Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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A Prospective, Randomised Study to Assess the Hemodynamic Changes in Patient Undergoing Lap Cholecystectomy with or Without Transversus Abdominis Plane Block Ultrasound Guided While Creating Pneumoperitonium
Sony Mathew and Priyanka Ghosh
Page: 21-27 | Received 08 Oct 2023, Published online: 27 Oct 2023
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Abstract
Laparoscopic cholecystectomy is a frequent minimally invasive operation that is increasingly being performed in the hospital. The anterior abdominal wall incisions during port incision add significantly to the pain experienced during laparoscopic cholecystectomy. TAP block has a lengthy history and there is now substantial clinical expertise around TAP block. The effects of TAP block are more prominent when administered prior to surgery and these effects are dosage dependent on local anaesthetic. During laparoscopic surgery, carbon dioxideinduced pneumoperitoneum affects multiple homeostatic systems, including changes in acid‐base balance, cardiovascular and pulmonary physiology and stress response. Pneumoperitoneum‐related cardiovascular alterations include an increase in mean arterial pressure, a reduction in cardiac output and an increase in systemic vascular resistance. To determine whether administering ropivacaine with an ultrasound‐guided transversus abdominal block bilateral during a lap cholecystectomy prevents hemodynamic alterations while producing pneumoperitonium. The current study was prospective and randomly chosen. A tertiary level multi‐specialty hospital in Kolkata the Department of NH Rabindranath Tagore International Institute of Cardiac Sciences, conducted this study from July 2019 to November 2019. in our study that group A’s mean arterial pressure before induction was much higher than group B’s, however the difference between the two group’s mean arterial pressures before induction was not statistically important (p = 0.401). Compared to group A, group B’s mean arterial pressure was much higher soon before pneumoperitonium, Despite the fact that the difference in mean arterial pressures between the two groups was not statistically significant (p = 0.837). The mean arterial pressure values were statistically significant in two groups After pneumoperitonium, 3 min, 10 min, 20 min, 30 min, 40 min, 50 min, 60 min, 70 min, 80 min and 90 min. In group‐ B the mean total consumption of rescue analgesia was significantly higher [205.08±25.76] than group‐A [58.47±18.92] and difference of mean total consumption of rescue analgesia in two groups was statistically significant (p<0.001). In group‐A the mean time for the request of rescue analgesia was significantly higher [931.02±55.14] than group‐B [38.17±7.37] and difference of mean time for the request of rescue analgesia in two groups was statistically significant (p<0.001). We discovered that 59 (100%) individuals in group A had suggested undergoing a laparoscopic choleycystectomy (LC). Laparoscopic choleycystectomy (LC) was the proposed procedure for 59 (100%) of the group B patients. We conclude that patients who received TAP block had higher intraoperative hemodynamic stability than those who did not receive TAP block. It was discovered that a 0.2% ropivacaine TAP block with B/L ultrasound guidance, administered right after induction, can minimize hemodynamic alterations during lap cholecystectomy while producing pneumoperitonium. Among other groups not receiving TAP blocks.
How to cite this article:
Sony Mathew and Priyanka Ghosh. A Prospective, Randomised Study to Assess the Hemodynamic Changes in Patient Undergoing Lap Cholecystectomy with or Without Transversus Abdominis Plane Block Ultrasound Guided While
Creating Pneumoperitonium.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.1.21.27
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.1.21.27