Comparative Study of General Anesthesia versus Regional Anesthesia Post Operative Effects in Patients Undergoing Laparoscopic Cholecystectomy

Abstract

Surgery for laproscopic cholecystectomy done under general and regional anesthesia. The goal of this research is to contrast two anesthesia techniques concerning their intraoperative and post operative complication such as hypotension, ponv, heart rate, etc. A total of 70 patients with an ASA (american society of anesthesiologist) Grade I or II had laproscopic cholecystectomy procedures with standard pressure pneumoperitoneum =12 to 15mmhg were randomized into two groups With 35 patients in each Group. In terms of group division, Group A received the procedure while under general anesthesia and Group B while under spinal anaesthesia. The following measurements were performed: heart rate, systolic and diastolic blood pressure, pain management, and ponv analysis. Statistical analysis were done with SPSS software such as t-test and chi square test. Compared with both Group, Group B having spinal anesthesia was hemodynamically safer. All hemodynamic parameters pulse rate, systolic blood pressure, and diastolic blood pressure were higher in Group A throughout the surgery and significant difference were found in all parameter of Group B (P<0.05).Both Group patient continue to have spo2.In Group A, 31.4% of patients had postoperative nausea and vomiting as compared Group B was 5.7%.There was significant difference found in Group B (p<0.05).Vas score was found  less in Group B as compared to Group A until 2hr and p value was significant in Group B (P<0.05). ).we also found that there was no statiscally difference was found between Group A and B with respect to VAS pain score post operative 4 and 6, 12 hours (p>0.05).Spinal anasthesia is safer and effective alternative to General anasthesia providing more hemodynamic stable, less complication, good pain free post operative period.