Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/6048
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Type: Journal article
Title: A randomized controlled trial to determine the effects of humidified carbon dioxide insufflation during thoracoscopy
Author: Mouton, W.
Bessell, J.
Pfitzner, J.
Dymock, R.
Brealey, J.
Maddern, G.
Citation: Surgical Endoscopy: surgical and interventional techniques, 1999; 13(4):382-385
Publisher: Springer-Verlag New York, Inc.
Issue Date: 1999
ISSN: 0930-2794
1432-2218
Statement of
Responsibility: 
W. G. Mouton, J. R. Bessell, J. Pfitzner, R. B. Dymock, J. Brealey and G. J. Maddern
Abstract: Background: The humidification of gas insufflated during laparoscopy can reduce the degree of postoperative hypothermia and may result in less peritoneal reaction and less postoperative pain. The present study was designed to determine whether the beneficial effects of humidified gas insufflation also applied to thoracoscopy. Methods: Six pigs were each studied on three separate occasions with insufflation into the right thoracic cavity of either humidified gas, standard dry gas, or with no insufflation (control procedure). Core body temperature was recorded every 15 min, and biopsies of the parietal pleura were taken at the end of each study for electron microscopy. Results: Humidification of insufflated gas significantly minimized the fall in core temperature during the procedure. Electron microscopy showed that dry gas insufflation resulted in greater structural injury to the pleura than humidified gas insufflation. Conclusions: The potential benefits of humidifying insufflation gas during thoracoscopy warrant its evaluation in the clinical setting.
Keywords: Thoracoscopy
Laparoscopy
CO2
Temperature
Pain
Experimental study
Rights: © Springer-Verlag New York, Inc. 1999
DOI: 10.1007/s004649900994
Published version: http://dx.doi.org/10.1007/s004649900994
Appears in Collections:Anaesthesia and Intensive Care publications
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