Laparoscopic Cholecystectomy
Conditions
Brief summary
In this study, the investigators will study spinal anesthesia for laparoscopic cholecystectomy in comparison to general anesthesia (GA) regarding patient satisfaction as a primary variable, intraoperative complications, postoperative analgesic requirements, postoperative nausea and vomiting, patient hospital stay (secondary variables).
Interventions
Intrathecal injection of 15 mg Bupivacaine 0.5% at L 2-3 level mixed with 20 µ Fentanyl. Patients head will be lowered till sensory level of T 6 is abstained.
Induction by propofl 1.5-2 mg/kg, Fentanyl 1-2 mic/kg and atracrium 0.5 mg/kg Then maintained using Sevoflurane based anesthesia aiming to maintain Bispectral index 40-60..
Sponsors
Study design
Eligibility
Inclusion criteria
* patients scheduled for laparoscopic cholecystectomy
Exclusion criteria
* coagulopathy * Patient refusal * previous spine surgery * Obesity BMI more than 30
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patient satisfaction (over a scale from 1 to 4) | 24 hours |
| Postoperative analgesic consumption (mg morphine) | 24 hours |
Countries
Egypt