Effects of 37℃ Carbon Dioxide Pneumoperitoneum on Core Body Temperature, Systolic Blood Pressure, Heart Rate and Acid-Base Balance: A Randomized Double-blind Controlled Trial
Journal of Korean Biological Nursing Science
;
: 76-85, 2017.
Article
in Korean
| WPRIM
| ID: wpr-153586
ABSTRACT
PURPOSE:
The purpose of this study was to compare the effects of 21℃ CO₂ and 37℃ CO₂ pneumoperitoneum on body temperature, blood pressure, heart rate, and acid-base balance.METHODS:
Data were collected at a 1300-bed university hospital in Incheon, from February through September 2012. A total of 74 patients who underwent laparoscopic colectomy under general anesthesia with desflurane were randomly allocated to either a control group or an experimental group. The control group received 21℃ CO₂ pneumoperitoneum; the experimental group received 37℃ CO₂ pneumoperitoneum. The pneumoperitoneum of the two groups was under abdominal pressure 15 mmHg. Body temperature, systolic blood pressure, heart rate and acid-base balance were assessed at 30 minutes and 90 minutes after pneumoperitoneum, and again at 30 minutes after arriving at the Post Anesthesia Care Unit.RESULTS:
Body temperature in the 37℃ CO2 pneumoperitoneum group was significantly higher (F=9.43, p<.001) compared to the 21℃ CO₂ group. However, there were no statistically significant differences in systolic blood pressure (p=.895), heart rate (p=.340), pH (p=.231), PaCO₂ (p=.490) and HCO3- (p=.768) between the two groups.CONCLUSION:
Pneumoperitoneum of 37℃ CO₂ is effective for the increase of body temperature compared to pneumoperitonium of 21℃ CO₂, and it does not result in a decrease of blood pressure, heart rate or acid-base imbalance.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pneumoperitoneum
/
Acid-Base Equilibrium
/
Acid-Base Imbalance
/
Blood Pressure
/
Body Temperature
/
Body Temperature Changes
/
Carbon
/
Carbon Dioxide
/
Laparoscopy
/
Colectomy
Type of study:
Controlled clinical trial
Limits:
Humans
Language:
Korean
Journal:
Journal of Korean Biological Nursing Science
Year:
2017
Type:
Article
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