASA III & IV.
Outcomes
Primary Outcomes
heart rate- no significant change,
Time Frame: 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,
Time Frame: 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
Time Frame: 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.
Time Frame: 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 Outcomes
- i)duration of surgery was similar in both the groups(ii)duration of hospital stay was longer in open surgery group)