Post laparscopic Shoulder pain is a common problem. It is assumed Acetazolamide prevents the occurrence of shoulder pain in the postoperative period.
The reason is that, Acetazolamide prevents compounding of carbon dioxide with water which decreases sub diaphragmatic fluid acidity and cause referred shoulder pain
Seventy patients who are candidates for the laparoscopic Cholecystectomy, after written consent randomly are placed in the two equal groups (Acetazolamide group and the control group). Main inclusion criteria are patients undergoing laparoscopic cholecystectomy in rang 0f 30-60 years old. And some of exclusion criteria are: Sensitivity to sulfonamides, Renal and Hepatic failer, psychopathic patients, addiction, previous acidosis.The first group was given Acetazolamide 5mg/kg one hour before surgery by oral route, while the second group didn't received any drugs
All patients Premedicated by midazolam /05mg/kg and Fentany lμg/kg then Induction by Propofol 2mg/kg and Atracorium/.8 mg/kg were performed.
After intubation, Maintenance of anesthesia continued by Isoflurane and N2O. All subsequent stages of anesthesia are similar in both groups. At the end of surgery and after awaking severity pain and analgesic consumption are recorded in (awaking) time 0, 2,4, 6, 12 and 24 hours post operative.
And at the end of the study the results analyzed and compared