Health Condition 1: 4- Measurement and Monitoring
Conditions
Interventions
Intervention1: Group S (Standard)- Standard pressure of 12-16 mm Hg: At standard pressure range (12-16 mmHg) for creation of pneumoperitoneum used for surgery we will do ultrasonographic estimation of
Sponsors
Guru Nanak Dev Hospital Amritsar Punjab India
Eligibility
Inclusion criteria
Inclusion criteria: 1.Age 18-65 years 2.Gender (both males and females) 3.American Society of Anaesthesiologists (ASA) Grade I-II 4.Elective laparoscopic cholecystectomy surgery under general anaesthesia 5.Duration of surgery less than 2 hours
Exclusion criteria
Exclusion criteria: 1.Patients not willing to take part in study and refusing for consent 2.Patients with ASA Grade III and IV 3.Patients with Mallampatti grading III and IV or difficult airway 4.Patients with prior history of orbital trauma 5.Past history of neurological diseases 6.Patients with history of glaucoma 7.Surgical duration beyond 2 hours 8.Known history of Chronic Obstructive Pulmonary Disease (COPD) 9.History of heart disease 10.Previous lung surgery 11.Patients who will have intraoperative haemodynamic instability 12.Patients who will require conversion to open cholecystectomy procedure intraoperatively 13.Patients with etco2 value greater than 45 mmhg,plateau pressure above 30 cm h20 will be excluded from our study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| OPTIC NERVE SHEATH DIAMETER:- Measured through ultrasound assistance in both eyes. Primary goal is to compare the impact of Low versus Standard pressure pneumoperitoneum on Intracranial pressure using ultrasound assisted Optic nerve sheath diameter in patients undergoing elective laparoscopic cholecystectomyTimepoint: Optic nerve sheath diameter will be measured at following time intervals:- 1.Before Induction of Anaesthesia 2.5 minutes after induction in supine position 3.10 minutes post pneumoperitoneum 4.10 minutes after 30-degree reverse Trendelenberg positioning 5.At every 20 minutes interval intraoperatively 6.After returning to supine position without pneumoperitoneum | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Haemodynamic changes:- Comparison of vital signs (Heart rate, Mean Arterial pressure) between the two groups at low versus standard pressure pneumoperitoneum 2.To observe Complications, if anyTimepoint: Heart rate, Mean arterial pressure will be monitored:- 1.At the time of Induction 2.At the time of CO2 insufflation 3.While patient is kept in Reverse Trendelenberg position 4.Intraoperatively 5.In supine position after exsufflation of gas | — |
Countries
India
Contacts
Public ContactDr Ranjana Khetarpal
Government Medical College, Amritsar
Outcome results
None listed