Online ISSN: 2515-8260

Dexmedetomidine, haemodynamic responses, elective laparoscopic cholecystectomy

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Dr. Prashantha Kumar HM, 2Dr. UshaSaha, 3Dr. RadhikaAgarwala

Abstract

LC combines the benefit of complete removal ofgall bladder with the advantage of limited abdominal incisions, early recovery, shorter hospital stay and less postoperative complication. Laparoscopic cholecystectomy can be associated with severe complications in the form of arrhythmias,sudden intraoperative cardiovascular collapse, severe pulmonary edema and postoperative thromboembolic phenomenon. All patients underwent a thorough preanaesthetic check-up. Written informed consent was obtained from each patient after explaining the procedure in a language that the patient understood. Patients were randomly allocated into 2 groups of 40 each. Mean time to first analgesic in Group D was 4.38 ± 0.86 hrs and in Group C was 2.50 ± 0.68 hrs. On comparing, time to first analgesia was significantly longer in Group D both statistically and clinically. Nausea and Vomiting was noted in 5 patients in Group D and 14 patients in Group C. This incidence though statistically not significant was clinically significant.

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