Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Evaluation of Intraoperative Anesthetic and Analgesic Requirements with Combined Epidural‐ General Anesthesia versus General Anesthesia for Laparoscopic Procedures
D.S. Usha, M.K. Sharath and Adithya S. Chiranjeevi
Page: 275-281 | Received 20 Sep 2024, Published online: 24 Dec 2024
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Abstract
Combined epidural‐general anesthesia (CEGA) has been proposed as an alternative technique to general anesthesia (GA) alone for laparoscopic surgeries. This study aimed to compare the intraoperative anesthetic and analgesic requirements and postoperative pain control between CEGA and GA in patients undergoing laparoscopic surgeries. A prospective observational study was conducted on 70 adult patients scheduled for elective laparoscopic surgery. The patients were allocated into two groups: GA group (n=35) and CEGA group (n=35). Intraoperative anesthetic and analgesic requirements, including inspiratory and expiratory concentrations of sevoflurane, minimum alveolar concentration (MAC) of sevoflurane, requirement of vecuronium doses and additional analgesic requirements, were recorded. Postoperative pain was assessed using Visual Analogue Scale (VAS) scores and rescue analgesic requirements were noted. The mean inspiratory and expiratory concentrations of sevoflurane and MAC of sevoflurane were significantly lower in the CEGA group compared to the GA group at various time points (P<0.05). The requirement of vecuronium doses and intraoperative additional analgesic requirements were significantly lower in the CEGA group (P<0.001). The postoperative VAS scores and rescue analgesic requirements were also significantly lower in the CEGA group (P<0.001). CEGA significantly reduced the intraoperative anesthetic and analgesic requirements and provided better postoperative pain control compared to GA alone in patients undergoing laparoscopic surgeries. CEGA can be a preferred anesthetic technique for laparoscopic surgeries, offering multiple benefits.
How to cite this article:
D.S. Usha, M.K. Sharath and Adithya S. Chiranjeevi. Evaluation of Intraoperative Anesthetic and Analgesic Requirements with Combined Epidural‐ General Anesthesia versus General Anesthesia for Laparoscopic Procedures.
DOI: https://doi.org/10.36478/10.36478/makrjms.2025.1.275.281
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2025.1.275.281