Amjad N, Fazal A.
Mini Cholecystectomy now a day stay Surgery Anaesthetic Management with multi modal Analgesia.
J Pak Med Assoc Jan ;52(7):291-5.

Objective: To develop anaesthetic techniques for mini cholecystectomy in a day care set up. Methods: Fifty patients in ASA grade I and II scheduled for minicholecystectomy were selected. They were given Inj. Ketoralac 30 mg intramuscular 45 minutes prior to surgery. Inj. pethidine 0.5 mg/kg intravenous was given at induction and Inj. bupivacaine 0.5% plain 10 ml was infiltered into the wound at the end of surgery. Results:The mean age was 43.4±6.1 years with a preponderance of females (41 of 51). Thirty eight belonged to ASA grade I and 12 were in ASA grade II. Mean duration of surgery was 28.8±5.1 minutes. Size of minicholecystectomy incision was 3.9±0.4 cms. Two patients required additional opioid peroperatively, while two patients were given opioids post operatively. They were discharged from the PACUI at aldrete score >9 at 61.4±6.3 minutes while 47 patients were discharged from PACU II at PADSS score7 >9 172.1±11.4 minutes after surgery. The incidence of nausea was 6% with confidence interval of 95% rang e (5.0-23.3). Three patients were admitted. None of our patients required a readmission. Conclusion: Miinicholecystectomy as a day care procedure is safe, with good pain relief facilitating mobility and recovery with multimodal pain management strategy.

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