JOURNAL OF CLINICAL SURGERY ›› 2019, Vol. 27 ›› Issue (11): 953-956.doi: 10.3969/j.issn.1005-6483.2019.11.009

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Study on the effect of warmed,humidified carbon dioxide insufflation versus standard carbon dioxide in laparoscopic general surgery

  

  • Online:2019-11-20 Published:2019-11-20

Abstract: Objective:To investigate the impact of warmed and humidified carbon dioxide on patients undergoing laparoscopic general surgery.Methods:152 patients undergoing laparoscopic general surgery were randomly divided into two groups(n=76):Group WH(Wet &Heat)received warmed(37℃)and humidified(98%RH)insufflation carbon dioxide.Group CD received unprocessed carbon dioxide.Operation duration,awakening time were recorded.Body temperature was measured postpneumoperitoneum 30 mins,60 mins,90 mins.Blood coagulation value and pH were observed before surgery and 60 mins after pneumoperitoneum.Results:The operation duration was no difference between two groups.Awakening time of Group WH was shorter than Group CD(P<0.05).Body temperature decline after pneumoperitoneum in Group CD Group WH were lower than Group WH after pneumoperitoneum in 60 and 90 mins(P<0.05).The two groups of patients showed no significant difference in coagulation value(P>0.05).And the pH value of Group CD was lower than Group WH.Conclusion:Heating and humidifying the carbon dioxide gas can better maintain the temperature of patients in the perioperative.

Key words: general surgical procedure;laparoscopy;pneumoperitoneum;carbon dioxide 

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