Lap Cholecystectomy under Spinal Anesthesia- Comparative Study between Conventional-Dose and Low-Dose Hyperbaric Bupivacaine

Abstract Introduction: The way the anesthesia acts depend on the dosage, strength, and amount of the drug utilized. Aside from its use in spinal anesthesia, baricity refers to the anaesthetic solution's relative density in relation to cerebrospinal fluid (CSF). Aim: To compare spinal anesthesia using conventional-dose and low-dose hyperbaric bupivacaine among patients underwent lap cholecystectomy. Material and methods: The current observational study was undertaken in Government Medical College, Jammu for a period of 18 months from January 2023 to June 2024 after acquiring the ethical license from institutional authorities. A total of 120 patients who had lap cholecystectomy were categorized into two groups, included and studied in the trial after giving their informed consent; and the current observations of both groups were compared. Result: In groups A and B, patients reported nausea in 2% and 4% of instances, vomiting in 1% and 2% of cases, and shoulder soreness in 9% and 13% of cases, respectively. Midazolam was administered to two patients in group A and one patient in group B. Rescue fentanyl was administered to 5% and 7% of participants in groups A and B, respectively. In groups A and B, hypotension was reported by 16% and 6% of patients, respectively, whereas bradycardia was noted in 6% and 1% of patients. Conclusion: It is concluded that there was significant impact of anaesthesia dose on early recovery and restoring sensory and motor functions