Links

Tools

Export citation

Search in Google Scholar

A Prospective Randomized Comparative Study to Compare the Hemodynamic and Metabolic Stress Respone Due to Endotracheal Intubation and I-Gel Usage During Laparoscopic Cholecystectomy

This paper is available in a repository.
This paper is available in a repository.

Full text: Download

Question mark in circle
Preprint: policy unknown
Question mark in circle
Postprint: policy unknown
Question mark in circle
Published version: policy unknown

Abstract

Background: Surgery and endotracheal intubation both causes an increase in metabolic stress response.. This is further aggravated during laparoscopic surgeries. In this study we aimed at comparing hemodynamic and metabolic parameters which are reflective of intraoperative stress response while using I-GEL against endotracheal tube (ETT) during laparoscopic cholecystectomy. Material and Methods: This is a prospective randomized comparative study among 64 cases of American Society of Anesthesiologists(ASA) physical status class I and II, undergoing laparoscopic cholecystectomy who were randomly allocated into two groups of 32 each using computer generated random number table. Patients were put under general anesthesia using standard protocol.. After anesthesia induction and 20 minutes afterinduction venous blood samples were obtained for measuring adrenalin, noradrenalin, dopamine and cortisol levels. Hemodynamic and respiratory parameters were recorded at the 1 st , 5 th , 15 th , 30 th and 45 th minutes after the insertion of airway device. Results: Although there was no significant difference regarding ventilatory parameters there was significant increase in heart rate at 1 st and 45 th minutes(p=0.02 and 0.034) respectively and increase in mean arterial pressure at 15 th and 30 th minutes(p=0.034 and 0.026) respectively in the ETT group compared to I-GEL group. Stress hormone intergroup analysis revealed significant increase in serum cortisol 20 minutes after induction in ETT group as compared toI-GEL group (p=0.03). Conclusion: I-GEL usage is a suitable, effective and safe alternative to ETT in laparoscopic cholecystectomy patients with lower metabolic stress response.