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Volume 10, Issue 2 (July- December) 2021

Original Articles

Study of Analysis of Intraoperative Depth of Anesthesia on Postoperative Pain and Analgesics Usage
V. Jayawardhini, Md Manzoor Ali, Ramakanth Reddy A, G Srinivasa Reddy

Background: A universally acknowledged consequence of surgical procedures is the experience of pain, which is inherently subjective and varies in intensity among individuals. The present study was conducted for assessing pattern of utilization of analgesics in perioperative cases. Materials &Methods: 100 patients undergoing laparoscopic cholecystectomy were randomly assigned to either a Standard Practice group or a BIS Titrated group, where anesthetic depth was adjusted to achieve a specific Bispectral Index (BIS) value. Postoperative pain levels were evaluated using the Visual Analogue Scale (VAS) and compared pain management outcomes between the two groups. Results: Mean age of the patients of group 1 and group 2 was 33.6 years and 35.9 years respectively. Mean duration of surgery among patients of group 1 and group 2 was 62.3 mins and 58.1 mins respectively. Mean BIS value among patients of group 1 and group 2 was 65.7 and 46.7 respectively. Mean rescue analgesic requirement among patients of group 1 and group 2 was 2.39 mg and 1.08 mg respectively. Mean VAS among patients of group 1 and group 2 was 61.3 and 77.9 mg respectively.Conclusion: Sustaining a BIS value between 40 and 45 during surgical procedures is associated with a reduction in postoperative pain intensity and a diminished need for rescue analgesics, all while avoiding any adverse effects.

 
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