Comparison of High Versus Low Intra-Peritoneal Carbon Dioxide Pressure on Abdominal Pain, Hemodynamic Symptoms and Liver Function Tests in Patients Undergoing Laparoscopic Cholecystectomy

Aamir Ghazanfar, Afifa Asghar
2019 Journal of Rawalpindi Medical College  
To compare the intensity of abdominal pain, hemodynamic symptoms and liver function tests due to usage of low and high-pressure CO2 in individuals undergoing laparoscopic cholecystectomy (LC). Methods: A randomized double blind clinical trial was conducted on a sample of 60 patients who were undergoing LC. Patients within the age limit of 20-70 years were incorporated in the study. Patients were separated into 2 groups; the first group was administered to a PaCO2 of 7-10 mmHg while the second
more » ... oup was administered to a PaCO2 of 12-14 mmHg. The abdominal pain, liver function tests and hemodynamic symptoms were checked. Data analysis was done using SPSS version 19.0. Results:A significant statistical variation (p< 0.05) was seen among systolic blood pressure of the two groups. Similarly a statistically significant variation was observed among the mean of heart rates. The mean heart rate of the high-pressure group was high during surgery and 1 h after operation (P < 0.05). High pressure group had high value of abdominal pain. Conclusion: Due to quality and less side effects, low-pressure LC technique is better than high- pressure laparoscopic cholecystectomy.
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