Comparative evaluation of intraabdominal pressure on hemodynamic parameters during laparoscopic procedures

2020 ◽  
Vol 16 (2) ◽  
pp. 22-27
Author(s):  
Sumanth . ◽  
Keyword(s):  
Comparative Evaluation ◽  
Intraabdominal Pressure ◽  
Hemodynamic Parameters ◽  
Laparoscopic Procedures

scholarly journals A comparative evaluation of efficacy of epidural dexmedetomidine and fentanyl as adjunct to 0.2% ropivacaine for post-operative analgesia in elective abdominal surgeries

2020 ◽  
Author(s):  
Pushpal Gandhi ◽  
Mahendra Agrawal ◽  
Bhavika Agrawal ◽  
Simarn Behl
Keyword(s):  
Epidural Analgesia ◽  
Comparative Evaluation ◽  
Hemodynamic Parameters ◽  
Regional Technique ◽  
Significant Difference ◽  
Group 2 ◽  
Reversible Loss ◽  
American Society ◽  
The One ◽  
American Society Of Anesthesiologists

<p class="abstract"><strong>Background:</strong> Epidural analgesia as a central nuraxial technique which involves use of local anesthetics injected into the epidural space to produce a reversible loss of sensation and is the one of the most common regional technique used for lover abdominal and lover limb surgeries epidural analgesia provides excellent pain relief for surgical procedures below the umbilicus. This study compared the efficacy of epidural dexmedetomidine and fentanyl in addition to 0.2% ropivacaine for post-operative analgesia in elective abdominal surgeries.</p><p class="abstract"><strong>Methods:</strong> Total of 150 patients American Society of Anesthesiologists (ASA) I and II between 20-60 years, undergoing major abdominal surgery were included in this study. The patients divided in three groups of 50 patients each. First group R (ropivaciain 0.2% 9 ml with 1ml normal saline) second group RF (ropivacain 0.2% 9 ml with fentanyl 1 ml) and third group RD (ropivaciain 0.2% 9 ml with dexmedetomidine 1 μ/kg).</p><p class="abstract"><strong>Results:</strong> There is no significant difference in age, weight, sex, and ASA grade in all three groups.</p><p class="abstract">Hypotension was observed in 4 (8%) patients of R group, 2 (4%) in RD group and 4 (8%) in RF group. The shivering was present in 2 (4%) R group and 2 (4%) in RD group.  Nausea, vomiting was present in R group 2 (4%) and 2 (4%) in RF group. There was no significant difference between the three groups with respect to hemodynamic parameters like heart rate, systolic and diastolic blood pressure and respiratory rate.</p><p class="abstract"><strong>Conclusions: </strong>Dexmedetomidine is a better adjuvant to ropivacaine through epidural route when compared to fentanyl for providing early onset prolonged post-operative analgesia, sedation and stable hemodynamic parameters in intra-abdominal surgeries.</p>

Impact of controlled intraabdominal pressure on the optic nerve sheath diameter during laparoscopic procedures

2015 ◽  
Vol 30 (1) ◽  
pp. 44-49 ◽  
Author(s):  
Fernando Dip ◽  
David Nguyen ◽  
Armando Rosales ◽  
Morris Sasson ◽  
Emanuele Lo Menzo ◽  
...  
Keyword(s):  
Optic Nerve ◽  
Optic Nerve Sheath Diameter ◽  
Optic Nerve Sheath ◽  
Intraabdominal Pressure ◽  
Laparoscopic Procedures ◽  
Nerve Sheath

scholarly journals Comparative Evaluation of Topical Lignocaine Versus Intravenous Lignocaine for Laryngeal Mask Airway Insertion in Wardha, Maharashtra

2021 ◽  
Vol 10 (28) ◽  
pp. 2078-2082
Author(s):  
Swathi Reddy G. ◽  
Karuna Taksande
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Mean Arterial Pressure ◽  
Laryngeal Mask Airway ◽  
Arterial Pressure ◽  
Comparative Evaluation ◽  
Laryngeal Mask ◽  
Laryngeal Mask Airway Insertion ◽  
Hemodynamic Parameters ◽  
Group I

BACKGROUND The purpose of present study was to compare and evaluate both topical lignocaine and intravenous lignocaine for laryngeal mask airway (LMA) insertion prior to propofol. Main objective was to study the conditions for LMA insertion with respect to gagging, coughing, Laryngospasm and No. of attempts for LMA insertion and also study the hemodynamic parameters in both the groups (Heart rate, SBP,DBP, MAP, SpO2) METHODS This study included 60 patients of 30 in each group, ASA I & II day care surgeries were performed in our hospital between 2019 and 2021. Patients were randomized into two groups. Group I received intravenous lignocaine 1.5 mg / kg over 30 seconds and group II received topical lignocaine 40 mg. Conditions of LMA insertion, gagging, laryngospasm, coughing were noted at the time of insertion, ECG, NIBP, SPO2 and ETCO2 were recorded according to scheduled times. RESULTS In conditions of LMA insertion, difference between both the groups was found to be significant, P < 0.05 in groups with first minute rise in heart rate, fall in Systolic blood pressure, diastolic blood pressure, mean arterial pressure was significant. At two minutes and three minutes after the LMA insertion, HR, SBP, DBP, MAP all these parameters changed slightly but these changes were statistically not significant. CONCLUSIONS Prior to Propofol induction, compared to intravenous lignocaine, topical lignocaine 10 % aerosol provided excellent conditions for the insertion of LMA without the use of neuromuscular blockers. KEY WORDS IV Lignocaine, Topical Lignocaine, LMA

COMPARATIVE ASSESSMENT OF HEMODYNAMIC PARAMETERS DURING LAPAROSCOPY IN DEXMEDETOMIDINE VERSUS FENTANYL TREATED PATIENTS.

2021 ◽  
Vol 5 (8) ◽  
Author(s):  
Sukumar Misra
Keyword(s):  
Comparative Evaluation ◽  
Comparative Assessment ◽  
Sedation Score ◽  
Hemodynamic Parameters ◽  
Hemodynamic Effects ◽  
Comparative Efficacy ◽  
Hemodynamic Stability ◽  
Subject Pool ◽  
The Mean ◽  
Fentanyl Group

Background: Laparoscopic surgery is preferred for its advantages in shorter hospital stay, less amount of blood loss and aesthetic incisions. The problems are however evident when the complications of hemodynamic disturbances are enhanced due to pneumoperitoneum. Several newer formulations have ben tried to overcome this problem so that issues of hemodynamic stability can be addressed. Aim: The present study aims to comparatively evaluate the hemodynamic effects of dexmedetomidine and fentanyl in subjects undergoing elective laparoscopic surgeries. Methodology: The study involved a subject pool of 60 patients who were divided equally in two groups and administered the study drugs. Parameters of hemodynamic stability were recorded and analysed to ascertain comparative efficacy. Observations: The mean HR, SBP, DBP, MAP and sedation score were better in dexmedetomidine group as compared to fentanyl group. Conclusion: Dexmedetomidine is an effective adjuvant to anaesthetic medications in laparoscopic surgeries with a disadvantage of longer surgery duration as compared to fentanyl. Keywords: Dexmedetomidine, Comparative evaluation, fentanyl, Laparoscopic surgeries

Comparison of In-the-Ear and Over-the-Ear Hearing Aid Fittings

1986 ◽  
Vol 51 (4) ◽  
pp. 362-369 ◽  
Author(s):  
Donna M. Risberg ◽  
Robyn M. Cox
Keyword(s):  
Hearing Aids ◽  
High Frequency ◽  
Comparative Evaluation ◽  
Speech Intelligibility ◽  
Hearing Aid ◽  
Hearing Aid Fitting ◽  
The Difference ◽  
Functional Gain ◽  
The Relationship

A custom in-the-ear (ITE) hearing aid fitting was compared to two over-the-ear (OTE) hearing aid fittings for each of 9 subjects with mild to moderately severe hearing losses. Speech intelligibility via the three instruments was compared using the Speech Intelligibility Rating (SIR) test. The relationship between functional gain and coupler gain was compared for the ITE and the higher rated OTE instruments. The difference in input received at the microphone locations of the two types of hearing aids was measured for 10 different subjects and compared to the functional gain data. It was concluded that (a) for persons with mild to moderately severe hearing losses, appropriately adjusted custom ITE fittings typically yield speech intelligibility that is equal to the better OTE fitting identified in a comparative evaluation; and (b) gain prescriptions for ITE hearing aids should be adjusted to account for the high-frequency emphasis associated with in-the-concha microphone placement.

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