:: Volume 24, Issue 4 (11-2016) ::
Journal of Ilam University of Medical Sciences 2016, 24(4): 1-10 Back to browse issues page
Comparing Effect of General and Epidural Anesthesia on Intra and Postoperative Respiratory Indices in Laparoscopic Cholecystectomy Surgery
Ali Karbasfrushan1, Iraj Peiman1, Fereshteh Jalalvandi *2, Mitra Yari1
1- Dept of Anesthesia, Faculty of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran
2- Dept of Nursing, Faculty of Paramedics, Kermanshah University of Medical Sciences, Kermanshah, Iran
Abstract:   (6470 Views)

Introduction: Laparoscopic cholecys-tectomy with general anesthesia is very common. According to the risks of general anesthesia and its effects on respiratory indices, epidural anesthesia as a safe substitute is used instead of general anesthesia in laparoscopic cholecystectomy patients. This study has been conducted to compare respiratory effects of these two methods of anesthesia on respiratory indices in laparoscopic cholecystectomy patients.

Materials & methods: This study is randomized clinical trial (equivalent study) that has been performed in two groups of laparoscopic cholecystectomy patients anesthesized either by general anesthesia method or epidural method. In both groups respiratory indices were measured before, during and after the surgery and then compared and analyzed using SPSS version 20.

Findings: PaO2, SpO2 and PaCO2were lower in general anesthesia group than the epidural group (P<0.005) intraop-eratively. However after surgery there were no differences between the two groups (P=0.07). Using variance an-alysis, successive measurements in controlling sex and basic SpO2 in two groups were meaningfully different (p<0.05).

Discussions & conclusions:  Intrao-peratively using epidural method for laparoscopic cholecystectomy patients causes little change in respiratory indices compare to general anesthesia technique, but after surgery there is no such a difference between two groups and according to patient preference and physician each can be used.

Keywords: General anesthesia, Epidural anesthesia, Laparoscopic cholecyste-ctomy, Respiratory indices
Full-Text [PDF 574 kb]   (2662 Downloads)    
Type of Study: Applicable | Subject: Internal operations( nursing )
Received: 2014/08/29 | Accepted: 2016/01/5 | Published: 2016/10/23

XML   Persian Abstract   Print

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 24, Issue 4 (11-2016) Back to browse issues page