Beneficial Effects of Humidified, Warmed Carbon Dioxide Insufflation during Laparoscopic Bariatric Surgery: a Randomized Clinical Trial

Abstract

The use of warmed, humidified CO2 insufflation in bariatric patients undergoing LRYGBP was not associated with any significant benefit with regards to postoperative pain.

Heating and humidifying of carbon dioxide during pneumoperitoneum is not indicated

“…The main finding from a review of these studies is that the data are not consistent. Some investigators have demonstrated less hypothermia, and others have shown no difference [7,19,22,24,26]. Ott et al [24] showed improved pain scores, but others have failed to demonstrate this [7,22,26].…”

“…Some investigators have demonstrated less hypothermia, and others have shown no difference [7,19,22,24,26]. Ott et al [24] showed improved pain scores, but others have failed to demonstrate this [7,22,26]. Several papers have shown no statistical difference in narcotic usage [7,22,26], and reported LOS is similarly conflicting.…”

Abdominal Adhesion Prevention: Still a Sticky Subject

“…This is due to a combination of ischemia, acidosis and desiccation. Amelioration of peritoneal damage may be achieved by heating and humidifying the CO 2 as well as reducing gas flow rate and insufflation pressures [88,89,90]. Although some damage to the peritoneum is inevitable, protective measures such as these may allow quicker resolution of any insult.…”

The Multidisciplinary Nature of Critical Care: Living the Dream

“…care of the critically ill bariatric patient, [5][6][7] patient safety and checklists in the ICU, 8,9 and the development of novel teaching techniques for evidence-based critical care at the national level. 10 I also very much enjoy teaching critical care to our fellows and medical students at the medical center.…”