A randomized controlled study evaluating the effects of the temperature of insufflated CO2 on core body temperature and blood gases (an experimental study)

dc.contributor.authorBashirov, E.
dc.contributor.authorCetiner, S.
dc.contributor.authorEmre, M.
dc.contributor.authorSeydaliyeva, T.
dc.contributor.authorAlic, V.
dc.contributor.authorDaglioglu, K.
dc.contributor.authorOzalevli, M.
dc.date.accessioned2024-09-18T20:04:35Z
dc.date.available2024-09-18T20:04:35Z
dc.date.issued2007
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractBackground: Heated carbon dioxide (CO2) was used for pneumoperitoneum (Pp) to prevent hypothermia. This study aimed to investigate the relationship between the temperature of the insuffated CO2 and blood gases together with the core body temperature (CBT). Methods: A prospective controlled study was performed with 24 pigs weighing approximately 20 kg randomized into four groups of 6 pigs each. A pneumoperitoneum at 12 mmHg of pressure was applied for 60 min with the pig under general anesthesia. The CO2 temperature was 22 degrees C in group 1, 37 degrees C in group 2, and 7 degrees C in group 3. In the sham'' group, pneumoperitoneum was not applied. Arterial blood pH and partial pressure of CO2 (PaCO2) were analyzed before insuffation, every 15 min during the pneumoperitoneum, and 15 min after the desuffation. The CBT was recorded before the insuffation, every 20 min during pneumoperitoneum, and 20 min after the desuffation. Blood gas analyses and CBT records for the sham'' group were performed at the same intervals. Results: Arterial blood pH gradually decreased during pneumoperitoneum. At the 60th minute of pneumoperitoneum, a minimum decrease in arterial blood pH (0.04; p = 0.027) and a minimum increase in PaCO2 (3.67; p = 0.027) were recorded in group 3, whereas a maximum decrease in arterial blood pH (0.18; p = 0.027) and a maximum increase in PaCO2 (17.17; p = 0.027) were recorded in group 2. There was a significant negative correlation between PaCO2 and arterial blood pH in all the groups (r = -0.993; p < 0.01). The mean values of CBT decreases were statistically significant in all the groups: group 1 (p = 0.023), group 2 (p = 0.026), group 3 (p = 0.026), and sham'' group (p = 0.024). Conclusions: The changes in PaCO2 were directly proportional and the changes in pH contrarily proportional to the temperature of the insuffated CO2. Significant differences in CBT decreases were found between the groups receiving heated gas and room temperature gas and the groups receiving heated gas and gas below room temperature.en_US
dc.identifier.doi10.1007/s00464-007-9295-8
dc.identifier.endpage1825en_US
dc.identifier.issn0930-2794
dc.identifier.issue10en_US
dc.identifier.pmid17516120en_US
dc.identifier.scopus2-s2.0-34548613416en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1820en_US
dc.identifier.urihttps://doi.org/10.1007/s00464-007-9295-8
dc.identifier.urihttps://hdl.handle.net/20.500.12483/8264
dc.identifier.volume21en_US
dc.identifier.wosWOS:000249555500026en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofSurgical Endoscopy and Other Interventional Techniquesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectblood gasesen_US
dc.subjectcarbon dioxide absorptionen_US
dc.subjectcore body temperatureen_US
dc.subjecthypercapniaen_US
dc.subjecthypothermiaen_US
dc.subjectpneumoperitoneumen_US
dc.titleA randomized controlled study evaluating the effects of the temperature of insufflated CO2 on core body temperature and blood gases (an experimental study)en_US
dc.typeArticleen_US

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