WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Review Journal for Medical Science and Pharma Professionals

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

World Journal of Advance Healthcare Research (WJAHR) has indexed with various reputed international bodies like : Google Scholar , Index Copernicus , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , Cosmos Impact Factor , Scientific Indexing Services (SIS) , UDLedge Science Citation Index , International Impact Factor Services , International Society for Research Activity (ISRA) Journal Impact Factor (JIF) , Scientific Journal Impact Factor (SJIF) , IFSIJ Measure of Journal Quality , International Scientific Indexing, UAE (ISI) (Under Process) , International Impact Factor Services (IIFS) , Web of Science Group (Under Process) , Directory of Research Journals Indexing , Scholar Article Journal Index (SAJI) , International Scientific Indexing ( ISI ) , Academia , Scope Database , Research Publication Rating and Indexing , Doi-Digital Online Identifier , ISSN National Centre , Zenodo Indexing , International CODEN Service, USA , 

ISSN 2457-0400

Impact Factor  :  7.675

WJAHR Citation

  All Since 2020
 Citation  105  60
 h-index  4  4
 i10-index  3  2

News & Updation

  • Article Invited for Publication

    Dear Researcher, Article Invited for Publication  in WJAHR coming Issue.

  • WJAHR: New Impact Factor

    WJAHR Impact Factor has been Increased from  5.464 to 7.675 for Year 2026.

  • WJAHR: OCTOBER ISSUE PUBLISHED

    OCTOBER 2026 Issue has been successfully launched on1 OCTOBER 2026.

  • New Issue Published

    Its Our pleasure to inform you that, WJAHR October 2026 Issue has been Published, Kindly check it on https://www.wjahr.com/home/current_issues

Best Article Awards

World Journal of Advance Healthcare Research (WJAHR) is giving Best Article Award in every Issue for Best Article and Issue Certificate of Appreciation to the Authors to promote research activity of scholar.

Best Article of current issue

Download Article : Click here

Indexing

  Indexing

  • Google Scholar
  • Index Copernicus
  • SOCOLAR, China
  • Research Bible, Fuchu, Tokyo. JAPAN
  • Cosmos Impact Factor
  • Scientific Indexing Services (SIS)
  • UDLedge Science Citation Index
  • International Impact Factor Services
  • International Society for Research Activity (ISRA) Journal Impact Factor (JIF)
  • Scientific Journal Impact Factor (SJIF)
  • IFSIJ Measure of Journal Quality
  • International Scientific Indexing, UAE (ISI) (Under Process)
  • International Impact Factor Services (IIFS)
  • Web of Science Group (Under Process)
  • Directory of Research Journals Indexing
  • Scholar Article Journal Index (SAJI)
  • International Scientific Indexing ( ISI )
  • Academia
  • Scope Database
  • Research Publication Rating and Indexing
  • Doi-Digital Online Identifier
  • ISSN National Centre
  • Zenodo Indexing
  • International CODEN Service, USA

Abstract

EVALUATION OF INTRAPERITONEAL PRESSURE IN LAPAROSCOPIC SLEEVE GASTRECTOMY BY USING DEEP NEUROMUSCULAR BLOCK VERSUS ADEQUATE NEUROMUSCULAR BLOCK

Dr. Ban Msaed Lafta Al-Badri*, Dr. Rasha Abdulazeez Yahya Al-Qassab, Dr. Maryam Eesaa Mashkoor AlHamashi

ABSTRACT

Background: In recent review Kopman and Naguib suggest that the benefit of deep neuromuscular block may be nonexistent, this is surprising conclusion given the increasing amount of literatures on this topic that dose show a significant clinical benefit from deep neuromuscular block. Aim of study: Study the effect of deep neuromuscular block on the intraperitoneal pressure during laparoscopic sleeve gastrectomy and the surgical workspace by comparing between adequate and deep neuromuscular block. Patient and Methods: 50 randomly chosen patients scheduled for elective laparoscopic sleeve gastrectomy were included in our study, they were divided into two groups; group 1 (25 patients with adequate neuromuscular blockade and intraperitoneal pressure of 15 mmHg) and group 2 (25 patients with deep neuromuscular blockade and intraperitoneal pressure as low as possible decided by single qualified surgeon). The neuromuscular block level was monitored during operation every 10 min. and maintained by rocuronium in both groups. The vital signs were recorded every 10 min. during the surgery. Neuromuscular block was reversed at the end of surgery by sugammadex, surgeon satisfaction was obtained at the end of surgery according to the visual analogue scale. Results: The vital signs were significantly improved in group 2 specially the mean arterial pressure which was significantly lower than group 1 due to deep level of neuromuscular block and low intraperitoneal pressure (14 or 13 mmHg), while the surgeon satisfaction remain at the same level in both groups; that means the quality of surgical workspace not altered by lowering the intraperitoneal pressure. Conclusions: The use of deep neuromuscular block with lowest intraperitoneal pressure possible to optimize the surgical workspace and keep the cardiovascular condition uncompromised.

[Full Text Article] [Download Certificate]