Recovery Profile Among Patients Undergoing Elective Laparoscopic Cholecystectomy Using the Modified Aldrete Score (MAS) and Fast-Track (FT) Criteria
<i>Introduction: </i>General anesthesia is considered safe for laparoscopic cholecystectomy because it allows for complete muscle relaxation and controlled ventilation, which are crucial for the procedure. Postoperative recovery assessment is crucial for patient safety and efficient operating room turnover. This study aimed to compare the post operative recovery profile among patients undergoing elective laparoscopic cholecystectomy using The Modified Aldrete Score (MAS) and Fast-Track (FT) Criteria. Materials and Methods: A prospective comparative study was conducted among 66 patients of either sex, ASA grade I &II. Recovery of group MAC (n=33) were assessed by Modified Aldrete Score and Recovery of group FTC (n=33) were assessed by Fast Track Criteria, who were randomly enrolled. Post operative recovery parameters were compared at intervals using MAS and FTC. Statistical analysis was computed using descriptive and inferential statistics. P-value of <0.05 was considered statistically significant. <i>Results: </i>Post-extubation recovery scores and nursing interventions were recorded every 5 min until 60 min and at 2, 6, 12 and 24 h in the post-operative period using both the criteria. As per MAS, the time for recovery (in minutes) was 16.36 ± 2.16, whereas for FTC was 17.88 ±1.38. Duration for surgery (in minutes) for MAS was 66.06±8.45, whereas for FTC was 72.36±13.38. There was not any statistical significance in pre-operative hemodynamic values, the number of nursing interventions before and after reaching time of recovery, and the dose of Fentanyl administered. <i>Conclusion: </i>The recovery profile of patients undergoing laparoscopic cholecystectomy under general anesthesia was faster when assessed by MAS than FTC in immediate post recovery period. Modified Aldrete scoring system is better than Fast track criteria as the discharge tool in Post Anesthesia Care Unit.
Authors
- Ashish Pandey (ORCID: https://orcid.org/0000-0001-7760-6332)
- Ramesh Ghimire
- Rupesh Mahato
Institutions
- Nepal Medical College Teaching Hospital (NP)
- Bhaktapur Cancer Hospital (NP)
Publication Details
- Journal
- International journal of anesthesia and clinical medicine.
- Published
- 2025-09-26
- DOI
- https://doi.org/10.11648/j.ijacm.20251302.19
- Primary Topic
- Enhanced Recovery After Surgery
- Type
- article
- Field-Weighted Citation Impact
- 0.00