Volume : 6, Issue : 3, March - 2017

Relationship between recovery profile after inhalational anaesthesia and mean end tidal carbon dioxide concentration in laparoscopic cholecystectomy: A pilot observational study

Dr Sharmishtha Pathak, Dr Desiraju Vivekanand, Dr Manish S Honwad

Abstract :

<p>&nbsp;<span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 10pt; text-align: justify;">The aims and objectives of this pilot observational study were to analyse the relationship between mean end tidal carbon dioxide concentration in patients undergoing laparoscopic cholecystectomy with recovery time from anaesthesia and occurrence of emergence reactions.</span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify;line-height:200%"><span style="font-size:10.0pt;line-height:200%;&#10;font-family:&quot;Times New Roman&quot;,serif">&nbsp;&nbsp;&nbsp;<b><u>Materials and methods</u></b> : Mean end tidal CO2 (ETCO2),recovery times and emergence-agitation score of 20 ASA I and II patients undergoing laparoscopic cholecystectomy under General anaesthesia was calculated and analysed statistically for any correlation. <o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;text-indent:.25in;line-height:&#10;200%"><span style="font-size:10.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,serif">&nbsp;<b><u>Results</u></b> : The mean ETCO2 was 37.29 mmHg (Range 36.33- 38.22 mmHg), mean recovery time was 6.6 mins and mean emergence-agitation score was 3.3 out of 5. No significant correlation was found between the mean ETCO2 level and the recovery time or the emergence-agitation score of the patients. Since the mean ETCO2 was within normal limits, the study suggests that with maintenance of &nbsp;normocapnia there is minimal effect on the recovery profile of patients undergoing laparoscopic cholecystectomy.<o:p></o:p></span></p>