Online ISSN: 2515-8260

Keywords : General Anaesthesia


HEMODYNAMIC STABILITY DURING LAPAROSCOPIC APPENDECTOMY UNDER SPINAL ANAESTHESIA IN COMPARISON TO GENERAL ANAESTHESIA

Dr. VeerendraPatil, Dr. NagarajMalladad Dr. Madhusudhan BV

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 1494-1497

Laparoscopy has revolutionised surgery and management of the patient with marked decrease in morbidity and post-operative complications. Initially, these procedures were done using only General Anaesthesia. However, now with the introduction of Spinal anaesthesia and after learning its advantages, surgeons are slowly beginning to gravitate towards this mode of anaesthesia. Sixty three patients who were admitted in the hospital for appendicitis participated in this Randomized controlled trial conducted in a tertiary care hospital in India. Thirty three patients were randomly included in Group A (undergoing laparoscopic surgery under Spinal Anaesthesia) and thirty patients in Group B (undergoing laparoscopic surgery under General Anaesthesia). The mean values of Systolic and diastolic pressure was found to be significantly higher in patients who were administered General anaesthesia and no change in the respiratory functions was observed following administration of either Spinal or General anaesthesia. Laparoscopic surgery under Spinal anaesthesia is a viable and safe alternative as compared to General anaesthesia. The recovery rates and the satisfaction reported by patients is also better. Spinal anaesthesia also helps in maintaining better haemodynamic stabilization.

Case Preferences In Choosing Consious Sedation Versus General Anesthesia Amongst Pediatric Dentists: A Research Survey

Dr. Sravanthi Veeramachaneni; Dr. Sandeep Dande; Dr. Tulluru Ajay Mohan; Dr. Mohammed Muzammil Khan; Dr. DilipKumar. S; Dr Shilpi Verma; Dr. Priyanka Parhad

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 1, Pages 1252-1257

Aim: Purpose of our research was to assess the preference of pediatric dentists to carry out
treatment with either conscious sedation or with general anesthesia.
Methodology: 50 children were selected for your study who did not have any previous
medical conditions. Patients requiring complete dental treatment were treated under GA,
those requiring one or two procedures were under conscious sedation. The two groups of
patients were evaluated in terms of vital signs, duration of the treatment procedure, patient
behavior, recovery time and comfort experienced by the dentists and the anesthesiologists.
Results: Dentists in sedation group were anxious, uncomfortable and restless during
implementation of dental treatment. During dental procedure under sedation, some
interruption has been noted in few cases such as vomiting during the procedure (3 cases).
Those who vomited, during the procedure, their heads were turned to one side, the
procedure was discontinued immediately (to prevent aspiration), and the patients were
referred for treatment under GA.
Conclusion: Dental treatment under CS can be successful with little or no complications if
the cases are well selected by qualified trained dentist.