IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-6-5-11022 Original Research Paper The effects on perioperative haemodynamic changes, Postoperative analgesic requirement and side effects of Dexmedetomidine infusion in patients undergoing Laproscopic cholecystectomy Jitesh Kumar Dr. Dr B. K. Prasad Dr. May 2017 6 5 01 02 ABSTRACT

 Now–a–days most of the cholecystectomy are done laproscopically. Laproscopic surgeries has many advantages like cosmetically better, less postoperative pain, faster recovery, less hospital stay[1]. But, creation of pneumoperitoneum results in many haemodynamic changes like rise in heart rate, systemic vascular resistance, pulmonary vascular resistance and decrease in cardiac output. Reverse trendelenburg position during surgery further decreases cardiac output.[2] Stimulation of sympathetic nervous system due to hypercapnia and pneumoperitoneum leads to catecholamine particularly norepinephrine and vasopressin release.