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CHEONG, JU YONG, Keshava, Anil, Young, Christopher. (1399). The effect of humidified warmed CO2 during open colorectal surgery on body temperature and postoperative pain: a randomized controlled trial.. سامانه مدیریت نشریات علمی, 8(2), 79-87. doi: 10.30476/acrr.2020.46746
JU YONG CHEONG; Anil Keshava; Christopher Young. "The effect of humidified warmed CO2 during open colorectal surgery on body temperature and postoperative pain: a randomized controlled trial.". سامانه مدیریت نشریات علمی, 8, 2, 1399, 79-87. doi: 10.30476/acrr.2020.46746
CHEONG, JU YONG, Keshava, Anil, Young, Christopher. (1399). 'The effect of humidified warmed CO2 during open colorectal surgery on body temperature and postoperative pain: a randomized controlled trial.', سامانه مدیریت نشریات علمی, 8(2), pp. 79-87. doi: 10.30476/acrr.2020.46746
CHEONG, JU YONG, Keshava, Anil, Young, Christopher. The effect of humidified warmed CO2 during open colorectal surgery on body temperature and postoperative pain: a randomized controlled trial.. سامانه مدیریت نشریات علمی, 1399; 8(2): 79-87. doi: 10.30476/acrr.2020.46746

The effect of humidified warmed CO2 during open colorectal surgery on body temperature and postoperative pain: a randomized controlled trial.

Iranian Journal of Colorectal Research
مقاله 4، دوره 8، شماره 2، شهریور 2020، صفحه 79-87    اصل مقاله (1.54 M)
نوع مقاله: Clinical Trial
شناسه دیجیتال (DOI): 10.30476/acrr.2020.46746
نویسندگان
JU YONG CHEONG* 1؛ Anil Keshava2؛ Christopher Young2
1Department of Colorectal Surgical, Concord Repatriation General Hospital, Sydney, Australia- Discipline of Pathology, Charles Perkins Centre, Sydney Medical School, The University of Sydney, Sydney, Australia
2Department of Colorectal Surgical, Concord Repatriation General Hospital, Sydney, Australia
چکیده
Introduction:
Open abdominal surgery exposes the intestine to negative ventilation (20°C, 0-5% RH), which along with the large surface area of peritoneum has the potential to cause loss of body heat. This study examined whether the warmed, humidified CO2 (WHCO2) can reduce heat loss and reduce postoperative pain.
Methods:
A randomized controlled trial was performed at a tertiary colorectal unit (Concord Repatriation General Hospital, The University of Sydney, Australia). The study group received WHCO2 at a rate of 10L/min. The control group did not receive any insufflation during the operation. Patients were over 18 years of age undergoing elective open colorectal operations. Core body temperature measurement was made every 15 minutely with a trans-oesophageal probe. Postoperative pain was assessed via: (1) duration of use of patient controlled analgesia (PCA), (2) total oral morphine equivalent daily dose (oral MEDD).
Results:
39 Patients were recruited in the study, with 20 patients receiving WHCO2. There was no difference in the core body temperature between the WHCO2 and the Control group (36.1 vs. 35.9°C, p=0.35). There was no difference in the % of the operating time where core body temperature dropped below the lower limit of normal of 35.8°C (28.4% vs 35.8%, p=0.51), or to the level of hypothermia of 35°C (7.7% vs. 13.4%, p=0.50). No difference in postoperative PCA duration, as well as MEDD, were noted between the CO2 group and control group.
Conclusion:
WHCO2 had no effect on core body temperature during open colorectal surgery and the postoperative pain experienced.
کلیدواژه‌ها
Humidified, warmed Carbon dioxide؛ Pneumoperitoneum؛ Core body temperature؛ Postoperative pain؛ Colorectal surgery
مراجع
M. Persson and J. van Der Linden, “Intraoperative CO2 insufflation can decrease the risk of surgical site infection,” Medical Hypothesis, vol. 71, no. 1, pp. 8-13, 2008.
M. Binder, “Humidification during laparoscopic surgery: overview of the clinical benefits of using humidified gas during laparoscopic surgery.,” Archives of gynaecology and obstetrics, vol. 292, no. 5, pp. 955-971, 2015.
M. Tsuchiya, E. Sato, M. Inoue and A. Asada, “Open abdominal surgery increases intraoperative oxidative stress: can it be prevented?,” Anesthesiae and analgesia, vol. 107, no. 6, pp. 1946-1952, 2008.
J. van der Linden and M. Persson, “CO2 field flooding may also reduce oxidative stress in open surgery,” Anesthesiae and analgesia, vol. 109, no. 2, pp. 683-684, 2009.
I. R. Publishing, “Reference: Is CO2 Heavier Than Air?,” 2017. [Online]. Available: https://www.reference.com/science/co2-heavier-air-b69c3fe7a671fbad?qo=contentSimilarQuestions#. [Accessed 2017].
M. Persson, J. Flock and J. Van der Linden, “Antiseptic wound ventilation with a gas diffuser: a new intraoperative method to prevent surgical wound infection?,” Journal of Hospital infection, vol. 54, no. 4, pp. 294-299, 2003.
M. Persson and J. van der Linden, “Wound ventilation with carbon dioxide: a simple method to prevent direct airborne contamination during cardiac surgery?,” Journal of Hospital Infection, vol. 56, no. 2, pp. 131-136, 2004.
J. Cheong, A. Keshava, P. Witting and C. Young, “Effects of intraoperative warmed, humidified CO2 insufflation during abdominal surgery: a review.,” Annals of Coloproctology, vol. 34, no. 3, p. 125–137, 2018.
S. Sajja and M. Schein, “Early postoperative small bowel obstruction,” British Journal of Surgery, vol. 91, no. 6, pp. 683-691, 2004.
J. Champion and M. Williams, “Prospective randomized trial of heated humidified versus cold dry carbon dioxide insufflation during laparoscopic gastric bypass,” Surgery for Obesity and related diseases, vol. 2, no. 4, pp. 445-449, 2006.
C. Yeh, S. Kwok, M. Chan and J. Tjandra, “Prospective, case-matched study of heated and humidified carbon dioxide insufflation in laparoscopic colorectal surgery,” Colorectal Disease, vol. 9, no. 8, pp. 695-700, 2007.
S. Saad, I. Minor, T. Mohri and M. Nagelschmidt, “The clinical impact of warmed insufflation carbon dioxide gas for laparoscopic cholecystectomy,” Surgical Endoscopy, vol. 14, no. 9, pp. 787-790, 2000.
W. Mouton, J. Bessell, S. Millard, P. Baxter and G. Maddern, “A randomized controlled trial assessing the benefit of humidified insufflation gas during laparoscopic surgery,” Surgical Endoscopy, vol. 13, pp. 106-108, 1999.
A. Herrmann and R. De Wilde, “Insufflation with humidified and heated carbon dioxide in short-term laparoscopy: a double-blinded randomized controlled trial,” Biomed research international, 2015.
T. Yu, J. Hamill, A. Liley and A. Hill, “Warm, humidified carbon dioxide gas insufflation for laparoscopic appendectomy in children: a double-blinded randomized controlled trial,” Annals of Surgery, vol. 257, pp. 44-53, 2013.
A. Ozgonul, C. Erkan, G. Mehmet, B. Zeynep and U. Ali, “The effects of isothermic or hypothermic carbon dioxide pneumoperitoneum on arterial blood gases,” Saudi Medical Journal, vol. 28, no. 11, pp. 1662-1665, 2007.
J. Manwaring, E. Readman and P. Maher, “The effect of heated humidified carbon dioxide on postoperative pain, core temperature, and recovery times in patients having laparoscopic surgery: a randomized controlled trial,” Journal of minimally invasive gynecology, vol. 15, no. 2, pp. 161-165, 2008.
S. Davis, D. Mikami, M. Newlin, B. Needleman, M. Barrett, R. Fries, T. Larson, J. Dundon, M. Goldblatt and W. Melvin, “Heating and humidifying of carbon dioxide during pneumoperitoneum is not indicated: a prospective randomized trial,” Surgical Endoscopy, vol. 20, no. 1, pp. 153-158, 2006.
B. Klugsberger, M. Schreiner, A. Rothe, D. Haas, P. Oppelt and A. Shamiyeh, “Warmed, humidified carbon dioxide insufflation versus standard carbon dioxide in laparoscopic cholecystectomy: a double-blinded randomized controlled trial.,” Surgical Endoscopy, vol. 28, no. 9, pp. 2656-2660, 2014.
K. Nelskylä, A. Yli-Hankala, J. Sjöberg, I. Korhonen and K. Korttila, “Warming of insufflation gas during laparoscopic hysterectomy: effect on body temperature and the autonomic nervous system,” Acta anaesthesiologica Scandinavica, vol. 43, no. 10, pp. 974-978, 1999.
R. Savel, S. Balasubramanya, S. Lasheen, T. Gaprindashvili, E. Arabov, R. Fazylov, R. Lazzaro and J. Macura, “Beneficial effects of humidified, warmed carbon dioxide insufflation during laparoscopic bariatric surgery: a randomized clinical trial,” Obesity Surgery, vol. 15, no. 1, pp. 64-69, 2005.
N. Nguyen, G. Furdui, N. Fleming, S. Lee, C. Goldman, A. Singh and B. Wolfe, “Effect of heated and humidified carbon dioxide gas on core temperature and postoperative pain: a randomized trial.,” Surgical Endoscopy, vol. 16, no. 7, pp. 1050-1054, 2002.
D. Farley, S. Greenlee, D. Larson and J. Harrington, “Double-blind, prospective, randomized study of warmed, humidified carbon dioxide insufflation vs standard carbon dioxide for patients undergoing laparoscopic cholecystectomy,” Archives of surgery, vol. 139, no. 7, pp. 739-743, 2004.
T. Sammour, A. Kahokehr, J. Hayes, M. Hulme-Moir and A. Hill, “Warming and humidification of insufflation carbon dioxide in laparoscopic colonic surgery: a double-blinded randomized controlled trial,” Annals of surgery, vol. 251, no. 6, pp. 1024-1033, 2010.
M. Hamza, B. Schneider, P. White, A. Recart, L. Villegas, B. Ogunnaike, D. Provost and D. Jones, “Heated and humidified insufflation during laparoscopic gastric bypass surgery: effect on temperature, postoperative pain, and recovery outcomes,” Journal of laparoendoscopic & advanced surgical techniques. Part A. , vol. 15, no. 1, pp. 6-12, 2005.
T. Beste, J. Daucher and D. Holbert, “Humidified compared with dry, heated carbon dioxide at laparoscopy to reduce pain,” Obstetrics and Gynaecology, vol. 107, no. 2, pp. 263-268, 2006.
S. Kissler, M. Haas, R. Strohmeier, H. Schmitt, A. Rody, M. Kaufmann and E. Siebzehnruebl, “Effect of humidified and heated CO2 during gynecologic laparoscopic surgery on analgesic requirements and postoperative pain,” The Journal of the American Association of Gynecologic Laparoscopists, vol. 11, no. 4, pp. 473-477, 2004.
R. Benavides, A. Wong and H. Nguyen, “Improved outcomes for lap-banding using the insuflow device compared with heated-only gas,” Journal of the Society of Laparoendoscopic Surgeons, vol. 13, no. 3, pp. 302-305, 2009.
D. Brown, H. Brugger, J. Boyd and P. Paal, “Accidental hypothermia,” New England Journal of Medicine, vol. 367, pp. 1930-1938, 2012.
J. Horsley, “Peritonitis,” Archives of Surgery, vol. 36, no. 2, pp. 190-224, 1938.
Y. Peng, M. Zheng, Q. Ye, X. Chen, B. Yu and B. Liu, “Heated and humidified CO2 prevents hypothermia, peritoneal injury, and intra-abdominal adhesions during prolonged laparoscopic insufflations,” Journal of Surgical Research, vol. 151, no. 1, pp. 40-47, 2009.
E. Hazebroek, M. Schreve, P. Visser, R. De Bruin, R. Marquet and H. Bonjer, “Impact of temperature and humidity of carbon dioxide pneumoperitoneum on body temperature and peritoneal Morphology,” Journal of laparoendoscopic & advanced surgical techniques. Part A, vol. 12, no. 5, pp. 355-364, 2002.
J. Bessell, A. Karatassas, J. Patterson, G. Jamieson and G. Maddern, “Hypothermia induced by laparoscopic insufflation. A randomized study in a pig model,” Surgical Endoscopy, vol. 9, no. 7, pp. 791-796, 1995.
M. Bäcklund, I. Kellokumpu, T. Scheinin, K. von Smitten, I. Tikkanen and L. Lindgren, “ Effect of temperature of insufflated CO2 during and after prolonged laparoscopic surgery,” Surgical Endoscopy , vol. 12, no. 9, pp. 1126-1130, 1998.
D. Ott, “Correction of laparoscopic insufflation hypothermia,” Journal of laparoendoscopic surgery, vol. 1, no. 4, pp. 183-186, 1991.
World Health Organisation, “Adult: Body Mass Index (BMI) classification,” 2017. [Online]. Available: http://www.who.int/mediacentre/factsheets/fs311/en/. [Accessed June 2017].
N. K. F. K. D. O. Q. I. (. KDOQI), “KDOQI Clinical Practice Guidelines for Chronic Kidney Disease: Evaluation, Classification, and Stratification,” 2002. [Online]. Available: http://www2.kidney.org/professionals/kdoqi/guidelines_ckd/p4_class_g1.htm. [Accessed June 2017].
N. H. F. o. Australia., “Guidelines for the diagnosis and management of Hypertension in adults,” 2016. [Online]. Available: https://www.heartfoundation.org.au/images/uploads/publications/PRO-167_Hypertension-guideline-2016_WEB.pdf. [Accessed 2017].
American Society of Anesthesiologist, “ASA Physical Status classification System,” 2014. [Online]. Available: https://www.asahq.org/resources/clinical-information/asa-physical-status-classification-system. [Accessed 2014].
D. Baron, H. Hochrieser, M. Posch, B. Metnitz, A. Rhodes, R. Moreno, R. Pearse, P. Metnitz, E. S. O. S. (. g. f. T. G. o. E. S. o. I. C. Medicine and E. S. o. Anaesthesiology., “Preoperative anaemia is associated with poor clinical outcome in non-cardiac surgery patients,” British Journal of Anesthesia, vol. 113, no. 3, pp. 416-423, 2014.
D. Dindo, N. Demartines and P. Clavien, “Classification of surgical complications- a new proposal with evaluation in a cohort of 6336 patients and results of a survey,” Annals of Surgery, vol. 240, no. 2, pp. 205-213, 2004.
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