Thermostasis during Laparoscopic Urologic Surgery

Kaynan, Ayal M.; Winfield, Howard N.

doi:10.1089/089277902760367412

Cited by 9 publications

(7 citation statements)

References 18 publications

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“…Kaynan and associates 30 reported in a retrospective review of 102 laparoscopic urologic procedures in children on the prevention of intraoperative hypothermia using heating blankets. They showed that, in children, the use of nonheated, nonhumidified CO 2 for insufflation during laparoscopic surgery under general anesthesia results in mild hypothermia, necessitating prevention with external warming devices.…”

Section: Discussionmentioning

confidence: 99%

Maintaining Perioperative Normothermia During Laparoscopic and Open Urologic Surgery

Hoda

Popken

2008

Journal of Endourology

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Section: Discussionmentioning

confidence: 99%

Maintaining Perioperative Normothermia During Laparoscopic and Open Urologic Surgery

Hoda

Popken

2008

Journal of Endourology

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“…The five cardinal perils of CO 2 pneumoperitoneum are abdominal compartment syndrome,[14] hypercarbia,[15] respiratory acidosis,[16] tissue desiccation and hypothermia. [1718] They together contribute significantly to several physiological changes [Figure 2]. For example, electrocardiograms (ECG) of children undergoing laparoscopic appendectomy showed significant QT dispersion and P-wave depression during CO 2 insufflation (QoE-C4).…”

Section: Discussionmentioning

confidence: 99%

Pediatric laparoscopy: Facts and factitious claims

Raveenthiran

2010

J Indian Assoc Pediatr Surg

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Background:Pediatric laparoscopy (LS) is claimed to be superior to open surgery (OS). This review questions the scientific veracity of this assertion by systematic analysis of published evidences comparing LS versus OS in infants and children.Materials and Methods:Search of PubMed data base and the available literature on pediatric LS is analyzed.Results:One hundred and eight articles out of a total of 426 papers were studied in detail.Conclusions:High quality evidences indicate that LS is, at the best, as invasive as OS; and is at the worst, more invasive than conventional surgery. There are no high quality evidences to suggest that LS is minimally invasive, economically profitable and is associated with fewer complications than OS. Evidences are equally distributed for and against the benefits of LS regarding postoperative pain. Proof of cosmetic superiority of LS or otherwise is not available. The author concludes that pediatric laparoscopy, at the best, is simply comparable to laparotomy and its superiority over the latter could not be sustained on the basis of available scientific evidences. Benefits of laparoscopy appear to recede with younger age. Concerns are raised on the quick adoption, undue promotion and frequent misuse of laparoscopy in children.

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“…An adverse effect of laparoscopy is the hypothermia caused by CO 2 insufflation at room temperature [15]. In our patients, normothermia was obtained by means of an external patient warming device.…”

Section: Discussionmentioning

confidence: 99%

Hemodynamic and Respiratory Effects of Robot‐assisted Laparoscopic Fundoplication in Children

et al. 2005

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Laparoscopic fundoplication is increasingly used for treating gastro-esophageal reflux disease in children. Mechanical and pharmacological effects may contribute to hemodynamic and respiratory changes during carbon dioxide pneumoperitoneum. The aim of the present study was to evaluate the hemodynamic and respiratory effects of pneumoperitoneum (PP) with an intra-abdominal pressure (IAP) of 12 mmHg in children undergoing robot-assisted laparoscopic fundoplication during total intravenous anesthesia. Ten children, aged 8-16 years, American Society of Anesthesiologists physical status II-III, scheduled for robot-assisted laparoscopic fundoplication in the reverse Trendelenburg position were investigated. Minute ventilation (MV), peak inspiratory pressure (PIP), IAP, heart rate (HR), mean arterial blood pressure (MAP) were recorded, together with pH, base excess, HCO3-, P(et)CO2, PaCO2, and PaO2 at six time points: before insufflation, 10, 30, 60, 90 minutes after creating PP and after desufflation. The IAP was maintained at 12 mmHg. During insufflation MAP increased significantly from 70.6 (+/-9.0) to 84.8 (+/-10.4) mmHg, MV was increased from 4.6 (+/-0.8) to 5.5 (+/-0.9) l min(-1), PIP increased, PaO2 and pH decreased. P(et)CO2 increased from 33.1 (+/-1.6) to 36.6 (+/-1.6) mmHg together with PaCO2. Hemodynamic and respiratory effects due to the intra-abdominal insufflation of CO2 with an IAP of 12 mmHg are well tolerated, and anesthesia with remifentanil, propofol and mivacurium facilitates extubation immediately at the end of surgery.

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Thermostasis during Laparoscopic Urologic Surgery

Cited by 9 publications

References 18 publications

Maintaining Perioperative Normothermia During Laparoscopic and Open Urologic Surgery

Maintaining Perioperative Normothermia During Laparoscopic and Open Urologic Surgery

Pediatric laparoscopy: Facts and factitious claims

Hemodynamic and Respiratory Effects of Robot‐assisted Laparoscopic Fundoplication in Children

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