Antiarrhythmic and analgesic efficacy of stellate ganglion block in laparoscopic cholecystectomy | ||
| Egyptian Journal of Anaesthesia | ||
| Volume 40, Issue 1, December 2024, Pages 18-23 PDF (1.92 M) | ||
| DOI: TEJA-2023-0262 | ||
| Authors | ||
| Jehan Ahmed Sayed; Emad Zarief Kamel; Andrew Ezzat Waheeb; Khaled Tolba Younes; Ragai Sobhi Hanna; Mahmoud Mohamed Kamel | ||
| Abstract | ||
| Background To explore the effect of right stellate ganglion block (RSGB) during laparoscopic cholecystectomy (LC) for control of intraoperative arrhythmia during CO pneumoperitoneum and postoperative pain relief Methods Forty patients undergoing LC in our hospital were selected as the subjects and were randomly divided into group S (20 cases) and group C (20 cases), all patients received RSGB, 10 mL of lidocaine 2% under ultrasound guidance to compare the incidence of arrhythmia (1ry outcome), changes of heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MBP) in different time points and postoperative visual analogue scale (VAS) was reported in the 1st, 6th, and 12th hours, respectively, with time to first analgesia request. Results Intraoperative arrhythmias was significantly lower in group S rather than group C ( = 0.037); postoperative pain profile revealed that there was a significant difference between the 2 groups presented as longer duration for first time to request analgesia ( = 0.015) and lower VAS scores specially at the 1 and 6 postoperative hours in group S compared to group C ( < 0.001 and 0.004); changes in heart rate and blood pressure, there was a significant difference between the 2 groups in values of both parameters 5 minutes following CO insufflation, group S showed significantly lower HR, SBP, and MBP at this time point than group C. Conclusion Patients received RSGB before laparoscopic cholecystectomy can experience lower incidence of arrhythmia, better intraoperative hemodynamics, and effective pain control postoperatively. | ||
| Keywords | ||
| Stellate ganglion block; intraoperative arrhythmia; Postoperative Pain; intraoperative hemodynamics; Laparoscopic cholecystectomy; pneumoperitoneum | ||
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