Pain intensity after laparoscopic cholecystectomy. Calculus of gallbladder with chronic cholecystitis without obstruction
Conditions
Interventions
Intervention 1: Intervention group: The intervention group patients will receive a single shot of epidural anesthesia with 0.06 mg/kg marcaine 0.05% and 0.14 ml/kg lidocaine 2% as an injection before
Sponsors
Yasouj University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: A patient who is a candidate for laparoscopic cholecystectomy surgery (with symptomatic gallstones without complications, with ASA grade 1 or 2) Willingness to participate in the study Age between 18 and 70 years The patient should have mental health
Exclusion criteria
Exclusion criteria: Presence of concomitant systemic disease History of allergy to general anesthetics and epidural anesthesia Previous history of abdominal surgery Acute cholecystitis and acute pancreatitis Main bile duct stone cholangitis Having or suspecting gallbladder malignancy Having or suspecting heart failure and severe COPD Suffering or history of migraine pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain intensity :Numerical rating scale of pain intensity, which is measured by asking the patient to choose a number (between 0 and 10) and based on the McGill pain intensity scale. Timepoint: Pain intensity as the main outcome in all patients in two study groups is evaluated by McGill questionnaire at the time of admission and before surgery. Then the same evaluation is done in the recovery room after the operation (zero hour) and 4, 6, 12, 24 hours after the end of the surgery. Method of measurement: McGill Pain Intensity Scale Questionnaire. | — |
Secondary
| Measure | Time frame |
|---|---|
| Common complications after laparoscopic cholecystectomy :Hypotension, bradycardia, hypoxemia, headache, nausea, vomiting, right shoulder pain, abdominal discomfort related to anesthesia and pneumoperitoneum, urinary retention. Timepoint: Evaluation is done in the recovery room after the operation (zero hour) and 4, 6, 12, 24 hours after the end of the surgery. Method of measurement: 1. Hypotension (more than 30% decrease in baseline mean arterial pressure or systolic arterial pressure less than 90 mm Hg) 2. Bradycardia (heart rate less than 50 beats per minute) 3. Hypoxemia (SpO2 less than 90) 4. Headache or not 5. Nausea and vomiting or not 6. Right shoulder pain or not 7. Abdominal discomfort or not 8. Urinary retention or not. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactAli Roostapour
Yasouj University of Medical Sciences
Outcome results
None listed