Influence of insufflated carbon dioxide on abdominal temperature compared to oesophageal temperature during laparoscopic surgery.
Carbon dioxide
Hypothermia
Laparoscopic
Temperature
Journal
Surgical endoscopy
ISSN: 1432-2218
Titre abrégé: Surg Endosc
Pays: Germany
ID NLM: 8806653
Informations de publication
Date de publication:
12 2021
12 2021
Historique:
received:
16
03
2020
accepted:
17
11
2020
pubmed:
3
12
2020
medline:
6
1
2022
entrez:
2
12
2020
Statut:
ppublish
Résumé
Body core temperature is an important vital parameter during surgery and anaesthesia. It is influenced by several patient-related and surgery-related factors. Laparoscopy is considered beneficial in terms of a variety of parameters, for example, postoperative pain and length of hospital stay. Non-humidified, non-warmed insufflated CO Seventy patients undergoing laparoscopic surgery were included in this prospective observational study. Temperature was measured oesophageal and abdominal before induction of anaesthesia (T1), right before skin incision (T2), 15 min, 30 min and 60 min after skin incision. All patients were treated according to actual guidelines for perioperative temperature measurement. Body core temperature and abdominal temperature correlated moderately (r = 0.6123; p < 0.0001). Bland-Altman plot for comparison of methods showed an average difference of 0.4 °C (bias - 0.3955; 95% agreement of bias from - 2.365 to 1.574). Abdominal temperature further decreased after establishing pneumoperitoneum (T2: 36.2 °C (35.9/36.4) to T5: 36.1 °C (35.6/36.4); p < 0.0001), whereas oesophageal temperature increased (T2: 36.2 °C (35.9/36.4) to 36.4 °C (36.0/36.7); p = 0.0296). Values of oesophageal and abdominal measurement points differed at T4 (36.3 °C (36.0/36.6) vs. 36.1 °C (35.4/36.6); p < 0.0001) and T5 (36.4 °C (36.0/36.7) vs. 36.1 °C (35.6/36.4) p = 0.0003). This prospective observational trial shows the influence of insufflated, non-humidified carbon dioxide at room temperature on abdominal temperature during laparoscopic surgery. We show that carbon dioxide applied at these conditions decreases abdominal temperature and therefore might be a risk factor for perioperative hypothermia.
Sections du résumé
BACKGROUND
Body core temperature is an important vital parameter during surgery and anaesthesia. It is influenced by several patient-related and surgery-related factors. Laparoscopy is considered beneficial in terms of a variety of parameters, for example, postoperative pain and length of hospital stay. Non-humidified, non-warmed insufflated CO
METHODS
Seventy patients undergoing laparoscopic surgery were included in this prospective observational study. Temperature was measured oesophageal and abdominal before induction of anaesthesia (T1), right before skin incision (T2), 15 min, 30 min and 60 min after skin incision. All patients were treated according to actual guidelines for perioperative temperature measurement.
RESULTS
Body core temperature and abdominal temperature correlated moderately (r = 0.6123; p < 0.0001). Bland-Altman plot for comparison of methods showed an average difference of 0.4 °C (bias - 0.3955; 95% agreement of bias from - 2.365 to 1.574). Abdominal temperature further decreased after establishing pneumoperitoneum (T2: 36.2 °C (35.9/36.4) to T5: 36.1 °C (35.6/36.4); p < 0.0001), whereas oesophageal temperature increased (T2: 36.2 °C (35.9/36.4) to 36.4 °C (36.0/36.7); p = 0.0296). Values of oesophageal and abdominal measurement points differed at T4 (36.3 °C (36.0/36.6) vs. 36.1 °C (35.4/36.6); p < 0.0001) and T5 (36.4 °C (36.0/36.7) vs. 36.1 °C (35.6/36.4) p = 0.0003).
CONCLUSION
This prospective observational trial shows the influence of insufflated, non-humidified carbon dioxide at room temperature on abdominal temperature during laparoscopic surgery. We show that carbon dioxide applied at these conditions decreases abdominal temperature and therefore might be a risk factor for perioperative hypothermia.
Identifiants
pubmed: 33263179
doi: 10.1007/s00464-020-08196-x
pii: 10.1007/s00464-020-08196-x
pmc: PMC8599343
doi:
Substances chimiques
Carbon Dioxide
142M471B3J
Types de publication
Journal Article
Observational Study
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
6892-6896Informations de copyright
© 2020. The Author(s).
Références
Anesthesiology. 2008 Jan;108(1):71-7
pubmed: 18156884
Anaesthesia. 2003 Dec;58(12):1228-34
pubmed: 14705689
Lancet. 1996 Feb 3;347(8997):289-92
pubmed: 8569362
Obes Surg. 2001 Oct;11(5):570-5
pubmed: 11594097
Lancet. 2001 Sep 15;358(9285):876-80
pubmed: 11567703
Asian J Endosc Surg. 2017 May;10(2):128-136
pubmed: 27976517
J Am Coll Surg. 2009 Oct;209(4):492-503.e1
pubmed: 19801323
Acta Anaesthesiol Scand. 2007 Feb;51(2):198-201
pubmed: 17096671
Ann Thorac Surg. 1987 Apr;43(4):428-31
pubmed: 3105477
Surg Endosc. 2000 Sep;14(9):787-90
pubmed: 11000355
Eur J Anaesthesiol. 2007 Aug;24(8):668-75
pubmed: 17425815
JAMA. 1997 Apr 9;277(14):1127-34
pubmed: 9087467
N Engl J Med. 1996 May 9;334(19):1209-15
pubmed: 8606715
Anesth Analg. 2002 Aug;95(2):467-71, table of contents
pubmed: 12145073
Anesth Analg. 2002 Jan;94(1):215-20, table of contents
pubmed: 11772832
Medicine (Baltimore). 2019 Oct;98(41):e17520
pubmed: 31593122
J Vasc Surg. 1998 Dec;28(6):984-92; discussion 992-4
pubmed: 9845649
Surg Endosc. 2017 Jan;31(1):1-12
pubmed: 27005288
JMIR Res Protoc. 2019 Dec 20;8(12):e14533
pubmed: 31859685