Study of Total Intravenous Anaesthesia in laparoscopic Surgery

Authors

  • Simran Pal Singh Bhatia
  • Pawan Kumar Dutta
  • Kumar Naren Chandra

DOI:

https://doi.org/10.37506/8khzwz97

Keywords:

hemodynamic parameters Total intra venous, Anaesthesia, Propofol, Sufentanil, laparoscopy.

Abstract

Background: Total intravenous anaesthesia in laparoscopic surgery is safer than open laparotomy operations
because propofol, a sedative hypnotic agent with excellent recovery drug and having anti-emetic properties, and
new synthetic opioids (fentanyl congeners) provide excellent analgesia; hence, TIVA has become more popular in
laparoscopic surgery.
Method: 45 adult patients aged between 18 to 65 undergoing laparoscopic surgery were studied. A solution
of propofol containing different concentrations of sufentanil (1 μgm per ml and 2 μgmper ml) was infused.
Patient’s HR, SBP, DBP, MAP, and peripheral O2 saturation from the anaesthesia monitor was taken as a baseline
measurement. All the hemodynamic parameters were recorded intra-operatively at different intervals of duration.
Results: The changes in mean values of hemodynamic values were insignificant, and only significant parameters
were noted. 158.12 (± 80.9) mean value time to rescue analgesia (in minutes) Post-surgical complications are 3
(6.6%) Nausea and vomiting
Conclusion: Propofol, containing different concentrations of sufentanil, provides hemodynamic stability with
the least post-surgical complications; hence, total intravenous anaesthesia is an ideal substitute for inhalation
anaesthesia in laparoscopic surgery because inhalation anaesthesia has a higher risk of hemodynamic instability.

Author Biographies

  • Simran Pal Singh Bhatia

    Senior Resident,  Department of Anaesthesia, MGM Medical College and Hospital Jamshedpur, Jharkhand.

  • Pawan Kumar Dutta

    Associate Professor and Head of the Department Department of Anaesthesia, MGM Medical College and Hospital Jamshedpur, Jharkhand

  • Kumar Naren Chandra

    Assistant Professor, Department of Anaesthesia, MGM Medical College and Hospital Jamshedpur, Jharkhand.

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Published

2024-01-05

How to Cite

Study of Total Intravenous Anaesthesia in laparoscopic Surgery. (2024). Indian Journal of Public Health Research & Development, 15(1), 330-332. https://doi.org/10.37506/8khzwz97