Health Condition 1: O- Medical and Surgical Health Condition 2: 1- Obstetrics
Conditions
Interventions
Intervention1: NIL: NIL
Intervention2: NIL: NIL
Control Intervention1: NIL: NIL
Sponsors
DVGayathri Smitha
Eligibility
Inclusion criteria
Inclusion criteria: 1. ASA PS1 and 2 2. Age: 18-65 years 3. Both sexes 4. Patients undergoing all laparoscopic surgeries which includes Laparoscopic cholecystectomy, laparoscopic hernia repair, laparoscopic cystectomy, laparoscopic hysterectomy
Exclusion criteria
Exclusion criteria: 1. Patient refusal 2. Age less than 18year of age and more than 65 years age 3. ASA PS 3 and above 4. Pregnant patients 5. Patient with post burn contractures at the suprasternal notch 6. BMI more than 30 Kg/m2 7. Surgery more than 2hrs
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To measure changes in cardiac index on CO2 insufflationTimepoint: T1 Pre-induction baseline value T2 After general anesthesia and intubation T3 5 mins after CO2 insufflation with standard intraabdominal pressure of 14 mmHg T4 5 mins after Reverse Trendelenburg position at 10 degrees angle T5 5 mins after Trendelenburg position at 10 degrees angle T6 5 mins after CO2 deflation T7 2hrs after CO2 deflation in post operative area | — |
Secondary
| Measure | Time frame |
|---|---|
| To measure changes in Stroke volume Cardiac output Mean arterial pressure Stroke volume variability and Systemic vascular resistance Timepoint: T1 Pre-induction baseline value T2 After general anesthesia and intubation T3 5 mins after CO2 insufflation with standard intraabdominal pressure of 14 mmHg T4 5 mins after Reverse Trendelenburg position at 10 degrees angle T5 5 mins after Trendelenburg position at 10 degrees angle T6 5 mins after CO2 deflation T7 2hrs after CO2 deflation in post operative area | — |
Countries
India
Contacts
Public ContactDrEeswar M V
AIIMS Mangalagiri
Outcome results
None listed