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Lap Cholecystectomy in HTN
Speaker - Dr Razi Shahid
Moderater - Dr Rahul Saxena
1
4/5/2022
Patient information
 Patient - Mrs Ritu kumari w/o Ramesh
 CR no - 1904010913
 Age - 44 Years , Female
 Adress- Pakbada , Moradabad
2
History
 Chief Complaint
 Pain abdomen 10 days
H/O/P/I - As stated by patient when he was
asympotmatic 10 days back , when he
experienced pain in abdomen in right upper
side incidious in onset , progressive in nature,
relived by medication , non radiating , non
reffred , aggravatied by taking food.
3
 Patient is known case of Hypertension
diagnosed since 3 months and is on regular
medication
 No H/o Vomiting, Fever, Jaundice, TB, DM,
Dyspnea , Drug allergy, CAD
 No H/o of any previous surgery or anesthesia
exposure
4
Diagnosis
 A Case of 44 year old female with
cholesystitis with controlled hypertension and
no other significant morbidity
 ASA 2 with 0.6% of Mortality risk
 Technique - General Anesthesia
5
Lab Investigations
General Age Disease Specific
Hb - `13 gm/dl
TLC- 11420
Platelets- 3.8 lakhs
ECG
CXR
LFT - WNL
Renal function test - WNL
PT/INR - 16 / 1.1
HIV - Non Reactive
HBsag- Non reactive
HCV- Non Reactive
6
Pre Op Oders in PAC
 NPO for 6 hours before surgery
 Written and Informed Consent
 Xylocain sensitivity test
 Tab Alprazolam 0.5mg taken in night before surgery
 Stop Tablet Telmisartan on day of surgery
 Take Tab Amlodipine 10mg on the day of surgery
with sips of water at 6am
 Shift the patient to OT at 8:30am
7
Technique - General anesthesia
 Female Patient
 Awarness
 Haemodynamic stability
 Pain during surgery
 Avoid risk of aspiration
 Shoulder pain
 Reduce Work breathing
8

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Cholecystectomy in htn

  • 1. Lap Cholecystectomy in HTN Speaker - Dr Razi Shahid Moderater - Dr Rahul Saxena 1 4/5/2022
  • 2. Patient information  Patient - Mrs Ritu kumari w/o Ramesh  CR no - 1904010913  Age - 44 Years , Female  Adress- Pakbada , Moradabad 2
  • 3. History  Chief Complaint  Pain abdomen 10 days H/O/P/I - As stated by patient when he was asympotmatic 10 days back , when he experienced pain in abdomen in right upper side incidious in onset , progressive in nature, relived by medication , non radiating , non reffred , aggravatied by taking food. 3
  • 4.  Patient is known case of Hypertension diagnosed since 3 months and is on regular medication  No H/o Vomiting, Fever, Jaundice, TB, DM, Dyspnea , Drug allergy, CAD  No H/o of any previous surgery or anesthesia exposure 4
  • 5. Diagnosis  A Case of 44 year old female with cholesystitis with controlled hypertension and no other significant morbidity  ASA 2 with 0.6% of Mortality risk  Technique - General Anesthesia 5
  • 6. Lab Investigations General Age Disease Specific Hb - `13 gm/dl TLC- 11420 Platelets- 3.8 lakhs ECG CXR LFT - WNL Renal function test - WNL PT/INR - 16 / 1.1 HIV - Non Reactive HBsag- Non reactive HCV- Non Reactive 6
  • 7. Pre Op Oders in PAC  NPO for 6 hours before surgery  Written and Informed Consent  Xylocain sensitivity test  Tab Alprazolam 0.5mg taken in night before surgery  Stop Tablet Telmisartan on day of surgery  Take Tab Amlodipine 10mg on the day of surgery with sips of water at 6am  Shift the patient to OT at 8:30am 7
  • 8. Technique - General anesthesia  Female Patient  Awarness  Haemodynamic stability  Pain during surgery  Avoid risk of aspiration  Shoulder pain  Reduce Work breathing 8