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  • Επιστημονικές Δημοσιεύσεις Μελών ΠΘ (ΕΔΠΘ)
  • Δημοσιεύσεις σε περιοδικά, συνέδρια, κεφάλαια βιβλίων κλπ.
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  •   DSpace Principal
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  • Δημοσιεύσεις σε περιοδικά, συνέδρια, κεφάλαια βιβλίων κλπ.
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Laparoscopic cholecystectomy under spinal anesthesia: A pilot study

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Autor
Tzovaras, G.; Fafoulakis, F.; Pratsas, K.; Georgopoulou, S.; Stamatiou, G.; Hatzitheofilou, C.
Fecha
2006
DOI
10.1007/s00464-005-0405-1
Materia
Cholecystectomy
CO2 pneumoperitoneum
Laparoscopic
Spinal Anaesthesia
bupivacaine
carbon dioxide
fentanyl
granisetron
morphine
paracetamol
rofecoxib
abdominal discomfort
adult
article
carbon dioxide tension
clinical article
clinical trial
controlled clinical trial
controlled study
convalescence
drug induced headache
feasibility study
female
follow up
general anesthesia
hospital discharge
human
hypobarism
intermethod comparison
intraoperative period
male
medical parameters
micturition disorder
neurological complication
pain
pain assessment
patient safety
patient satisfaction
pilot study
pneumoperitoneum
postoperative nausea
postoperative pain
postoperative vomiting
priority journal
scoring system
shoulder pain
spinal anesthesia
Anesthesia, Spinal
Cholecystectomy, Laparoscopic
Cholelithiasis
Feasibility Studies
Follow-Up Studies
Humans
Intraoperative Complications
Middle Aged
Pain, Postoperative
Pilot Projects
Pneumoperitoneum, Artificial
Prospective Studies
Treatment Outcome
Mostrar el registro completo del ítem
Resumen
Background: Regional anesthesia has not been used as the sole anesthetic procedure other than in the scenario of a patient at high risk to undergo laparoscopic cholecystectomy with CO2 pneumoperitoneum under general anesthesia. Methods: Fifteen ASA grade I or II patients underwent laparoscopic cholecystectomy with low-pressure CO2 pneumoperitoneum under spinal anesthesia. Intraoperative parameters, postoperative pain and recovery in general, as well as patient satisfaction at follow-up were prospectively recorded in a pilot study to assess the feasibility and safety of the procedure. Results: All operations were completed laparoscopically and conversion from spinal to general anesthesia was not required in any of the cases. Median pain score 4 h postoperatively was 1.5 (range, 0-5), at 8 h it was 1 (range, 0-6), and at 24 h it was 1 (range, 0-4). All patients were discharged after 24 h. Follow-up 2 weeks postoperatively showed all but one patient to be satisfied and strongly recommending the anesthetic procedure. Conclusion: Laparoscopic cholecystectomy with low-pressure CO2 pneumoperitoneum can be successfully and safely performed under spinal anesthesia. Furthermore, it seems that spinal anesthesia is associated with minimal postoperative pain and at least an equally good recovery as with general anesthesia. © Springer Science+Business Media, Inc. 2006.
URI
http://hdl.handle.net/11615/34179
Colecciones
  • Δημοσιεύσεις σε περιοδικά, συνέδρια, κεφάλαια βιβλίων κλπ. [19735]

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