Reduction of Laparoscopic-Induced Hypothermia, Postoperative Pain and Recovery Room Length of Stay by Pre-Conditioning Gas with the Insuflow® Device: A Prospective Randomized Controlled Multi-Center Study
| Autor: | Ott, Douglas E., Reich, Harry, Love, Beverly, McCorvey, Roosevelt, Toledo, Andrew, Liu, C. Y., Syed, Radha, Kumar, Kalyani |
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| Jazyk: | angličtina |
| Rok vydání: | 1998 |
| Předmět: |
Adult
Pain Postoperative Equipment Safety Adolescent Pain Gas hydration Hypothermia Length of Stay Middle Aged Prognosis Laparoscopes Double-Blind Method Laparoscopic hypothermia Preoperative Care Scientific Papers Humans Laparoscopy Female Postoperative Period Prospective Studies Peritoneum Intraoperative Complications Genital Diseases Female Pneumoperitoneum Artificial Recovery Room |
| Zdroj: | JSLS : Journal of the Society of Laparoendoscopic Surgeons |
| ISSN: | 1938-3797 1086-8089 |
| Popis: | Objective: To assess the efficacy and safety of Insuflow® (Georgia BioMedical, Inc.) filter heater hydrator device in reducing the incidence, severity and extent of hypothermia, length of recovery room stay and postoperative pain at the time of laparoscopy. Design: Prospective, randomized, blinded, controlled multi-center study. Patients underwent gynecologic procedures via laparoscopy; surgeons, anesthesiologists and recovery room personnel assessed the results. Setting: Seven North American institutions. Patients: Seventy-two women for safety evaluation and efficacy studies. Interventions: Intraoperative pre-conditioning of laparoscopic gas with the Insuflow® device (treatment) or standard raw gas (control) during laparoscopic surgery and postoperatively. Main Outcome Measures: Incidence, severity and extent of hypothermia, postoperative pain perception and length of recovery room stay. Results: The Insuflow® group had significantly less intra-operative hypothermia, reduced length of recovery room stay and reduced postoperative pain. Pre-conditioning of laparoscopic gas by filtering heating and hydrating was well tolerated with no adverse effects. The safety profile of the Insuflow® pre-conditioned gas showed significant benefits compared to currently used raw gas. Conclusions: Pre-conditioning laparoscopic gas by filtering heating and hydrating with the Insuflow® device was significantly more effective than the currently used standard raw gas and was safe in reducing or eliminating laparoscopic-induced hypothermia, shortening recovery room length of stay and reducing postoperative pain. |
| Databáze: | OpenAIRE |
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