Jr. Bessell et al., Humidified gas prevents hypothermia induced by laparoscopic insufflation -A randomized controlled study in a pig model, SURG ENDOSC, 13(2), 1999, pp. 101-105
Citations number
29
Categorie Soggetti
Surgery
Journal title
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES
Background: This experimental study evaluated whether humidification of war
med insufflated CO2 during laparoscopic procedures would resolve the proble
m of laparoscopy-induced hypothermia.
Methods: Changes in core temperature were quantified over a 3-h period of h
igh-flow CO2 insufflation in a randomized, controlled trial of five pigs. E
ach animal was anesthetized and studied on three occasions under standardiz
ed conditions, acting as its own control by insufflation with no gas compar
ed with insufflation by cool dry gas and heated humidified gas.
Results. Core temperatures after insufflation with heated humidified gas we
re no different from that of controls. After insufflation with cool dry gas
, core temperature dropped by 1.8 degrees C, which was significantly more t
han the 0.6 degrees C drop experienced by control animals and those insuffl
ated with heated humidified gas (p < 0.01). Calculations of the heat expend
ed in evaporation of water were also performed. The temperature drop due to
water evaporation alone in pigs insufflated with cool dry gas was calculat
ed to be 1.5 degrees C. This compares favorably with the measured 1.2 degre
es C temperature difference between these animals and the control group.
Conclusions: The majority of heat lost during laparoscopic insufflation is
due to water evaporation, and laparoscopic hypothermia may be prevented by
using heated and humidified gas insufflation.