we attempted a study on SAB for lower abdominal laproscopic surgeries.
Surgeries included were lap appendicectomy, lap hernia and lap varicocoelectomy
we ensured neutral position only and kept intra-abdominal pressures limited to 12mmHg.
SAB level was T4 - T5. Sedation included Midazolam 50mcg/kg and ketamine 0.5mg/kg
We had to abandon study since all patients needed conversion to GA except one who was managed with unacceptably high doses of ketamine.
Primary complaint was severe pain in shoulder area and some patients expressed discomfort during breathing although SaO2 and ETCO2 were within acceptable limits.
Although there is plenty of literature our experience did not support the findings
Surgeries included were lap appendicectomy, lap hernia and lap varicocoelectomy
we ensured neutral position only and kept intra-abdominal pressures limited to 12mmHg.
SAB level was T4 - T5. Sedation included Midazolam 50mcg/kg and ketamine 0.5mg/kg
We had to abandon study since all patients needed conversion to GA except one who was managed with unacceptably high doses of ketamine.
Primary complaint was severe pain in shoulder area and some patients expressed discomfort during breathing although SaO2 and ETCO2 were within acceptable limits.
Although there is plenty of literature our experience did not support the findings