The effects of CO2 pneumoperitoneum at different temperature and humidity on hemodynamic and respiratory parameters and postoperative pain in gynecological laparoscopic surgery: A prospective randomized controlled study

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dc.authoridGunusen, ilkben/0000-0002-8719-0358
dc.authoridsargin, asuman/0000-0003-1606-1548
dc.authoridKaraman, Semra/0000-0003-0933-3090
dc.authorwosidGunusen, ilkben/AFV-5158-2022
dc.authorwosidsargin, asuman/T-7242-2018
dc.contributor.authorGunusen, Ilkben
dc.contributor.authorAkdemir, Ali
dc.contributor.authorSargin, Asuman
dc.contributor.authorKaraman, Semra
dc.date.accessioned2023-01-12T19:54:25Z
dc.date.available2023-01-12T19:54:25Z
dc.date.issued2022
dc.departmentN/A/Departmenten_US
dc.description.abstractBackground: It is recommended to heat and humidity CO2 in laparoscopic surgery to prevent postoperative pain and hypothermia but information about its effects on hemodynamic and respiratory parameters is limited. We aimed to investigate the effects of standard and heated-humidified CO2 on hemodynamic and respiratory parameters, body temperature and pain in healthy patients. Methods: One hundred patients who underwent total laparoscopic hysterectomy for benign pathology were divided into two groups: Group CD (cold-dry) patients were administered standard CO2, while Group HH (heated-humidified) patients were administered 95% humidified insufflation at 37 degrees C. Hemodynamic and respiratory parameters, body temperature, pain score and blood count parameters were recorded. Results: A total of 96 patients were included in the study, taken from the 100 patients. Group HH (n:47) had only higher systolic blood pressure at 75, mean blood pressure at 50 and 55 and a lower heart rate between 15 and 45 min (p:0.049, 0.037, 0.013 respectively). Pain score, morphine consumption, end-tidal CO2 and arterial blood gas values were not different between the groups, with only body temperature from 40 min and minimum value being significantly higher (at a difference of 0.86-1.04 degrees C) in Group HH. Postoperative leukocyte, neutrophil and NLR (neutrophil-leukocyte ratio) were found to be higher in this group (p < 0.05). Conclusion: It has been found that both standard and heated-humidified CO2 do not constitute a problem in terms of hemodynamic and respiratory parameters in healthy patients. The heated-humidified CO2 group had only a higher core body temperature and inflammatory response. (C) 2021 Asian Surgical Association and Taiwan Robotic Surgery Association. Publishing services by Elsevier B.V.en_US
dc.identifier.doi10.1016/j.asjsur.2021.04.005
dc.identifier.endpage161en_US
dc.identifier.issn1015-9584
dc.identifier.issn0219-3108
dc.identifier.issue1en_US
dc.identifier.pmid33888367en_US
dc.identifier.startpage154en_US
dc.identifier.urihttps://doi.org/10.1016/j.asjsur.2021.04.005
dc.identifier.urihttps://hdl.handle.net/11454/76418
dc.identifier.volume45en_US
dc.identifier.wosWOS:000754520800021en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Singapore Pte Ltden_US
dc.relation.ispartofAsian Journal of Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectGynecological laparoscopyen_US
dc.subjectStandard CO2en_US
dc.subjectHeated-humidified CO2en_US
dc.subjectHemodynamicen_US
dc.subjectRespiratory parametersen_US
dc.subjectCarbon-Dioxide Pneumoperitoneumen_US
dc.subjectNeutrophil-Lymphocyte Ratioen_US
dc.subjectInflammatory Responseen_US
dc.subjectBody-Temperatureen_US
dc.subjectDisease-Activityen_US
dc.subjectInsufflationen_US
dc.subjectCholecystectomyen_US
dc.subjectHumidificationen_US
dc.subjectPlateleten_US
dc.subjectMarkersen_US
dc.titleThe effects of CO2 pneumoperitoneum at different temperature and humidity on hemodynamic and respiratory parameters and postoperative pain in gynecological laparoscopic surgery: A prospective randomized controlled studyen_US
dc.typeArticleen_US

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