Optic Nerve Sheath
Conditions
Keywords
pneumoperitoneum, optic nerve sheath diameter, laparoscopy, Patients, general anesthesia, diameter
Brief summary
The pneumoperitoneum during laparoscopic surgery have the potential to cause an increase of intracranial pressure (ICP). Previous studies have proposed that ultrasonographic measurements of the optic nerve sheath diameter (ONSD) correlate with signs of increased ICP. The aim of this study is to compare the effect of pnemoperitoneum on intracranial pressure and cerebral oxygenation during laparoscopic surgery according to anesthesia agents, propofol based total intravenous anesthesia (TIVA group) and desflurane anesthesia (Des group).
Interventions
80 patients are randomly allocated into two groups: In TIVA group, propofol based total intravenous anesthesia is used to induce and maintain anesthesia for laparoscopic cholescystectomy.
80 patients are randomly allocated into two groups : In Des group, inhalation anesthesia using desflurane is used to induce and maintain anesthesia for laparoscopic cholescystectomy.
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult patients (20-80 years of age) scheduled for laparoscopic cholecystectomy undergoing general anesthesia
Exclusion criteria
* Patients with previous history of neurologic disease, carotid disease, transient ischemic attack, ocular disease and ocular surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the ultrasonographic measurement of optic nerve sheath diameter | baseline | optic nerve sheath diameter measured by ultrasonography |