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Information Journal Paper

Title

The Eff ect of Pneumoperitoneum-induced Hypertension During Laparoscopic Cholecystectomy Under General Anesthesia on Postoperative Pain: A Randomized Clinical Trial

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  0-0

Abstract

 Background: Acute Postoperative Pain is a signifi cant cause of morbidities. This study aimed to evaluate the eff ect of intraoperative Blood Pressure during Laparoscopic Cholecystectomy under general anesthesia on Postoperative Pain in patients without underlying disorders. Methods: In this randomized clinical trial, 72 patients undergoing general anesthesia for elective Laparoscopic Cholecystectomy were randomly assigned into two groups: Group A with higher than baseline preoperative Blood Pressure (MAP allowed to increase up to 20% higher than baseline MAP by inducing Pneumoperitoneum) and group B with normal to low Blood Pressure (MAP deliberately controlled at a tight limit from normal baseline MAP values to 20% less than baseline by titrating TNG infusion). The Visual Analog Scale (VAS) after 2, 8, 12, and 24 hours of surgery, and the total dose of meperidine used to manage Postoperative Pain were recorded and compared between the two groups. Results: The pain scores in group A were signifi cantly lower than group B (P = 0. 001). The postoperative analgesia request time was diff erent between the two groups (P = 0. 53). During the fi rst 24 hours, the total meperidine consumption dose in group A was signifi cantly lower than in group B (P = 0. 001). Conclusions: High intraoperative Blood Pressure may aff ect the Postoperative Pain after Laparoscopic Cholecystectomy and lead to less Postoperative Pain score and analgesic requirements.

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    APA: Copy

    POURNAJAFIAN, ALIREZA, KHATIBI, ALI, ZAMAN, BEHROOZ, & POURABBASI, AMIR. (2021). The Eff ect of Pneumoperitoneum-induced Hypertension During Laparoscopic Cholecystectomy Under General Anesthesia on Postoperative Pain: A Randomized Clinical Trial. ANESTHESIOLOGY AND PAIN MEDICINE, 11(6), 0-0. SID. https://sid.ir/paper/984615/en

    Vancouver: Copy

    POURNAJAFIAN ALIREZA, KHATIBI ALI, ZAMAN BEHROOZ, POURABBASI AMIR. The Eff ect of Pneumoperitoneum-induced Hypertension During Laparoscopic Cholecystectomy Under General Anesthesia on Postoperative Pain: A Randomized Clinical Trial. ANESTHESIOLOGY AND PAIN MEDICINE[Internet]. 2021;11(6):0-0. Available from: https://sid.ir/paper/984615/en

    IEEE: Copy

    ALIREZA POURNAJAFIAN, ALI KHATIBI, BEHROOZ ZAMAN, and AMIR POURABBASI, “The Eff ect of Pneumoperitoneum-induced Hypertension During Laparoscopic Cholecystectomy Under General Anesthesia on Postoperative Pain: A Randomized Clinical Trial,” ANESTHESIOLOGY AND PAIN MEDICINE, vol. 11, no. 6, pp. 0–0, 2021, [Online]. Available: https://sid.ir/paper/984615/en

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