Published April 30, 2024 | Version https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue4,Article191.pdf
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Study of Total Intravenous Anaesthesia in Laparoscopic Surgery in Telangana Population

  • 1. Associate Professor, Department of Anaesthesiology, MediCiti Institute of Medical Sciences, Ghanpur (village), Medchal (Mandal), Medchal – Malkajgiri (district) Hyderabad-501401, Telangana.
  • 2. Associate Professor, Department of Anaesthesiology, CMR Institute of Medical Sciences, Kandlakoya village, Medchal Road, Hyderabad-501401, Telangana

Description

Background: Total intravenous anaesthesia (TIVA) is commonly used in gynaecological laparoscopic surgeries, but TIVA is yet to be assessed in laparoscopic surgeries because it is safer than inhalation aesthetic agents to maintain hemodynamic status. Method: 50 adult patients aged between 20 to 65 undergoing laparoscopic surgery were studied. A solution of propofol containing different concentrations of sufentanil (1 µgm per ml and 2µ gm/ml) was infused. The patient’s HR, SBP, DBP, MAP, and peripheral O2 saturation from the anesthesia monitor were taken as baseline measurements. All the hemodynamic parameters were recorded intra-operatively at different intervals of duration. Results: The changes in mean values of hemodynamic values were insignificant, and only significant parameters were noted. 156.10 (± 78.9) mean value of time to rescue analgesia (in minutes) Post-surgical complications are 4 (8%) nausea and vomiting. Conclusion: It has been proven that the propofol and sufentanil combination is ideal for laparoscopic surgeries because of the lowest post-surgical complications and hemodynamic stability.

 

 

Abstract (English)

Background: Total intravenous anaesthesia (TIVA) is commonly used in gynaecological laparoscopic surgeries, but TIVA is yet to be assessed in laparoscopic surgeries because it is safer than inhalation aesthetic agents to maintain hemodynamic status. Method: 50 adult patients aged between 20 to 65 undergoing laparoscopic surgery were studied. A solution of propofol containing different concentrations of sufentanil (1 µgm per ml and 2µ gm/ml) was infused. The patient’s HR, SBP, DBP, MAP, and peripheral O2 saturation from the anesthesia monitor were taken as baseline measurements. All the hemodynamic parameters were recorded intra-operatively at different intervals of duration. Results: The changes in mean values of hemodynamic values were insignificant, and only significant parameters were noted. 156.10 (± 78.9) mean value of time to rescue analgesia (in minutes) Post-surgical complications are 4 (8%) nausea and vomiting. Conclusion: It has been proven that the propofol and sufentanil combination is ideal for laparoscopic surgeries because of the lowest post-surgical complications and hemodynamic stability.

 

 

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Additional details

Dates

Accepted
2024-03-26

References

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