Assessment of Postoperative Pain Relief Following Use of Spinal Anesthesia and General Anesthesia for Patients Undergoing Laparoscopic Cholecystectomy: A Comparative Study
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 2
Abstract
Background: General anaesthesia (GA) is the anaesthetic technique of choice for laparoscopic cholecystectomy (LC). Regional anaesthesia too (spinal/epidural/combined spinal epidural) has been reported as a sole technique for performing LC as an alternative to GA. Hence; we planned the present study to assess postoperative pain relief following use of spinal anesthesia and general anesthesia for patients undergoing laparoscopic cholecystectomy. Materials & Methods: The present study it included assessment of postoperative pain relief following use of spinal anesthesia and general anesthesia for patients undergoing laparoscopic cholecystectomy. A total of 50 patients were included in the present study and were broadly divided into two study groups with 25 patients in each group; Group A included subjects that underwent LC under general anesthesia, while Group B included subjects that underwent LC under spinal anesthesia. Visual analogue scale (VAS) was used at the end of the surgery for assessing the postoperative pain at the end of the surgery and at seven hours post-surgery. Severity of VAS was defined as: No pain-less than 2 score, Mild- less than 3 to 6 score, and sever-7 and above score. Results: While comparing the mean VAS at the end of the surgery in between the two study groups, significant results were obtained. While comparing the mean VAS 7 hours postoperatively, significant results were obtained. Postoperative pain score in the Group B patients was comparatively less in comparison to the subjects of Group A. Conclusion: In controlling postoperative pain, single shot of spinal is more effective in comparison to general anesthesia.
Authors and Affiliations
Neelam Gupta, Subrata Dutta
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