Document Detail


The effects of isothermic or hypothermic carbon dioxide pneumoperitoneum on arterial blood gases.
MedLine Citation:
PMID:  17965785     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To investigate the effects of isothermic or hypothermic carbon dioxide used for pneumoperitoneum during laparoscopic cholecystectomy on blood gases. METHODS: Between 2004 and 2006, 62 patients (American Society of Anesthesiologists grade I, II, and III for elective laparoscopic cholecystectomy) (age between 18 and 70 years), were enrolled in this prospective randomized study. The patients were divided into 2 groups. In the isothermic group, 37 degrees C carbon dioxide was used, and 21 degrees C carbon dioxide was used in hypothermic group. Core body temperature at esophagus and skin temperature were measured at 10-minute intervals beginning just before insufflation and during pneumoperitoneum. Blood arterial pH, arterial carbon dioxide pressure, arterial oxygen pressure, and bicarbonate values were measured just before insufflation, at 30 minutes of pneumoperitoneum, and 30 minutes after desufflation. RESULTS: The mean skin body temperature was significantly higher in the isothermic group than the hypothermic group, no significant difference was observed in core body temperature and blood arterial pH, arterial carbon dioxide pressure, arterial oxygen pressure, and bicarbonate values. CONCLUSION: Warming insufflated carbon dioxide in laparoscopy does not affect blood gases.
Authors:
Abdullah Ozgonul; Ceylan Erkan; Gencer Mehmet; Baysal Zeynep; Uzunkoy Ali
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Saudi medical journal     Volume:  28     ISSN:  0379-5284     ISO Abbreviation:  Saudi Med J     Publication Date:  2007 Nov 
Date Detail:
Created Date:  2007-10-29     Completed Date:  2008-02-21     Revised Date:  2008-06-23    
Medline Journal Info:
Nlm Unique ID:  7909441     Medline TA:  Saudi Med J     Country:  Saudi Arabia    
Other Details:
Languages:  eng     Pagination:  1662-5     Citation Subset:  IM    
Affiliation:
Department of Surgery, Faculty of Medicine, Harran University, Sanliurfa, Turkey. ozgonul2004@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Analysis of Variance
Blood Gas Analysis
Body Temperature
Carbon Dioxide / administration & dosage*
Cholecystectomy, Laparoscopic*
Female
Humans
Hypothermia
Male
Pneumoperitoneum, Artificial*
Prospective Studies
Chemical
Reg. No./Substance:
124-38-9/Carbon Dioxide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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