Abstract
Study Objective: To determine whether use of heated humidified carbon dioxide as insufflation gas during gynaecologic laparoscopy reduced postoperative pain and hypothermia. Design: A randomised controlled trial (Canadian task Force classification 1). Setting: A tertiary referral hospital. Patients: Sixty women scheduled for gynaecologic laparoscopy between 30 and 90 minutes duration. Intervention: Operative laparoscopic management of endometriosis, adhesions, or adnexal pathology. Measurements and Main Results: Sixty patients were randomised into receiving either heated humidified carbon dioxide (study group) or standard cold dry gas (control group). Intraoperative and postoperative core temperature, total analgesic use, postoperative nausea, and recovery room time were recorded. Postoperative pain intensity was assessed using a visual analogue scale. Statisctical analysis was performed using software. No significant difference was revealed between groups with regard to postoperative pain, analgesic requirements, recovery room time, or postoperative nausea. The control group had less postoperative hypothermia, suggesting that external warming blankets may be more effective than heated humidified carbon dioxide at maintaining intraoperative normothermia. Conclusion: The use of heated humidifed carbon dioxide insufflation for short-duration gynaecologic laparoscopy up to 90 minutes duration was not associated with any significant benefit with regard to postoperative pain, hypothermia or time of recovery room stay.
Published Version
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call