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 ORIGINAL ARTICLE
Year : 2014  |  Volume : 10  |  Issue : 1  |  Page : 10-13

Anaesthetic consideration during laparoscopic bilateral simultaneous nephrectomy


1 Department of Anaesthesia and Critical Care, GR. Doshi and KM Mehta Institute of Kidney Diseases and Research Centre; Department of Anaesthesia and Critical Care, Dr. HL Trivedi Institute of Transplantation Sciences, Asarwa, Ahmedabad, Gujarat, India
2 Department of Urology, Dr. HL Trivedi Institute of Transplantation Sciences, Asarwa, Ahmedabad, Gujarat, India

Correspondence Address:
Manisha P Modi
Department of Anaesthesia and Critical Care, GR Doshi and KM Mehta Institute of Kidney Diseases and Research Centre and Dr. HL Trivedi Institute of Transplantation Sciences, Civil Hospital campus, Asarwa, Ahmedabad - 380 016, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-9941.124453

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Study Objective: To assess outcome from anaesthesia during laparoscopic bilateral simultaneous nephrectomy. Design: Retrospective study. Measurements: Preoperative Hb%, serum potassium, coagulation profile electrocardiography (ECG) changes, 2D Echography, x-ray chest, haemodynamic changes, end-tidal carbon dioxide (EtCO 2 ), fluid management and postoperative analgesia. Results: The mean age was 24.75 ± 14.35 years. The mean duration of surgery was 120 ± 80 minutes. The Hb%, serum creatinine and serum potassium were 9.4 ± 1.04%, 6.79 ± 4.91 meq/L and 3.61 ± 0.51 meq/L, respectively. Pulse rate mean blood pressure and EtCO 2 were recorded after creation of pneumoperitoneum and at 15, 30, 45 and after exsufflation of pneumoperitoneum. After pneumoperitoneum, there was increase in pulse rate, systolic blood pressure, diastolic blood pressure and EtCO 2 . After 30 minutes and throughout the surgery, these variables remained stable. Four patients required nitroglycerine infusion for intraoperative hypertention. Only one patient required packed cell volume (PCV) transfusion and total intravenous fluid was 1 ± 0.5 L. At the time of exsufflation, there was decrease in pulse rate, systolic and diastolic blood pressure and EtCO 2 . Conclusion: Because of advancement in anaesthetic agents and muscle relaxant, there is safe outcome from anaesthesia during laparoscopic bilateral simultaneous nephrectomy.






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