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387998

Antiarrhythmic and analgesic efficacy of stellate ganglion block in laparoscopic cholecystectomy

Article

Last updated: 31 Dec 2024

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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.

DOI

TEJA-2023-0262

Keywords

Stellate ganglion block, intraoperative arrhythmia, Postoperative Pain, intraoperative hemodynamics, Laparoscopic cholecystectomy, pneumoperitoneum

Authors

First Name

Jehan

Last Name

Ahmed Sayed

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Orcid

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First Name

Emad Zarief

Last Name

Kamel

MiddleName

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Affiliation

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Email

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Orcid

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First Name

Andrew

Last Name

Ezzat Waheeb

MiddleName

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Affiliation

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Orcid

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First Name

Khaled

Last Name

Tolba Younes

MiddleName

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Affiliation

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Email

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Orcid

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First Name

Ragai

Last Name

Sobhi Hanna

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Orcid

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First Name

Mahmoud

Last Name

Mohamed Kamel

MiddleName

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Volume

40

Article Issue

1

Related Issue

51165

Issue Date

2024-12-01

Receive Date

2023-10-29

Publish Date

2024-12-31

Page Start

18

Page End

23

Print ISSN

1110-1849

Online ISSN

1687-1804

Link

https://egja.journals.ekb.eg/article_387998.html

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https://egja.journals.ekb.eg/service?article_code=387998

Order

387,998

Publication Type

Journal

Publication Title

Egyptian Journal of Anaesthesia

Publication Link

https://egja.journals.ekb.eg/

MainTitle

Antiarrhythmic and analgesic efficacy of stellate ganglion block in laparoscopic cholecystectomy

Details

Type

Article

Created At

21 Dec 2024