Volume : VII, Issue : X, October - 2017

EVALUATION OF THREE DIFFERENT DOSES OF FENTANYL IN LAPAROSCOPIC SURGERY

Dr. S. Naresh Kumar, Dr. M. Subba Reddy

Abstract :

 Background and Objectives: Laparoscopic surgical procedures are performed by insufflation of carbondioxide which produces  adverse cardiac effects like tachycardia and hypertension.Hence the present study has been conducted to evaluate three different doses of fentanyl  in maintaining  hemodynamic stability during laparoscopic cholecystectomy.

Methods: The present study was  conducted in 90 patients who  were randomly allocated into three groups ,  group A (fentanyl 2 mc/kg) ,group  B ( fentanyl 3 mcg/kg) and group C (fentanyl 4 mcg/kg) each having 30 patients.Group – A received  2 mcg/kg fentanyl in 10 ml normal saline ,group B  patients received fentanyl  3 mcg/kg in 10 ml normal saline and group C patients received fentanyl  4 mcg/kg in 10 ml normal saline 5 minutes before to induction.

             The hemodynamic parameters  heart rate, systolic bloodpressure,diastolic blood pressure and mean arterial pressures were noted at various time intervals  during the surgery. 

Results :      In group A (2cg /kg )  patients fentanyl does not significantly attenuate the haemodynamic parameters like pulse rate and blood pressures (systolic ,diastolic,mean arterial blood pressures) during laryngoscopy ,intubation and laparoscopy.

      In group B ( 3mcg/kg) patients fentanyl  not significantly attenuates blood pressures (systolic,diastolic,mean arterial blood pressures) but it significantly attenuates pulse rate during laryngoscopy ,intubation and laparoscopy.

  In group C(4 mcg/kg) patients fentanyl significantly attenuates both pulse rate and blood pressures (systolic,diastolic,mean arterial pressures) during laryngoscopy ,intubation and laparoscopy.

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr. S. Naresh Kumar, Dr. M. Subba Reddy, EVALUATION OF THREE DIFFERENT DOSES OF FENTANYL IN LAPAROSCOPIC SURGERY, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-7 | Issue-10 | October-2017

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