Indian Journal of Clinical Anaesthesia


Comparison between thoracic epidural anaesthesia & general anaesthesia for open cholecystectomy in adult patients


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Author Details: Anurag Agarwal, Vipin Kumar Dhama, Subhash, Yogesh Kumar Manik, Shantanu Kumar Das

Volume : 3

Issue : 2

Online ISSN : 2394-4994

Print ISSN : 2394-4781

Article First Page : 287

Article End Page : 291


Abstract

Background & Objectives: This study was done to assess the feasibility of thoracic epidural anaesthesia in open cholecystectomy. Laproscopic cholecystectomy is the standard now a days but in developing countries open cholecystectomy is still commonly performed.
Methods: Our study was carried out on 60 adult, non-pregnant patients ASA grade I, II between 18 – 60 years of age for elective open cholecystectomy under thoracic epidural anaesthesia & general anaesthesia. Haemodynamic parameters(BP, heart rate), oxygenation were observed for 60 minutes. Sensory & motor blockade were observed in thoracic epidural group.
Results: In our study both group T and group G were statistically comparable in terms of their gender, mean age and mean weight. Base line pulse rate, SBP, DBP, MAP was comparable in both groups. However, there was significant statistical difference in the two groups in hemodynamic parameters in the study period but it was not clinically significant.
Interpretation & conclusions: Thoracic epidural anaesthesia can be used for open cholecystectomy in ASA 1, 2 patients. It provides hemodynamic stability, minimal respiratory distress (as per spo2 values). General anaesthesia still remains the anaesthetic technique of choice for open cholecystectomy. However, an experienced anaesthetist can use thoracic epidural anaesthesia for open cholecystectomy.

Key words:
Thoracic epidural, General anaesthesia, Open cholecystectomy