BACKGROUND The goal of anaesthetic management in patients undergoing elective laparoscopic surgeries, is to achieve hemodynamic stability when combined with spinal and genera anaesthesia. Aim and Objective-To access and compare intraoperative and postoperative hemodynamic stability between Combined spinal and general anaesthesia versus General Anaesthesia alone. PRIMARY OBJECTIVE To assess, compare and evaluate Hemodynamic parameters such as Heart rate, Blood pressure, Oxygen saturation, Onset and duration of sensory and motor block. SECONDARY OBJECTIVE To access Postoperative analgesia, Requirement of Isoflurane, Muscle relaxant and Recovery time. MATERIALS AND METHODS After ethical committee approval and informed written consent, 40 patients, aged between 18-60 years, belonging to American Society of Anesthesiologists (ASA) physical status I and II scheduled for Elective Laparoscopic Abdominal surgery were included and categorized into two groups (n = 40). Group GA+SAB received 3 ml of 0.75% Hyperbaric Ropivacaine. Where Group GA received only General Anaesthesia. STATISTICAL ANALYSIS The Un-Paired t test was used to compare the means. Descriptive and Inferential statistical analysis was carried out in the present study. Results on continuous measurements is presented in Mean and Standard Deviation RESULT Group SAB +GA(combined spinal with General Anaesthesia) showed better intraoperative hemodynamic stability (Heart rate, Systolic and Diastolic blood pressure, Mean arterial pressure) when compared with Group GA (General Anaesthesia). Hypotension was noted in about 5% of the patients in Group SAB+GA. The surgeon’s had a good significant differences hemodynamically and relaxation in Group SAB+GA compared to alone GA. The lower concentration of Isoflurane resulted in early awakening and extubation in Group SAB+GA as compared to Group GA. Postoperative analgesia was better in Group SAB+GA until 6 hours after which both the groups showed no significant differences. CONCLUSION The hemodynamic variations during intraoperative can be effectively attenuated by Combining General Anesthesia and spinal Anesthesia as it is technically safe and feasible with faster recovery and reduced postoperative analgesic requirements.

Laparoscopic Surgeries, General Anaesthesia, Combined Spinal Anaesthesia with General Anaesthesia.