Circulatory System Surgery chronic calcular choecystitis Anaesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: adult patients 25-55 years old ASA physical status I or II either sex scheduled for laparoscopic or open cholecystectomy under general anesthesia using TIVA with propofol fentanyl delivered by TCI pump
Exclusion criteria
Exclusion criteria: esophageal abnormalities obesity (BMI > 35 kg.m-2) pregnancy and lactation chronic liver disease diabetes mellitus severe renal, endocrine, rheumatic, cardiopulmonary disease malignancy patients receiving medications with known effects on the sympathetic response or the hormonal secretion e.g. ¿-Blockers
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the effect of this technique on the cardiac output as measured using esophageal Doppler monitoring | — |
Secondary
| Measure | Time frame |
|---|---|
| HEMODYNAMIC MEASUREMENTS: Heart rate (HR) (beat.min-1) and mean arterial pressure (MAP) (mmg Hg), Flow time corrected (FTc) (msec), Peak velocity (PV) (cm.sec-1), Stroke distance (SD) (cm), Mean acceleration (cm.sec-2), Minute distance (MD) (cm), Stroke volume (SV) (ml), Systemic vascular resistance (SVR) (dynes.sec-1.cm¿5) ;LABORATORY MEASUREMENTS:stress hormones will be estimated in the samples: epinephrine, norepinephrine, ACTH, cortisol as well as blood glucose level | — |
Countries
Egypt
Contacts
Associate Professor