Intraoperativ Pain
Conditions
Brief summary
Laparoscopy was first introduced to the medical field of in the middle of the last century. It revolutionized the surgical interventions; it reduced the total medical expenditures and hastened postoperative recovery . General anaesthesia (GA) was considered the only anesthetic technique suitable for laparoscopic interventions, and several myths and facts prevented regional anaesthesia (RA) implementation. Respiratory and Cardiovascular impairment were the main aspects of concern which are thought to be best controlled by GA
Interventions
25 mic fentanyle added to heavy bupivacaine for spinal anesthesia
8 mg dexamethasone give intrathecally for spinal anaesthesia
normal saline will be mixed with bupivacaine intrathecally
Sponsors
Study design
Eligibility
Inclusion criteria
* ASA I, II * elective gynacological laparoscopic surgery
Exclusion criteria
* patient refusal * chronic kidney and hepatic diseases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| intraoperative pain | 60 minutes | pain measured by VAS score =from 0 to 10 0-3 is mild pain 3-6 moderate pain 6-10 sever pain |
Countries
Egypt