Hemodynamic response in laparoscopic cholecystectomy after magnesium sulphate versus clonidine administration

Vijaya P. Borkar Patil; Mayuri Ganeshrao Tambakhe; Sunil Shankarrao Lawhale; Jayshree J. Upadhye

doi:10.18203/2320-6012.ijrms20183861

Authors

Vijaya P. Borkar Patil Department of Anesthesiology, Dr PDMMC and Hospital, Amravati, Maharashtra, India
Mayuri Ganeshrao Tambakhe Department of Anesthesiology, Grant Medical College and Sir J. J. Group of Hospitals, Mumbai, Maharashtra, India
Sunil Shankarrao Lawhale Department of Anesthesiology, Dr PDMMC and Hospital, Amravati, Maharashtra, India
Jayshree J. Upadhye Department of Obstetrics and Gynecology, Rajshree Medical College, Bareily, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20183861

Keywords:

Clonidine, Laparoscopic cholecystectomy, Magnesium sulfate, Pneumoperitoneum

Abstract

Background: Magnesium and clonidine both inhibit catecholamine and vasopressin release. They also attenuate hemodynamic response to pneumoperitoneum.

Methods: This randomized double-blind study was designed to assess which agent attenuates hemodynamic stress response to pneumoperitoneum better in 70 patients undergoing laparoscopic cholecystectomy.

Results: After the administration of drug, heart rate in group M was mean 84.29 while in group C was mean 79.89. Thus, there was more fall in Heart rate in C group. After intubation, heart rate at 1min, 3 min, 5 min was 101.20, 96.69, 93.94 respectively in group M and in C group was 96.37, 85.83, 86.17 respectively with p values (0.12, 0.001, 0.008). After giving drug, there was fall in blood pressure in both groups but in C group, there was significant fall in systolic blood pressure. There was no significant difference in the mean diastolic BP in both the groups immediately at intubation (76.17±10.74 for group M and 78.86±10.48 for group C with p>0.05) as also at 3 min (63.29±8.76 for M group and 65.14±11.705 for clonidine with p>0.05) and 5 min (63.03±7.909 for magnesium sulphate and 67.69±13.588 for clonidine with p>0.05) following intubation. Thus, the rise in mean diastolic BP was statistically similar in both Group M and Group C. There was no significant difference in the mean for MAP in both the groups immediately at intubation (88.86±12.76 for magnesium sulphate and 91.74±11.59 for clonidine) as also at 3 min (73.17±10.019 for M and 75.80±12.849 for C group. But at 5 min (71.71±9.11 for magnesium sulphate and 77.66±13.715 for clonidine) following intubation with p<0.05 which is significant.

Conclusions: Administration of magnesium sulfate or clonidine attenuates hemodynamic response to pneumoperitoneum. Although magnesium sulfate produces hemodynamic stability comparable to clonidine, clonidine blunts the hemodynamic response to pneumoperitoneum more effectively.

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