scholarly journals Comparison between efficacy of intrathecal 1% 2-Chloroprocaine VS intrathecal 0.5% Bupivacaine with General anaesthesia for short duration laparoscopic surgeries

2021 ◽  
Vol 4 (4) ◽  
pp. 12-15
Author(s):  
Dr. Noopur Singh ◽  
Dr. Lisha Jain ◽  
Dr. Ayesha Naikwade
1986 ◽  
Vol 24 (13) ◽  
pp. 51-52

Alfentanil (Rapifen - Janssen) is an intravenous opioid analgesic with a rapid onset and short duration of action. It is recommended for use as a bolus injection during short general anaesthesia or by infusion during longer procedures.1,2


2019 ◽  
Vol 11 (2) ◽  
pp. 20-24
Author(s):  
Abdullah Masum ◽  
Md Saiful Islam ◽  
Mozibul Haque ◽  
Masud Ahmed ◽  
Farzana Kalam

Introduction: Laparoscopic gynaecological procedures are conventionally done under general anaesthesia. Spinal anaesthesia is usually preferred only in patients where general anaesthesia is contraindicated. For laparoscopic gynaecological procedures sub arachnoid block is gaining popularity day by day as it is a good alternative to GA. Objective: To compare haemodynamic changes and side effects between subarachnoid block (SAB) and general anaesthesia (GA) for lower abdominal laparoscopic gynaecological procedures. Materials and Methods: A total number of sixty female patients were considered and divided equally into two groups as per American Society of Anesthesiologists (ASA) grade I and II. All patients underwent short duration (<1hr) laparoscopic gynaecological procedures. Group-I patients received lumber SAB and group-II patients received standard general anaesthesia using Propofol, Halothane and Fentanyl. Peri-operative heart rate, blood pressure, Electro-cardiogram (ECG) and Saturation of Oxygen (SPO2) were monitored. Any intra operative and post operative side effects were also recorded and managed. Results: Intra operative and post operative heart rate, systolic and diastolic blood pressure were significantly higher (P<0.05) in group-II. Preoperative, per operative and post operative mean blood pressure (MBP) were also significantly higher (P<0.05) in group-II. During intraoperative period, the side effects in group-I were mainly discomfort and shoulder tip/neck pain and in group-II were hypertension and arrhythmia. Postoperative side effects were mainly postoperative nausea and vomiting (PONV). Conclusion: Spinal anaesthesia using mixture of bupivacaine and fentanyl can be used as a safe alternative to GA for short duration gynaecological laparoscopic procedures with minimum haemodynamic alterations and reduced post operative side effects. To alleviate shoulder tip/neck pain or discomfort patient needs supplementary sedation and analgesia. Journal of Armed Forces Medical College Bangladesh Vol.11(2) 2015: 20-24


1999 ◽  
Vol 173 ◽  
pp. 249-254
Author(s):  
A.M. Silva ◽  
R.D. Miró

AbstractWe have developed a model for theH2OandOHevolution in a comet outburst, assuming that together with the gas, a distribution of icy grains is ejected. With an initial mass of icy grains of 108kg released, theH2OandOHproductions are increased up to a factor two, and the growth curves change drastically in the first two days. The model is applied to eruptions detected in theOHradio monitorings and fits well with the slow variations in the flux. On the other hand, several events of short duration appear, consisting of a sudden rise ofOHflux, followed by a sudden decay on the second day. These apparent short bursts are frequently found as precursors of a more durable eruption. We suggest that both of them are part of a unique eruption, and that the sudden decay is due to collisions that de-excite theOHmaser, when it reaches the Cometopause region located at 1.35 × 105kmfrom the nucleus.


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