Humidified compared with dry, heated carbon dioxide at laparoscopy to reduce pain.

Abstract:

OBJECTIVE:To study whether using 95% humidified, heated carbon dioxide (CO(2)) at laparoscopy reduces pain compared with dry, heated CO(2). METHODS:Patients were randomly assigned to either heated, 95% humidified CO(2) (study group) or heated, dry CO(2) (control group) during laparoscopy. Pain control was achieved per standard protocols. Pain scales were administered the first 4 hours and 24 and 48 hours postoperatively. RESULTS:The 89 patients available in the intent-to-treat model revealed a decrease in total morphine equivalents and a decrease in pain scores at 1, 2, and 24 hours in the study group (directional P values < .05). Subgroup analysis in patients without chronic pelvic pain revealed lower mean pain scores at 1, 2, 24, and 48 hours and decreases in postoperative and total morphine equivalents (directional P values < .05) in the study group. CONCLUSION:At laparoscopy, heated, 95% humidified CO(2) effectively decreases postoperative pain and narcotics usage compared with heated, dry CO(2). LEVEL OF EVIDENCE:II-2.

journal_name

Obstet Gynecol

authors

Beste TM,Daucher JA,Holbert D

doi

10.1097/01.AOG.0000194065.59688.fa

subject

Has Abstract

pub_date

2006-02-01 00:00:00

pages

263-8

issue

2 Pt 1

eissn

0029-7844

issn

1873-233X

pii

107/2/263

journal_volume

107

pub_type

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