Effect of humidified and heated CO2 during gynecologic laparoscopic surgery on analgesic requirements and postoperative pain.
作者信息
Kissler Stefan, Haas Marianne, Strohmeier Renate, Schmitt Hubert, Rody Achim, Kaufmann Manfred, Siebzehnruebl Ernst
机构信息
Division of Gynecologic Endocrinology and Reproductive Medicine, Department of Obstetrics and Gynecology, Johann Wolfgang Goethe-University, Theodor-Stern-Kai 7, D-60590 Frankfurt am Main, Germany.
出版信息
J Am Assoc Gynecol Laparosc. 2004 Nov;11(4):473-7. doi: 10.1016/s1074-3804(05)60078-3.
STUDY OBJECTIVE
To determine the effect of humidified and heated CO(2) for pneumoperitoneum during laparoscopic surgery on analgesic requirements, postoperative pain, and patient satisfaction.
DESIGN
Prospective, randomized, double-blind, controlled study (Canadian Task Force classification I).
SETTING
University hospital.
PATIENTS
Ninety consecutive women scheduled for gynecologic laparoscopic surgery.
INTERVENTION
Operative laparoscopic management of adnexa surgery or adhesiolysis.
MEASUREMENTS AND MAIN RESULTS
Thirty consecutive patients were randomized into each study group. Group I received humidified, heated gas; group II dry, heated gas; and group III (control group) standard dry, cold gas. No significant difference in intraoperative and postoperative analgesic requirements or postoperative pain score between group I and group II was found. There was even a tendency (not significant) toward less pain and higher postoperative satisfaction in patients in the control group. Therefore, the evaluation was stopped after 53 patients.
CONCLUSION
The use of humidified, heated gas did not reduce postoperative pain or intraoperative analgesic requirements and is thus not preferable to standard dry, cold gas in gynecologic laparoscopic surgery.
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